You are the parent of two teenagers and an active PTA member at their school. The principal approached you about an upcoming professional gathering for middle- and high-school nurses in your district. She asked you to make a short presentation on school health privacy and how it can affect nurse-student care within the teen population, where personal health issues and privacy concerns often collide.

Preparation

Research and gather information about the issues facing school nurses in your state of licensure, as well as state and federal privacy laws that govern your school health privacy information. You will also need to learn about the legal limitations and responsibilities of the school nurse.

Directions

Create a 6–8-slide PowerPoint presentation that examines the privacy issues unique to nurses serving the high-school age population. Address the following:

• Describe the types of health and wellness issues that can affect adolescents in their high-school years. Be sure you think beyond the usual things and really research the types of issues that are affecting young people today.
• Explain how privacy laws can impact the school nurse in regard to patient safety and health outcomes for adolescents.
• Explain how privacy laws benefit the student, the school, and the school nurse.
• Recommend two specific evidence-based ethical strategies regarding health and wellness privacy communications in a school environment.

Use the notes section of each slide to expand your points and cite your supporting evidence. Also, include a title slide and a reference slide that lists the resources you used in this assessment.

Be creative. Consider your intended audience.

Additional Requirements

Your presentation should meet the following requirements:

• Written communication: Written communication should be free of errors that detract from the overall message.
• References: Include a reference slide with a minimum of three references; a majority of these should be peer-reviewed sources. All resources should have been published within the last 5 years.
• APA format: Resources and citations should be formatted according to current APA style and formatting.
• Length: 6–8 slides.

Professional Development Exercises :

• Describe the kinds of evidence that a plaintiff can present in order to establish a negligent act. What defenses can a defendant present in order to refute a plaintiff’s evidence?
• How do statutes of limitations protect professional nurse-defendants? Do they also protect the injured parties?
• What can staff nurses do to protect patients from quasi-intentional torts? Does this differ from the nurse manager’s role in preventing quasi-intentional torts?
• Read the case study presented at the end of Chapter 5 (Guido, p. 67). 
  • Does the failure to document an admission nursing assessment equate with the fact that this nurse did no admission nursing assessment?
  • What might the patient’s attorney further allege in his supplemental report?
  • How would one decide the standard of care for this patient?
  • How would you decide the outcome of this case?
• Read the case study presented at the end of Chapter 6 (Guido, p. 96) 
  • Was there negligence in this case and who should be liable for the negligence?
  • What type of damages should be assessed and how would you begin to determine the amount to assess?
  • Given that there were multiple individuals involved in this case as well as the institution that employed these individuals, how would you determine the percentage of liability for the multiple defendants, assuming that more than one defendant should be assessed with damages?
  • How would you decide this case?
• Read the case study presented at the end of Chapter 7(Guido, p. 115) 
  • Were there damages that should be paid to this patient for negligence?
  • Who should be the individuals responsible for these damages? For example, is the surgeon the individual most liable for the damages owed to the patient?
  • Should the Bovie manufacturer also have been included in the lawsuit?
  • Are there any defenses that the defendants could cite that would mitigate their liability to this patient?
  • How should the court decide the damage awards in this instance?

Please combine all of these responses into a single Microsoft Word document for submission
Please submit only complete assignments (not partial or “draft” assignments).
Submit only the assignments corresponding to the module in this section.
You are required 750  word count for each of the responses, but please be thorough in your responses so that you adequately address all aspects of each question.

Mr. James is a 62 year old male in a primary care practice being seen for a health maintenance visit (last visit was over 10 years ago).  His only complaint of note is fatigue but generally feels well.  He denies any limitations in “doing the things I like to do”, including yard work and fishing.  He works full time as a supervisor for a commercial construction company.  He is married and has 2 daughters.  His oldest daughter is expecting their first grandchild.

He has a history of “recreational” IV drug use when he was in his early 20s while he was in the military.  Denies any drug use since that time.  He indicates “minimal” alcohol use – generally no more than 2-3 beers or glasses of wine a week.  He has no chronic illnesses and does not take any medicines on a regular basis.  

Physical exam:

Vitals: 38.1-97-18-183/139

Normocephalic.  Alert & Oriented x3.  

Eyes: PERL. No nystagmus, no icterus.

