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[ANSWERED 2023] Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure

Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles of principlism. Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following: Part 1: Chart This chart will formalize principlism and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice. Part 2: Evaluation This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview. Remember to support your responses with the topic study materials. APA style is not required, but solid academic writing is expected. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Case Study: Healing and Autonomy Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’s condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve. The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet, Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then. Two days later the family returned and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. Had he not enough faith? Was God punishing him or James? To make matters worse, James’s kidneys had deteriorated such that his dialysis was now not a temporary matter and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors. Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches. James’s nephrologist called to schedule a private appointment with Mike and Joanne. James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’s brother Samuel. Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? Mike reasons, “This time around it is a matter of life and death. Expert Answer and Explanation Applying the Four Principles: Case Study Part 1: Chart (60 points) Based on the “Healing and Autonomy” case study, fill out all the relevant boxes below. Provide the information by means of bullet points or a well-structured paragraph in the box. Gather as much data as possible. Medical Indications Beneficence and Nonmaleficence Patient Preferences Autonomy Beneficence focuses on how the patient can positively benefit by interacting with the medical practitioner. The benefits include treatment, care delivery, and medication prescription to alleviate the pain and other issues affecting the patient. Nonmaleficence on the other hand entails the measures that can be taken by the doctor to prevent harm either by intentional or unintentional. These principles are evident in the case where the doctor informs the parents who have the power of attorney for the child of the best modes of medication to mitigate the severity of the symptoms on the child. The doctor also takes measure to prevent harm by telling the parent that they should consider visiting the facility in the event that their decision to focus on prayer alone does not lead to the outcome they want. The principle of autonomy is controversial as it binds the doctors, despite having professional knowledge, to abide by the needs and requirements set forth by the patients. The doctor has to conform to the needs of the patients and offer medical care that is aligned with how the patient wants. The most important attribute of care is the preference of the patient even when the doctor is against the decision. Autonomy is evident in the care where the parents decide to take the hold for prays as opposed to following the doctor’s advice of offering dialysis treatment. The parents are now faced with the decision on whether to use the twin brother as the donor. Quality of Life Beneficence, Nonmaleficence, Autonomy Contextual Features Justice and Fairness Patient car can have two outcomes depending on the mode of medication, patient decision and availability of resources. In order to ensure the quality if life and the overall sustenance of the patient from harm, there is need for collaboration. The patient is responsible for

[SOLVED 2023] The National Organization of Nurse Practitioner Faculties (NONPF) has determined core competencies that apply to all nurse practitioners, regardless of specialty or patient population focus

