Cultural theorist Campinha-Bacote describes cultural competency as a continuum
Cultural theorist Campinha-Bacote describes cultural competency as a continuum, which Cultural theorist Campinha-Bacote describes cultural competency as a continuum, which implies continual growth and development (Kersey-Matusiak, 2019). Discuss the following: • What is cultural competence? • Are there steps nurses can take to achieve it? • How does it differ from cultural humility? • Briefly describe how a lack of cultural sensitivity may impact patients’ health and well-being and their future encounters with the healthcare system. • Why is it more important to focus on cultural humility rather than achieving cultural competence? Expert Answer and Explanation In the healthcare sector, cultural competence focuses on the ability of a nurse or any other medical professional to be aware of their cultural beliefs and values. Additionally, cultural competence also includes the awareness of how personal culture and perspectives are different from that of others (Kersey-Matusiak, 2018). In the case of a nurse, cultural competence focuses on the ability to differentiate one’s cultural beliefs from that of the patient. Nurses can take different initiatives and steps to achieve cultural competence. The most efficient strategy is to interact with patients, improve self-awareness and learn about different cultures within the community. The strategies are key as they will create the needed awareness, and help improve the outcome of care. Cultural competence differs from cultural humility in different ways. Cultural competence encompasses the ability to work with patients from different cultures while at the same time identifying the impact that cultural bias might have on care delivery. On the other hand, cultural humility entails the capacity for care providers to recognize their limitations, assumptions, or challenges when working with other cultures to avoid bias or predetermined patient care (Kersey-Matusiak, 2018). When nurses are not sensitive to cultural differences, they tend to provide biased medical care that does not meet patient autonomy. As a result, patient satisfaction is negatively affected. With modernization, care providers are more likely to encounter patients from different cultures which requires the need for cultural competence. Focusing on cultural humility is more sustainable than trying to be more culturally competent as a nurse cannot be able to be aware of different cultures. However, a nurse can identify their biases and adjust their care depending on the needs of the patient through cultural humility (Kersey-Matusiak, 2018). Reference Kersey-Matusiak, G. (2018). Delivering culturally competent nursing care: Working with diverse and vulnerable populations (2nd ed.). Springer. ISBN: 9780826137272. Alternative Answer Cultural competence is the ability to appreciate, interact, and understand others cultures or beliefs that are different from their own (DeAngelis, 2015). “Cultural competence is defined as the attitudes, knowledge, and skills necessary for providing quality care to diverse populations” (Kersey-Matusiak, 2019, p.8). Culturally competent nurses are able to deliver care that values the beliefs of their patients (Kersey-Matusiak, 2019). Culturally competent care does not just happen; there are steps nurses must take to become culturally competent. To become culturally competent, one must learn who they are first (Clay, 2010). Learn about your ancestors, personal background, be curious, and perform a self-assessment (Clay, 2010). Learn about different cultures by immersing yourself in their literature, language, and customs (Clay, 2010). Become comfortable in unfamiliar surroundings, converse with different religious groups, volunteer at community centers, and make friends with people of different cultures (Clay, 2010). Attend diversity training seminars to collaborate with other professionals (Clay, 2010). If culturally competent training is not offered at your institution, submit a process to formalize educational material for your organization and peers (Clay, 2010). Cultural humility recognizes that bias may occur and nurses need to understand and eliminate their own prejudices (Kersey-Matusiak, 2019). Healthcare providers need to recognize that their perspectives are influenced by policies that are dominated on the basis of whiteness and maleness (Kersey-Matusiak, 2019). Cultural humility addresses unconscious biases a nurse may possess and empowers the nurse to work towards eliminating these biases while providing culturally competent care. Cultural sensitivity is having an attitude towards a specific culture or ethnic background and not saying offensive things directed at that background (Kersey-Matusiak, 2019). Cultural sensitivity can also include the avoidance of particular words, phrases, or categorizations of individuals (Kersey-Matusiak, 2019). An example of cultural sensitivity was the removal of the Washington Redskins name from the NFL due to the thoughts and feelings of the Native Americans. Nursing is a trusted profession by the public. Nurses as well as other healthcare providers must provide culturally sensitive care to know how to communicate with their patients and develop professional relationships (The Role of Cultural Sensitivity in Building Patient Relationships, 2019). Nurses must understand nonverbal communication, inclusive language, cultural customs, relatable medical terms, and the use of personal touch (The Role of Cultural Sensitivity in Building Patient Relationships, 2019). Failure to utilize culturally sensitive care can create unwanted distress for patients and they may fail to seek medical attention when required as a result. Nurses must be able to make their patients feel comfortable in a healthcare setting. Cultural competence is learning to accept and understand other cultures. Cultural humility is recognizing personal biases that may distort your perception of other cultures. Cultural sensitivity is recognizing those biases and behaving in an acceptable way towards different backgrounds. Providing care with “cultural sensitivity and cultural humility are both means to the end being cultural competence” (Kersey-Matusiak, 2019, p. 6). References Clay, R. (2010). https://www.apa.org/gradpsych/2010/09/culturally-competent. www.apa.org. https://www.apa.org/gradpsych/2010/09/culturally-competent. DeAngelis, T. (2015, March). In search of cultural competence. American Psychological Association. https://www.apa.org/monitor/2015/03/cultural-competence. Kersey-Matusiak, G. (2019). Delivering culturally competent nursing care: Working with diverse and vulnerable populations (2nd ed.). The Role of Cultural Sensitivity in Building Patient Relationships. (2019, July 11). Minority Nurse. https://minoritynurse.com/the-role-of-cultural-sensitivity-in-building-patient-relationships/. Module 1 Assignment Assignment Description: Part 1: For this assignment, conduct a cultural self-assessment using the Staircase Self-Assessment Model and write a 1250–1500-word reflection essay. To understand culture and cultural diversity, you must understand your own culture and beliefs. Utilizing the Staircase Self-Assessment Model as a means of determining your level of cultural competency, write a 1250 to 1500-word essay outlining the six stages: cultural destructiveness,
Why it is important for a nurse leader to understand variance reporting. How does this reporting become a valuable tool?
