College Nursing Papers

Write a graduate school (master) level two page double space paper that answers the following questions in field of (medical/health) nurse practitioner (APA 6th ed) using three sources:

Analyzing an Ethical Decision

In your role, as an advanced practice nurse, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear cut answer of how to address the issue, but your ethical decision making must be based on evidenced based practice, and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations, and develop an appropriate plan of action. For this Assignment, you will review the literature and discover the various ethical dilemmas advanced practice nurses encounter and how these issues are typically addressed in (Iowa or Illinois) state.

Review literature for moral/ethical issues encountered by advanced practice nurses in clinical practice.

Select an article that was published within the last five years.

Summarize the moral/ethical issue in the article (no more than 1 paragraph)

Describe the moral and ethical dilemmas surrounding the issue

Analyze the ethical issue and compare them to the State Health Laws and Regulations in your state (Iowa of Illinois)

Outline the process of ethical decision making you would use to address this ethical dilemma

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1. the nine laryngeal cartilages mentioned in APR:_____

_______________________________________________________________ [all paired]_

1. Which is unpaired?______________________________ ______________________________________________

3. Name the sinus in the figure at left ___________ ___________________.

4. Name the three other sinuses used in air resonance to determine your voice characteristics_____________________________________
5. The structure below is found in which body cavity? ________________

Airway obstruction surgery in this location is called _______________________

6. The support structure of the trachea are ________________

These are needed to keep the airway ___________ [open] during lower pressure of inhalation.

7.This parietal pleura  lines the ___________ __ and is fused to the internal thoracic cavity and medially to ____________________.

8. What large muscle does it overlie at its base? _______________________
9. The visceral pleurae covers the _____ _________ lobes of the right lung; the _________lobes of the Left lung.
10. The space between the pleurae is called the _________________, the location of the lowest pressure.
11. The importance of the highlighted structure is ___________ for the heart to sit in in the left lung.
12. Examine the pictures of the trachea and bronchi below. Foreign objects falling down the trachea past the larynx would first fall into the left or right bronchus?   ________because ____________ _____________.
13. Name the highlighted structure below _______________________ __. [Enlarge to see better].

14. The most stable of the cartilages of the larynx is the ring shaped cartilage, called _______________ __.
15. Inflammation/infection of the cartilage below _________________ is dangerous in newborns.
16. The real name for “Adam’s apple” is seen below and called ____”________________________”

Click on the microscope icon and “respiratory epithelium” .  What highlighted structure makes up the escalator in the trachea?  ________________ ____

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All Questions Answered based on Terri Schiavo article.

1. Submit a paper commenting on the Terri Schiavo case answering the following:

a.      Discuss why you think the decision reached was ethically and morally sound or why you disagree with the decision.

b.      What 2015 American Nurses Association (ANA) Code of Ethics principles should a nurse in a similar situation evaluate for guidance?

c.      Would the case you picked be decided differently today, why or why not?

e.      Who speaks for the incapacitated patient in the absence of an advance directive in Florida? (Hint: the answer is in the Advance Directives statute, Part IV)

2. Criteria:

Student discusses the case and adequately addresses questions .

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The research design must include a nursing theory, the theory’s application to nursing, and identify outcomes impacted nursing practice.

Assignment Criteria:

For this assignment:

Search the literature for one qualitative research study related to your area of research interest (i.e. non clinical or clinical practices).

Make sure the article has a nursing theory, the theory has been applied to the nursing environment, and has impacted nursing practice.

The article must be peer-reviewed articles within the last five years.

Identify the study methodology (qualitative) to complete the framework grid from Polit & Beck (2017) textbook. ATTACHED TEMPLATE

Only select one article that reflects the methodology required for this assignment.

You should be able to find the article method under the article section entitled methodology.

You are required to critique one qualitative nursing research study (i.e. refer to Assignment Criteria #13 a).

The article will be critiqued using the framework grid from Polit & Beck (2017) textbook-TEMPLATE ATTACHED-YOU MUST USE!

Copy and paste the grid into a Word document. This will make it easy for you to add your typed comments into the grid.

This is a critique assignment which focuses on the analysis or your scholarly perspective of the publication. Support your scholarly opinion only with references/citations if further explanation is needed. Use the comment section of the grid to write your comments and any additional citation(s). Each comment cited from another source to support your analysis or scholarly perspective of the critiqued article will require a citation (i.e. Campbell, 2016) in the comment section. Each citation must be documented on the reference page of the assignment (i.e. In accordance with the 6thedition APA Manual).

Include the citation information associated with the one qualitative article used for this critique. The course faculty will retrieve the article for assignment review and grading.

Write a summary of how the research data/findings are related to the researcher recommendations.

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Write a 1,400- to 1,750-word paper on a current risk management issue at your facility.