The National Organization of Nurse Practitioner Faculties (NONPF) has determined core The National Organization of Nurse Practitioner Faculties (NONPF) has determined core competencies that apply to all nurse practitioners, regardless of specialty or patient population focus. NONPF has represented them within nine broad areas of core competence. NONPF created the first set of Nurse Practitioner Competencies in 1990; the most recent updates were incorporated in 2017. This synthesis course has had the overarching objective of preparing you to be able to synthesize knowledge gained throughout the program and be prepared to apply each of the nine core competencies within your selected areas of practice and your representative communities. The nine broad areas of competency are: Scientific Foundations Leadership Quality Practice Inquiry Technology and Information Literacy Policy Health Delivery System Ethics Independent Practice To Prepare: Review this week’s Learning Resources, focusing on the NONPF Core Competencies Content. The Assignment For each of the nine NONPF competencies, write one paragraph explaining how the program has prepared you to meet it (for a total of at least nine paragraphs). Then, propose and explain how you plan to engage in social change in your community as a nurse practitioner. Be specific and provide examples. Expert Answer and Explanation National Organization of Nurse Practitioner Faculties (NONPF) Competencies The nursing practice is constantly changing to include new modes of practice and a wider scope of practice (Moore, & Hawkins-Walsh, 2020). Nurses make up the vast majority of staff in the healthcare sector and need to demonstrate certain competencies to better impact the positive outcomes in health. This paper analyzes how the program has prepared me to meet the nine NONPF core competencies. NONPF Competencies Scientific Foundations The scientific foundation competency addresses the need for the crucial analysis of data in the improvement of advanced nursing practice and proceeds to integrate the new knowledge into the overall practice of nursing (NONPF, 2020). The components also focus on the translation of research and the development of new practices. The program has been effective in training on best research techniques and how to obtain reliable information from data and derive new knowledge. The process is an important scientific process as it enables the formation of reliable and credible knowledge to be applied in practice. Leadership Competencies The competencies focus on the ability of nurses to be able to assume advanced and complex leadership positions (‌OSU, 2022). In this regard, nurses should be able to lead in a critical and reflective manner, advocate for better access, advance the practice setting and improve collaboration (NONPF, 2020). The program has been useful in creating awareness of the different leadership styles and character traits of an effective leader. During the course, I have been able to learn how to become a reliable and effective leader. The program also provided insights on issues related to teams and teamwork management, crisis management, and stress management within a team and the entire organization. The information is relevant in the development of an effective leader. Quality Competencies The healthcare sector is constantly changing, and with it, the modes ofc are delivery. One of the key components that need to change as well is the quality of care for the patients (NONPF, 2020). The quality competencies focus on how nurses can make use of available evidence to constantly provide better improvements in clinical practice (‌OSU, 2022). The program provided insights on the culture of safety and the use of different tools such as the Plan-Do-Study-Act, which offer guidelines on better change implementation. Nurses can make use of data from evidence-based practice to the teaching of implementing change to ensure the attainment of quality competencies. Practice Inquiry Competencies While the identification of new knowledge is important, it needs to be translated to meet the needs of the patient or specific practice (NONPF, 2020). The practice inquiry competencies ensure that a nurse in the leadership position has the capacity to translate new knowledge into practice. In this regard, the nurse would then be able to come up with knowledge based on the clinical research to better provide a better-quality model of care (‌OSU, 2022). However, in order to implement the practice inquiry competencies, a nurse needs to be able to know where the challenge or gap is before creating the desired changes. The program teaches how to identify practice problems and appraisal of evidence to determine the best available mode of intervention. Technology and Information Literacy Competencies The program advocated for nurses to be aware of new technologies, such as the use of nurse informatics to identify patterns and trends from evidence. The technology can be useful in the translation of beneficial information towards the delivery of better care. As a nurse, ensuring that proper strategies are used to integrate technology in healthcare can improve the effectiveness of care (‌OSU, 2022). Policy Competencies The program is essential in informing about the correlation between internal or external policies with the overall nursing practice. The program advocates for the nurses to understand the relevance of advocacy and be part of the leadership categories responsible for the creation of policies. The intervention is essential in providing better patient care and an effective working environment for the nurses (Kottwitz & Owens, 2021). Health Delivery System Competencies The program provided information on how nurses can apply the knowledge obtained from research and in school into practice. Information such as the organizational structure and decision-making strategies can be used as the basis of health delivery. The competency addresses the need to interpret, use and correlate data within the facility. Ethics Competencies As a nurse, it is important that the decisions made are ethical and lead to the best patient outcomes. The program provides a nurse with different ethical requirements for a nurse and how they can be applied in practice. Can then make use of the information related to ethics and apply the knowledge in determining best patient practice (Chan et al., 2020). Independent Practice Compliances With the increasing nursing roles, nurses need to be

[2023] Identify an organizational issue that, if addressed, could positively impact organizational effectiveness or outcomes. Your organizational issue should reflect

