Category: Healthcare and Nursing

Please read and consider the following ethical dilemma scenario and then complete the directions below it.
You are an emergency worker who has just been called to the scene of an accident. When you arrive, you see that the car belongs to your wife. Fearing the worst, you rush over to see she is trapped in her car with another man. She sees you and although barely conscious, she manages to mouth the words “I’m sorry”… You don’t understand, but her look answers your question. The man next to her is her lover with whom she’s been having an affair. You reel back in shock, devastated by what her eyes have just told you. As you step back, the wreck in front of you comes into focus. You see your wife is seriously hurt and she needs attention straight away. Even if she gets attention, there’s a very high chance she’ll die. You look at the seat next to her and see her lover. He’s bleeding heavily from a wound to the neck and you need to stop the flow of blood immediately. It will only take about 5 minutes to stop, but it will mean your wife will definitely die. If you tend to your wife, however, the man will bleed to death despite the fact it could have been avoided. Whom would you choose to work on?
Now, please complete the following to receive full credit for this discussion post:
Explain what you would do if you were the emergency worker in this scenario and why.
Please refer to the selection titled “Heinz’s Dilemma: Kohlberg’s Six Stages of Moral Development” on pages 282-89 in the Ethical Dilemmas PDF. It may also help to view this Kohlberg video that explains the stages.
Explain which stage of moral development you would be in for the decision you made as the emergency worker in the ethical dilemma scenario and why. Use at least 1 direct quote from the selection to support your choice.

Part One
Create a PowerPoint to market your selected project for the final strategic plan. The presentation should be a one-minute pitch for the product or service in your selected project. The commercial should be innovative and demonstrate a creative approach to the target population and geographical area. The pitch must contain a corporate branding for Acme Medical Center that readily identifies the organization. Utilize the speaker’s notes box to write what you would “say” in an actual presentation.
Part Two
The second part of your presentation should be a written discussion of the targeted population, rationale for selecting the content and presentation of the commercial, and how the branding of Acme Medical Center was developed. This should follow APA formatting and include proper references and citations.
THE BELOW INFORMATION IS WHAT I AM WRITING MY STRATEGIC PLAN ON AND THE ATTACHED FILES WILL SHOW YOU THE INFORMATION I HAVE GATHERED SO FAR:
Scenario B
Goal: Plan for a full-service cafeteria and catering service in the medical center
Objectives:
• Design a 300-seat food court with 12 bays
• Market food services to customers in medical center and surrounding area
• Develop menu items based on diverse ethnic populations of community
Deliverables:
• Healthy menus for 14-day period for the full-service cafeteria
• Develop a list of catering items available
• Supply marketing materials for Food Court vending area

discussion post
Chronic diseases and certain cancers have been associated with unhealthy diet. Talk about “obesity” and research the link between diet and that health problem:
Obesity
In your post, be sure to include the following:
1.Summary of the link between diet and the health problem
2.Ways to promote healthy eating
3.Cultural considerations
Your initial post must contain at least two professional references, published within the past 5 years.

: A Middle-Aged Caucasian Man With Anxiety. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.
At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.
Introduction to the case (1 page)
• Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)
• Which decision did you select?
• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #2 (1 page)
• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #3 (1 page)
• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Conclusion (1 page)
• Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

