Discussion on Informed Consent

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Discussion on Informed Consent

Participation Requirement: You are required to post a minimum of three (3) times in each discussion. These three (3) posts must be on a minimum of two (2) separate days. You must respond to the initial discussion question by 11:59 p.m. on Wednesday.  On additional days, respond to your peers’ posts as well as additional faculty posts. Responses to peers must be posted by 11:59 p.m. on Sunday each week a discussion is due.

Step 1: Read the attached article entitled, “Informed Consent – The Joint Commission” 

Step 2: View the video entitled, “Nursing Fundamentals: Informed Consent, Advance Directives, Reporting and Nursing Documentation”https://www.youtube.com/watch?v=9u53jNI4qoU (Links to an external site.)

Informed consent is obtained after a client receives complete disclosure of all pertinent information provided by the provider regarding the surgery or procedure to be performed. The nurse may obtain informed consent only after the client verbalizes understanding of the potential benefits and risks associated with the surgery or procedure.

Elements of Informed Consent:

  1. The individual giving consent must fully understand the procedure that will be performed, the risks involved, expected/desired outcomes, expected complications/side effects, and alternative treatments or therapies available.
  2. Consent is given by a competent adult, legal guardian or designated power of attorney (DPOA), emancipated or married minor, parent of a minor, or a court order.
  3. A trained medical interpreter must be provided when the person giving consent is unable to communicate due to a language barrier.
  4. The nurse’s role is to witness the client’s signature and ensure the provider gave the necessary information and that the client understood and is competent to sign. If it has been identified that the client does not understand the procedure or is not competent to sign the informed consent, the nurse must STOP the process and the physician must be notified immediately.

A consultation occurs when a professional provides expert advice in a particular area and determines what treatment or services the client requires. The nursing intervention evolves around facilitating coordination with other health care providers throughout the continuum of care in order to protect the client from conflicting and potentially dangerous treatments.

A referral is a formal request for a special service by another care provider so that the client can access the care identified by the primary care provider or consultant. Some examples of referrals include physical therapy, wound care, and hospice. The nursing intervention continues to evolve around monitoring the client’s response and progress.

Directions: There are three scenarios that will be used in this discussion posting. You are all responsible for the initial discussion posting and then responding to one posting in the remaining scenarios. For example, my last name is Combs, therefore my initial discussion posting will occur from CASE #1. I will then be responsible for responding to one post from CASE #2 and one post from CASE #3.

CASE #1 (A to H); CASE #2 (I to Q); CASE #3 (R to Z)

CASE #1:

30-year-old male presents to the emergency department with RLQ pain and fever. Labs reveal an elevated white blood count. The surgical intern tells the patient that appendicitis is suspected and that the plan is to proceed with surgery to remove the appendix. He explains that the surgery is to be performed to prevent complications of appendicitis, including abscess formation, sepsis or even death. He goes on to explain the risks of surgery, including bleeding, infection and damage to adjacent organs. What additional information needs to be included in this consent? Provide an evidence-based reason for your answer.

  1. Whether or not the intern would undergo the procedure in a similar circumstance.
  2. Alternative to the surgery, including receiving antibiotics and monitoring the patient.
  3. Name of the surgeon who will actually be performing the procedure.
  4. A, B and C
  5. B and C only

CASE #2:

33-year-old woman is in the operating room to undergo colectomy for ulcerative colitis. Patient was given appropriate information, and consented for the procedure. During the operation, a mass is identified involving the liver. Given the previous consent, it is acceptable for the surgeon to proceed further to either biopsy or excise the lesion. Provide an evidence-based reason for your answer.

  1. True
  2. False

CASE #3:

14-year-old girl presents to the emergency department, accompanied by her 10-month-old daughter and boyfriend. The boyfriend is the child’s father. Patient complains of severe lower abdominal pain, although she is afebrile, with normal laboratory values and normal vital signs. No cause of the pain is able to be delineated, and the plan is to take the girl to the operating room to perform a diagnostic laparoscopy. In this case, from whom should informed consent be obtained? Provide an evidence-based reason for your answer.

  1. Patient
  2. Patient’s parents
  3. Patient’s boyfriend

Informed Consent – The Joint Commission.pdf

Nursing Termpaper outline and class discussion (APA format and zero plagiarism)

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(A)

This is part 1 of your required term paper. In this part, you are to choose a topic as your focus. Choose a topic that will incorporate 3-4 of the concepts discussed within this course (such as ethics, leadership, communication, and quality) and write a short 50 word or less summary of what you plan to address. Then, develop an outline of information that you plan to include (Refer to the Outline Template and Grading Rubric). The provided outline template can be downloaded, and your information inserted into the outline. (see Outline Templates and Grading rubric attached below). Be sure to remove any wording that is not pertinent to your own work. 