Identify an organizational issue that, if addressed, could positively impact organizational Identify an organizational issue that, if addressed, could positively impact Instructions Issue: Identify an organizational issue that, if addressed, could positively impact organizational effectiveness or outcomes. Your organizational issue should reflect a performance gap or potential problem of practice that you will describe as your area of interest in the assignment. Identify the organizational issue by completing a description of the issue just as done in the Examples of Gaps section that follows the blank gap analysis worksheet below. Process or Activity Title: Identify each process, factor, or activity associated with the organizational issue or performance gap identified in the issue statement. List those processes or associated activities related to the issue that are not performing as desired or expected. Each process or activity needs to be analyzed to determine its related performance gaps and its impact on the organization. Expected Performance (A): Regarding each process or activity, describe performance expectations based on established goals, performance standards (for example, state testing), or organizational intent/vision. In the Examples of Gaps section below, the expected performance for the discipline tickets report was anticipated to be at a low level because the system was designed for exceptions. The gap analysis revealed other issues and gaps in expected instructor performance.  Note: If the expected performance level or number or percent is known, provide it, or if possible, provide a reasonable estimate and label it as an estimate only. Another approach is to qualitatively describe the expected performance. Current Performance (B): Describe the current performance. In the Examples of Gaps section below, a high number of ticket reports were identified as consistently submitted across semesters. Note: provide the most accurate performance indicators possible. In the Examples of Gaps, the exact number such as total number of tickets for the previous term or the average of tickets per week for the past term would have been a more precise measurement.  Be as precise as you can in describing the current performance. Performance Gap (A minus B): Describe the difference between expected performance and the current performance: what should be and what is. Note that the comparison between expected performance and the current performance could involve additional gaps. In the Examples of Gaps table, the ticket report analysis showed additional problems. As with describing the expected and current performance use the most precise numbers, data, or language that you can. Effect of Gap on Organization: Describe in detail how each performance gap affects the organization. Describe both known effects and potential effects.  Within the Examples of Gaps table for the ticket reports, the obvious overtaxed system was an effect and ethical issues and their implications were identified as potential effects. Carefully think through and identify the effects and potential effects of the gaps on the organization. Gap Analysis Worksheet Using the template below, do your own gap analysis. Complete each cell clearly and completely. Add rows for additional processes and activities that need to be analyzed. Use number/percentage data to support your statements only when the numbers are known. Otherwise, use descriptive words where no actual numbers are available. Gaps are often qualitative. If there are no established numbers (or reasonable estimates) to support a quantification of a gap, explain it in qualitative terms. Use a separate row for each process and activity and include the specific information requested for each column. Cells will expand as needed. Issue: Process or Activity Title Expected Performance (A) Current Performance (B) Performance Gap (A minus B) Effect of Gap on Organization                          Examples of Gaps Issue: Suspension rates at a high school are at unacceptably high levels. Process or Activity Title Expected Performance (A) Current Performance (B) Performance Gap (A minus B) Effect of Gap on Organization Discipline Ticket Reports The system is in place to accommodate exceptions. Exceptions are expected to be few in number. (Note: If expected number is known, provide it. Or provide a reasonable estimate and label it an estimate only.) A high number of ticket reports are consistently submitted across semesters. (Note: Provide actual data, e.g., number of tickets), if possible.) System that was created to handle exceptions routinely handles too many. (Note: If actual numbers are known for A and B, subtract the difference.) System is taxed. Ticket Distribution Tickets that enter the system are expected to be representative of the overall race and gender ratios at the institution. (Note: Provide actual data current race and gender ratios of student body if possible.) Students of color and males are overrepresented as recipients of behavioral/disciplinary tickets. (Note: Provide actual data about race, ethnicity, and gender if possible.) Ticket distribution ratios in terms of race and gender are not representative of student body demographics. (Note: Describe the difference.) Potential ethical implications; potential unbalanced or biased application of disciplinary regulations. May affect institution’s learning environment and climate. Classroom Management Faculty manage behavior in the classroom and submit tickets as a last resort. Faculty default to sending students out of class. Classroom resolution is not happening. Classroom instruction is missed by students; disruptions lower quality of instruction for all. Classroom Management Faculty manage behavior with cultural sensitivity. Faculty display limited skills in responding to behavioral issues or to facilitate a multicultural classroom effectively. Skills to manage and resolve behavioral problems and desired level of cultural competence are lacking. Ill will and distress for students and faculty; loss of incentive to attend class. Loss of opportunities to learn about others. Classroom Management and Support Faculty can, as an interim option, require students who have behavior issues schedule an appointment with student services counseling support. As a result students receive counseling and return to the classroom able to manage their behavior. Faculty do not exercise their interim option and do not require students who have behavior issues schedule an appointment with student services counseling support. Interim resolution with support is not happening. Classroom instruction is missed by students;

[ANSWERED 2023] The purpose of this assignment is to discuss concepts of epidemiology and apply nursing theories

The purpose of this assignment is to discuss concepts of epidemiology and apply nursing The purpose of this assignment is to discuss concepts of epidemiology and apply nursing theories and research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC websites, all located in the topic Resources, for assistance when completing this assignment. Choose a communicable disease topic from the resources mentioned above or you may select one from the list below: Chickenpox Tuberculosis Influenza Mononucleosis Hepatitis B HIV Ebola Measles Polio E. coli Salmonella Listeria Hepatitis A SARS-CoV-2 Monkeypox Dengue Botulism Norovirus Write a paper (1,000-1,500 words) in which you apply the concepts of epidemiology and nursing to research a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC websites, located in the topic Resources, for assistance when completing this assignment. Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Explain why this is a reportable disease. Provide details about reporting criteria. Describe the social determinants of health and how those factors contribute to the development of the chosen communicable disease. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Identify any special considerations or notifications for the epidemiologic triangle (community, schools, or general population). Explain the importance of demographic data to community health. Describe the role of the community health nurse in primary, secondary, and tertiary prevention through tasks such as case finding, reporting, data collection, analysis, and follow-up. Provide an example of how Christian worldview can be integrated by a community health nurse when working with a population impacted by the communicable disease selected. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example. A minimum of three peer-reviewed or professional references (i.e., professional health organizations like CDC, WHO, OSHA, DHS) is required. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Resources if you need assistance. Expert Answer and Explanation Epidemiology of Tuberculosis Tuberculosis is a serious infectious disease which mostly affects the lungs.  It is a bacterial infection spread through the inhalation of droplets when an infected person coughs or sneezes. Its main area of infection is the lungs but it can also be evident in other body parts such as the bone, the glands and the nervous system (Kevin, 2019). Tuberculosis is a bacterial infection and the infection of the lungs, called the pulmonary tuberculosis and it is the most contagious type. The bacteria that is involved in the transmission of tuberculosis is known as Mycobacterium Tuberculosis. In most cases prolonged periods of exposure and close contact to infected persons is what increases the chances of the transmission and spread of tuberculosis (Kevin, 2019). However, not everyone with tuberculosis is infectious. Extrapulmonary tuberculosis is the TB infection that occurs outside the lungs. Such infections and children with tuberculosis cannot infect other people with tuberculosis (Kevin, 2019). The bacteria when inhaled, settles in the lungs and continues growing and spreading to other organs. Symptoms A large population that gets infected with the bacteria that causes tuberculosis do not show any symptoms. Symptoms such as fever, weight loss and a cough might occur on some occasions.  Latent TB is explained above as it occurs in cases where the patient depicts no symptoms despite having been infected by the bacteria. For active TB, the patient has evident symptoms. In this case, the possibility of transmission is also high (Kevin, 2019). This one may take a long duration after the infection by the bacteria. Some of the symptoms of TB include; coughing for a period of three weeks and more, presence of blood or mucus in the cough, chest pains and difficulties, pain during breathing and coughing, weight loss, fever, and loss of appetite. Mode of Transmission Most of the above symptoms occur when the TB has affected the lungs. In cases where it affects other parts of the body such as the spine, the symptoms may be different. Lack of treatment of tuberculosis could be fatal. It could have effect on not only the lungs but also other parts of the body (Kevin, 2019). Some of the complications of tuberculosis include spinal pain, joint pain and damage, swelling of the brain membranes commonly known as meningitis, liver problems and heart problems. Treatment of tuberculosis is important in preventing unnecessary disorders. The treatment is mainly carried out by having the patient take antibiotics for a period of 6-9 months. The length of consumption of the drugs however differs according to the age, health and drug resistance of the patient. Demographic of Interests Tuberculosis has had a large effect on population and the mortality rate. 1.5 million people died of TB in 2020. The disease is regarded as the 13th leading cause of death and is ranked as the second leading infectious killer after COVID-19 (Sharma, 2018).  People with TB bacteria live at a 5-10% risk of getting ill with TB. Those with poor immune systems and people with HIV and diabetes are a high target of TB. Tuberculosis is a reportable disease. The law requires that any patient suspected or confirmed to have been infected by the disease be reported within a period of 1 working day to the TB Control Section. It is advisable not to wait