To Prepare: Review the Learning Resources and the topics the Instructor provided you for this module. Think about your role as a current or future environmental health/public health professional and how you might address the issue to effect positive social change.
To Complete: Submit a 5–7 page paper addressing a water quality issue you were provided from the list of approved topics. To complete this assignment you must find 6–10 recent (less than 5 years old) articles that support the topic of your Midterm Paper. A minimum of six of these articles must reflect primary peer-reviewed research. Beyond the minimum six primary research articles, you may add additional, high-quality secondary literature (reviews or meta-analyses), and you may use websites from a scholarly and relevant source (e.g., EPA, CDC, NCHS, etc.).
Your Paper must include the following:
A title page, in APA format.
Cite all sources within your text and be sure to follow APA format.
Include section headers in APA format for each section below:
Background of the water quality issue: Describe the water quality issue and highlight its unique attributes and why a public health response would be warranted. This should include a historical review of the water quality concern, as well as a review of the current state of the problem.
Assessment of Exposure: Describe the potential human health effects and the environmental harm of this water quality issue. Your review should take into account the unique environmental health factors that influence human exposure and what challenges/barriers can you expect to face in addressing this issue.
Assessment of Public Health Response Impact (locally and globally): Analyze the core public health impact of responding to this problem and how local, state and federal public health agencies may work together in controlling the outcome in the future. Your review should also take into account what other resources and/or partnerships may be needed to respond to this problem to better ensure a sustainable public health response both locally and globally.
Current Status of Action and Proposed Action: Given your review of this water quality issue, what specific public health actions, laws, and/or procedures/practices are currently in place? What else do you feel will best protect the community and why? Make sure that our review includes identified policy/regulation gaps, areas for improvement, and opportunities for proactive public health hazard prevention.
Provide a summary/conclusion adequately closing the paper and finalizing your thoughts on how these measures contribute to positive social change.
APA formatted Reference List
Absolutely NO plagiarism, I will run it through my school’s system.
Scholarly tone paper
There should at least be one to two Intext citations in each paragraph eg. (Jerry & Tom, 2022).
Please feel free to answer any questions
Use at least 4 peer-reviewed articles for references and government websites like CDC.
TOPIC: WATERBORNE INFECTIOUS DISEASE (Giardiasis)

Topic is the Nursing shortage since Covid-19 and how it affects nursing and patient care today.
I will need a rough publish of the paper as well please.
Instructions
1. APA style is the only acceptable format. Purdue Owl is a recommended source for APA and can be found at https://owl.purdue.edu.
2. The body of the paper must be at least seven pages in length. The title page, reference
page, and any appendices do not count as part of the required seven pages. The paper
should be clear, concise and cohesive, and incorporate proper grammar and spelling.
3.This paper must address the following components:
Point values for each aspect of this content is provided.
1. Introduction: Define the trend or global issue, discuss how the trend/issue evolved. (5 points)
2. Where is the trend most acute? Include statistics, address the setting i.e. acute care,
geographic location. You must support your claim. (10 points)
3. What is causing the trend or global issue? Support the data provided. (10 points)
4. Discuss how the trend will or does affect nursing? Support the data provided (10 points)
5. Identify current solutions for the trend and or recommendations to address the trend.
Support the data provided. (10 points)
6. Summary (5 points)
7. Integrate findings from 3 current (no older than 5 years) articles from journals and
professional/government organizations. Copies of the articles must be included with the
paper.

topic for admission essay into post master program ” Describe your immediate and long-term goals related specifically to the FNP [family nurse practitioner ] role and meeting the healthcare needs of under-served populations in your career as an FNP.:
i have attached my publish, which i don;t particularly like as it seems to lack congruence and logical flow. i am also attaching a sample for similar topic I fond performing a simple google search

Construct 3-5 evaluation criteria for your planning project in the SMART format. Submit a title page and the criteria on 1-1 pages. No references or citations are required.
THE BELOW INFORMATION IS WHAT I AM WRITING MY STRATEGIC PLAN ON AND THE ATTACHED FILES WILL SHOW YOU THE INFORMATION I HAVE GATHERED SO FAR: Scenario B Goal: Plan for a full-service cafeteria and catering service in the medical center Objectives: • Design a 300-seat food court with 12 bays • Market food services to customers in medical center and surrounding area • Develop menu items based on diverse ethnic populations of community Deliverables: • Healthy menus for 14-day period for the full-service cafeteria • Develop a list of catering items available • Supply marketing materials for Food Court vending area

I NEED TO RESPOND TO MY 2 CLASSMATES:
This discussion requires two replies to classmates. In your replies, compare and contrast your classmates’ initial posts with your own. Critique your classmates’ posts by suggesting an area for improvement or something new to add to the discussion.
At least one of your replies must contain a professional reference, published within the past 5 years.

