Category: Nursing

For this assessment, you can use a supplied template
to conduct a root-cause analysis. The completed assessment will be a scholarly
paper focusing on a quality or safety issue in a health care setting of your
choice as well as a safety improvement plan.

The 50-Year-Old Patient Evaluation & Management Plan
A 50-year-old woman presents to the office with complaints of excessive fatigue and shortness of breath after activity, which is abnormal for her. The woman has a history of congestive heart failure with decreased kidney function within the last year. The woman appears unusually tired and slightly pale. Additional history and examination rules out worsening heart failure, acute illness, and worsening kidney disease. The CBC results indicate hemoglobin is 9.5 g/dL, which is a new finding, and the hematocrit is 29%. Previous hemoglobin levels have been 11 to 13g/dL. The patient’s vital signs are temperature 98.7°F, heart rate 92 bpm, respirations 28 breaths per minute, and blood pressure 138/72. The practitioner suspects the low hemoglobin level is related to the decline in kidney function and begins to address treatment related to the condition. Answer the following:
Which test(s) should be performed to determine whether the anemia is related to chronic disease or iron deficiency, and what would those results show?
Should the practitioner consider a blood transfusion for this patient? Explain your answer.
Which medication(s) should be considered for this patient?
What considerations should the practitioner include in the care of the patient if erythropoietic agents are used for treatment?
What follow-up should the practitioner recommend for the patient?
Submission Instructions:
The paper is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
The paper should be formatted per current APA and 2-3 pages in length, excluding the title, abstract and references page.
Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

Examine Healthy People 2030 health promotion and disease
prevention objectives.  Identify a health disparity, research this
topic, and discuss how it is being addressed at both the local and
national levels.
Expectations
Initial Post:
Length: A minimum of 250 words, not including references
Citations: At least two of three high-level scholarly references in APA from within the last 5 years

Respond to one of the following prompts:
Prompt #1: Imagine a scenario where there has been a serious crime in a town, and the Sheriff is trying to prevent serious rioting. He knows this rioting will likely bring destruction, injury, and maybe even death. He has no leads; he has not the slightest idea who committed the crime. However, he can prevent these riots by lying to the town and framing an innocent man. No one will miss the man, and he is hated in the town. If he frames and jails this innocent man, convincing people to believe that this man committed the crime, then the town will be placated, and people will not riot.
Discuss the moral implications of lying by selecting one of the ethical perspectives below: 
What would a virtue ethicist, a Kantian, OR a utilitarian have us do in this case if we were the sheriff? In other words, should we lie according to virtue ethics? What considerations and core principles would a virtue ethicist identify as essential to think about concerning this case? (USLOs 7.1, 7.2, 7.3) 
Reference: McCloskey, H. J., ‘A Non-Utilitarian Approach to Punishment,’ in Philosophical Perspectives on Punishment, ed. by Gertrude Ezorsky (Albany: State University of New York Press, 1972), 119–34. 
Prompt #2: Imagine a nurse entrusted with the critical responsibility of patient care succumbing to the temptation to steal medications. This scenario presents a profound ethical dilemma. How can we justify, if at all, such an act? Is there ever a morally acceptable reason for a nurse to take medications, whether for personal use or to help others outside of official protocols? 
Drawing on an ethical theory from our course, please explore the moral dimensions of this issue. Consider the ramifications for patients, the healthcare organization for which the nurse works, and the nursing profession’s moral integrity as a whole.  
In your response, clearly articulate your position, using the core principles of virtue ethics, Kantian ethics, or utilitarianism to support your view. (Select only one of these ethical systems to focus your response.)  Aim for a thoughtful analysis that reflects deep engagement with the ethical complexities of this situation. (USLOs 7.4, 7.5, 7.6) 

Use the attahed file to retype it in word document . Retype the questions and answers exactly the way it is typed . See attachement 

Concept for this map is Glucose Regulation-Hyperglycemia. Will have to make up a scenario on this concept to complete the map. all the instructions are attached. please use the book as one of the references.

Discuss how to close the health care disparities gap in the LGBTQ community?
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

reflection on your practicum experience, the development of your capstone project, and your personal and professional growth over the course of your RN-to-BSN program. 
Read the grading criteria attached below and use the inteverntion feedback for to complete the audio transcript 
this is carrying on from the last 4 assignment you completed with Patient Smith Jackson 

Respond at least 2 times each to all colleagues who presented this week (should be 2-3 presenters each week). The goal is for the discussion forum to function as robust clinical conferences on the patients. Provide a response to 1 of the 3 discussion prompts that your colleagues provided in their video presentations. You may also provide additional information, alternative points of view, research to support treatment, or patient education strategies you might use with the relevant patient.

Task 2:
Make a slideshow where you analyse the existing evidence of social variations in health and illness in society, focussing upon the experiences of the two families in the case study.  
In your analysis, you should make use of UK statistics and research. You should aim to show if there is statistical evidence for the health inequalities experienced by the two families. You may also consider if there are any possible problems with the validity of the statistics.
The slideshow should consist of no more than 10 slides. Ensure that you do not overcrowd your slides with text – 50 words per slide maximum is recommended. 500 words
Use the case studies:
Oliver’s family
Oliver is 34 and unemployed. He lives in private housing – a one bedroom basement flat in an urban area, with his two children: Jordan, aged 5, and Alex, aged 7. The flat has some problems with damp and has no garden. Oliver was brought up in care and fears social workers will try to take his children away so he tries to avoid contact with social services. He has a long history of alcohol and drug abuse and has also suffered from depression. Oliver has persistent stomach complaints and his children have had impetigo and dental problems. Oliver has low levels of literacy and finds handling money problematic – his GP has given him foodbank tokens but he often finds himself and his children are hungry. Both his children suffer from asthma and the teacher at Alex’s school is concerned about his poor progress with regard to reading as his schooling has been disrupted by frequent absences related to hospital admissions.  
Amir’s family
Amir lives at the other end of Oliver’s street. Amir is also 34. He is married to Jamila who has a media business. They have two children: Maryam, aged 4, and Abdullah, aged 9. They live in a renovated four floor town house, which includes a studio as Amir works at home as an artist and illustrator. They also have a cottage in the Cotswolds, which they often visit at weekends. Jamila finds this particularly enjoyable as she has suffered from severe post-natal depression and is still having private counselling for some on-going personal problems. In the past, Amir had some issues with drug abuse – he had a cocaine addiction which got out of control – but he has had successful treatment at a private clinic. Amir feels his children have been generally healthy and enjoy music and dance lessons, take part in various sports and frequent social events. Abdullah is receiving extra private home tuition in preparation for grammar school entrance exams.
USE HARVARD referencing