[ANSWERED 2023] Review the IOM Future of Nursing Recommendations for achieving higher levels of education

Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what The IOM published report, “Future of Nursing: Leading Change, Advancing Health,” makes recommendations for lifelong learning and achieving higher levels of education. In 1,000-words, examine the importance of nursing education and discuss your overall educational goals. Include the following: 1. Discuss your options in the job market based on your educational level. 2. Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals. 3. Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing. 4. Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics. 5. Discuss whether continuing nursing education should be mandatory. Provide support for your response. You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.  Abstract and wrap up conclusion are necessary. Expert Answer and Explanation Nursing Education and Educational Goals Among the most populated professions in healthcare is nursing, as the services of nurses are fundamental in ensuring adequate healthcare provision at all levels of patient care. In the US, there are more than 3.1 million nurses who are registered, and the number is expected to grow by over 19% by 2022 due to the increased nursing care needs (Mackey & Bassendowski, 2017). Nurses are found in institutions such as schools, military centers, public health agencies, clinic settings, nursing homes, and even in medical research centers. Different levels of nursing degrees have different educational requirements as well as licensure. Nurse education consists of practical and theoretical training in which nurses are prepared to encounter various nursing duties. Some of the nursing education courses are relevant to general nursing as well as specialized nursing such as pediatric and geriatric nursing. Options in the Job Market There are numerous nursing options in the job market of nursing, whereby nurses apply their different expertise in improving health outcomes. Among the most common of these set ups is the clinical care settings, where nurses work in clinical healthcare facilities to manage the outpatients and inpatients who have various nursing needs.Other care settings include the pediatric care departments, where nurses manage sick children (Mackey & Bassendowski, 2017). There may be sub-sections per every department, such as the cancer care centers for pediatrics which attends to the health needs of the children who have cancerous tumors in their bodies. Other departments that nurses can choose to go to include the geriatrics, where they focus much in caring for the aged people.In most of the geriatric cases, there are nursing homes for the aged in which nurses practice care for the aged population who are in these centers. For all the options in the job market, it is important that one has a basic nursing course that leads to an autonomous registration- the Associate Degree in Nursing (ADN). These courses last for four years and they serve as blueprints for everyone who wishes to engage in the different nursing specialties. Post-qualification courses allow people to go a step father in improving their expertise and knowledge in their own fields of choice (Kelly et al., 2016). For my case, I have am a licensed practical Nurse (LPN), and I am qualified to work in different nurse settings such as administering injections, preparing patients for different surgical procedures (including CS), performing therapeutic massage, changing bandages and wound dressings, managing and maintaining medical records of patients, and managing intravenous drips. Most importantly, as an LPN, I am entrusted with the task of communicating with medical staff regarding the specific needs of patients. The IOM Future of Nursing Recommendations The Institute of Medicine report (IOM Report) is an examination of the nursing workforce that was done in 2010 and used to give various recommendations on how to improve the face of nursing care. Some of the recommendations in the report are focused on the intersection between the various health needs of changing patient populations across lifespans of patients and the nursing workforce. They support the efforts to improve the health of the US population through improvement of the contributions of nurses in quality care delivery.The first key recommendation from the IOM 2010 report is that nurses should practice in full extent the education and training they are given (Ironside, 2015). Secondly, from the report, nurses are encouraged to reach higher levels of education so as to ensure that they have an improved education training and constant academic progression. Thirdly, nurses are recommended to partner with physicians as well as other healthcare professionals in improving and redesigning the face of healthcare in the United States (Ironside, 2015). Finally from the IOM future of nursing recommendations, nurses are asked to have improved data collection techniques and good information infrastructure through which they can effectively embrace workforce planning and policy making (Ironside, 2015). How Increasing My Education Level Affects My Competitiveness in the Job Market Increasing my educational level improves my competitiveness in the job market as I am able to be of more substance in delivering various nursing care needs to the people who look up to me- that is patients as well as other healthcare givers. For my case, I am hoping to acquire a Doctorate in Nursing Practicing Degree and eventually acquire a Doctor of Philosophy (PhD) in Nursing. With these advanced educational achievements, I will be sure to improve my value in the care continuum and hence have a better place in the competitive nursing job market. Nurses with PhD degrees are more focused in abstract thinking as opposed to hands-on patient care, and

