Category: Health & Medical

Choose a case from the AMA Journal of Ethics Case Index Links to an external site. and take a position. For this assignment you will evaluate the ethical arguments for or against the issue. Identify the potential legal arguments (consider current federal guidelines), indicate any potential professional code conflicts you foresee, and support your position with an explanation of your own ethical/moral foundation.
In your 2-3 page paper:
Identify the issue and state your ethical position.
How might this scenario play out or impact you in your role as a nurse practitioner?
Defend your position with legal, ethical, and professional evidence.
As part of your position, propose strategies and solutions for addressing the issues.
What other ethical issues does this case bring to light, if any?
Support your position with at least one scholarly source. Be sure to cite the article you choose, use APA format, and include a title page and reference page.
MAKE SURE TO IDENTIFY THE ARTICLE AND AUTHOR IN YOUR INTRODUCTION!
SAMPLE PROVIDED! PLEASE FOLLOW THAT TEMPLATE

Prepare a 6-8 minute academic poster presentation of a health promotion/improvement//health
protection intervention, campaign or policy in a setting of your choice, which has a health inequalities
component and which YOU yourself will have developed. This cannot be an existing health
improvement intervention, campaign or policy.
You should cover the public health burden of the chosen topic (using epidemiological data).
You should cover the relevant health promotion/improvement theory, theories or models that your
intervention, campaign or policy makes use of.
You should present a set of health promotion/health protection activities you would recommend to
address both the health impacts and the health inequalities.
Make sure to also address how your intervention, campaign or policy will be evaluated.
A poster presentation is ONE slide only and has all the information on this single slide.
You will present your presentation live in no less than 6 minutes, and not more than 8 minutes.