• Include the steps that have been set in place or discussed to address the issue.
• Discuss how your agency determined a path to remedy the problem.
• Identify valid methods adopted by other facilities to address the same problem.
• Compare your results to the process being developed at your agency.
• Support your paper with a minimum of three peer-reviewed sources.

Format your paper according to APA guidelines.

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“Professional Legal Issues with Medical and Nursing Professionals” Please respond to the following: (2 pages with references please)

• Analyze the different and overlapping general roles of physicians and nurses as they apply to professional credentialing and subsequent patient safety and satisfaction. Determine the major ways in which these overlapping roles may help play a part in health professional credentialing processes and conduct, and identify and analyze the ethical role these influences play in health care.
• Analyze the major professional roles played by physicians and nurses as they apply to physicians’ conduct in the medical arena and to nurses in the role of adjuncts to physicians. Evaluate the degree and quality of care that physicians, nurses, and medical technologists provide in their primary roles, including, but not limited to, patient safety and satisfaction as required in 21st Century U.S. hospitals.

Information Management and Allied Professional Issues” Please respond to the following: (2 references please)

• Analyze the primary problems associated with information management, and analyze the primary issues associated with patient confidentiality. Determine the major ways in which these overlapping responsibilities play a part in enforcing Health Insurance Portability and Accountability Act (HIPAA) mandates.
• Analyze the different problems with allied professional responsibilities and overlapping general roles as they apply to a multidisciplinary approach to patient care. Ascertain the principal ways in which the allied professional responsibilities in question synchronize with the management of patient information within 21st Century U.S. hospitals.

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Ethical Concerns

As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?

In this Discussion, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.

Scenario 1:

A single mother has accompanied her two daughters, aged 15 and 13, to a women’s health clinic and has requested that the girls receive a pelvic examination and be put on birth control. The girls have consented to the exam but seem unsettled.

Scenario 2:

A 17-year-old boy has come in for a check-up after a head injury during a football game. He has indicated that he would like to be able to play in the next game, which is in 3 days.

Scenario 3:

A 12-year-old girl has come in for a routine check-up and has not yet received the HPV vaccine. Her family is very religious and believes that the vaccine would encourage premarital sexual activity.

Scenario 4:

A 57-year-old man who was diagnosed with motor neuron disease 2 years ago is experiencing a rapid decline in his condition. He prefers to be admitted to the in-patient unit at a hospice to receive end-of-life care, but his wife wants him to remain at home.

To prepare:

• Selectthree scenarios, and reflect on the material presented throughout this course.
• What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
• Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.

Questions to be addressed in my paper:

1. The explanation of the health assessment information required for a diagnosis of your selected patients (include the scenario numbers).
2. Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your responses.
3. Summary with Conclusion

REMINDERS:

1)      2-3 pages (addressing the 3 questions above excluding the title page and reference page).

2)      Kindly follow APA format for the citation and references! References should be between the period of 2011 and 2016. Please utilize the references at least three below as much as possible and the rest from yours.

3)     Make headings for each question.

RESOURCES:

• Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015).Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

o    Chapter 23, “Sports Participation Evaluation” (pp. 581-593)

In this chapter, the authors describe the process of a sports participation evaluation. The chapter also states the most common conditions encountered in a sports participation evaluation.

o    Chapter 24, “Putting It All Together” (pp. 594-609)

In this chapter, the authors tie together the concepts introduced in previous chapters. In particular, the chapter has a strong emphasis on the patient-caregiver relationship.

o    Review of Chapter 16, “Breasts and Axillae” (pp. 350-369)

o    Review of Chapter 18, “Female Genitalia” (pp. 416-465)

• Sullivan, D. D. (2012).Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis.

o    Chapter 6, “Outpatient Charting and Communications” (“Advanced Directives”; pp. 128–129)

o    Chapter 9, “Discharging Patients from the Hospital” (pp. 189–207)

• Burger, I. M., & Kass, N. E. (2009). Screening in the dark: Ethical considerations of providing screening tests to individuals when evidence is insufficient to support screening populations.American Journal of Bioethics, 9(4), 3–14.Retrieved from the Walden Library databases.

  This article recommends how physicians should respond when new screening examinations emerge in the marketplace. The authors examine how evidence influences decision making for screening.

• De Jong, A., Dondorp, W. J., de Die-Smulders, C. E., Frints, S. G. M., & de Wert, G. M. (2010). Non-invasive prenatal testing: Ethical issues explored.European Journal of Human Genetics, 18(3), 272–277.Retrieved from the Walden Library databases.

  The authors of this article examine the ethical consequences of non-invasive prenatal diagnostic tests. Specifically, the article describes the effects the tests may have on abortions.

• Rourke, L., Leduc, D., Constantin, E., Carsley, S., & Rourke, J. (2010). Update on well-baby and well-child care from 0 to 5 years: What’s new in the Rourke Baby Record?Canadian Family Physician,56(12), 1285–1290.Retrieved from the Walden Library databases.