WRITE 2 SEPARATE PARAGRAPHS – 1 FOR CLASSMATE 1 AND 1 FOR CLASSMATE 2.

My discussion post:
In Mrs. Smith’s home, numerous hazards risk her safety and health. These safety hazards include a dimly lit house. Research conducted by Falkenberg (2019) found that improved indoor lighting increases the quality of life for elderly adults at home. Also, lighting is an essential environmental attribute that helps improves visual, physical, and mental health and reduces the risk of falls. The extension cord plugged into an outlet across the room is a hazard that can cause tripping and falls. Also, extension cords cannot be used as permanent wiring and can present a fire hazard if overloaded or damaged. Additionally, medications stored in unlabeled containers pose a risk since Mrs. Smith can take the wrong medication or incorrect dosage, which could lead to adverse effects or drug interactions. Lastly, even though Mrs. Smith does not smoke, the presence of a smoker in the home poses a risk of fire and respiratory issues for Mrs. Smith.

To promote safety, a few nursing actions can be implemented. These actions include labeling Mrs. Smith’s medication containers with the name of the medication, dosage, and frequency of administration. In their research, Tan et al. (2021) found that ensuring the accuracy of prescription medication labels helps reduce medication errors. Improving the house’s lighting is also vital to reduce the risk of falls. It is critical to encourage Mrs. Smith’s daughter to quit smoking or to stop smoking in the home to reduce the risk of fire and respiratory issues. Also, it would be essential to involve Mrs. Smith’s daughter and other family members in the care process. This could include educating them about the safety hazards in the home and how to address them, as well as involving them in the medication management process.

Some teaching points that could be reinforced include the risks associated with smoking for the smoker and anyone exposed to passive smoking. Also, emphasize that Mrs. Smith is at great risk of falls that could lead to fatal injuries and, in severe cases, death.
Reference
Poorchangizi, B., Borhani, F., Abbaszadeh, A., Mirzaee, M., & Farokhzadian, J. (2019). The importance of professional values from nursing students’ perspective. BMC Nursing, 18(1). https://doi.org/10.1186/s12912-019-0351-1

CLASSMATE 1 RESPONSE:
Mrs. Smith is an 85 y/o woman who lives with her small dog. She has an unlabeled medication dispenser, an extension cord running across the room, and a daughter who has been smoking inside the home. To begin The Nurse Should collect the medication bottles with the patient’s most recent medication list and “Establish order in medication lists by disambiguating prescriptions” (Kollerup, Schantz, 2018 pg.227), then assist the patient with organizing and labeling medications. The nurse should then asses the extension cord and advise the patient that dim lighting can cause visual impairment leading to falling. If there is no outlet closer to the patient chair for the extension cord then the nurse can “ Tape them down or move them out of sight,”(Sussman Ch. 24 pg. 26). Finally inform the patient that “tobacco smoke is the leading cause of preventable death worldwide. Unfortunately, the risk is not limited to smokers. It is dangerous for non‐smokers, particularly women, kids and elderly”(Zamani, Golshiri, Moqtader 2013 pg 1) and advise the patient that the ashtray, as well as any smoking, should be conducted outside the home.

Kollerup, M. G., Curtis, T., & Schantz Laursen, B. (2018). Visiting nurses’ posthospital medication management in home health care: an ethnographic study. Scandinavian Journal of Caring Sciences, 32(1), 222-232. https://doi.org/10.1111/scs.12451

SUSSMAN, H. (2022). Safety for the Elderly Population during the Holidays and throughout the Year. Exceptional Parent, 52(12), 24-26.

