The Health care system

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The health care system faces complex and dynamic challenges. Nursing shortages brought about by: economizing choices of leadership and management, an aging patient population, increased acuity, complexity and care needs of patients, and an aging nursing workforce. These factors place stress on working conditions for nurses and impacts patient care and overall outcomes. Explore the ethical dilemmas of nursing shortages.

Paper Overview:

a. Introduction Paragraph that engages the reader’s attention, identifies your view point statement, and gives a brief overview of what the essay will cover.

b. Identify how 2 different ethical theories would view the ethical dilemma

c. Identify how 2 or more ethical principles are conflicted in this ethical dilemma.

d. Identify relevant College of Nurses of Ontario nursing standards or guidelines and application of important points.

Knowledge of the ABO blood types in humans

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Based upon  knowledge of the ABO blood types in humans (A) determine the genotypes of the male parent and female parent from the following information:

Male Parent:      Has blood type B whose mother was type O

Female Parent: Has blood type A whose father was type B

(B) Secondly, predict the blood types of the offspring that this couple may have and (C) the expected proportion (% or fraction) of each offspring.

responses MUST include appropriate Genotype and Phenotype Language (ex. IA ) for parents and predicted offspring.

Types of Resistance to new technologies

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Evaluate the types of resistance to new technologies that might be evident among patients, caregivers, and nurses.  Describe evidence and strategies that might help to diminish this resistance.

 

Three Differential diagnoses on anxiety

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Three differential diagnoses on anxiety using DSM-5 criteria to justify answers. Also, diagnostic tests and results to justify anxiety as the diagnosis

Requirements for Nurse Practitioners in Mississippi

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Requirements for Nurse Practitioners in Mississippi (HINT: go to your board of nursing website) Education needed. Type of practice (full or restrictive)

    • Prescription privileges (who controls this, any restrictions, etc.)
    • Continuing education requirements (any needed for certification, what about re-certification)
    • Practice hour requirements (needed for certification, what about re-certification)

Healthcare providers

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Listen Nurses and other healthcare providers have an ethical obligation to "do no harm" to patients. How can providers avoid inflicting financial harm on patients? Keep the patient in observation status to avoid being billed for an inpatient stay Ask patients about any difficulties paying for their medications or treatments.

Call the insurance company to find out if expensive medications are covered.

Memorize how much each medication costs for every insurance company for every patient.

Different Roles within nursing

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There are various different roles within nursing that hold some kind of leadership position and it varies between these roles. An example of a formal role where a nurse is in a position of leadership are nurse managers. Nurse managers oversee the team of nurses that have direct contact with patients.

Their main goal is to manage their team of nurses in order to increase retention and also analyze and implement various methods in order to improve the quality of care.

Nurse managers are required to have leadership education which is received from the Bachelor’s Degree in Nursing (BSN) and are highly preferred if they have a Masters of Science in Nursing (MSN) but not required depending on the organization.

To me most nursing managers display signs of Participative leadership in which they utilize feedback and think in terms for the benefit for their organization as a team rather than one individual being the boss.

In order to be successful in this role, nurses need to display qualities of critical thinking in order to make decisions while keeping in mind how it may affect others. Communication is also an important quality as it involves not only talking but also actively listening to ideas and concerns others may have and take into consideration.

Over-the-counter medication

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In a large urban area in New England, there is an increasing awareness that high school students are misusing over-the-counter medication at an alarming rate. The community coalition funded through the city’s community health center has recently received a grant to develop a prevention program. The grant specifies that the interventions must be evidence based and data driven.

 

a.​ Use the following logic model template to guide program planning to develop a community intervention plan to improve misuse of OTC medication:

Consequences and
Consumption Patterns		 Risk and Protective
Factors		 Public Health
Strategies		 Outcomes

 

b.​ At what level should the intervention be directed and why?

Improving Nursing Practice Outcomes

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Power point Presentation: Improving Nursing Practice Outcomes. Reflect on your research process and knowledge gained to improve nursing practice outcomes. Create a poster presentation to showcase your knowledge gained and provide examples on how nursing practices or patient outcomes can be improved from this evidence.

Deep Vein thrombosis

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Deep vein thrombosis is an “acute venous obstruction…secondary to a thrombus in a deep vein of the lower extremities” (Banasik & Copstead, 2019, p. 333). A thrombus is a blood clot that can be formed in the blood vessel (ex. Atherosclerosis) or one of the chambers of the heart (ex. Abnormal heart rhythm).

It is more common for a thrombi to develop in the peripheral circulatory system.

The coagulation cascade will produce a hypercoagulable state, which will result in thrombosis (Banasik & Copstead, 2019). A piece of clot can break off and travel through the circulatory system and cause an obstruction in the pulmonary system, which is then called a pulmonary embolism.

According to the video, “Go with the Flow”, in Samantha’s case, her DVT was due to due her knee surgery.

Her signs and symptoms showed that she may have a pulmonary embolism. She exhibited signs and symptoms such as shortness of breath, coughing, chest pain, and low blood pressure.

Prompt 2:

There are various treatments for deep vein thrombosis. If a patient is hospitalized, an anticoagulation therapy is needed; however, some patients can be treated with anticoagulation oral medication such as Warfarin, Dabigatran, or Edoxaban (Centers for Disease Control and Prevention, 2020).

If they previously had DVT, then they will undergo hypercoagulation and long-term prophylactic anticoagulation with the addition of antiplatelet therapy (Banasik & Copstead, 2019). It is important to assess the patient for any bleeding because the anticoagulation will result in severe blood lost, which can result in hypovolemic shock.

 

Thoughts? Agree or disagree?