Topics to Choose from:

1.Healthy Work Environment; how methods to resolve conflicts in the workplace are developed. How might patient care be affected when conflicts are present among nursing staff?

2. Emergency preparedness and response; how it relates to an emergency health threat such as a bioterrorism incident or the current CPVID-19 pandemic. How might patient care be affected, and policies and procedures changed?

3. Latent Errors: discuss the factors that may lead to latent errors involving nurses. How might patient care be affected?

(B)

In this discussion forum, you assigned the responsibility of examining the Self-Care Deficit Theory of Dorothea Orem. Please apply Orem’s theory to the case scenario provided below. In your discussion, include the role of the nurse in providing care to this patient and appropriate interventions to be used to help him meet his needs. Be sure to provide a rationale for your actions/interventions.

Case Scenario:

George is a 70-year-old patient who has been assigned to you as his community-based nurse case manager. George has severe congestive heart failure, peripheral vascular disease, and no family or social support. George had 15 admissions to the hospital and 35 visits to the emergency department this year from noncompliance with his medication and diet regimen. He receives a monthly social security check, which he spends on food, bingo, and medications (in that order)

Please refer to the Discussion Board rubric when writing your post.

Human Development and Lifespan

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1) Overall, would you say that group members’ responses closely correspond to or differ noticeably from the material about adolescent behavior that is presented in the textbook, lectures and video? Use examples to explain your assessment.

2) What factors at various levels of the ecology in Bronfenbrenner’s Bioecological Model of Development contribute to the behavior that is perceived to occur frequently among teens? Provide examples to illustrate the factors that you identify; for these examples,  draw upon the your fellow group members’ posts about their “risky and rebellious adolescent behaviors (or lack thereof) if you can; if you cannot (for example if your fellow group members who have posted before you have “used them up” so that ours would be repetitive, use examples from other adolescents that you have known. Really try to incorporate in your analysis concepts related to the Bioecological Model. The objective of discussion is to help students to reflect on and understand major perspectives on development as well as important concepts and, in particular, to think about how they apply or do not seem to apply to their own development and that of people around them. (And in case you haven’t guessed this already, this course emphasizes the importance of Bronfenbrenner’s Bioecological Model as a model of influences on development across the life span!)

3) What, if anything, can adults do to curb risky and/or rebellious behavior by adolescents? Think about such questions as, 

a) Do teenagers need to have their freedoms limited so that they will be

protected from the dangers of today?  

b) If freedoms must be limited, whose responsibility is it to limit them? Does it  “take a village” in the words of Hillary Clinton when she was first lady? Again,  try to think about what adults at various “levels” of the ecology might do. 

c) How do issues of confidentiality, privacy, consent and autonomy apply to

the behavior of adolescents? Again, use examples from your own experience and  from your fellow group members’ posts

Nursing 530 discussion

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Mr. B, a 40-year-old avid long-distance runner previously in good health, presented to his primary provider for a yearly physical examination, during which a suspicious-looking mole was noticed on the back of his left arm, just proximal to the elbow. He reported that he has had that mole for several years, but thinks that it may have gotten larger over the past two years. Mr. B reported that he has noticed itchiness in the area of this mole over the past few weeks. He had multiple other moles on his back, arms, and legs, none of which looked suspicious. Upon further questioning, Mr. B reported that his aunt died in her late forties of skin cancer, but he knew no other details about her illness. The patient is a computer programmer who spends most of the work week indoors. On weekends, however, he typically goes for a 5-mile run and spends much of his afternoons gardening. He has a light complexion, blonde hair, and reports that he sunburns easily but uses protective sunscreen only sporadically.

Physical exam revealed: Head, neck, thorax, and abdominal exams were normal, with the exception of a hard, enlarged, non-tender mass felt in the left axillary region. In addition, a 1.6 x 2.8 cm mole was noted on the dorsal upper left arm. The lesion had an appearance suggestive of a melanoma. It was surgically excised with 3 mm margins using a local anesthetic and sent to the pathology laboratory for histologic analysis. The biopsy came back Stage II melanoma.

1. How is Stage II melanoma treated and according to the research how effective is this treatment?

Both responses must be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required 

research paper outline due in 3 hours. help!