Why it is important for a nurse leader to understand variance reporting. How does this reporting become a valuable tool? Why it is important for a nurse leader to understand variance reporting. How does this reporting become a valuable tool? Staffing is usually the most expensive resource in the provision of care, what reports would provide valuable info for this expense? Finance department regard nursing units as not being revenue generator. Why would you believe they’re inaccurate in their assessment? Expert Answer and Explanation Variance Reporting and Aspects of Budgeting In healthcare, budget reporting helps hospitals to identify their expenses including the deviation between these expenses and what they projected to spend, allowing them to make better decisions in terms of how they allocate resources, and budget for various programs. For instance, a hospital can use the generated budget reports to make decisions in terms of what to spend on staff, and the amount of duns to use to acquire essential resources and medical supplies. The budgeting process involves creating a plan with details of what one intends to spend, and what they think they would earn based on the services they provide. When there is a deviation between the forecasted and the planned financial outcomes, this phenomenon is known as budget variance, with variance reporting denoting the resulting report with details of how the variance occurred (Nuti et al., 2021). It is important to explore why a nurse leader should understand it, and the information that is pertinent to understanding staffing. The Need for Nurse Leaders to Understand Variance Reporting, and how it becomes an Essential Tool For a nurse leader, understanding the variance reporting is crucial in the sense that it informs the decisions they make regarding the management of costs and the allocation of resources. A variance report reveals any discrepancy between the expenses, both actual and budgeted, and by reviewing this report, the nurse leader gains insight into the areas where they can add resources to optimize operational outcomes (Anderson et al., 2020). With this information, still, the leader can understand the different metrics, and make meaningful decisions such as identifying measures that if they initiate in nursing settings, can improve patients’ wellbeing (El-Sayed Aly et al., 2022). Variance reporting becomes a vital tool for nurse leaders by helping them identify opportunities for the improvement of certain processes that can help optimize clinical outcomes. A nurse informed by this tool, for instance, can make changes to the cash flows to match the resource requirements in specific units or areas. For instance, a nurse leader can rely on reports to identify areas facing a shortage of resources and respond to this by adjusting the budget to address the shortfalls (Kawaguchi et al., 2019). The report also forms an integral tool for informing decision-making during the subsequent budget preparation activities. Relying on what worked in the previous budget, a nurse leader can replicate the same in future budgets. The Reports that Would Provide Valuable Information for the Staffing Expenses When one wants to identify the expenses on staffing, they would rely on various reports which provide vital information in terms of the money used on various staffing activities and programs. As one of the forms of report, employee expense provides a crucial indicator of what is spent in various areas, including the amount and the reason for spending it. One would also rely on the compensation and benefit report which provides the details about benefits and salaries that various carders of staff received (Wieczorek-Wójcik et al., 2022). Part of the reports they would use when assessing the incurred expenses is the travel expense report which denotes a report that includes what the organization spent on employees’ transport. This could be in the form of the expenses on the fuel or transport allowance. These reports are resourceful to those who want to gauge whether a significant amount of the hospital’s budget goes into staffing. Why the Finance Department is Inaccurate in its Assessment of the Nursing Units The finance department’s notion that nursing does not generate revenue but is an expense is inaccurate. Health plans compensate healthcare providers for physician-based care, but they do not receive direct compensation because they provide nursing care. In this case, therefore, the department views nursing as an expense. This is inaccurate because nursing work complements the services that physicians provide because they implement physicians’ instructions, and are directly involved in the delivery of care. Recently, the scope of nursing practice has improved, with nurses playing an important role in addressing patients’ health concerns (Lasater et al., 2021). Due to the evolving role of the nurse, nurses in states such as Colorado are legally allowed to prescribe medications. Failing to recognize how nurses are bridging the gap in health care access by not recognizing the role nursing units play amounts to the wrong assessment of these units. Thus, there is a need to include these units in the pool of sectors that generate revenue. Conclusion In conclusion, variance reporting is important to a nurse because they can use the information on units with limited resources, and make apt decisions that can help improve the subsequent budgeting activities. When a nurse leader wants to identify the sum of the expenses on staffing, they would explore the individual reports including the report that shows the travel expenses. Using these reports, the nurse leader can be able to tell whether their organization is spending more on staffing. Despite the view that managing nursing units require money, these units support service delivery, enhancing the physicians’ work. It is therefore wrong to consider them as expenses, as opposed to viewing them as revenue generators. References Anderson, D. M., Cronk, R., Best, L., Radin, M., Schram, H., Tracy, J. W., & Bartram, J. (2020). Budgeting for Environmental Health Services in Healthcare Facilities: A Ten-Step Model for Planning and Costing. International journal of environmental research and public health, 17(6), 2075. https://doi.org/10.3390/ijerph17062075. El-Sayed Aly, R. I., Ahmed Mohamed ELBahlawan, G., Aly, M. R., & Mohamed Elsayed, B. K. (2022).