P = Patient population
I = Intervention or issue of interest
C = Comparison of interventions or comparison of interests
O = Outcome
T = Time frame (this element is not always included)*
For example, you may wish to research the effects of interrupted sleep on the cognition of ICU patients 65 or older.
Using this PICOT model,
In __________(P), how does __________ (I) compared to _________ (C) influence _________ (O) over ________ (T)?
In ICU patients who are 65 or older, how does interrupted sleep (awakened one time or more in four hours) as compared to uninterrupted sleep influence the patient’s cognitive ability over 5 days?
Questions of meaningfulness and effectiveness relate to how people experience an intervention or phenomenon.
What is the effectiveness of using a turn schedule (I) versus an audible public address reminder (C) on the incidence of pressure ulcers (O) in elderly patients in LTAC who require turning (P)?
*Not all studies will have a time frame. This is optional to include as part of your PICOT.
Assignment Directions
Your topic is going to be type 2 diabetes. Next, use PICOT to format a possible research question about that topic. Provide 1 possible PICOT research question. Find 1 quantitative or qualitative peer-reviewed research article related to your nursing topic that was published within the last 5 years. Reminder: All peer-reviewed research articles have methods, discussion, and results sections. Upload the article with your paper in PDF or Word format. This source can be used again in the Week 4 article assignment if it meets the criteria. ATTACHED BELOW ARE PICOT TEMPLATES YOU CAN USE.
Include the following:
Title page
Provide a brief description of the topic and background information (see page 37 of your textbook). You can use your text, your peer-reviewed journal source, or the EBP care sheets in CINAHL or Nursing Reference Center Database.
Explain the significance of the topic to nursing practice Background information can be found in journal articles in the introduction section. Results and conclusions will speak to the significance of the topic. The EBP care sheets may have sources for you to choose from.
Provide 1 clearly-stated PICOT question.
Include 1 peer-reviewed journal source related to your topic.
Your paper should:
Be 2–3 pages (not including the title page and reference page)
Use the current APA format to style your paper and cite your source use in-text citations please.
the four paragraphs should be : 1. Clinical issue and PICOT question
2. description of the topic/ background information
3. significance of the topic to nursing practice 4. Conclusion
There will be a 5-point deduction if a peer-reviewed research journal article is not used and a 5-point deduction if the article is not included with your submission.
Review the rubric for further information on how your assignment will be graded.
Rubric
Clinical Issue and Research Questions Developed Using PICOT Rubric
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeTopicTopic/ Relevance to Nursing
50 to >43.0 ptsMeets or Exceeds Expectations
A clear and succinct description of the topic is presented. Background information is relevant and specific to the topic. The significance of the topic to nursing practice is explained clearly and is supported with examples.
43 to >35.0 ptsMostly Meets Expectations
A description of the topic is presented but may be ambiguous or confusing. Some background information is provided, but more is needed for a full explanation. The significance of the topic to nursing practice is somewhat explained and may not be supported with examples.
35 to >27.0 ptsBelow Expectations
A description of the topic is presented but is ambiguous or confusing. Some background information is provided, but more is needed for a full explanation. The significance of the topic to nursing practice is somewhat explained but is not supported with examples.
27 to >0 ptsDoes Not Meet Expectations
An unclear description of the topic is presented or is missing. No background information is provided. The significance of the topic to nursing practice is not explained.
50 pts
This criterion is linked to a Learning OutcomePICOT Research QuestionsThis criterion is linked to a Learning Outcome PICOT Research Questions
85 to >73.1 ptsMeets or Exceeds Expectations
All research questions are accurately framed as complete PICOT questions. PICOT questions provide a clear and specific focus for research within the topic. One peer-reviewed journal source related to the topic is included with assignment submission.
73.1 to >59.5 ptsMostly Meets Expectations
Only some research questions are framed as PICOT questions, or some PICOT questions are incomplete. PICOT questions provide a vague or unclear focus for research that may not be within the topic. One peer-reviewed journal source is included but not related to the topic.
59.5 to >45.9 ptsBelow Expectations
Few questions are framed as PICOT questions, or are incomplete. PICOT questions provide a vague or unclear focus for research that is not within the topic. One journal source is included but it is not peer-reviewed.
45.9 to >0 ptsDoes Not Meet Expectations
Research questions are missing or are not framed as PICOT questions. Peer-reviewed journal source is not included.
85 pts
This criterion is linked to a Learning OutcomeAPA and Mechanics
15 to >12.9 ptsMeets or Exceeds Expectations
Follows all the requirements related to format, length, source citations, and layout. Written in a clear, concise, formal, and organized manner. Responses are mostly error free. Information from sources is paraphrased appropriately and accurately cited.
12.9 to >10.5 ptsMostly Meets Expectations
Follows length requirement and most of the requirements related to format, source citations, and layout. Writing is generally clear and organized but is not concise or formal in language. Multiple errors exist in spelling and grammar with minor interference with readability or comprehension. Most information from sources is paraphrased and cited correctly.
10.5 to >8.1 ptsBelow Expectations
Follows few requirements related to format, source citations, and layout. Writing may be unclear or informal in language. Multiple errors exist in spelling and grammar, interfering with readability or comprehension. Some information from sources is paraphrased and cited correctly.
8.1 to >0 ptsDoes Not Meet Expectations
Follows few requirements related to format, source citations, and layout. Writing may be unclear or informal in language. Multiple errors exist in spelling and grammar, interfering with readability or comprehension. Some information from sources is paraphrased and cited correctly.
15 pts
I ATTACHED A DOC OF AN EXEMPLARY PICOT ESSAY. I ALSO ATTACHED A DIABETES MELLITUS ARTICLE, I BELIEVE YOU CAN FIND A PEER-REVIEWED QUALITATIVE OR QUANTITATIVE ARTICLE FROM THE REFERENCE PAGE ON THAT DOC BUT FEEL FREE TO FIND YOUR OWN ARTICLE.