  In this article, the authors supply an overview of and evaluate the quality of evidence in the 2009 Rourke Baby Record.

• Womack, J. (2010). Give your sports physicals a performance boost.The Journal of Family Practice,59(8), 437–444.Retrieved from the Walden Library databases.

  This article explains how to conduct a thorough medical history and targeted physical exam. The article revolves around the use of the 4th edition of the Preparticipation Physical Evaluation.

• American Academy of Pediatrics. (2008).Recommendations for preventative pediatric health care (periodicity schedule).Retrieved from http://www.aap.org/en-us/professional-resources/practice-support/financing-and-payment/Documents/Recommendations_Preventive_Pediatric_Health_Care.pdf

  This resource provides recommendations for preventative pediatric health care from infancy through adolescence. The periodicity schedule covers a variety of areas from health history to measurements, developmental/behavioral screenings, physical exams, procedural screenings, and oral health.

• Rourke, L., Leduc, D., & Rourke, J. (2011).Rourke Baby Record. Retrieved fromhttp://rourkebabyrecord.ca/This website provides information on the Rourke Baby Record (RBR). The RBR supplies guidelines on growth and nutrition, developmental surveillance, physical exam parameters, and immunizations for well-baby and child care.

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In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states

Review your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.

In a paper of 1,000-1,250 words:

1. Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
2. Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.
3. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Summarize two initiatives spearheaded by your state’s Action Coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?

A minimum of three scholarly references are required for this assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide,An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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Discussion:

Care Plans for Pregnancy; After confirming and dating a pregnancy, you must collaborate with patients to develop a personalized care plan. These pregnancy care plans are integral to prenatal care as they help to ensure the mother and child’s well-being throughout the entire pregnancy. Pregnancy can be a wonderful, yet difficult time for women as a woman’s body goes through many physical, mental, and emotional changes that might be challenging or even overwhelming for some. Whether or not these women share their concerns, as the advanced practice nurse, you must routinely watch for signs and symptoms of any developing physical or mental health issues. By collaborating with patients and discussing concerns, you can modify care plans and often address potential issues before they become a significant health problem. For this Discussion, consider pregnancy care plans for the women in the following case studies:Case Study 1:On 1-15-13, you are seeing a 25-year-old Caucasian female in the clinic because she believes she’s pregnant. Her LMP was 12-1-12. Her home pregnancy test was positive, and she has been having nausea and breast tenderness.

To prepare:

• Review Chapter 30 of the Schuiling and Likis text and Chapter 2 of the Tharpe et al. text.
• Review and select one of the two provided case studies. Analyze the patient information.
• Consider how to date the pregnancy and estimate the date of delivery for the patient in the case study you selected.
• Based on the dating of the pregnancy, reflect on the appropriate clinical guidelines for procedures and screenings. Think about the implications of any missed procedures or screenings.
• Determine a plan of care for the patient. Identify procedures, screenings, diagnostic testing, pharmacologic and nonpharmacologic treatments (if appropriate), management strategies, and patient education.

Post the estimated date of delivery for the patient (EDD), in the case study. Include an explanation of how you dated a pregnancy and which of the patient’s factors led to your estimated date of delivery. 

Then, based on the dating of the patient’s pregnancy, explain the appropriate clinical guidelines for procedures and screenings. 

Explain implications of any missed procedures and/or screenings.

Finally, explain a plan of care for the patient, including procedures, screenings, diagnostic testing, pharmacologic and nonpharmacologic treatments, management strategies, and patient education.

Here are some recommended:

1.Schuiling, K. D., & Likis, F. E. (2017). Women’s gynecologic health (3rd ed.). Burlington, MA: Jones and Bartlett Publishers.

2.Tharpe, N. L., Farley, C., & Jordan, R. G. (2017). Clinical practice guidelines for midwifery & women’s health (5th ed.). Burlington, MA: Jones & Bartlett Publishers.

3. Centers for Disease Control and Prevention. (2012b). Women’s health. Retrieved from http://www.cdc.gov/women/

National Institutes of Health. (2012). Office of Research on Women’s Health(ORWH). Retrieved from http://orwh.od.nih.gov/

U.S. Department of Health and Human Services. (2012a). Womenshealth.gov. Retrieved from http://www.womenshealth.gov/

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Select two of the following discussion questions for your discussion response. Indicate which questions you have chosen using the format displayed in the “Discussion Forum Sample.”

1: From a pathophysiological perspective, describe the disease mechanism of spinal trauma. Discuss complications associated with spinal trauma based upon time of injury.

2: What are some the recent discoveries surrounding the pathophysiology of Alzheimer’s disease, and how could these discoveries lead to new treatments? Include your resources in your response.

3: What are some of the leading theories that attempt to descrive the pathophysiology underlying fibromyalgia? Which ones are best supported? Include your resources in your response.

Atleast 250 words with references no older than 5 years and intext citation.

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