Describe the difference between a nursing practice problem and a medical practice problem
Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. PICOT is utilized by the health care community to identify and study a nursing or medical practice problem. Consequently, PICOT examples that may provide insight into the use of the PICOT process, may not be relevant to nursing practice as they are based on a medical practice problem. Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem. EXPERT ANSWER AND EXPLANATION Nursing vs. Medical Practice Problem Nursing practice problem assesses Whereas a nursing practice problem is identified during the nursing assessments conducted on a patient’s condition, medical practice problem is one which focuses on the pathology of the patient. Specifically, a nursing practice problem assesses the human response to the health conditions (Milner & Cosme, 2017). For example, when a patient presents to the facility with headaches, fever, and other physical symptoms, a triage nurse could identify the condition as a nursing practice problem, where they offer the patient the relevant nursing diagnosis. On the other hand, when a patient is seen to have a condition which requires his pathology to be assessed and the healthcare giver recognizes that it could be stroke, then this is a medical practice problem. Why PICOT should be based on Nursing Practice Problem A PICOT seeks to address various elements of nursing care, and hence it should be primarily based on a nursing practice problem and not on a medical practice problem. In the nursing practice problem, the care needs of the patient from the time they get out of the healthcare environment to the time they are diagnosed by the doctor to the after-care periods are addressed (Meyer, 2017). Also, in the nursing practice problem, there is collection of information about the patient, and this helps to draw relevant conclusions based on the PICOT questions. This way, it is easy to collect diverse data about the patient and their condition. Also, with the nursing practice problem, it is more likely that the PICOT will improve population health. References Meyer, M. N. (2017). Evidence-Based Practice: Success of Practice Change Depends on the Question. Evidence-Based Practice in Nursing: Foundations, Skills, and Roles. Milner, K. A., & Cosme, S. (2017). The PICO Game: An Innovative Strategy for Teaching Step 1 in Evidence‐Based Practice. Worldviews on Evidence‐Based Nursing, 14(6), 514-516. Alternative Expert Answer How Nursing and Medical Practice Problems differ Medical and Nursing Practice Problem There is a difference between a nursing and a medical practice problem. The former is a clinical issue that a provider identifies and notes when assessing the patient, and it constitutes one physiological health, and the emotional and psychological responses linked to the patient’s physical health. An example is a patient with hypertension and diabetes developing stress because of their health. In this case, a nurse would want to know all these details about the patient including the manner in which they respond to the disease. One can also look at this particular problem as one which can be addressed through patient education, counseling and health promotion (Cook et al., 2018). Conversely, the latter is about the medical condition or the pathology of a medical disorder in which the provider determines the patient’s disorder. If a provider measures the body’s insulin and manages to determine that body’s insulin level is low, they can conclude that the condition is type 1 diabetes (Yoo et al., 2019). Basing PICOT on the Nursing Practice Problem When preparing a PICOT, it is important to base it on the nursing practice problem (NPP). This is because the NPP addresses majority of the elements of the nursing care. Some of these elements include the diagnosis information, patient care goals, screening of the risks, and the outcomes. The PICOT also addresses all these elements considering that it focuses on the patient, their health, the intervention that can help promote recovery compared to another treatment, and results of the treatment. It equally focuses on the clinical outcomes (Ho et al., 2016). Given that the PICOT addresses all the elements of the nursing problem, it make sense to base PICOT on the NPP. References Cook, D.A., Pencille, L.J., Dupras, D.M., Linderbaum, J.A., Pankratz, V.S., & Wilkinson, J.M. (2018). Practice variation and practice guidelines: Attitudes of generalist and specialist physicians, nurse practitioners, and physician assistants. PLoS ONE 13(1), e0191943. Doi: https://doi.org/10.1371/journal.pone.0191943. Ho, G.J., Liew, S.M., Ng, C.J., Hisham Shunmugam, R., & Glasziou P (2016). Development of a Search Strategy for an Evidence Based Retrieval Service. PLoS ONE 11(12), e0167170. Doi: https://doi.org/10.1371/journal.pone.0167170. Yoo, J.Y., Kim, J.H., Kim, J.S., Kim, H.L., Ki, J.S. (2019). Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture. PLoS ONE 14(12): e0226742. Doi: https://doi.org/10.1371/journal.pone.0226742. Place your order now on the similar assignment and get fast, cheap and best quality work written by our expert level assignment writers. What is the difference between a nursing problem and a medical problem? In the world of healthcare, it’s crucial to understand the fundamental differences between nursing problems and medical problems. While both are essential aspects of patient care, they serve distinct purposes and require different approaches. This article will delve into the nuances that set nursing practice problems apart from medical practice problems, providing clarity on this critical subject. Nursing Practice Problem vs. Medical Practice Problem Defining Nursing Practice Problems Nursing practice problems, often referred to as nursing diagnoses, are specific issues that nurses identify and address within their scope of practice. These problems are focused on the patient’s response to an illness, a medical condition, or a life situation. Nursing practice problems aim to enhance the quality of care, improve patient outcomes, and promote patient safety. Defining Medical Practice ProblemsMedical practice problems, on the other hand, are concerns that fall within the domain of medical practitioners, such
Analyze the fundamental influences that healthcare law has exerted on the social, political, and economic environment of the country