For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage
For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature. Expert Answer and Explanation Health Management through Physiotherapy The contemporary clinical solutions to the health issues such as type-2 diabetes and coronary heart disease (CHD) rely on the physical exercise to advance the disease management and prevention objectives. According to the statistical estimates conducted in 2015, the United States (U.S.) had 30.3 million cases of diabetes mellitus (Bullard et al., 2018). Because factors such as age and economic status predisposes one to the risk of contracting this disease, these cases are highly spread in older adults as well as in economically-disadvantaged populations. This is the same case with the CHD which predominantly affects older Americans (Sanchis-Gomar et al., 2016). Based on the 2016 statistical approximation, the disease affected 15.5 million Americans, aged 20 and above. Another characteristics that is noticeable with the two diseases is their distribution with respect to the race and ethnicities. Minority populations’ risk of contracting either of these disease is higher than the risk in the white populations. Considering the benefits associated with the physiotherapy, it is imperative that caregivers guide patients through the process of incorporating exercise into their. To realize this goal as a nurse, it is important to focus on educating the patient on certain aspects of the physical activities which can help them manage diabetes as well as CHD. The first step in the educational process is to assess whether the patient practices any form of physical exercise, and follow this with explaining to the patient the benefit of this form of activity (Tuso, 2015). Encouraging the patient to actively participate in activities such as walking or doing light jogging every day of the week, for 30 minutes, is important to the health promotion. If possible, involving the family members of the patient can be important in the sense that it helps provide the patient the support they need to adhere to the physiotherapy regimen. The involvement of the family can also help gain cooperation from the client. References Bullard, K. M., Cowie, C. C., Lessem, S. E., Saydah, S. H., Menke, A., Geiss, L. S., … Imperatore, G. (2018). Prevalence of Diagnosed Diabetes in Adults by Diabetes Type – United States, 2016. MMWR. Morbidity and mortality weekly report, 67(12), 359–361. doi:10.15585/mmwr.mm6712a2. Sanchis-Gomar, F., Perez-Quilis, C., Leischik, R., & Lucia, A. (2016). Epidemiology of coronary heart disease and acute coronary syndrome. Annals of translational medicine, 4(13), 256. doi:10.21037/atm.2016.06.33. Tuso P. (2015). Strategies to Increase Physical Activity. The Permanente journal, 19(4), 84–88. doi:10.7812/TPP/14-242. Alternative Expert Answer and Explanation Prevalence and Prevention of Diabetes and Hypertension Individuals at risk of diabetes and hypertension or even those with these two conditions can receive immense benefits from physical activity. These two health conditions are prevalent in the United States (U.S.), and the cases differ across populations from different demographic backgrounds. The Center for Disease Control (CDC) updates information concerning the prevalence of the two medical conditions, and based one of the agency’s reports, the number of individuals in the country with diabetes is more than 30.3 million people (CDC, 2017). A population of 84.1 million of Americans are pre-diabetic, and this group is at risk of developing diabetes if they fail to get early treatment (Bullard et al., 2018). Conversely, the number of the incidences of hypertension are higher compared to the cases of diabetes. Approximately, 77.9 million adult Americans have this condition. However, for both diseases, cases differ across various social dimensions including family income status, race and education. Among the educated Americans, incidences were 12% in 2017. In the same year still, rates among the Appalachia communities were higher compared to the general population. Various measures can help the recovery of the patients or the prevention of the two medical conditions. Involving the patient or at risk person is a light physical activity that takes 30 minutes every day can yield better clinical outcomes. Physiotherapy plan should include instructions on the type of the activity or exercise the patient will have to perform. The exercise ranges from the brisk walk, to jogging and running. Besides, it is important to recommend to the patient the food they would need to eat so that they can stay healthy (Brown et al., 2017). To facilitate the cooperation from the client, it is important to involve them in identifying the type of activity which can be appealing to them, and involving them in scheduling for the physical activity. References Brown, A., Houser, R. F., Mattei, J., Mozaffarian, D., Lichtenstein, A. H., & Folta, S. C. (2017). Hypertension among US-born and foreign-born non-Hispanic Blacks: National Health and Nutrition Examination Survey 2003-2014 data. Journal of hypertension, 35(12), 2380–2387. doi:10.1097/HJH.0000000000001489. Bullard, K. M., Cowie, C. C., Lessem, S. E., Saydah, S. H., Menke, A., Geiss, L. S., … Imperatore, G. (2018). Prevalence of Diagnosed Diabetes in Adults by Diabetes Type – United States, 2016. MMWR. Morbidity and mortality weekly report, 67(12), 359–361. doi:10.15585/mmwr.mm6712a2. CDC. (2017). New CDC Report: More than 100 Million Americans have Diabetes or Prediabetes. Retrieved from https://www.cdc.gov/media/releases/2017/p0718-diabetes-report.html. Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon: NEW30 to Get 30% OFF Your First Order How Exercise Can Reduce Health Problems in Middle-Aged Adults: Complete Prevention Guide For middle-aged adults, regular exercise can reduce the risk of various health problems by up to 30%, with cardiovascular disease
Address the following topics: Locards principle Basic steps in evidence collection The importance of chain of custody The importance of all nurses being familiar with evidence collection The clinical and forensic knowledge differences between physicians and nurses
Address the following topics: Locards principle Basic steps in evidence collection The importance of chain of custody Address the following topics Locards principle Basic steps in evidence collection Evidence Collection Essay Write a 1500-2000 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count toward the minimum word amount. Review the rubric criteria for this assignment. Address the following topics: Locards principle Basic steps in evidence collection The importance of chain of custody The importance of all nurses being familiar with evidence collection The clinical and forensic knowledge differences between physicians and nurses Expert Answer and Explanation Evidence Collection Evidence collection is gathering evidence by one or more people, usually to support a legal claim. Evidence collection may involve interviewing witnesses and others who know facts relevant to a case, photographing and videotaping physical evidence, examining documents and records, or questioning suspects (Bell, 2019). The types of evidence collection involved are physical evidence, such as fingerprints and blood stains, testimonial evidence, and oral testimony from witnesses. Evidence collection involves conducting contextual analysis to collect as much factual information as possible, including searching, collecting, and organizing all data within this scope. Locard’s Principle Locard’s principle is a sampling theory that states that all physical evidence moves back and forth between two places with equal probability (Byard, 2022). This means nothing is blocking or filtering between the source of the evidence, its point of origin, and its analysis by experts. Law enforcers apply this theory hoping to catch a criminal who has committed a crime by collecting samples from several locations and then analyzing them for further clues about the suspect’s identity. The principle was developed by Dr. Edmond Locard and published in France in 1925 (Byard, 2022). The theory explains that every person has within their body either the profile fragment of a fully formed microorganism or at least one specific structure for a particularly known organism. When collecting evidence in an investigative setting, it is the smallest trace evidence from the scene contaminating that area, for instance, by taking fingerprints, bloodstains, or other bodily fluids from the location where they are collected. Locard’s principle says that some form of contact forever links all materials that come into contact with each other and will retain a trace. This principle is important when searching for clues at crime scenes because much of the evidence can be found on surfaces such as clothing or floors (Byard, 2022). When someone comes in contact