Objectives:
Create a final publish of an expository essay.
Demonstrate understanding of components of the writing process and academic writing style Q1,Review your first publish, instructor feedback, LopesWrite feedback, and course materials. Provide three successful strategies you will use in preparing your final publish. Why did you select these strategies? Do you have any questions as you prepare for your final publish this week? Q2,Explain why going through the writing process steps improves the quality of writing. What did you find most difficult about the writing process? Q3,Please do the following in completing the final publish of your essay:
Revise your expository essay using the feedback received from your instructor on your outline and first publish.
Review the media piece The Writing Process to help you refine and finalize your essay.
Review the rubric for this assignment to ensure you have completed all necessary components of your essay.
Your final publish should be at least 750-1,000 words.
Complete the following before submitting your final essay:
Read your paper aloud (to yourself or someone else) to “hear” issues with your grammar and sentence structure.
Polish the issues found by smoothing out your language.
Run spellcheck and grammar check (as a backup) before submitting the final publish. Make any necessary changes to address spelling or grammar issues.
Properly cite your sources both in-text and in the References section at the end of your paper. (The Reference Page is the last page of your paper and should ONLY contain references. If you cited the work in the paper; the reference needs to be included. If you did not use the reference in your paper, then do not include the reference.)
Make sure that the final publish does not contain any of the instructors embedded feedback from your first publish. These comments should have been corrected and the comment should be deleted. Please contact your instructor if you have questions.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.Review the Final publish Rubric to help you make sure all elements is present in your essay; this is NOT the same rubric that was used in the First publish. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Submit the completed Final publish to LopesWrite and review your report BEFORE submitting to your instructor. Make sure your LopesWrite score and essay are ready to be submitted BEFORE you select the “Final Submit” option.Submit the completed assignment to the final assignment dropbox by the end of Topic 6 (Sunday, by 11:59pm, Arizona Time).General Education Program InformationThis assignment assesses the following general education competency:Effective CommunicationGED2C1: Construct logical, cohesive, and persuasive arguments.

5-8 page writing assignment on one of the objectives with the most recent information concerning CT instrumentation. Choose one camera system and focus on an aspect such as Time of Flight (TOF).

Topic: Thyroid storm
Things need to cover
1) Pathophysiology and Etiology: Quick overview and how and why it affects certain populations
2) Assessment Findings: a) Signs and symptoms, b) Diagnostic findings (Labs, Imaging studies, etc.)
3) Medical management: Medications, diet modifications, specific treatment, hormones etc.
4) Surgical Management (if applicable): pre-surgical and post-surgical interventions, risks etc.
5) Nursing management: What are one or two diagnoses and some main interventions for your disorder

Instructions:
Use the Case Study Template to complete. Download Use the Case Study Template to complete. attached
Be sure to include at least one reference.
Include in-text citations as needed.
Select one case to discuss. Case 1: A 42-year-old female complains of progressive weight gain of 20 pounds over the last year, fatigue, postural dizziness, loss of memory, slow speech, deepening of her voice, dry skin, constipation, and cold intolerance. She claims her menses have been irregular x 1 year. She has an 18-year-old daughter, and has been attempting to have another child with her new partner. She has been unsuccessful. 
Case 2: A 47-year-old female complains of with severe right shoulder/ neck pain x 3 months. She denies any injury or known precipitating event. The pain seems to be worse with motion. Most of the pain is in the lateral arm/neck area. The arm pain stops in the middle of the arm. The client denies paresthesia in the hands. During the exam, she has lots of pain and full passive/active motion of the shoulder/neck.
Case 3: A 42-year-old male complains of painless swelling on the left side of his neck x 30 days. History: controlled diabetes mellitus and hypertension. He has had a slight fever and generalized body ache x 15 days. He has recently developed foul-smelling diarrhea, approximately 8 episodes per day with a 4 kg weight loss in 15 days. Diet: vegetarian. Allergies: none. Upon physical examination, + neck welling (posterior triangle of the left side of the neck), non-tender, not matted.  2. APRN roles and practice are multifaceted. Name the 4 APRN role types.
Discuss the historical development of one APRN role.
Briefly describe the general responsibilities of each of the 4 APRN role types.
Support all responses using at least one scholarly source other than your textbook. Use national guidelines and evidence-based research when applicable.
Students may enhance responses with an example, either from personal experience or from the media, which illustrates and supports ideas.
All sources must be referenced and cited using the correct APA format (including a link to the source).