Analyze the fundamental influences that healthcare law has exerted on the social, political, and economic environment of the country. Analyze the fundamental influences that healthcare law has exerted on the social, political, and economic environment of the country Expert Answer and Explanation Healthcare law has had significant influence on the social, political, and economic environment of the country. These influences have been evident in various ways, including the provision of access to healthcare, the regulation of healthcare practices and providers, and the establishment of policies and laws that govern the healthcare industry. One example of the social influence of healthcare law is the provision of access to healthcare for marginalized or underserved populations. For instance, the Affordable Care Act (ACA), also known as Obamacare, expanded Medicaid coverage to millions of low-income individuals and families who previously did not have access to healthcare (Gruber, 2012). This expansion has had a positive impact on the social well-being of these populations, as it has provided them with access to necessary medical care and has reduced financial barriers to healthcare. Another example of the social influence of healthcare law is the regulation of healthcare practices and providers to ensure the safety and quality of care for patients. For instance, the ACA established the Center for Medicare and Medicaid Innovation (CMMI) to test and evaluate innovative payment and service delivery models that aim to reduce costs and improve the quality of care (Centers for Medicare & Medicaid Services, 2020). This has had a positive impact on the social environment, as it has ensured that healthcare practices and providers are held accountable for the quality of care they provide to patients. In terms of political influence, healthcare law has played a significant role in shaping the political landscape of the country. One example of this is the ACA, which was a major political issue in the United States and sparked a heated debate among politicians and the public. The ACA ultimately passed into law in 2010 and has had a significant impact on the political landscape, as it has led to a restructuring of the healthcare system and has sparked ongoing debates about the role of the government in healthcare (Gruber, 2012). Another example of the political influence of healthcare law is the regulation of the healthcare industry by government agencies. For instance, the Food and Drug Administration (FDA) is responsible for regulating the safety and effectiveness of drugs, medical devices, and other products used in healthcare (U.S. Food and Drug Administration, n.d.). This regulatory role has significant political implications, as it affects the availability and cost of healthcare products and services, as well as the actions of healthcare providers. In terms of economic influence, healthcare law has had a significant impact on the healthcare industry and the economy as a whole. One example of this is the ACA, which has led to an increase in healthcare spending and has had an impact on the overall cost of healthcare in the United States (Gruber, 2012). The ACA has also had an impact on the healthcare industry, as it has led to changes in the way healthcare is financed and delivered, and has had an impact on the employment of healthcare workers (Gruber, 2012). Another example of the economic influence of healthcare law is the regulation of the healthcare industry by government agencies, such as the FDA. The FDA’s regulatory role affects the availability and cost of healthcare products and services, which can have economic implications for the healthcare industry and the economy as a whole (U.S. Food and Drug Administration, n.d.). In conclusion, healthcare law has had significant influence on the social, political, and economic environment of the country. This has been evident in various ways, including the provision of access to healthcare, the regulation of healthcare practices and providers, and the establishment of policies and laws that govern the healthcare industry. These influences have had both positive and negative impacts on the healthcare system and the overall well-being of the population. References Centers for Medicare & Medicaid Services. (2020). Center for Medicare and Medicaid Innovation. Retrieved from https 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. The Social, Political, and Economic Effects of the Affordable Care Act: An Introduction to the Issue The Affordable Care Act (ACA) is a healthcare reform law that was passed by Congress and signed into law by President Barack Obama in 2010. The ACA is one of the most significant pieces of legislation passed in recent history, and it has had far-reaching effects on the social, political, and economic landscape of the United States. In this article, we will examine the effects of the ACA on these three areas and explore some of the debates surrounding the law. What is the Affordable Care Act? Before diving into the effects of the ACA, it is important to understand what the law entails. The ACA is a comprehensive healthcare reform law that seeks to make healthcare more affordable and accessible for all Americans. Some of the key provisions of the law include: Expanding Medicaid coverage to more low-income Americans Creating health insurance marketplaces where individuals can shop for insurance plans Requiring insurance companies to cover pre-existing conditions Allowing young adults to stay on their parents’ insurance plans until age 26 Mandating that all Americans have health insurance or face a penalty These provisions, along with others, have had a significant impact on the healthcare industry and the American public. The Social Effects of the Affordable Care Act One of the primary goals of the ACA was to improve access to healthcare for all Americans, regardless of income or pre-existing conditions. By expanding Medicaid coverage and creating health insurance marketplaces, the law has helped millions of Americans gain access to affordable healthcare. Additionally, the provision allowing young adults to stay on their parents’ insurance plans has helped many recent college graduates who would otherwise
An understanding of the neurological and musculoskeletal systems
An understanding of the neurological and musculoskeletal systems is a critically important component of disease Module 5 Assignment: Case Study Analysis An understanding of the neurological and musculoskeletal systems is a critically important component of disease and disorder diagnosis and treatment. This importance is magnified by the impact that that these two systems can have on each other. A variety of factors and circumstances affecting the emergence and severity of issues in one system can also have a role in the performance of the other. Effective analysis often requires an understanding that goes beyond these systems and their mutual impact. For example, patient characteristics such as, racial and ethnic variables can play a role. In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health. To prepare: By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor. Assignment (1- to 2-page case study analysis) A 58-year-old obese white male presents to ED with chief complaint of fever, chills, pain, and swelling in the right great toe. He states the symptoms came on very suddenly and he cannot put any weight on his foot. Physical exam reveals exquisite pain on any attempt to assess the right first metatarsophalangeal (MTP) joint. Past medical history positive for hypertension and Type II diabetes mellitus. Current medications include hydrochlorothiazide 50 mg po q am, and metformin 500 mg po bid. CBC normal except for elevated sedimentation rate (ESR) of 33 mm/hr and C-reactive protein (CRP) 24 mg/L. Metabolic panel normal. Uric acid level 6.7 mg/dl In your Case Study Analysis related to the scenario provided, explain the following: Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms. Any racial/ethnic variables that may impact physiological functioning. How these processes interact to affect the patient. Expert Answer: Alteration of Neurological and Musculoskeletal Systems Advanced practice registered nurses should be knowledgeable about the alterations in body systems. This information can help the nurses conduct a proper diagnosis and plan effective treatments. Understanding the processes of body systems that result in patient symptoms can also guide the APRNs during patient education and disease prevention. The purpose of this assignment is to examine the case study and identify the factors for diagnosis and implications for the health of the patient. Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms The nerves that connect the muscles of the toes are known as interdigital nerves. These nerves are pass between the bones of the toes to connect the toe muscles, tendons, and joints. The interdigital nerves’ longstanding irritation causes the swelling and pain on the patient’s right great toe (Raney, Thankam, Dilisio, & Agrawal, 2017). The swelling was caused by misalliance between the ability of the patient to withhold load and external load. This difference resulted from the patient’s ability to hold the load and physical exertion and posture. Pain is a sign that a certain tissue in one’s body is damaged. Raney et al. (2017) note that the body often communicates that a specific organ or tissue is damaged by sending a pain sensation to the brain to alert the patient. In the case, the patient experienced pain in his left toe because the interdigital nerves sensed high mechanical pressure on the injured and swollen toe joints and muscles. He cannot put weight on the foot because the nerves have communicated to the spinal cord, which has sent a signal to motor reflex, ordering it not to exert any pressure on the swollen toe. Any racial/ethnic variables that may impact physiological functioning The physiological functioning of the human body can be affected by various racial or ethical factors. The first factor is obesity. According to Spurr, Bally, Bullin, Allan, and McNair (2020), obesity is mostly recorded among blacks and Latinos compared to whites and Asians. The authors note that 49.6% of blacks are obese, followed by Hispanics (44.8%), whites (42.2%), and Asians (17.4%). Obesity affects cell repair and cell generation. The second variable is physical exercise. According to Ige-Elegbede, Pilkington, Gray, and Powell (2019), physical exercise activity is 6% lower among whites, 26% among African Americans, and 10% lower among Hispanics. El Khoudary et al. (2019) also performed research to understand the lean mass and muscle strength among blacks and whites. The researchers found that black males have a higher lean mass compared to white men. However, physical activity was higher among whites. How these Processes Interact to Affect the Patient Obesity highly affects physiological functioning, especially cell repair and generation (Toubal et al., 2020). However, the patient is a white male, meaning that the chances of being obese are minimal. Hence, the cells in his swollen toe are expected to generate, repair, and heal faster. Physical exercise also affects physiological functioning by increasing the effectiveness of medications and other metabolic processes (Ige-Elegbede et al., 2019). Being white, the patient is likely to work out often. Hence, he will show a positive response to hydrochlorothiazide 50 mg po q am and metformin 500 mg po bid. Lastly, the patient has a lower lean mass, increasing his chances of developing a toe condition. Conclusion The assignment has analyzed a case about a patient experiencing swollen and painful toe. The feeling is likely to result from communication between interdigital nerves, the brain, spinal cord, and toe muscles. The nerves communicated pain to alert the patient that the toe tissues are damaged. References El Khoudary, S. R., Greendale, G., Crawford, S. L., Avis, N. E., Brooks, M. M., Thurston, R. C., … & Matthews, K. (2019). The menopause transition and women’s health at midlife: a progress report from the Study of Women’s Health Across the Nation (SWAN). Menopause (New York, NY), 26(10),
My Personal Goals and Walden University Vision and Mission
My Personal Goals and Walden University Vision and Mission Networking Opportunities In this module, you begin laying the foundation for your academic and professional success. Your efforts begin with a vision that includes your own definition of success. Your vision may vary from those of your colleagues, but this does not mean you have to take these first steps alone. Walden University and the College of Nursing also have a vision and mission, which include helping you to make your own vision a reality. Members of your new academic community, such as faculty, support teams, and fellow students, can also be helpful. Current practitioners and other member of the professional community can also help you to clarify your vision. This Module’s Discussion asks you to consider how the Walden mission and vision as well as the College of Nursing’s mission and vision apply to your professional and academic goals. You will also begin to identify individuals and teams who can help you along the way as you begin designing the “blueprint”—your Academic Success and Professional Development Plan—that will guide you toward your own vision for academic and professional success. To Prepare: Review the Walden and College of Nursing mission and vision statements, Walden’s goals and University Outcomes, and the MSN Program Learning Outcomes presented in this Module’s Learning Resources. Reflect on your professional and academic goals as they relate to your program/specialization. Consider how the information in these resources fit with your own goals and to your becoming a scholar-practitioner. Also consider academic and professional individuals and teams with whom you may collaborate in support of your efforts as a student at the university and as a professional within your organization and career. By Day 3 of Week 1 Post a brief introduction of yourself to your colleagues. Include an explanation as to how Walden’s vision, mission, goals, and social change initiatives relate to your professional and academic goals and to your becoming a scholar-practitioner. Also include an explanation for how the Walden MSN Program Outcomes and perspectives relate to your professional and academic goals and to your becoming a scholar-practitioner. Expert Answer and Explanation Networking Opportunities Brief Introduction of Myself I am a psychiatric nurse practitioner by training and specialty, and I enjoy working in different nursing departments. Currently, I work as a medical surgical nurse in Texas Health Presbyterian Hospital Dallas, which is quite a big hospital with over 500 outpatients and inpatients per day (Texas Health Resources, 2020). I work in the surgical unit as a medical surgical nurse and provide services such as helping adult patients to resolve medical issues that often arise as a result of past surgeries. How Walden’s Goals and Mission Relates to my Professional and Academic Goals The goals of Walden University relate to my professional and academic goals in many aspects. Firstly, the institution envisions to become an agent of transformation of the kind of nursing services that are received across the human lifespan in local and global communities and has set different standards in which it can ensure congruence with the 21st century demands (McGuinness et al., 2020). I believe the healthcare industry is moving rapidly to incorporate the most recent developments such as tele-health solutions, which makes Walden a suitable school of choice for me. As part of its mission, Walden University seeks to improve the critical thinking skills of nursing students and increase their ability to implement evidence based practice in patient care. While it is clear