Neck: Supple, no cervical lymphadenopathy 

Cardiovascular: Normal Rate and rhythm. No murmur, gallops. 2+/4+ radial, brachial, dorsalis pedis pulses bilaterally. No jugular venous distension.  No edema.

Pulmonary: Lungs are clear. No dyspnea or orthopnea.

Abdomen: Soft and nontender, active bowel sounds. No liver enlargement; abdomen flat. No striae.  

Skin: Warm and dry; no rashes.  Multiple tattoos on both arms.

Rectal exam: Stool is brown, no rectal masses.  

Lab results:

CBC:  WBC 9,000; RBC 5.10; Hemoglobin 15.3 g/dL Hematocrit 46%; MCV 90; Platelets 152,000.

Electrolyte Panel:  Sodium  136 mEq/L; Potassium 3.7 mEq/L; Creatinine 1.1 mg/dL; BUN 12 mg/dL;  Glucose 115mg/dL

Alanine aminotransferase (ALT) 36

Aspartate aminotransferase (AST) 50

Bilirubin (total) 0.9 mg/dL

Hepatitis A IgM negative; IgG positive

Hepatitis B surface antigen negative; surface antibody positive; core antibody negative

Hepatitis C (HCV) antibody reactive (positive), Hepatitis C RNA positive with an undetectable viral load.  

APA Format

Information is presented in a scholarly manner (clear, grammatically correct) and reflects synthesis of information from sources.  APA format is correctly used for citations and references. Submission follows assignment guidelines; does not exceed page limit (6 pages, excluding title and reference pages). (15 pts)

UTA Title page (5 pts)

Respond to the following questions regarding the Case Study

1. The clinical scenario is most consistent with which type of hepatitis? Please list your answer below using a bullet point format.  This does not have to be in a complete sentence.  A citation is not required. (10 pts)

2. What specific data in the clinical scenario supports your diagnosis? You may list your answers below using bullet point format.  This does not have to be in a complete sentence. A citation is not required. (10 pts)

3. What is the most likely cause of this patient’s diagnosis you noted in Question 1? You may list your answer below using a bullet point format. This does not have to be in a complete sentence.  A citation is not required. (10 pts)

4. Describe key pathophysiologic concepts that relate to the diagnosis in question 1. To answer this question completely, you must answer all of the sub-questions below using complete sentences. Each sub-question may be answered in 1-6 sentences.  ***Citations are required for each answer to each question using APA format.  You MAY NOT use direct quotes.

a. How does Hepatitis lead to an increased risk of hepatocellular carcinoma?  Describe how the virus affects the hepatocytes and may lead to cancer.  ( 10 pts)

b. How does Hepatitis lead to cirrhosis of the liver?  Describe the pathologic steps of how cirrhosis develops and how cellular changes can lead to liver failure.  ( 10 pts)

c.  One of the negative sequela of liver failure is increased bleeding.  Why do individuals with liver failure experience potentially life threatening bleeding?  Describe how liver failure leads to coagulopathy. ( 10 pts)

d.  Portal hypertension is also a negative sequela of liver failure.   Describe how liver failure leads to portal hypertension AND how portal hypertension manifests.  (10 pts)

5. Mr. James is concerned that he will transmit the virus to his new granddaughter after she is born.

What is the likelihood of transmitting the virus to his granddaughter?  Provide a single sentence that includes your rationale.  A citation is not required.  (10 pts)

Please write a response to the following discussion in one or two paragraphs, the response requires one reference form peer-reviewed nursing journal not older than 5 years (from database not the internet).

 

The health literacy issues among the vulnerable are many time lows. Patients within these populations are struggling to provide basic care and necessities for themselves and their families. Many times their health status is left on the ‘back burner’ and they may not understand how everyday lifestyle choices affect their health.

Practices that nurses can employ to facilitate a healthy lifestyle for these vulnerable populations are providing generic care that can be defined culturally, according to De Chesnay. Another practice of nurses should be bridging a gap between the patient’s care and education.  It is important to educate the patient to their health or better understanding and improve compliance to treatments. This is an important practice for nurses to employ with patients, especially of vulnerable populations because patients are more likely to manage their conditions and use preventative services. Informed patients are better equipped to make more conscious decisions about their health regardless of their vulnerability in life. Knowledge and educating patients is truly important.