with something, they leave traces of their DNA. The traces can be found in their fingerprint, hair, or blood. For example, in a rape case, the victim can be examined to collect evidence in semen. The victims are advised not to clean themselves immediately after they are attacked because cleaning can wipe out important evidence. Dr. Locard’s the principle provides a sketch of identifying and collecting evidence from a crime scene. Basic Steps in Evidence Collection The investigators analyze the nature of each piece of evidence, including when it was created. They later organize the collected data into statements that can be used as support or opposition to the hypothesis. Collecting evidence begins with establishing the most important items and pieces from a crime scene (Bell, 2019). The investigators then take photos and documents of key elements and scenes to be properly analyzed. The evidence is then properly placed in something secure like a zip bag, envelopes, or a clean tin and closed well to avoid tampering. The bag or envelope carrying the evidence is labeled with the victim’s name, date, and crime scene. The labeling is to avoid mix up or misplacement in the lab. The examiners also write their names and signature on the envelope. The evidence collected is then handed over for transportation to a forensic lab. The person transporting the evidence should protect it from outside exposure to avoid contamination. Importance of Chain of Custody Chain of Custody is the principle used to ensure that sample evidence collected from the crime scene remains accurate, consistent, and reliable and maintains integrity (Badiye et al., 2022). Chain of Custody is the documentation and procedures to ensure that an item of evidence is recorded securely at each stage of its collection, transport, treatment, and analysis. Chain of custody is a vital principle of evidence collection, storage, and preservation that must be understood by anyone concerned with the handling of property or data. The chain of custody is fundamental because it helps maintain the evidence’s integrity (Badiye et al., 2022). The person assigned to handle the sample is expected to protect it from exposure and ensure nobody else can access it. The chain of custody is a lifeline for any investigation or litigation and should be treated cautiously. Those assigned to handle the evidence should ensure everything is kept. For example, at a murder crime scene, the investigators should put on hand gloves when touching things like the murder weapon to avoid adding their fingerprints to it. The chain can be as short as a parking lot attendant who receives a bag from an accident scene and places it in a patrol car before turning it over to the police detective on duty, or it may include thousands of people from start to finish, including the person who reported discovering something suspicious while on the job (Kleypas et al., 2021). The ability to trace the record of transfer and analysis shows the transparency required in the chain of custody concept. Transparency in the chain of custody helps in accountability, and in case of misplacement, the person who lost
Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.)
Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.) Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade. Prepare a 1000-1250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following: Describe the health care organization or network. Describe the organization’s overall readiness based on your findings. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best. 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. Expert Answer and Explanation Health Organization Evaluation One of the primary goals of healthcare organizations is providing different patient care and clinical services that are geared to eradicating some of the most common healthcare problems. In the recent few years, numerous technological developments have provided a window of improvement of healthcare organizations in their processes of delivering care to the citizens. Banner health is one of these organizations that serve as core contributors to the health and wellness of Americans (Kash, 2016). This essay explains some of the elements that show the readiness of Banner health in meeting the demands of citizens in the forthcoming decade. Whereas the organization is faced with different issues that negatively affect the organizational culture and operations, the application of PEST theory in managing the issues can help to align the organization to the right framework for delivering the objectives of care through the next decade. Description of the Organization Banner Health is a non-profit healthcare organization in the US that operates in different states offering health services ranging from rehabilitation, primary care, labs, long-term care, hospice, and hospital care. The history of the organization starts in 1999 when Samaritan Health System and Lutheran Health Systems merged to form one entity that operated in 14 states (Kash, 2016). Besides offering healthcare to populations, the organization offers teaching services, with the main institution being the Banner-University Medical Center, Phoenix. Also, it operates Medicare Advantage, and insurance plan called University Care Advantage and also a family based care called the Banner University Family care. The organization is impactful in some states more than others, such as in Arizona where it has more than 50,000 employees at present. The senior management of the organization, led by the President and CEO (currently Peter S. Fine), is the initiator of the major decisions throughout the organization (Sharma, Fleischut, & Barchi, 2017). Readiness of the Organization based on Evaluation The organization is ready to meet the rising healthcare demands of citizens in the next decade as it has been incorporating programs that allow efficient care in the light of the emerging technology. In 2006, the organization launched a telemonitoring program in which it extended patient care operations beyond the healthcare facilities (Sharma, Fleischut, & Barchi, 2017). One of the primary effects of this program was saving over 34,000 ICU days and reducing the mortality rates by a significant percentage (Sharma, Fleischut, & Barchi, 2017). Also, telemedicine operations reduced the overall length of stay in facilities and helped to boost the cost control operations. Specifically, organizations under Banner health would now spend less in the patient care operations and hence would optimize the costs of care to patients. Since the implementation of telemedicine, it is clear that there are many other technological developments that have helped banner health to achieve its current status (Pandian, 2016). Also, it is likely that it will be a pioneer in implementation of even higher forms of technology in primary care such as virtual reality and artificial intelligence, and hence it is generally ready to meet the healthcare demands in the coming decade. Another element that shows the readiness of the organization in meeting the upcoming healthcare demands is the culture of acquisition. In 2014, the organization acquired Casa Grande Medical Center, and in July 2020, it acquired Wyoming Medical Center. These acquisitions are valuable to the organization as they add to the overall productivity through direct injection of skills and resources to the present organization (Kash, 2016). In 2016, for instance, acquiring 32 of the urgent care facilities in Arizona left the organization almost as a monopoly of healthcare provision in the state, hence limiting the overall competition it faced. A continuous culture of acquisition is likely to make the organization reduce the hindrances of growth such as unhealthy competition and scarcity of skills through the next decade. The last element that shows the organization’s readiness to meet the healthcare demands in the next decade is the health education affiliation. While most of the healthcare organizations recognize the need for constant research and improvement of operations, very few of them get to the ground to produce results (Cairns, Bollinger, & Garcia, 2017). Most organizations tend to use knowledge that has been generated by other operators. For banner health, the present partnerships with different learning institutions serve as a core element of growth in the operations through the next decade. Strategic Plan to address issues within the Organizational Culture One of the issues that have negatively affected the organizational culture is the presence of data breaches and cyber-attacks. In 2016, banner health was caught in a security breach that exposed information of over three million patients
What do the four parts of the Christian biblical narrative (i.e., creation, fall, redemption, and restoration) say about the nature of God and of reality in relation to the reality of sickness and disease?