that some healthcare professionals have low ability to make critical decisions when faced with care dilemmas, some nursing schools have not incorporated in their curriculum programs that add directly to the ability of the students to make healthy decisions (Sauer, 2017). As part of my professional goals, I wish to become fully enlightened in critical decision making. I believe this is an element I will successfully acquire from Walden University. Lastly, Walden provides an opportunity for the students to advance their careers through the development of career advancement opportunities. Through my education in the university, I believe I will be able to improve my research skills as well as my ability to advance to the highest levels of education in nursing. It is evident that through my experience in the University, I can improve my ethical conduct, personal values, and commitments to meet the required professional excellence. Regarding research, I believe this is one of the ways through which I can successfully bridge the gap between academia and the real world, and improve the ability to solve complex problems in the profession. Professional Individuals and Teams There are several professional teams and individuals with whom I hope to collaborate so as to achieve success in the career. One of these individuals is my mentor, who is a psychiatric nurse practitioner in the facility where I work. This individual not only helps me in reviewing my research proposals but he also serves as a consultant for most of my academic developments. Another team which is likely to be instrumental in the achievement of my goals in the university is my family, which not only gives me moral support, but also offers different kinds of assistance such as financial whenever there are major requirements and I am not in a position to meet them immediately. My colleagues also form part of the crucial team for my success in becoming a scholar-practitioner. References McGuinness, T. M., Shirey, M. R., Cleveland, C., Richardson, J., Campbell, R., & Harper, D. C. (2020). The shifting paradigm of graduate education for psychiatric nurse practitioners. Journal of Professional Nursing. Sauer, K. (2017). University Professors’ and Department Directors’ Perceptions Regarding Support for Freshman Academic Performance. https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=5124&context=dissertations Texas Health Resources, (2020). Texas Health Presbyterian Hospital Dallas. https://www.texashealth.org/Locations/Texas-Health-Dallas 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 Code: NEW30 to Get 30% OFF Your First Order Name: NURS_6003_Module01_Week01_Assignment_Rubric Excellent Good Fair Poor Complete Part 1 of your Academic
Week 8 assignment aacn essentials summary paper
Week 8 assignment aacn essentials summary paper For this Assignment review the AACN DNP Essentials document and reflect on the competencies presented. Reflect on your personal and academic goals and consider how those goals align with both Walden University’s mission and vision and with the AACN DNP Essentials. Reflect on the social determinants of health framework and consider how your academic and professional goals might align with addressing these elements as a DNP-prepared nurse. To prepare: Review The Essentials of Doctoral Education for Advanced Nursing Practice (AACN, 2006) in this week’s Learning Resources and reflect on the competencies presented. Review Walden University’s mission, vision, and university outcomes. Reflect on your professional and academic goals. Consider how Walden’s mission and vision as well as the AACN’s perspective may fit with your goals. How might you incorporate a commitment to social change into your academic and professional plans? How might your academic and professional goals align with addressing the social determinants of health? The Assignment: (2–3 pages) Explain how your academic and professional goals align with Walden’s vision, mission, social change message, social determinants of health, and university outcomes as well as the AACN DNP Essentials. Be specific. Explain how you plan to incorporate social change throughout your program of study and in professional practice. Be sure to include how social change may contribute to your practicum/field experience and your role in professional practice. Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting. Expert Answer and Explanation AACN Competencies and the Walden Mission, Vision, and Outcomes Every nurse practitioner must have a goal or goals that guide their practice. Nurses should consider the culture and beliefs of all patients while working with them and helping them achieve their mental health outcomes (Cain et al., 2018). They should also work with their fellow healthcare professionals and stakeholders to provide affordable care to underserved communities (Cain et al., 2018). My goals are well aligned with Walden’s mission, social change message, vision, social determinants of health, university outcomes, and American Association of Colleges of Nursing (AACN) DNP Essentials. The purpose of this assignment is to explain how my goals align with Walden’s mission, social change message, vision, social determinants of health, university outcomes, as well as AACN DNP Essentials and how I plan to incorporate social change throughout my program of study and professional practice. Goals Aligning with Walden’s Vision and Mission, and AACN DNP Essentials Like any other organization, Walden University has a mission and vision that guides its practices. The mission of the university is to provide a diverse community of career professionals (Walden University, 2021). My first goal as a psychiatric nurse practitioner is to provide safe, quality, patient-centered and competent care to all patients, their families, and the community at large regardless of their background and culture. My goal aligns with the university’s mission in that I aim to provide quality care to all patients without any form of discrimination. I will achieve my professional goal by improving my knowledge of culturally-based care. I believe that I am one of the kinds of career professionals the university seeks to release in the job market. The vision of the university is to provide graduates who can solve societal challenges and thus advance the greater global good. My second goal is to be part of programs that aim to solve societal problems. Being part of problem-solving programs, will fulfil my second goal and also meet the vision of the university. Walden University defines social change as a deliberate process of developing and applying strategies, ideas, and actions to promote and develop cultures and communities (Walden University, 2021). My third goal is to become an advocate for patients and nurses. I would be able to promote social change by advocating for the needs of patients and my fellow nurses, a practice that aligns with the university’s social change message. My goals also align with AACN DNP Essentials. One of the essentials my goals align with is health care policy for advocacy in health care (AACN, 2006). I would be able to advocate for patients’ and nurses’ rights by creating health policies and presenting them to necessary people for approval and implementation. My academic goal is to be competent in the creation and advocacy of healthcare policies. Incorporating Social Change I plan to incorporate social change throughout my program of study by