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Research Paper: Working Outline Assignment Instructions

Overview

Using current APA format, you will create a Research Paper: Working Outline Assignmenttowards your Research Paper: Final Submission Assignment. This outline will include a title page and a references page, making any corrections from your Research Paper: TopicRationale Assignment feedback.

Instructions

You will outline your proposed Research Paper: Final Submission Assignment into various sections. You must include a brief summary of the kind of content and scholarly sources you plan to include in each section, giving a clear direction towards your Research Paper: Final Submission Assignment.

You must place all the sources that you anticipate using into the Research Paper: Working Outline Assignment, showing them as current APA-style citations. You can add or delete sources as you build your outline and work through the final stages of the paper, however, ALL proposed sources must show in the outline (minimum of 5 peer-reviewed sources published within the last five years).

Sources must be referenced as appropriate, following current APA format, and you must include any references used in an APA references page at the end of the Research Paper: Working Outline Assignment. Make sure to review the guidance below and follow that format in what you upload for grading.

Working Outline – You will submit an outline for the research paper following the elements expressed in the general instructions section, and including the following:

Introduction – include sub-headings reflecting the various components contributing to this section.

Historic Position – include sub-headings reflecting the various components contributing to this section.

Current Conflict – include sub-headings reflecting the various components contributing to this section.

Recommendations – include sub-headings reflecting the various components contributing to this section.

Conclusion

GUIDE TO FORMAL OUTLINING

A. The outline should be in sentence form.1. That means that each section of the outline must be a complete sentence2. Each part may only have one sentence in it.B. Each Roman numeral should be a main section of the paper.1. Capital letters are main points of the thesis.i. Numbers are sub-points under the capital letters.a. Little letters are sub-points under the numbers.2. Sub-points need to correspond with the idea it is under.i. This means that capital letters refer to the idea in roman numerals.ii. This means that numbers refer to the idea in the capital letter.C. All sub-points should be indented the same.1. This means that all the capital letters are indented the same.2. All numbers are indented the same.D. No sub-point stands alone.1. Every A must have a B.2. Every 1 must have a 2.3. You don’t need to have a C or a 3, but you can.4. There are no exceptions to this rule.

The number of sub-points will differ depending on length and type of paper and for each main idea. Your outline should have a similar format like the one in the sample, but it should have full and complete sentences, not the abbreviated version reflected above.

Your outline will also include any citations for research that you may consider using.  All citations, both in-text and in the reference list, must be in current APA format.  Any sources should be peer-reviewed articles and should not include textbooks or websites unless they are after the number of required articles for the overall paper.  Websites that may be included should be credible such as .org, .gov, or .edu.  Wikipedia is not a credible source and should not ever be used for academic work.

Section A: Problem Description-katetutor

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Please review all attachments.  Also the paper Industry of Adult Living is the topic I want to address in the series of assignments.  If you have any questions please please don’t hesitate to ask.

Write a paper of 500-750 words (not including the title page and  reference page) on your proposed problem description for your EBP  project. The paper should address the following:

  1. Describe the background of the problem. Tell the story of the issue and why it deserves attention.
  2. Identify the stakeholders/change agents. Who or what organizations  are concerned about, may benefit from, or are affected by this proposal.  List the interested parties, patients, students, agencies, Joint  Commission, etc.
  3. Provide the PICOT question. (PICOT:  Population-Intervention-Comparison-Outcome-Timeframe). Make sure that  the question fits with your graduate degree specialization.
  4. State the purpose and project objectives in specific, realistic, and  measurable terms. The objective should address what is to be gained.  This is a restatement of the question, providing focus. Measurements  need to be taken before and after the evidence-based practice is  introduced to identify the expected changes.
  5. Provide supportive rationale that the problem or issue is an  important one for nursing to resolve using relevant professional  literature sources.

Develop an initial reference list to ensure that there is adequate  literature to support your evidence-based practice project. Follow the  “Steps to an Efficient Search to Answer a Clinical Question” box in  chapter 3 of the textbook. Refer to the “Search Method Example” as the  format in which to compile this data.

  1. The majority of references should be research articles. However,  national sources such as Centers for Disease Control and Prevention  (CDC), National Center for Health Statistics (NCHS), Department of  Health and Human Resources (HHS), or the Agency for Healthcare Research  and Quality (AHRQ) and others may be used when you are gathering  statistics to provide the rationale for the problem.
  2. Once you get into the literature, you may find there is very little  research to support your topic and you will have to start all over  again. Remember, in order for this to be an evidence-based project, you must have  enough evidence to introduce this as a practice change. If you find  that you do not have enough supporting evidence to change a practice,  then further research would need to be conducted. 