[ANSWERED 2023] In 200-250 words respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean

In 200-250 words respond to the following: Should the physician allow Mike to continue Benchmark – Patient‘s Spiritual Needs: Case Analysis In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment. Answer the following questions about a patient‘s spiritual needs in light of the Christian worldview. In 200-250 words respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient‘s autonomy? Explain your rationale. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James‘s care? In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care? Remember to support your responses with the topic study materials. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Case Study: Healing and Autonomy Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’s condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve. The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet, Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then. Two days later the family returned and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. Had he not enough faith? Was God punishing him or James? To make matters worse, James’s kidneys had deteriorated such that his dialysis was now not a temporary matter and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors. Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches. James’s nephrologist called to schedule a private appointment with Mike and Joanne. James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’s brother Samuel. Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? Mike reasons, “This time around it is a matter of life and death. What could require greater faith than that?” Expert Answer and Explanation Ethical and Spiritual Decision Making Question 1: Whether the Physician should allow Mike to continue making Irrational Decisions that are Harmful to James  According to the Christian Worldview, one’s spiritual health depends on the health of their body. The bible teaches us that good health is critical to fulfillment of one’s spiritual potential. The physician should reason from this perspective when engaging Mike. Based on this worldview, the best thing the physician should do is to remind him that James’ health to worsen if he continues making unreasonable decisions (Timmins & Caldeira, 2017). Given the physician’s knowledge about James’ kidney disorder including the complications that may arise if the treatment is delayed, and considering the principles of medical ethics such as harm reduction, the physician needs to intervene. As a minor, James cannot make decisions regarding his own health. In this case, the parent is responsible of making decisions on his behalf. As much as the patient’s autonomy matters, the physician should persuade Mike to rethink his position about how to approach his son’s illness (Smebye, Kirkevold, & Engedal, 2016). The physician’s role in this case would involve explaining to Mike the potential consequences of his actions. He should particularly remind Mike that a Christian should not engage in activities that hurt others or put the lives of others at risk. Therefore, intervening to stop Mike from denying James the opportunity to receive treatment is the best way the physician can address the issue. Question 2: How a Christian ought to think about