Zamani A, Golshiri P, Moqtader B. The study protocol of women’s education to create smoke- free home on the basis of family ties in Isfahan, Iran. Int J Prev Med 2013;4:1312-17.

CLASSMATE 2 RESPONSE POST:
The Safety hazards observed in the client’s home include dim lighting, a table side lamp, an extension cord, the daughter, the daughter’s ashtray, unlabeled medications, and the small dog. Dim lighting increases the chance of a fall risk and medication error. Mrs. Smith not using proper lighting could result in her falling over the extension cord she has plugged up across the room or possibly tripping on her small dog. Also, the cord plugged across the room to a table side lamp can increase the chances of a fire. Mrs. Smith could trip over the cord; the lamp could fall and start a fire. The patient has also been prescribed oxygen, which poses a fire hazard. The ashy tray is on the patient’s table, which could indicate that the daughter is smoking inside the home near Mrs. Smith. The unlabeled medication is dangerous. Seven unlabeled medications could result in an error. One medication could look similar to another in the eyes of Mrs. Smith, or she could not correctly see due to the dim lighting in the home, which increases her chances of taking the incorrect medication.

The actions that would promote safety for Mrs. Smith and her family would be to label and organize medication. Consider discussing a pill box the daughter could organize since she visits every Sunday. Moving the lamp or finding a closer electrical outlet that would remove the extension cord from across the room helps lower patient fall risk. Encouraging the patient to open a curtain to allow in natural lighting or speak to her daughter about purchasing an appropriate color temperature light bulb that would be more comfortable for her eyes but also enough to light the home area to decrease risks. Lastly, remove the ashtray from Mrs. Smith’s table.

Teaching points to be reinforced to the patient and family include medication, oxygen, fire and fall hazards, and safety precautions. Understanding that Mrs. Smith may be comfortable and familiar with her home environment, recognize it still presents several hazards. Discussing the actions to limit home hazards could decrease falls and other risks. Several studies have found that home modification interventions are effective at reducing the rate of falls among community-dwelling older adults (NACCO, 2021). Sharing informative information, answering any patient or family questions, and asking questions to ensure the patient and family comprehend the information could help prevent accidents. Patient safety in-home care is a multifaceted concept, which encompasses physical, mental, social, and practical dimensions. Evaluation, prevention, participation, and commitment to the safety culture are the core features of this concept. The patient care concept depends on the commitment of the involved participants, adequate resources, environmental conditions, support of the involved centres (home care agency, hospital, and the insurance), self-efficacy and the ability of the caregivers (nurses). Patient safety at home will not only result in a better and safer care but will also enable the patient, their family and all the people involved (patient, family and the caregivers) to remain calm during the care (Keyvanloo Shahrestanaki et al., 2022).

References

Keyvanloo Shahrestanaki, S., Rafii, F., Najafi Ghezeljeh, T., Ashghali Farahani, M., & Amrollah Majdabadi Kohne, Z. (2022). Concept analysis of patient safety in home care: A hybrid model. BMJ Open Quality, 11(4). https://doi.org/10.1136/bmjoq-2022-002077

National Association of County & City Officials. (2021, February). Older adult fall prevention – NACCHO. Issue Brief: Older Adult Fall Prevention. Retrieved January 8, 2023, from https://www.naccho.org/uploads/downloadable-resources/Fall-Prevention-Issue-Brief-February-2021-Final_210212_161639.pdf

Come up with a clinically relevant research question using the PICOT format. How did you arrive at this topic and question? Why is it important?
The PICOT question I have selected is (In the emergency department, is the mandatory use of face masks effective in preventing the spread of the COVID VIRUS).
I will attach a sample paper of how this should be done, the sample attachment is not comprehensive but just a reference
Expectations
Length: A minimum 1page, not including references, please be comprehensive
Citations: At least one high-level scholarly reference in APA format from within the last 5 years