What do the four parts of the Christian biblical narrative (i.e., creation, fall, redemption, and restoration) The four principles, especially in the context of bioethics in the United States, has often been critiqued for raising the principle of autonomy to the highest place, such that it trumps all other principles or values. How would you rank the importance of each of the four principles? How do you believe they would be ordered in the context of the Christian biblical narrative? Refer to the topic Resources in your response. Expert Answer and Explanation Principles of Bioethics and Christianity The Christian worldview provides moral codes and guidelines that can be used in making decisions in terms of an ethical dilemma. These codes are the basic foundation on which the Christian biblical narrative is based. Human beings were created in the image and likeness of God and they ought to live with decorum, humility, and respect for life (Vang & Carter, 2021). The principle of bioethics would be ranked differently based on the Christian worldview with the principle of justice and fairness being the first on the list (IEP, 2012). Justice and fairness are important for every Christian since all human beings are the same in the eyes of God. In the healthcare sector, justice and fairness will ensure that each person is provided with the same type of care based on their different illness regardless of social class, gender, or age. The second principle would be beneficence since it embraces the need for doctors to act in the best interest of all patients. Beneficence ensures that proper medication is administered to help the patient recover from the illnesses. The third principle would be the autonomy of the patient. The biblical narrative denotes those human beings were given the will to be able to decide between right from wrong. In this regard, a patient has the right to determine whether they need medical attention or alternative care based on their understanding of the self. The final principle in line with the Christian worldview is the principle of nonmaleficence which addresses the issues associated with the need to prevent any harm to the patient (Aksoy & Tenik, 2002). After all, the necessary care has been administered in the correct manner, the principle of nonmaleficence can be applied to ensure that it informs on the best practice measures to take to help the patient through recovery or prevent further deterioration of the disease. References Aksoy, S., & Tenik, A. (2002). The’four principles of bioethics’ as found in 13th century Muslim scholar Mawlana’s teachings. BMC Medical Ethics, 3(1), 1-7. IEP. (2012). Bioethics. Internet Encyclopedia of Philosophy. Utm.edu. https://iep.utm.edu/bioethic/ Vang, P., & Carter, T. G. (2021). Telling God’s Story: The Biblical Narrative from Beginning to End. B&H Publishing Group. Alternative Answer and Explanation The four principles according to Hoehner (2022) help assist healthcare workers make decisions in ethics. This can be in combination with other tools that we have learned so far. However, it is important to note that Hoehner (2022) also suggests that like other tools, for each person, these four principles may be valued differently, as such, it is important for nurses to have a good understanding of what they mean and how they can be used both personally and professionally. I would rank the principles in order of importance according to my worldview or belief system as autonomy, nonmaleficence, beneficence, and justice. I do think that respecting a person’s choice is of utmost importance. The principle of autonomy ensures that patients are informed of all care options, it can promote honesty between patients and their health team, and provides support to informed consent procedures (Varkey, 2021). Consequently, I find myself at odds with my own list, as I feel that it is important to do no harm after supporting autonomy, which would be a contradiction if I were to practice a strictly Christian viewpoint. In the Christian view, the principles are listed as beneficence, nonmaleficence, autonomy, and justice. I live very close to Oregon where assisted death is legal. This can be seen as murder to some, and a blessing to others. If I help assist a patient with their choice to die in this state because they practice their autonomy, am I not doing harm because I am respecting their wishes, or am I wrong? Or as a Christian, do not assist them, as it would be to cause harm and killing another person? As Hoehner (2022) suggests, using these principles can sometimes blur the lines of your own personal views and respecting patient wishes, and should be used on a case-by-case basis. References Hoehner, P. (2022). Biomedical ethics in the Christian narrative. Practicing Dignity: An Introduction to Christian values and decision making in health care (Second Edition). Grand Canyon University.BibliU – Reader – Practicing Dignity: An Introduction to Christian Values and Decision Making in Health Care Varkey B. (2021). Principles of Clinical Ethics and Their Application to Practice. Medical principles and practice : international journal of the Kuwait University, Health Science Centre, 30(1), 17–28. https://doi.org/10.1159/000509119 What do the four parts of the Christian biblical narrative (i.e., creation, fall, redemption, and restoration) say about the nature of God and of reality in relation to the reality of sickness and disease? From where would one find comfort and hope in the light of illness according to this narrative? Explain in detail each part of the narrative above and analyze the implications. Expert Answer and Explanation Christian Biblical Narrative The Christian biblical narrative contains four distinct concepts that can be used to elaborate on the nature of God and the reality of life as it relates to sickness, disease, hope, and motivation. The four Christian Biblical narratives include creation, fall, redemption, and restoration (Hoehner, n.d). The creation narrative iterates the abundance of the world from the perspective of how God created the world and everything in it and gave human beings power overall. In this regard, human beings were created in the image and likeness of God and expected to ensure the continuity of life on earth. However,
Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted
Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team. To Prepare: Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented. Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology Portfolio The Assignment: (2-3 pages) In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps: Planning and requirements definition Analysis Design of the new system Implementation Post-implementation support Expert Answer and Explanation Role of the Nurse Informatics in System Development and Implementation The development of the informatics systems encompasses the different stages that collectively form the Systems Development Life Cycle (SDLC). For a manager and a leader in a healthcare organization, the knowledge of the SDLC is crucial in the sense that it facilitates their preparation, making it possible for them to be aware of the requirements at different levels of system development. When involving a graduate-level nurse (GN) in SDLC, a unit nurse manager should present a role description, describing the nurse’s role at various stages of the SDLC (Risling & Risling, 2020). Focusing on the SDLC stages, it is important to describe the GN’s role in SDLC, highlighting the various ways in which they would participate in the implementation of an informatics system. Planning and Requirements As the initial stage of the SDLC, planning involves various tasks such as defining an issue that necessitates the development of the system, and outlining the system requirements. During this phase of the SDLC, the GN contributes to defining the system’s objectives and scope. Given their experience and expertise, they understand the different professionals who