Business Plan Project- Phase 4

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 I’m doing a Health Care Marketing Business Plan Project. The 1st step to this plan was the Health Care Organization Selection which is already completed.    

I had to select a Not-for-profit or For-profit Health Care Organization for this Business Plan. The chosen health care organization will either market a new product or service to a specific target market.    

United Health Group Incorporated is the healthcare organization I selected to use for my project. It is an American profit-making healthcare organization situated in Minnetonka, Minnesota. I’ve chosen to market Dialysis Centers. (I will attach this assignment, so you’ll have the information needed to revise, and finish the 5 phases for this project).     

This plan will include 5 phases which will be broken up. The phases are:    

Phase 1: Executive Summary    

Phase 2: Company Profile & Industry Overview    

Phase 3: Service Overview, Competitive Analysis, Marketing Mix    

Phase 4: Service Delivery Plan and Human Resources Plan    

Phase 5: Financial Statement and Balance Sheets    

However, we are on phase 4 of this project, which is Service Delivery Plan and Human Resources Plan 

Phase IV: Service Delivery Plan and Human Resources Plan  

1. Service Delivery Plan  

• Outlines the method by which your service will be delivered to clients or customers  

• It is a statement of what resources are needed in terms of both personnel and other assets to be delivered. 

 • Outlines the critical points in the clinical service delivery process  

What to Include: 

  • Service delivery methodology: what methods will your organization use to deliver services-this can be an outline 
  •  Flow Chart of delivery service, delivery sequence, and timing requirements  

Human Resources  

1.Organizational Structure/staffing Plan 

  • Clinical (full time vs. part time)   
  • Non-clinical (full time vs. part time) 

2.Compensation  

  • Rate  
  • Benefits  
  • Job descriptions-brief 
  • Roles and responsibilities-brief description 

APA Format    

Use of References    

Grammar    

Spelling    

Punctuation    
 

Textbook: Essentials of Health Care Marketing 9781284094312 Eric N. Berkowitz Jones & Bartlett Publishers       

The refence for that textbook is:      

Berkowitz, E. N. (2017). Essentials of health care marketing. 

Help with an accounting power point!

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EC3: Russell Company is a pesticide manufacturer. Its sales declined greatly this year due to the passage of legislation outlawing the sale of several of Russell’s chemical pesticides. In the coming year, Russell will have environmentally safe and competitive chemicals to replace these discontinued products. Sales in the next year are expected to greatly exceed any prior years. The decline in sales and profits appears to be a one-year aberration. Even so, the company president fears a large dip in the current year’s profits. He believes that such a dip could cause a significant drop in the market price of Russell’s stock and make the company a takeover target.

To avoid this possibility, the company president calls in Zoe Baas, controller, to discuss this period’s year-end adjusting entries. He urges her to accrue every possible revenue and to defer as many expenses as possible. He says to Zoe, “We need the revenues this year, and next year can easily absorb expenses deferred from this year. We can’t let our stock price be hammered down!” Zoe didn’t get around to recording the adjusting entries until January 17, but she dated the entries December 31 as if they were recorded then. Zoe also made every effort to comply with the president’s request.

Weygandt, J.J., Kimmel, P.D., & Kieso, D.E (2018). Accounting Principles (13th Ed.). Hoboken, NJ: John Wiley & Sons, Inc.

Respond thoroughly to the following questions in your PowerPoint presentation:

  1. Who are the stakeholders in this situation?
  2. What are the ethical considerations of (a) the president’s request and (b) Zoe dating the adjusting entries December 31?
  3. Can Zoe accrue revenues, defer expenses, and still be ethical?
  4. Can Zoe’s accrued revenues and deferred expenses be illegal?
  5. Who do you think can discover Zoe’s accrued revenues and deferred expenses?

Prepare a Microsoft PowerPoint Presentation answering the questions presented in this Assignment and record the presentation with your voice. This presentation should inform the audience about the connection between revenues, expenses and adjusting entries with the profession’s commitment to ethics and the impact in the financial statements. Make sure to cite at least one source and reference it (in your separate reference slide) following APA guidelines.

A minimum of seven slides including the title, abstract and reference slides are required. Your presentation should be attractive and must include a slide for your abstract, which should include a concise and clear thesis statement.