[ANSWERED 2023] Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios

Select an issue from the following list: bullying, unit closers and restructuring, floating In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following: Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation. Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct. Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings. Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue. Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting. Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. 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. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. This benchmark assignment assesses the following programmatic competencies: Expert Answer and Explanation Effective Approaches in Leadership and Management Policies in organizations are meant to guide employees’ behavior and conduct, and even if an organization has policies in place, workers may still adopt behaviors which contradict the organization’s policy directives. This is where the executive comes in considering that it enforces the code of conduct by updating and enforcing policies with the intention of creating a safe workplace for workers. When an executive is inactive, and does not encourage employees to give feedback or share their concerns, this can result to a situation in which workers lose morale especially if they are victims of abuse or bullying (Edmonson & Zelonka, 2019). This can in turn lead to poor employee performance, absenteeism and high turnover rates. It is imperative to explore bullying as a practice issue, the impact it has, and the leadership and management approaches to mitigating it. Description of the selected Issue Bullying is an act in which a person adopts aggressive behavior and intimidates, verbally and physically abuses another person with the intention of inflicting fear. There are various motivators of bullying, and among the factors that can cause one to bully others are inadequacies of the person bullying another, and if they feel threatened by another person. In organizational setting, for example, one can resort to bullying colleagues if they feel that they are threat and they stand on their way to promotion. Favoritism at work is equally a factor that can cause some workers to bully others, and this is noticeable where workers who feel left out of job promotion opportunities, intimidate colleagues who unfairly benefit from these opportunities (Hampton, Tharp-Barrie, & Kay, 2019). How the Issue impacts the Quality of Care and Patient Safety Bullying in clinical settings can have undesirable effect on the quality of care and the safety of patients. For example, frequent bullying of employees can demoralize them, and this can lead to absenteeism of the healthcare workers. This can be a major problem in poorly staffed hospitals because it can put pressure on the health care workers, and some may have to work for longer hours. Consequently, long work hours can cause the turnover rates to surge, and this can compromise the quality of care because the huge gap in provider-patient ratio is associated with poor quality of care. When a hospital has inadequate number of caregivers, patients’ risk of developing nosocomial infections or pressure ulcers can be high (Khoshhal & Guraya, 2016). The decline in the level of staffing may equally cause the increase in the patient’s risk of fall. How the Professional Standards can be demonstrated to resolve the Issue The professional standards are the anchor which dictate how providers can address various workplace issues including bullying. A provider can demonstrate these standards by being honest with those who bully others, and reminding that such behavior can dent the organization’s image, and affect the quality of care. Respect is a fundamental element of the professional standards, and a person in position of influence can demonstrate it by respecting what others might say in terms of the way the organization handles complaints pertaining to bullying. Caregivers are expected to uphold high standards of ethics by being fair in the way they treat others (Joseph & Huber, 2015). They can demonstrate fairness in this case by treating everyone equally, and offering promotions based on the employees’ competency rather than on the basis of whom they know. Doing this can help prevent interpersonal conflicts which are known to cause or exacerbate bullying. The differing Roles of the Nursing Leaders and Nursing Managers in addressing the Issue The path a leader would pursue to address the issue differs from the manager’s approach to resolving bullying. For example, the former would adopt a strategy that involves seeking the views of members of the staff so that they can address the issue together. This shared approach to resolving the problem can bring lasting solution because each employee would strive to protect and support the recommendations made to address it. Rather than involve the staff, a nurse a nurse leader would come up with the rules of engagement, and punish those who fail to comply with anti-bullying policy

[ANSWERED] Design a list of 10 data elements related to the patient demographic information

Design a list of 10 data elements related to the patient demographic information (refer back to the data sets if necessary) When designing data definitions, you will be assigning meaning to the data elements that are part of the computerized data. If there is no definition to the data, then it is not information. Write a paper of two (2) pages not including the title page, abstract page, and reference page that discusses the following: Design a list of 10 data elements related to the patient demographic information (refer back to the data sets if necessary). Indicate characteristics of each example, such as date format, text, alphanumeric, and so on. Define the number of characters for each data element and if it is required data based on a data set. Be sure to support your information by citing at least 2 references using APA format. EXPERT ANSWER AND EXPLANATION Data Elements used in Patient Demographic Information and their Characteristics The first type of data that is extracted from patients upon presentation to any health facility is their demographic information. Triage nurses are mostly involved in collecting this type of data, and it helps to identify the different characteristics of the patient and hence guide on the treatment plan (Wallace et al., 2020). The following are some of the common demographic data elements and their specific characteristics. Patient ID. The details of the patient ID include their surname, their first name, and the assigning authority ID. If the patient is recurrent in the facility, they would need to give the medical record number or other information that identifies the patient with their previous information (Okuda et al., 2020). Regarding the characteristics of this data element, each facility has its own preferred way of collecting the patient identification. Date of birth (DOB). The characteristics of this data set includes the use of an alpha-numeric format, in which the month of birth is written in alphabets while the day and year are written in numerals. The place of birth could also be collected as an additional element of the dataset. The data element of gender is usually categorized as either male or female, as the there are no provisions in the hospital for transgender individuals. Blood type. The blood type is categorized as either Rhesus Positive or Rhesus negative as well as the blood group A, B, AB, or O. Place of Residence. The address of the patient includes the street address, their state, apartment, and all other details that could guide easy access to their home in the event of need. Emergency contact information. The phone number of the close family members is the primary information collected at this stage. Major medical history. This data element includes things such as previous major diagnoses as well as the current drugs that the patient is taking. The data element includes the idea of whether the patient is black, white, Caucasian, Hispanic, or has other ethnicities (Unger et al., 2020). Primary Language. The primary language of the patient could either be English or other languages that the care providers can easily understand. Contact information. The data element requires the patients to give their phone numbers, email address, their physical address, work address, as well as all other information that would guide the healthcare providers in doing a follow-up on them.  References Okuda, B. C., Tabbaa, S., Edmonds, M., Toubouti, Y., & Saltaji, H. (2020). Direct to consumer orthodontics: Exploring patient demographic trends and preferences. American Journal of Orthodontics and Dentofacial Orthopedics. https://doi.org/10.1016/j.ajodo.2019.12.024 Unger, J. M., Blanke, C. D., LeBlanc, M., Barlow, W. E., Vaidya, R., Ramsey, S. D., & Hershman, D. L. (2020). Association of patient demographic characteristics and insurance status with survival in cancer randomized clinical trials with positive findings. JAMA network open, 3(4), e203842-e203842. doi:10.1001/jamanetworkopen.2020.3842 Wallace, S. J., Murphy, M. P., Schiffman, C. J., Hopkinson, W. J., & Brown, N. M. (2020). Demographic data is more predictive of component size than digital radiographic templating in total knee arthroplasty. Knee Surgery & Related Research, 32(1), 1-7. https://doi.org/10.1186/s43019-020-00075-y Place your order now on the similar assignment and get fast, cheap and best quality work written from scratch by our expert level  assignment writers.