performing a quality improvement project aimed at improving the mental health of the less privileged in society. I will conduct a quality improvement study about the impact of physical exercise on sleep quality in African American people with depression. I will incorporate social change at the professional level by volunteering in mental health promotion programs. Social change will contribute to my field experience by improving my knowledge of advocacy and the development of promotional programs. Social change will also improve my collaborative skills because it will collaborate with various people to promote better mental health in the community. Conclusion My goals align with Walden’s mission, vision, and social change message. As a professional, I will work with other healthcare professionals to promote the better mental health status of my patients, families, and communities. I will also develop health policies that seek to make mental health care affordable to less privileged and provide other health professionals with the requisite tools to provide proper mental health care. References American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf Cain, C. L., Surbone, A., Elk, R., & Kagawa-Singer, M. (2018). Culture and palliative care: preferences, communication, meaning, and mutual decision making. Journal of Pain And Symptom Management, 55(5), 1408-1419. https://doi.org/10.1016/j.jpainsymman.2018.01.007 Walden University. (2021). Student publications: Vision, mission, and goals. https://catalog.waldenu.edu/ Place your order now for a similar assignment and get fast, cheap and best quality work written by our
Shadow Health Comprehensive Assessment of Tina
Shadow Health Comprehensive Assessment of Tina Complete the Digital Experience. The estimated average time to complete this assignment each time is 3 hours and 30 minutes. Please note, this is an average time. Some students may need longer. This clinical experience is a comprehensive exam. Students must score at the level of “Proficiency” in the Shadow Health Digital Clinical Experience. Students have three opportunities to complete this assignment and score at the Proficiency level. Upon completion, submit your lab pass to your instructor in the classroom. Students successfully scoring within the Proficiency level in the Digital Clinical Experience on the first attempt will earn a grade of 150 points; students successfully scoring at the Proficiency level on the second attempt will earn a grade of 135 points; and students successfully scoring at the Proficiency level on the third attempt will earn a grade of 120 points. Students who do not pass the performance-based assessment by scoring within the Proficiency level in three attempts will receive a failing grade (102 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. If Proficiency is not achieved on the first attempt it is recommended that you review your answers with the correct answers on the Experience Overview page. Review the report by clicking on each tab to the left titled; Transcript, Subjective Data Collection, Objective Data Collection, Documentation, and SBAR to compare your work. Reviewing this overview and course resources may help you improve your score. 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 What is Shadow Health Assessment? Introduction In the world of healthcare and nursing education, new technologies are constantly emerging to enhance patient care and improve training methodologies. One such innovative tool is Shadow Health Assessment. This article aims to provide a comprehensive understanding of what Shadow Health Assessment is, its benefits, how it works, its importance in healthcare, its applications in nursing education, its limitations, and future trends. Understanding Shadow Health Assessment Shadow Health Assessment is a virtual patient simulation platform that enables healthcare professionals and students to engage in realistic clinical scenarios. It is an interactive, web-based learning environment designed to replicate real-life patient interactions. Through this assessment, users can develop critical thinking skills, clinical reasoning abilities, and improve their overall competence in patient care. Benefits of Shadow Health Assessment Realistic Patient Encounters: Shadow Health Assessment offers realistic virtual patients with diverse backgrounds, medical histories, and symptoms. This allows healthcare professionals and students to practice their skills in a safe and controlled environment. Active Learning: Users actively engage in patient assessments, health histories, physical examinations, and clinical reasoning, promoting active learning and knowledge retention. Immediate Feedback: The platform provides immediate feedback and performance evaluations, highlighting strengths and areas for improvement. Flexibility and Accessibility: Shadow Health Assessment can be accessed anytime, anywhere, making it convenient for healthcare professionals and students to enhance their skills and knowledge. Standardized Assessment: The virtual patient scenarios provide standardized assessments, ensuring consistency and fairness in evaluating competency levels. How Shadow Health Assessment Works Shadow Health Assessment utilizes advanced technology to create immersive virtual patient experiences. Users interact with virtual patients through various modules, including health history interviews, physical assessments, documentation, and diagnostic reasoning. The platform simulates the entire patient encounter, allowing users to apply their knowledge and skills in a practical setting. The Importance of Shadow Health Assessment in Healthcare Shadow Health Assessment plays a vital role in healthcare for both professionals and students. It provides an opportunity to refine clinical skills, enhance critical thinking abilities, and improve patient care. By practicing in a risk-free environment, healthcare professionals can gain confidence and competence in their diagnostic and treatment decisions, ultimately leading to better patient outcomes. Shadow Health Assessment in Nursing Education Nursing education greatly benefits from the integration of Shadow Health Assessment. It allows students to bridge the gap between theoretical knowledge and clinical practice. By engaging in virtual patient encounters, nursing students develop essential assessment and communication skills, empowering them to deliver high-quality care in real-life settings. Limitations of Shadow Health Assessment While Shadow Health Assessment offers significant advantages, it also has certain limitations. Some of these limitations include: Lack of Human Interaction: Virtual patient encounters cannot fully replace the experience of interacting with real patients, including the nuances of non-verbal communication and patient-provider rapport. Limited Physical Examination: While virtual patient simulations cover a wide range of scenarios, they may not fully capture the complexity and variability of physical examinations. Technology Requirements: Access to the platform relies on technology and internet connectivity, which may pose challenges in resource-constrained environments. Future Trends in Shadow Health Assessment As technology continues to advance, Shadow Health Assessment is expected to evolve and incorporate new features. Some future trends in this field may include: Artificial Intelligence Integration: AI algorithms can enhance the realism and interactivity of