are likely to use the system. Accordingly, they would identify the stakeholders that are likely to contribute to the adoption of the system. Their role during the planning also involves participating in performing needs assessment, identifying the areas of concern (McGonigle & Mastrian, 2022). For instance, they may identify the challenges associated with the paper-based documentation systems, and work with nurse leaders to come up with meaningful solutions. System Analysis Analysis stage emphasizes defining the requirements by collecting, analyzing and validating data, and at this point, the GN collaborates with the other parties involved in the project implementation, evaluating the workflow including the efficiency of the clinical operations. In their capacity as nurse leaders, their input into the SDLC involves determining the barriers that may slow down the development of the system, and contributing to the assessment of the risks (Agency for Healthcare Research and Quality, n.d.a). This identification of the risk is important because it helps inform the formulation of the meaningful solutions that can help avert the risks. Because capturing the clinical requirements in the design of the system can be a challenge, involving the GN is important because they can act as a link between those working in clinical setting and the team tasked with implementing the system. System Design The GN’s role is critical during the system design stage which involves transforming the requirements including what is captured into the plan, to a plan that defines the technical measures to be undertaken to complete the system. At this point, the GN adopts a collaborative approach, working together with the stakeholders involved in system development, to come up with a technical plan that comprises the workflow including the user interface. Additionally, they share pertinent information that can assist with designing of the system (Singletary & Baker, 2019). For instance, they may recommend the details about the features that that can improve the usability of the system or make it user-friendly. Considering their experience, they can share information about the challenges they faced while using a system. The designers can design the system with this information in mind, designing a more potent system with desirable features. System Implementation When it comes to the system implementation, the GN’s role becomes more noticeable as they perform various tasks including training members of the clinical staff on how to use the system. While this training is meant to equip the staff with adequate technical skills that they can apply in using the system, the training helps them understand the expectations and the benefits associated with the system. Given the challenges associated with adopting a new system, they may work closely with the change managers, ensuring that the process of shifting to a new system succeeds (Hauschild et al., 2022). At this phase, still, they test the system to determine whether it is functioning effectively according to the requirements. In case they notice any issue with the system, they involve the technical team to rectify the issue or recommend replacing the dysfunctional system parts. Post-Implementation Support During the post-implementation phase, giving of the feedback becomes necessary because this feedback helps with gauging the effectiveness of the system. This feedback particularly comes from the nurses or other health workers who use the system, and it may range from the problems experienced by users while using it, to any suggestions that may help improve user experience. Leveraging this feedback, the implementation team can decide how to improve the performance or optimize usability (Agency for Healthcare Research and Quality, n.d.b). Following the implementation, they may be responsible of monitoring how the clinical staff uses it, ensuring that they use it a way that conforms to the required safety and data security standards. Conclusion In overview, the engagement of the GN in SDLC is crucial because
Shadow Health Focused Abdominal Assessment With Esther
Shadow Health Focused Abdominal Assessment With Esther This clinical experience is a focused exam. Students have one opportunity to complete this assignment and score at the Proficiency level. Upon completion, submit the lab pass to the instructor in the classroom. Students successfully scoring within the Proficiency level in the Digital Clinical Experience will earn a grade of 100 points. Students who do not pass the performance-based assessment and scoring within the Proficiency level will receive a failing grade (68 points). Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion. You are not required to submit this assignment to LopesWrite. Expert Answer Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon: NEW30 to Get 30% OFF Your First Order Shadow Health Focused Abdominal Assessment With Esther The Shadow Health focused abdominal assessment is a critical virtual simulation that helps nursing students develop essential clinical skills through realistic patient interactions. Shadow Health Digital Clinical Experiences™ are a vital part of the education of more than 700,000 nursing students across the country, making it one of the most widely used virtual simulation platforms in nursing education. Key Learning Objectives The Shadow Health abdominal pain focused exam with Esther Park is designed to help students master: Comprehensive health history taking techniques Physical assessment skills specific to abdominal complaints Clinical reasoning and diagnostic thinking Therapeutic communication with elderly patients Professional documentation standards Why This Assessment Matters Research shows that Shadow Health Digital Clinical Experiences™ help 82% of learners increase efficiency in clinical skills development. The program specifically improves: Skill Area Improvement Rate Clinical Impact Data Collection 82% Enhanced patient history accuracy Therapeutic Communication 78% Better patient rapport Care Planning 75% More comprehensive care strategies Clinical Reasoning 73% Improved diagnostic thinking Source: Elsevier Education Research, 2023 Understanding Esther Park Case Study {#esther-park-case} Patient Background Esther Park is a 78-year-old Korean-American woman presenting with abdominal pain. Understanding her demographic and cultural background is crucial for providing culturally competent care. Key Patient Demographics: Age: 78 years old Gender: Female Ethnicity: Korean-American Chief Complaint: Abdominal pain (6/10 severity) Associated Symptoms: Bloating, decreased appetite Clinical Presentation Overview Students encounter Esther Park in a simulated clinical environment where she presents with: Primary Symptoms: Abdominal pain rated 6/10 Bloating sensation Decreased appetite Concerns about bowel changes Assessment Findings: Tender abdominal mass in lower left quadrant Vital signs within normal limits for age Patient appears uncomfortable but cooperative Cultural Considerations When conducting the Shadow Health Esther Park assessment, students must consider: Language barriers and communication preferences Cultural attitudes toward pain expression Family involvement in healthcare decisions Traditional health beliefs that may influence symptoms reporting Step-by-Step Assessment Guide {#assessment-guide} Pre-Assessment Preparation Before beginning your shadow health focused exam abdominal pain simulation: Review anatomy and physiology of the gastrointestinal system Practice communication techniques for elderly patients Understand cultural competency basics Prepare assessment tools and documentation materials Systematic Assessment Approach 1. Subjective Data Collection History of Present Illness (HPI) Focus on the OLDCARTS method: Onset: When did the pain begin? Location: Where exactly is the pain? Duration: How long does it last? Character: What does the pain feel like? Aggravating factors: What makes it worse? Relieving factors: What helps? Timing: Is there a pattern? Severity: Rate the pain 1-10 Key Questions for Esther Park: “Can you describe your abdominal pain?” “What makes the pain better or worse?” “Have you noticed any changes in your bowel movements?” “Are you taking any medications?” 