[ANSWERED 2023] Discuss the access, cost, and quality of

Discuss the access, cost, and quality of quality environments, as well as recent quality Discuss the access, cost, and quality of quality environments, as well as recent quality initiatives (See Chapter 24 and Table 24.1). Student is to reflect on the relationship between quality measures and evaluation and role development. In addition, describe this relationship and note how the role of the APN might change without effective quality measures. Expert Answer and Explanation Access, Cost, and Quality for APNs The three aspects of accessibility, cost, and quality work hand in hand in the delivery of optimum care to patients. The traditional framework of nursing has always been based upon the ability of the nurse to meet the needs of the patients while at the same time staying within the limits of the practice (Miranda et al., 2018). Nurses began as care providers that spent the majority of their careers at the bedside. Comprised of main women, traditional nursing majored in the identification of an individual in society who would be able to be compassionate and provide services to the sick. Over time, the nursing industry changed with pioneers such as Florence Nightingale, who championed for the better working environment and improved safety measures for nurses (Joel, 2018). Healthcare professionals have transformed over time and can now lead different actions while creating the desired outcome (Miranda et al., 2018). In the modern era, nurses have been accorded the role of championing access cost and quality of care. This paper will analyze the three attributes of access, cost, and quality of environments and other quality initiatives in relation to overall development. Overview of Access, Cost, and Quality According to Joel (2018), access, as used in the healthcare setting, is the ability of a patient or any person within the community to obtain health and care or any other related medical service. The aspect of access is also used to define the ability of a patient or any member of a community to afford medical care through the use of insurance covers of the out-of-pocket payment model (Joel, 2018). The concept of accessibility is a key aspect as it creates a means for a different aspects of the addressed and individuals to lead a healthy and quality life. Cost can be categorized into two related but different components. The first of the two is that cost pertains to the ability of a person to pay for medical services if and when they are required (Joel, 2018). The second concept of cost is the capacity of the service provider to meet the needs of the patients once they are able to afford the care. The correlation makes it possible for care providers to meet the needs of the patients and also be prepared for any issues that patients might be presented with (Joel, 2018). The issue of cost is controversial since it leads to an ethical concern of whether providers would deny patients the needed care if they do not have the financial capacity or cover the issue. Through cost, the issue of quality can be substantiated and analyzed in detail. As a consequence, Joel (2018, P. 370) describes quality as the degree to which the provided services increase the probability of attaining the desired outcomes. Quality is a fundamental aspect of any organization and can be used to measure the effectiveness of care and overall patient outcome. The book describes quality as dependent on knowledge evidence from previous scientific and verifiable research. Be that as it may, the three components of access, cost, and quality are interrelated where one of the attributes is correlated with the other. Healthcare professionals and any other player in the healthcare field need to ensure the attributes are addressed as a group and not individually (Joel, 2018). For instance, focusing on cost alone can have a negative impact on quality or accessibility. Focusing on accessibility would also increase discrepancies in quality since care providers will be overwhelmed by the sudden changes in the number of patients streaming the facility. The correlation requires that the three issues are addressed simultaneously for optimum outcomes. Impact of Access, Cost, and Quality on the Environment Over time, the nursing industry has grown to become a complex and patient-centered industry. As a result, the nursing environment has to meet the standard of operations required for an effective workflow. Access, cost, and quality each affect the quality of the nursing environment in different ways. Joel (2018, P. 371) contends that with the growth in the demand for quality in the healthcare sector, there is a need to include the attribute of accessibility. Quality of care is not efficient if the patients cannot be able to access the said care in the first place. The healthcare environment comprises different care providers, staff, and coordinators. Each of the stakeholders is expected to provide services to the best of their knowledge, expertise, and education. The services would be able to satisfy the attribute of quality and ensure that the healthcare environment satisfies the standards needed for quality (Joel, 2018). Access is important to all patients, which can be acquired conveniently by subscribing to an insurance plan. Insurance covers act as facilitators of quality care since they are able to provide the desired medical care when and if they are required. Joel (2018, P. 370) addresses the issues around underinsured and uninsured individuals and how they may not acquire the desired quality of care due to the limitation of access. In this regard, the presence of quality medical services but a limited number of patients with the capacity to afford the care leads to cost implications. Private medication provides quality services with the anticipation of profits in the end. When a high number of the population cannot afford the medication, there is a possibility of losses and no return on investment. To help curb the loss, the prices can be increased to the few that can manage, which further creates a rift, in the three attributes (Joel,