Include the question when you respond to the questions below. Your responses should be complete sentences. Include in-text citations and a reference page/section in your posts. You must respond to at least 2 other posts on at least 2 different days. Include support (in-text citations and include the reference page citation). What is the most significant shortcoming of the informal communication system, the grapevine? Why is this so?
It has been said that effective listening is difficult because we can hear without listening. What is meant by this statement?
In the present day, what is the principal hazard in utilizing any degree of touch other than the handshake in interpersonal communication, especially after COVID-19?
Why do many employees believe management usually holds essential information back from them?
Which seems to work more readily as far as information flow is concerned, upward communication or downward communication? Why?
Why might an employee not ask for clarification even if he or she does not understand what the supervisor has said?
What do you believe the individual supervisor can do to influence the contents of the grapevine and its relative accuracy?
As a supervisor, how would you establish a sound communication relationship with a superior whose projected attitude seems to say “Don’t tell me anything I don’t want to hear?”
Concerning the example cited in the discussion of value-added negotiation in which an employee proposes to leave work early each day so she can pick up her child at school by making up the time by accepting more weekend assignments, what critical factor—not mentioned or even inferred in the statement—will have the strongest influence on the extent to which the supervisor can negotiate?
What is the principal hazard in negotiating with a single employee a request for a change in the individual’s terms and conditions of employment?
Reference has been made to negotiations with employees. In what ways, if any, might negotiation enter into a performance appraisal discussion?
f you cannot successfully negotiate a perceived need with your immediate superior, is it advisable to go up the chain of command to your superior’s boss? When and why?
It has been said that most business documents contain 25% to 100% more words than needed to convey their messages properly. Granted, this makes for longer documents, but what is the harm as long as they contain the correct information?
What means would you likely employ to communicate your observation of a serious ethical breach committed by a licensed professional? Why?
When you are upset about a particular issue, what are the advantages of responding in writing rather than speaking face-to-face with the other party?
What are the primary advantages of communication in writing over face-to-face communication?
What are the primary advantages of face-to-face communication over communication in writing?
SAMPLE ANSWER
Question 1:
The most significant shortcoming of the informal communication system, the grapevine, is that it is often inaccurate and unreliable. This is because information can be distorted or changed as it is passed from person to person. Additionally, the grapevine is often used to spread rumors and gossip, which can damage morale and productivity.
Source:
Luthans, F., & Doh, J. P. (2019). Organizational behavior: An evidence-based approach. McGraw-Hill Education.
Question 2:
The statement “effective listening is difficult because we can hear without listening” means that it is possible to physically hear someone speaking without actually paying attention to what they are saying. This can happen for a variety of reasons, such as if we are distracted by something else, if we are not interested in what the person is saying, or if we are simply not good at listening.
Source:
Morreale, S., & Spitzberg, B. H. (2009). Communicating effectively: Principles and contexts. Waveland Press.
Question 3:
In the present day, the principal hazard in utilizing any degree of touch other than the handshake in interpersonal communication, especially after COVID-19, is the risk of spreading infection. This is because the virus can be transmitted through respiratory droplets produced when an infected person coughs or sneezes. Even if the person does not have any symptoms, they could still be contagious.
Source:
Centers for Disease Control and Prevention. (2020, March 11). Coronavirus disease 2019 (COVID-19): Frequently asked questions.
Question 4:
Many employees believe management usually holds essential information back from them because they often feel excluded from the decision-making process. They may also feel that they are not being given the information they need to do their jobs effectively.
Source:
Kassing, J. W., & Armstrong, T. (2012). Organizational communication: A message systems approach. Waveland Press.
Question 5:
Upward communication is generally more difficult than downward communication because employees may be reluctant to share information with their superiors for fear of retaliation or punishment. Additionally, employees may not feel comfortable speaking up if they feel that their voices will not be heard.
Source:
Goldhaber, G. M. (1993). Organizational communication. Wadsworth Publishing Company.
Question 6:
An employee might not ask for clarification even if they do not understand what the supervisor has said because they are afraid of appearing incompetent or because they do not want to bother the supervisor. Additionally, they may not feel comfortable speaking up if they feel that the supervisor is not approachable.
Source:
Wolvin, A. D., & Coakley, C. G. (2011). Listening: A communication skill. Pearson Education.
Question 7:
There are a few things that an individual supervisor can do to influence the contents of the grapevine and its relative accuracy. First, they can be open and transparent with their employees, sharing information in a timely and accurate manner. Second, they can discourage gossip and rumors by setting a good example and by taking steps to address any concerns that employees may have. Finally, they can build trust with their employees so that they feel comfortable coming to them with questions or concerns.
Source:
Kassing, J. W., & Armstrong, T. (2012). Organizational communication: A message systems approach. Waveland Press.
Question 8:
As a supervisor, I would establish a sound communication relationship with a superior whose projected attitude seems to say “Don’t tell me anything I don’t want to hear” by being direct and honest with them. I would also be respectful of their authority, but I would not be afraid to speak up if I felt that they were making a decision that was not in the best interests of the organization.
Source:
Kassing, J. W., & Armstrong, T. (2012). Organizational communication: A message systems approach. Waveland Press.
Question 9:
The critical factor that will have the strongest influence on the extent to which the supervisor can negotiate in the example cited is the employee’s willingness to compromise. If the employee is not willing to give anything up, then the supervisor will have very little leverage.
Source:
What is the most significant shortcoming of the informal communication system, the grapevine? Why is this so?
The most significant shortcoming of the grapevine, or informal communication, is its lack of accuracy and reliability. Information passed through the grapevine is often based on rumors, gossip, and personal interpretations, which can result in distorted or false information. This is because the grapevine operates outside of formal channels and is not subject to verification or fact-checking. As a result, important decisions and actions based on grapevine information can be misguided or incorrect, leading to confusion and mistrust within an organization.
It has been said that effective listening is difficult because we can hear without listening. What is meant by this statement?
This statement suggests that hearing and listening are two distinct processes. Hearing is the act of perceiving sounds, while listening involves actively paying attention and processing what is being said. Effective listening requires not only hearing the words but also understanding their meaning, context, and implications. Many people hear what others say but do not truly listen because they may be preoccupied, distracted, or not fully engaged in the conversation. Effective listening involves active engagement, empathy, and a genuine desire to understand the speaker’s message, making it a more challenging skill to develop than simply hearing.