2. Objective Data Collection Apply the 4 basic components of the abdominal exam—inspection, auscultation, percussion, and palpation. Assessment Order (Critical for Abdomen): Inspection – Visual examination first Auscultation – Listen before touching Percussion – Light tapping for organ boundaries Palpation – Physical examination last Detailed Assessment Techniques Inspection Patient positioning: Supine with knees slightly bent Abdominal contour: Note symmetry, distention Skin integrity: Check for scars, rashes, masses Umbilicus: Assess for hernias or discharge Auscultation Bowel sounds: All four quadrants (5 minutes minimum) Vascular sounds: Listen for bruits Frequency: Normal, hyperactive, or hypoactive Percussion Organ boundaries: Liver span, spleen size Fluid detection: Shifting dullness for ascites Air-filled areas: Tympanic sounds over intestines Palpation When palpating the abdomen, ask the patient to bend their knees when lying in a supine position to enhance relaxation of abdominal muscles. Light Palpation: Assess all quadrants systematically Note tenderness, masses, or organ enlargement Important: Palpate painful areas last Deep Palpation: Deeper assessment of organs Check for rebound tenderness Assess for guarding or rigidity Clinical Documentation and SOAP Notes SOAP Note Structure for Esther Park Subjective Chief Complaint: “I’ve been having stomach pain for the past few days.” History of Present Illness: 78-year-old Korean-American female Abdominal pain onset 3 days ago Pain located in lower left quadrant Described as “cramping” and constant Severity 6/10 Associated with bloating and decreased appetite No fever, nausea, or vomiting reported Objective Vital Signs: BP: 142/88 mmHg HR: 76 bpm RR: 18/min Temp: 98.6°F Pain: 6/10 Physical Assessment: General appearance: Alert, oriented, appears uncomfortable Abdomen: Soft, non-distended, bowel sounds present Tender mass palpated in LLQ No rebound tenderness or guarding No hepatosplenomegaly Assessment Primary Diagnosis Considerations: Possible diverticulitis Rule out bowel obstruction Consider inflammatory bowel disease Plan Diagnostic: Complete blood count Comprehensive metabolic panel CT scan of abdomen/pelvis Urinalysis Therapeutic: NPO status initially IV hydration Pain management Monitor vital signs Documentation Best Practices Element Best Practice Common Mistakes Subjective Use patient’s exact words Interpreting patient statements Objective Include measurable data Subjective observations in objective Assessment Evidence-based conclusions Jumping to conclusions Plan Specific, measurable goals Vague treatment plans Common Challenges and Solutions Challenge 1: Communication Barriers Problem: Language and cultural differences affecting assessment quality Solutions: Use simple, clear language Allow extra time for responses Respect cultural pain expressions Consider family member interpretation (with patient consent) Challenge 2: Incomplete Data Collection Problem: Missing critical assessment components Solutions: Follow systematic assessment order Use assessment checklists Practice active listening techniques Review missed
Do you agree with the priorities or would you recommend addition or elimination of some of the priorities?
Do you agree with the priorities or would you recommend addition or elimination of some of the priorities? Based on what you have learned so far this week, create a PowerPoint presentation with detailed notes for each slide that addresses each of the following points/questions. No audio recording is required. Be sure to completely answer all the questions. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations by going to the Writing and Resource center, Module 3: Assignments, Microsoft, and utilize the Microsoft Overview and the Creating a Quality PowerPoint video. Explore the National Institute of Nursing Research (NINR) website. Review their publication Bringing Science to Life: NINR Strategic Plan (2011, p. 7) to identify the current priorities for nursing research. • Do you agree with the priorities or would you recommend addition or elimination of some of the priorities? • What effect do the nursing research priorities have on nursing researchers? • What criteria must be met in order to consider a practice, evidence-based? Provide examples. • Explain the role quality plays in evidence-based practice? Based on the information you’ve learned to this point, write a research proposal that relates to a chosen research topic. Include the following information in your proposal: Hypothesis Theory Design model Method(s) Anticipated results Potential Dissemination Avenues M7 Assignment UMBO – 1, 4 M7 Assignment PLG – 1, 4 M7 Assignment CLO – 2, 3, 4, 6, 7 More information about this assignment: Length: 15-17 slides; answers must thoroughly address the questions in a clear, concise manner Structure: Title: 1 slide NINR Strategic Plan questions: at least 5 slides Proposal details: at least 6 slides Conclusion: at least 2 slides References: at least 1 slide References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims. Format: Save your assignment as a Microsoft PowerPoint document and a Word document (.pptx) and (.doc or .docx) or Open Office Impress. File Name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module1.pptx”) Expert Answer and Explanation NINR Strategic Plan and Proposed Study I agree with these priorities. The priorities aim to improve quality of life of communities and patient care. For instance, disease prevention can reduce cost of care by removing people’s risk of developing diseases. Apart from healing, patients in end-of-life stage need to die in peace and without pain. Healthcare needs future researchers to improve and this is one of the focuses of the NINR. In other words, the NUNR focuses on critical areas in care that will highly improve quality of care in future. The priorities provide nursing researchers with direction regarding nursing research. The priorities show nursing researchers where they need to focus on when conducting nursing research. For instance, by focusing on enhancing disease prevention and health promotion, nursing researchers can conduct studies on preventable illnesses such as obesity, heart problems, hepatitis B, diphtheria, anthrax, measles, and many more. In summary, the priorities are used by nursing researchers to create purpose of their research projects. There are three criteria that must be met for a practice to be considered evidence-based. The first criterion is that it must be from best evidence. In other words, the care practice must be supported by recent and available evidence (Horntvedt et al., 2018). The second criterion is that it must supported by clinical expertise. The intervention should be effective clinically for it to be evidence-based. Lastly, the practice must be focused on patient values and circumstances. A practice that is not patient-centered is not evidence-based (Horntvedt et al., 2018). A patient or population can be said to have received quality care if their desired health outcomes are met. Quality care is also a type of care that ensures patient safety. Patients receiving quality care do not experience medical errors or near miss events. Quality care is also cost effective (Schuelke et al., 2019). Quality care also focuses on improving health and wellbeing of patients and populations. In other words, quality care is effective, safe, patient-centered, and better wellbeing and health. Quality plays a vital role in evidence-based practice. One of the roles of quality in evidence-based practice is to give direction on what an evidence-based practice should achieve. According to Schuelke et al. (2019), characteristics of quality care