virtual patient encounters, providing more sophisticated feedback and adaptive learning experiences. Expanded Specialty Areas: The platform may expand its scope to include a wider range of specialty areas, allowing healthcare professionals and students to practice in specific clinical contexts. Enhanced Interactivity: Future developments may include more immersive and interactive elements, such as virtual reality and augmented reality, to create even more realistic simulations. Conclusion Shadow Health Assessment is a powerful tool in healthcare and nursing education that offers realistic virtual patient encounters. It provides numerous benefits, including active learning, immediate feedback, flexibility, and standardized assessments. While it has certain limitations, its importance in enhancing clinical skills and patient care cannot be understated. As technology progresses, we can expect to see even more advanced features and applications in the future. FAQs How do you perform a complete head to toe assessment? Performing a complete head-to-toe assessment is a comprehensive process used by healthcare professionals
Apply Guidos MORAL model to resolve the dilemma – Solved 2025
Apply Guidos MORAL model to resolve the dilemma presented in the case study described in EXERCISE 4–3 (Guido textbook) Start by reading and following these instructions: Quickly skim the questions or assignment below and the assignment rubric to help you focus. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully. Consider thecoursediscussions so far and any insights gained from it. Create your Assignment submission and be sure to cite your sources if needed, use APA style as required, and check your spelling. Assignment: Complete both case studies: Apply Guidos MORAL model to resolve the dilemma presented in the case study described in EXERCISE 4–3 (Guido textbook). How might the nurses in this scenario respond to the physician’s request? How would this scenario begin to cause moral distress among thenursingstaff, and what are the positive actions that the nurses might begin to take to prevent moral distress? Read the case study entitled You be the Ethicist, presented at the end of Chapter 3 (Guido textbook). What are the compelling rights that this case addresses? Whose rights should take precedence? Does a child (specifically this competent 14-year-old) have the right to determine what will happen to him? Should he ethically have this right? How would you have decided the outcome if his disease state had not intervened? Now, examine the scenario from the perspective of health care policy. How would you begin to evaluate the need for the policy and the possible support or lack of support for the policy from your peers, nursing management, and others who might be affected by the policy? Do the 10 framework questions outlined by Malone in chapter 4 (Guido textbook) assist in this process? Create a process proposal for the organization with possible guidelines, procedures, and policies to address the issues you have identified. REQUIRED SOURCES: Guido, G. W. (2014). Legal and ethical issues in nursing (6th ed.). Upper Saddle River, NJ: Prentice Hall. (Chapter 3 and 4) Pozgar, G. D. (2013). Legal and ethical issues for health professionals (3rd ed.). Boston: Jones and Bartlett. (Chapter 1 and 4) Expert Answer and Explanation Ethical and Legal Issues in Nursing Professionals in nursing get faced with several ethical and legal issues in the course of carrying out their practice. Nurses experience different kinds of stress in their practice environment when dealing with different medical circumstances. Moral distress is a situation that occurs when a nurse gets confronted with two conflicting principles of ethics. For example, deciding between acting upon the patient’s wishes and what the nurse knows to be the best thing to do for the patient. This paper aims to discuss the ethical dilemmas with regard to moral distress and determination of rights. Case Study; Exercise 4-3 Nurses’ Response to the Physician’s Request In responding to the request of the physicians to the nurses for them to talk to the family of the patient about the transfer of the patient to another facility. The nurses are bound to experience uncertainty in their morals in which they are unsure about what the right course of action is based on the sentiments of the family and the patient’s medical history. The patient’s condition seems hopeless to the extent that she no longer recognizes family who as such, intended to stop visiting her. However, the nurses can follow the instructions of the physician, but the final decision gets made by the family since the patient lacks capacity. Link to Moral Distress among the Nursing Staff The nursing staff in the scenario would begin experiencing initial moral distress based on the fact that the physician and the family of the patient have different opinions of what should be done and the burden lies on the nurses to decide whose instructions to follow. The family of the patient have voiced their concerns on what the patient would have wanted with regard to the use of the ventilator support, which, according to them, the patient would never have accepted. Trying to convince the family to transfer the patient for advanced treatment with instructions from her primary physician would cause significant distress to the nursing staff because they would be caught between what the patient’s family want and what the physician thinks is right for the patient (Campbell et al., 2018). The physician has his reasons just like the patient’s family do, and as such, trying to convince the family otherwise would be a stressful task for the nurses. Positive Actions that the Nurses Might Begin to Take to Prevent Moral Distress Medical studies present several actions that the nurses in this kind of stressful scenarios can begin taking in a bid to manage moral distress. They may start by voicing their ethical concerns, which is something that should be allowed in their practice environment as this will allow them to cope better with such situations in future thus minimize the possibility of them experiencing moral distress (Guido, 2014). Raising their ethical concerns will help them to cope better with situations when they experience moral distress. The orientation programs for new nursing employees should include use of experts in ethics to provide them with information concerning moral distress to be discussed in settings that are neutral to educate them on identifying, understanding as well as making use of the available resources in the organization to prevent moral distress. Some of these resources may include making use of the services for counselling to help them understand what moral distress entails and how to manage it in the course of their practice (Lachman, 2016). The nurses can also begin by asking the healthcare organization to provide intervention programs for nurses to help them reduce moral distress. Case Study, You Be the Ethicist; Chapter 3 Compelling Rights Addressed by this Case This case addresses some rights that are compelling, with the most significant being the right to refuse treatment. After the nurses and physicians have exercised veracity by telling the patient the whole truth about his condition, then providing options
Review the video Case Study Sherman Tremaine. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar
Review the video Case Study Sherman Tremaine. You will use this case as the basis of this Assignment. Focused SOAP Note for Schizophrenia Spectrum, Other Psychotic, and Medication-Induced Movement Disorders Psychotic disorders change one’s sense of reality and cause abnormal thinking and perception. Patients presenting with psychotic disorders may suffer from delusions or hallucinations or may display negative symptoms such as lack of emotion or withdraw from social situations or relationships. Symptoms of medication-induced movement disorders can be mild or lethal and can include, for example, tremors, dystonic reactions, or serotonin syndrome. For this Assignment, you will complete a focused SOAP note for a patient in a case study who has either a schizophrenia spectrum, other psychotic, or medication-induced movement disorder. To Prepare Review this week’s Learning Resources. Consider the insights they provide about assessing, diagnosing, and treating schizophrenia spectrum, other psychotic, and medication-induced movement disorders. Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations. Review the video Case Study Sherman Tremaine. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar. Consider what history would be necessary to collect from this patient. Consider what interview questions you would need to ask this patient. The Assignment Develop a focused SOAP note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template: Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? Objective: What observations did you make during the psychiatric assessment? Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, and list them in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case. Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy. Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you were able to follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old). By Day 7 of Week 5 Submit your Focused SOAP Note. Submission and Grading Information To submit your completed Assignment for review and grading, do the following: Please save your Assignment using the naming convention “WK5Assgn+last name+first initial.(extension)” as the name. Click the Week 5 Assignment Rubric to review the Grading Criteria for the Assignment. Click the Week 5 Assignment link. You will also be able to “View Rubric” for grading criteria from this area. Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK5Assgn+last name+first initial.(extension)” and click Open. If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database. Click on the Submit button to complete your submission. Expert Answer and Explanation Schizophrenia soap note Subjective: CC (chief complaint): “I do not bother anyone and people outside my window do not leave alone.” HPI: Sherman Tremaine is a 53-years-old African American male who was asked to come for mental health assessment by his sister. The patient complains that he does not bother anybody but people outside his window to not leave him alone. he says that the people outside his window watch him. He says that he can hear these people and see their shadow. He also says that these people were sent to watch him by the government. He also complains of sleeping problems and people follow him everywhere. Substance Current Use: He smokes cigarette (12 packets of cigarettes weekly) and a bit of marijuana. Medical History: Current Medications: Used Haldol, Thorazine, and Seroquel. Takes metformin currently for diabetes. Allergies: No allergies. Reproductive Hx: No problems with reproductive system. ROS: GENERAL: No fever, weakness, fatigue, chills, or weight loss/gain. HEENT: Eyes: No visual problem. Ears, Nose, Throat: No hearing pain, loss, sneezing, runny nose, congestion, or sore throat. SKIN: No itching or rash. CARDIOVASCULAR: No chest pain, edema, no chest pressure palpitations, or chest discomfort. RESPIRATORY: No cough or shortness of breath. GASTROINTESTINAL: No abdominal pain, nausea, or vomiting. GENITOURINARY: No urination problems. NEUROLOGICAL: No headaches or any other neurological problems. MUSCULOSKELETAL: No joint pain or muscle pain. HEMATOLOGIC: No anemia. LYMPHATICS: No enlarged nodes ENDOCRINOLOGIC: No sweating, heat, or cold problems. Objective: Vital signs: T 35.7, Ht. 5’9, Wt. 159lbs, HR 80, RR 20, BP 130/95 Chest/Lungs: Regular heart rhythm and rate. No murmurs. Heart/Peripheral Vascular: No wheezes. Lungs clear. Diagnostic results: CT-Scan-pending. The test will be used to rule out any physical symptoms that might cause hallucinations and delusions. Positive and Negative Syndrome Scale (PANSS): Baandrup et al. (2022) noted that PANSS is a valid, scalable, and reliable tool for screening for people with schizophrenia. The authors found that the tool is 98% effective. The patient scored 19.9 on positive
Review the video, Case Study: Petunia Park. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient
Review the video, Case Study: Petunia Park. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient Assignment assessing diagnosing and treating adults with mood disorders In this Assignment you will assess, diagnose, and devise a treatment plan for a patient in a case study who is presenting with a mood disorder. To Prepare Review this week’s Learning Resources. Consider the insights they provide about assessing, diagnosing, and treating mood disorders. Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations. Review the video, Case Study: Petunia Park. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar. Consider what history would be necessary to collect from this patient. Consider what interview questions you would need to ask this patient. Consider patient diagnostics missing from the video: Provider Review outside of interview:Temp 98.2 Pulse 90 Respiration 18 B/P 138/88Laboratory Data Available: Urine drug and alcohol screen negative. CBC within normal ranges, CMP within normal ranges. Lipid panel within normal ranges. Prolactin Level 8; TSH 6.3 (H) The Assignment Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template: Subjective: What details did the patient provide regarding their chief complaint and symptomatology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? Objective: What observations did you make during the psychiatric assessment? Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case. Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy. Reflection notes: What would you do differently with this client if you could conduct the session again? Discuss what your next intervention would be if you were able to follow up with this patient? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). Expert Answer and Explanation Bipolar II Disorder Evaluation Subjective: CC: ” I have a history of taking medications and then stopping them. I don’t think I need them. I really feel like the medication squashes who I am.” HPI: Patient PP is a 25-year-old female patient who has come for a mental health assessment. The patient reports having problems with medication adherence, indicating her lack of need for the medication, stating that it “squashes” who she is. The patient also reports having been hospitalized as a teenager for going four to five days without sleep and hearing things during the period. Since then, she has been hospitalized four times, with the current hospitalization being the past spring. She notes that she has previously been diagnosed with bipolar, anxiety, and depression. She also notes that she tried to use some medications like Zoloft, Seroquel, and another one which she only recalls the name to start with the letter “L”. The patient explains that her prescribed medications seem to present some side effects. The patient also notes that she has once had some suicidal tendencies before. She also reports engaging in sexual intercourse with multiple partners since it elevates her moods. She also reports missing work due to feeling too depressed. Substance Current Use and History: The patient reports smoking at least a packet of cigarettes a day, which she doesn’t intend to stop. She also reports having stopped using alcohol at 19 years. The patient also reports having a bad history of marijuana use which made her stop. She denies using cocaine, stimulant, inhalants, hallucinogens, and sedative medications. She also denies using any pain pills or opiate medications. Family Psychiatric/Substance Use History: The patient reports having a family background with psychiatric and substance use issues. She indicates that her mother was bipolar with suicidal tendencies. She reports that her father was imprisoned for 8 to 10 years due to drug-related problems, and she considers her brother to also have mental issues though not hospitalized. Psychosocial History: The patient was raised by her mother and her older brother. She currently lives with her boyfriend and at times her mother who is infuriated by her sexual habits. Her father is imprisoned and has not heard from him for some time. She has never been married before or had any children. She is currently working in her aunt’s stores albeit irregularly due to her occasional depressed moods. She is currently studying cosmetology and loves to paint and write. Medical History: The patient has Polycystic ovary syndrome (PCOS) and hypothyroidism. Current Medications: the patient is currently under birth control pills for PCOS and an unnamed medication for hypothyroidism. She is also currently using some medication for her mental illness which she only remembers the first letter being “L.” She notes to have previously used Zoloft and Seroquel. Allergies:No allergies reported by the patient Reproductive Hx:The patient reports having her regular menses once a month, with the last one being sometime last month. She is diagnosed and under medication for PCOS. She reports being sexually active and with multiple partners ROS: GENERAL: Varying levels of eating and sleeping depending on the mood. HEENT: negative for head traumas, hearing, sight, smell, neck, or throat problems. SKIN: Negative for dryness, itching, or rashes. CARDIOVASCULAR: Negative for CV issues. RESPIRATORY: Negative for respiratory symptoms. GASTROINTESTINAL: Negative for GI pain, diarrhea, nausea, or
Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family
Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family Assignment: Ethical and Legal Implications of Prescribing Drugs What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient? These are some of the questions you might consider when selecting a treatment plan for a patient. As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that the treatment plans and administration/prescribing of drugs is in accordance with the regulations of the state in which you practice. Understanding how these regulations may affect the prescribing of certain drugs in different states may have a significant impact on your patient’s treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and consider how to appropriately respond. To Prepare Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure. Review the scenario assigned by your Instructor for this Assignment. Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor. Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family. Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors. By Day 7 of Week 1 Write a 2- to 3-page paper that addresses the following: Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family. Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state. Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation. Explain the process of writing prescriptions, including strategies to minimize medication errors. You will also evaluate and analyze ethical and legal implications and practices related to prescribing drugs. As advanced practice nurses, almost every clinical decision you make will have ethical or legal implications. Your ethical and legal knowledge is fundamental to your ability to resolve the multitude of challenging issues encountered in practice. This week you have an assignment to write a paper – you will explore the ethical and legal implications of the following scenario, and consider how to appropriately respond: Scenario options Scenario 1: As a nurse practitioner, you prescribe medications for your patients. You make an error when prescribing medication to a 5-year-old patient. Rather than dosing him appropriately, you prescribe a dose suitable for an adult. Scenario 2: A friend calls and asks you to prescribe a medication for her. You have this autonomy, but you don’t have your friend’s medical history. You write the prescription anyway. Scenario 3: You see another nurse practitioner writing a prescription for her husband who is not a patient of the nurse practitioner. The prescription is for a narcotic. You can’t decide whether or not to report the incident. Scenario 4: During your lunch break at the hospital, you read a journal article on pharmacoeconomics. You think of a couple of patients who have recently mentioned their financial difficulties. You wonder if some of the expensive drugs you have prescribed are sufficiently managing the patients’ health conditions and improving their quality of life. Please refer to the Course Schedule for specific assignments and due dates for this week. Have a wonderful week! Expert Answer and Explanation Ethical Issues in Drug Prescriptions Ethical and Legal Implications of the Scenario The given scenario highlights ethical issues that are involved when prescribing drugs to patients, especially if the patients are either family members or friends. The first ethical consideration falls under the ethical principle of beneficence and non-malfeasance. When prescribing drugs to family members or friends without being objective, it will be difficult for the prescriber to ascertain whether the drug will be of help or detrimental to the patient’s health which may not adhere to the ethical principles of beneficence and non-malfeasance (Ghazal, Saleem & Amlani, 2018). Following due procedure when prescribing drugs for any patient is vital in reducing the chances of prescription errors. The legal implications of the decision to prescribe will arise when harm has been done to the patient, and proper disclosure and prescription procedures were not adhered to. Strategies to Address Disclosure and Nondisclosure According to Ghazal, Saleem, and Amlani (2018), one of the biggest ethical dilemmas encountered by most healthcare practitioners is whether to disclose or not to disclose medical errors. However, according to the statutory bill of rights, regarding patients’ rights, a healthcare provider is requested to disclose any incident of a medical error to the patient. One of the strategies to address disclosure and non-disclosure in my state is by encouraging honesty in practice whereby both the patient and the prescriber ought to understand that errors in healthcare, at times, happen, and finding a solution to the errors committed is what is important. Encouraging the use