Guidelines:
Use this Word Document for submission. Complete student’s information on the first page of the document.
Start your writing from the next page (page 3)
Word count: at least 500 words
Font should be 12 Times New Roman
Headings should be Bold Color should be Black
Line spacing should be 1.5
AVOID PLAGIARISM References should be written in APA format
Due date 15/07/2023

The Emergency Medical Treatment and Labor Act (EMTALA) is one of the most critical yet misunderstood regulations in Healthcare. What is Anti Dumping? Who is intended to be protected by this act?
Outline what is guaranteed as well as what is not guaranteed within this act.
Discuss the fines provided for by the act and include examples of hospitals which have been fined for not complying with this act.
Describe and analyze the conditions under which a hospital is permitted to transfer a patient without healthcare coverage.
Use resources from the Week 1 assignment and the following from South University Library as necessary.
Terp, S., Seabury, S. A., Arora, S., Eads, A., Lam, C. N., & Menchine, M. (2017). Enforcement of the emergency medical treatment and Labor act, 2005 to 2014. Annals of Emergency Medicine, 69(2), 155-162.e1. doi:10.1016/j.annemergmed.2016.05.021
Zuabi, N., Weiss, L. D., & Langdorf, M. I. (2016). Emergency medical treatment and labor act (EMTALA) 2002-15: Review of office of inspector general patient dumping settlements. The Western Journal of Emergency Medicine, 17(3), 245-251. doi:10.5811/westjem.2016.3.29705
McDonnell, W. M., Gee, C. A., Mecham, N., Dahl-Olsen, J., & Guenther, E. (2013). Does the emergency medical treatment and labor act affect emergency department use? The Journal of Emergency Medicine, 44(1), 209. doi:10.1016/j.jemermed.2012.01.042
To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.