include patient-centered, effective, better wellbeing and health, and safe. Evidence-based practices should achieve the four characteristics for them to be of high quality (Horntvedt et al., 2018). Quality improvement improves evidence-based care by providing data that can be used by healthcare professionals to provide evidence-based care. Educators can use simulations with standardized patients to provide nursing students realistic experience and expertise of end-of-life care (Fischer et al., 2018). It is hypothesized that nursing students who participant in end-of-life care simulations with standardized patients would have self-confidence, skilled performance, and increased knowledge associated with end-of-life care than those who do not. This theory argues that healthcare professionals to identify patient problems and use them to develop care (Mehraee et al., 2020). Most patients need treatment plan to help them achieve recovery. However, others, especially who suffer from chronic conditions such and renal kidney failure need care to help them have quality life before their end. This project is based on the theory that requires nurses to provide care that is patient-centered. This design will help the researcher identify whether participating in end-of-life care simulations with standardized patients can improve nursing students’ knowledge and experience in providing end-of-life car. The design has been selected because it allows for direct comparison of treatments being studied to establish superiority. It has also been
Read the case study presented at the end of Chapter 8 (Guido, p.133) which begins, “The patient was hospitalized for extreme low back pain
Read the case study presented at the end of Chapter 8 (Guido, p.133) which begins, “The patient was hospitalized for extreme low back pain Was there informed consent for the initial medications given to the patient? How would you determine that informed consent had been given for the MRI and the medications needed for sedation for the test? Was the informed consent deficient to the degree that there was a lack of informed consent for the patient for the second dose of medications? How would you decide this case? Read the case study presented at the end of Chapter 9 (Guido, p. 150) which begins, “Jimmy, a Floridian, has undergone two liver transplants.”: What questions would you anticipate the judge to ask Jimmy to ascertain his level of maturity, understanding of the full consequences of his lack of action, and possible alternative reasons for requesting that he be allowed to make his own medical decisions? How should the judge evaluate the mother’s response to her son’s request? Does the state of residency factor into the judge’s decision? Are there additional issues that should be addressed prior to deciding the outcome of this case? How would you decide the case? Jimmy Chang, a 20- year- old college student, is admitted for additional chemotherapy. Jimmy was diagnosed with leukemia 5 years earlier and has had several courses of chemotherapy. He is currently in an acute active phase of the disease, though he had enjoyed a 14- month remission phase prior to this admission. His parents, who accompany him to the hospital, are divided as to the benefits of additional chemotherapy. His mother is adamant that she will sign the informed consent form for this course of therapy, and his father is equally adamant that he will refuse to sign the informed consent form because “Jimmy has suffered enough.” You are his primary nurse and must assist in somehow resolving this impasse. What do you do about the informed consent form? Who signs and why? Using the MORAL model, decide the best course of action for Jimmy from an ethical perspective rather than a legal perspective. Now decide the best course of action based on a purely legal perspective. Did you come to the same conclusion using both an ethical and a legal approach? Please combine all of these responses into a single Microsoft Word document for submission. Submit only completed assignments (not partial or “draft” assignments). Be thorough in your responses to adequately address all aspects of each question. Submit only the assignments corresponding to the module in this section. Assignment Expectations Length: 1500 words; answers must thoroughly address the questions in a clear, concise manner. Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment. References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims. Format: Save your assignment as a Microsoft Word document (.doc or .docx). File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”) M6 Assignment UMBO – 4 M6 Assignment PLG – 4, 6 M6 Assignment CLO – 1, 2, 3, 7 The case study for Chapter 8: ” The patient was hospitalized for extreme low back pain so intense that he could not be scheduled for a magnetic resonance imaging (MRI) until his fifth hospital day. His physician explained to him that the Dilaudid and Ativan he would receive the next day to numb his pain for the MRI could cause respiratory depression or arrest in patients like himself who were on high doses of opiates. The patient agreed to be given the medications. At 8:15 A.M. the next day, a nurse gave the patient the medications, but the MRI had to be postponed. With the physician’s new orders and the patient’s verbal consent, the nurse gave a second dose of the same medications at 11:30 A.M. About 5:00 P.M., the patient became stuporous. Vital signs were taken, oxygen was initiated, and Narcan was prepared for injection. At 6:00 P.M., the critical care code team was called, as the patient was in full cardiopulmonary arrest. The patient was successfully resuscitated and was discharged the next day. The patient then sued, claiming residual psychologi-cal symptoms and failure to obtain valid informed consent for the second dosage of medications administered at 11:30 A.M.” The case study for Chapter 9: “Jimmy, a 15-year-old Floridian, had undergone two liver transplants. An only child, he lived with his mother, a sin-gle parent. He was prescribed immunosuppressant drugs that caused severe debilitating side effects in an attempt to prevent his body from rejecting the second liver transplant. Understanding that his life expectancy was limited and that the medications were causing the debilitating side effects, Jimmy elected to stop taking the immunosuppressive medi-cations. When his attending physicians discovered that he was no longer taking the prescribed medications, they instituted court proceedings against his mother for child endan-germent. Jimmy was readmitted to the hospital at the same time in an attempt to ensure that he restarted the immuno-suppressive mediations.A juvenile court judge held separate meetings with Jimmy, his mother, and the health care team in an attempt to resolve the issue. His mother, at her meeting with the judge, expressed anguish as she felt that not taking the medications would hasten her son’s death, but she was also resolved to the fact that she felt he was mature enough to fully under-stand the consequences of his non-actions. Jimmy assured the judge that he understood the consequences of his non-actions, but he was tired of taking medications that merely increased his pain and suffering and wanted, as stated in his final comment, “some time to be free of pain. I am go-ing to die anyway.” The health care team were unable to assure the judge that taking the medications would greatly increase Jimmy’s longevity.” Required resources: Guido, G. W. (2020). Legal and ethical issues in nursing (7th ed.). Prentice Hall. ISBN: 9780134701233. Read Chapter 8 & 9. Pozgar, G. D. (2020). Legal and ethical issues for health professionals (5th ed.). Jones and Bartlett. ISBN: 9781284144185. Read Chapters 12, 13, & 14. Expert Answer and Explanation Informed Consent This paper will give an insight into various issues surrounding informed consent. Three case studies will be used to provide context on the subject under discussion. Chapter 8 Case Study