You want to follow the conventions of Standard English that includes correct grammar, punctuation, and spelling. Your presentation must contain speakers notes at the bottom of each slide and be formatted according to APA guidelines. Review Writing Center resources on APA style and formatting. Access the Writing Center from the Academic Success Center found in the Academic Tools area in your course.

Review the items below to ensure you have covered all aspects required for this Assignment.

  1. A minimum of seven slides are required for your oral presentation. The Microsoft PowerPoint Presentation should include:
    1. Title slide
    2. Abstract slide
    3. Answers to the outlined questions
    4. Conclusion slide
    5. Use in text citations where appropriate in your slide’s note section.
    6. Use an APA 6th edition style and guidelines for your reference slide and cite at least one source.
  2. Respond to each question in a thorough manner, providing supporting information concerning revenues, expenses and adjusting entries with the profession’s commitment to ethics and the impact in the income statement.
  3. Demonstrate logical and appropriate transitions from one idea to another, including word choice and oral expressiveness while leading the audience to a dynamic and supported conclusion.
  4. Your presentation should be highly ordered, logical, and unified and demonstrate original thought.
  5. Oral Presentation Skills required in your presentation:
    1. Narration of your slides to have clear annunciation, academic-professional tone, with minimal back ground interference.
    2. Communication is highly ordered, logical and unified to include an introduction, main content and conclusion.
    3. Oral delivery techniques, including word choice and oral expressiveness, display exceptional content, organization, and style, while leading the audience to a dynamic and supported conclusion.

elements of criminal cases

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Elements of Criminal Cases

For this Assignment, you will create a PowerPoint presentation on the elements of criminal cases which would benefit from profiling. In your presentation:

  • Identify three areas where criminal profiling is effective. Analyze the effectiveness of criminal profiling.
  • Evaluate the elements of criminal cases which would benefit from profiling.
  • Explain how to increase the effectiveness of criminal profiling.
  • Evaluate four limitations and possible solutions.
  • How can the limits be changed?
  • Provide three or more examples to support your positions.
  • Include speaker notes to explain what is being discussed on each slide as though you are presenting to an audience.

NOTE: This Assignment will require outside research. Use at least three credible sources beyond the text material and discuss how you evaluated the credibility of the resources used. You may consult the Library, the internet, the textbook, other course material, and any other outside resources in supporting your task, using proper citations in APA style.

In addition to fulfilling the specifics of the Assignment, a successful presentation must also meet the following criteria.

  • Length should be five or more slides, excluding title slide and references slide.
  • Include a title slide with full name, class name, section number, and date.
  • Use examples to support your discussion.
  • Cite all sources on a separate reference slide at the end of your presentation and cited within the body of the presentation using APA style.

Power Point Formatting Directions:

  • Use one basic slide design and layout.
  • Limit slides to between 6 and 8 lines of content.
  • You may use pictures, charts and graphs to supplement your material as long as they do not take up the entire slide.
  • Use bullets for your main points.
  • Use speaker notes to explain what is being discussed in the bullet points as though you are presenting to an audience.
  • To learn more about using speaker notes, open PowerPoint and press F1. In the search box, type “create notes” and press Enter. The related topics on notes appear.
  • The presentation should contain a cover slide and a list of references in APA style.

Evaluating a Company’s Culture for Diversity 3

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Scenario

You have been hired as the Human Resources Director for a global organization that is headquartered in the United States. Your job is to evaluate and make recommendations in the area of diversity for your company. Each section will contain specific areas within diversity for you to focus on. You will be tasked with choosing from one of the diversity areas that are provided to you. Be sure to conduct research using the university library and other relevant sources.

Diversity Areas (Select one, and continue to use for all modules)

  • Gender

Instructions

Now that you have selected your area of diverse concentration, you are now tasked with designing a plan to aid your selected group in one of the following countries:

  • China

Report must be in APA format.

The new organizational strategic initiative is to expand into the selected country. The executive leadership team has asked you for a report on the diversity area (Gender) and the country (China) expanding to. The report should address the following questions:

  1. Introduce your diversity area and country- include gender and china using examples and a defined synopsis of the report goals
  2. What are some of the challenges your diversity area would face in the country culture you selected if a comparison is made with the United States? Discuss challenges between gender and china using clear examples. 
  3. Are there any ethical or legal implications that protect your diversity area in the selected country? Discuss legal and ethical implications between gender an china. use examples
  4. Discuss some techniques that, as the manager, you would use in order to ensure an inclusive work culture. Use examples an well defined reasons
  5. Conclude  all of your findings in your diversity report for gender and China. Use examples and show your understanding of a diverse global workforce.