[ANSWERED 2023] After reading Chapters 2, 5, 10, 13, 17 in the Blocher Text, select 2 techniques/concepts of interest to you. Submit a thread of at least 500 words examining the relationship between the selected techniques

After reading Chapters 2, 5, 10, 13, 17 in the Blocher Text, select 2 techniques/concepts of interest to you. Submit a thread of at least 500 words examining the relationship between the selected techniques After reading Chapters 2, 5, 10, 13, 17 in the Blocher Text, select 2 techniques/concepts of interest to you. Submit a thread of at least 500 words examining the relationship between the selected techniques/concepts and strategic allocation of financial resources with respect to revenues and expenses. Support your thread by citing at least 3 peer-reviewed journal articles. Your thread must be in current APA format and must include a reference list. Expert Answer and Explanation Selected Techniques and Strategic Allocation of Finance Strategic business management involves a series of practices that help a business succeed. These practices include financial mainstreaming and operational management. According to the highlights by Blocher, Stout and Cokins (2010), some of the primary elements of these practices include budgeting and activity based costing. Budgeting provides a cot-based framework to the business and ensues that the management spends the resources of the business with an objective. On the other hand activity-based costing helps the management evaluate the activities of the business and their financial viability. Accordingly, these two elements of strategic management are closely linked to strategic allocation of finance. Selected Techniques Strategy and Master Budget Budget is described as a detailed plan for resource mobilization and spending over a given period of time in order to achieve set goals and objectives of the organization (Kaplan and Atkinson, 2015). A budget consists both the financial and non-financial element of planned projects and operations. The budget for a particular period is both a framework for operations and a projection of the operating implications from the budgeted timeline. Working with the set goals, the business is able to manage the bottle necks and prevent such bottlenecks from hindering the business from achieving the goals of the business. Through strategic budgeting, the management is able to communicate their anticipations throughout the company. An integral set of budget creates a platform for each subunit to see the way the subunits fit into the overall plan for the period that the budget will cover (Kaplan et al. , 2015). Activity Based Costing An approach that changes indirect costs to products on the basis of the units that are produced fails to give accurate figures on product costs and also the incentive for the management of indirect costs; hence, the need for activity based costing. Activity-based costing involves the improvement of the accuracy and determination of costs. Although the approach is a new feature as far as cost accounting is concerned, it has been widely adopted by different organizations (Margolies and Hoddinott, 2015). Activity-based costing helps the management establish the proportionate number of units produced compared to the investment. Through this approach, the business is able to control its direct and indirect costs (Margolies et al. , 2015). Strategic Allocation of Finance The relationship between the selected techniques and strategic allocation of finance The process of preparing the budget gives the management insights into the business and anticipated challenges. In this regard, the management is tasked with coming up with strategic approaches that will help the business overcome these challenges.  Completion of strategic budgeting and cost allocation for all business units and activities help facilitate the coordination of activities throughout the business. For example, the budget will show the implications of sales volumes and activity based costing for the budgeting period. Coordination of functional areas of the business is a significant managerial responsibility. Budgeting is a primary business tool that contributes to the achievement of requisite level of coordinated business activities. Consequently, it gives the management the power and authority to acquire and use resources in the business. A business strategy is an avenue towards attaining the long term goals and their stated goals. The significance of strategy in budgeting and planning cannot be overemphasized. In most cases, businesses perceive budget for the future and as a continuation of the current period with, at best. Scant attempts to connect the budgeting process to their strategic management. The objective is to develop a budget that achieves the strategic mission and goal of the organization. References Blocher, E. J., Stout, D. E., & Cokins, G. (2010). Cost management: A strategic emphasis. Includes index. Kaplan, R. S., & Atkinson, A. A. (2015). Advanced management accounting. PHI Learning. Margolies, A., & Hoddinott, J. (2015). Costing alternative transfer modalities. Journal of  Development Effectiveness, 7(1), 1-16. Place your order now on the similar assignment and get fast, cheap and best quality work written from scratch by our expert level  assignment writers. FAQs Which of the following is an example of a theme in a story A theme in a story is a recurring idea or message that is woven throughout the narrative. Here is an example of a theme in a story: The theme of love and loss in William Shakespeare’s play, Romeo and Juliet. The story explores the tragic consequences of a forbidden love between two young people from feuding families. The theme of love and loss is expressed through the characters’ passionate love for each other, their willingness to risk everything to be together, and the ultimate tragedy that befalls them. The theme is expressed through various literary devices such as imagery, symbolism, and dialogue. The story highlights the idea that love can be a powerful force, but it can also lead to loss and tragedy. Which of the following is not a characteristic of a literary analysis? A literary analysis is a critical examination of a literary work, such as a novel, poem, or play. Here are some characteristics of a literary analysis: Focus on the text: A literary analysis should focus primarily on the text itself, rather than on outside factors such as the author’s biography or historical context. The analysis should examine how literary elements such as plot, setting, characterization, imagery, and symbolism contribute to the meaning and themes