Please, write a two paragraph discussion on the following topic by using two references:

One from peer-reviewed Nursing Journal not older than 5 years.

second from course text book:

APA  

ISBN:

9781455740710I or

ISBN: 9780323389662 (6th ed) 

Huber, D. (2010). Leadership and Nursing Care Management (5th 

ed.). Missouri: Saunders Elsevier.format required.

 Select a regulatory body (or organization) that impacts change in health care and discuss the role of nursing in the regulatory body. 

 

Bioethics Case Study

1.  Bioethics Case Study: This assignment asks you to examine a current ethical controversy case study. The paper should be in APA  style, and does not need an abstract or cover page. With a minimum of two pages and a maximum of four pages A reference page is needed. In-text citations should be in APA format. Papers will be graded on a 0 to 25-point scale.

Case Study in Primary care:

One hypothetical case study involves Jim a 54, year old patient who has recently diagnose with hypertension and his Creatinine and BUN laboratory results are elevated, if left untreated, will result in kidney failure. The patient refuses to take the medication because he said it will affect his sex life The Nurse Practitioner must work with the patient to respect the fact that he doesn’t want the medication (autonomy), and needs to find a solution that would prevent him from going into kidney failure and other complications, which is in his best interest (beneficence). Although medications are the best choice, forcing the patient to accept the medication will result in probably patient leaving the care (non-maleficence). Finally, the NP needs to consider the impact that the patient’s choices might have on others if he starts to go into preventable kidney failure, he’ll need dialysis, which affects other people who need the same treatment (justice). So before making the final decision the NP must consider all four principles of health care ethics, which will help the NP make the choice that will have the best possible benefits for both the patient and society.

Questions?

1. What are the skills necessary for the provider to identify, address, and assess this clinical ethical issue?
2. What are the provider’s obligations when a patient discloses does he not intent to follow the treatment?
3. What are the ethical considerations in evaluating a patient’s failure to adhere to a prescribed therapy?
4. Will you terminate care for this patient? What are the implications?

Case Study Rubric

Criterion

Outstanding  (25)

Very Good  (22)

   Average (18)

Unacceptable (15)

Score

Completeness

Complete in all respects; reflects all requirements

Complete in most respects; reflects most requirements

Incomplete many respects; reflects few requirements

Incomplete in most respects; does not reflect requirements

Understanding

Demonstrates excellent understanding of the topic(s) and issue(s)

Demonstrates an accomplished understanding of the topic(s) and issue(s)

Demonstrates an acceptable understanding of the topic(s) and issue(s)

Demonstrates an inadequate understanding of the topic(s) and issue(s)

Analysis

Presents an insightful and through analysis  of the issue (s) identified

Presents a thorough analysis of most of the issue(s) identified

Presents a superficial analysis of some of the issue(s) identified

Presents an incomplete analysis of the issue(s) identified.

Evaluation

Makes appropriate and powerful connections between the issue(s) identified and the concept(s) studied

Makes appropriate connections between the issue(s) identified and the concept(s) studied

Makes appropriate but somewhat vague connections between the issue(s) identified and the concept(s) studied

Makes little or no connection between the issue(s) identified and the concept(s) studied.

Opinion

Supports opinion with strong arguments and evidence; presents a balanced and critical view; interpretation is both reasonable and objective

Supports opinion with reasons and evidence; presents a fairly balanced view; interpretation is both reasonable and objective

Supports opinion with limited reasons and evidence; presents a somewhat one-sided argument

Supports opinion with few reasons and little evidence; argument is one-sided and not objective.

Recommendations

Presents detailed, realistic, and appropriate recommendations clearly supported by the information presented and concepts studied

Presents specific, realistic and appropriate recommendation supported by the information presented and the concepts studied

Presents realistic or appropriate recommendation supported by the information presented and the concepts studied

Presents realistic or appropriate recommendation with little, if any, support from the information and the concepts studied.

Grammar and Spelling

Minimal spelling and grammar errors

Some spelling and grammar errors

Noticeable spelling and grammar errors

Unacceptable number of spelling and grammar errors

APA guidelines

Uses APA guidelines accurately and consistently to cite sources

Uses APA guidelines with minor violations to cite sources

Reflects incomplete knowledge of APA guidelines

Does not use APA guidelines

            Total

Due  tonight  ifpossible.

120-150 words 

No plagarism

Source the work 

Please & thank you 

1.  

What role does strategic planning play in the administration of a health care facility? Why is it important?

 

2. 

How important is it to measure goals and assess the success in meeting goals?

3. 

What roles of stakeholders should be involved in a strategic planning process? Why is their involvement important to the process?

4.  

How might the messages communicated about a strategic plan be different to the various stakeholders?  What information might be shared with the board of directors versus a department manager?

5. 

Strategic Planning Web Research

Research the following using your web browser.

• Strategic planning in health care organizations videos
• Strategic planning in health care organizations articles

Discuss your thoughts with the class.

6.

“Practical Techniques for Strategic Planning in Health Care Organizations”

Read “Practical Techniques for Strategic Planning in Health Care Organizations” in this week’s Electronic Reserve Readings.

(Attached below)

https://search-proquest-com.contentproxy.phoenix.edu/docview/200075902/fulltextPDF/215EFDADFFBA42B8PQ/1?accountid=35812

Week 8 Assignment 2

Application: The Pathophysiology of Disorders

During the last 5 weeks, you have explored various body systems: neurological, cardiovascular, respiratory, and hematological. These four systems work together along with other body systems to complete a myriad of functions. For this reason, when disorders occur within one body system, it can create potentially devastating effects throughout the entire body. For instance, Parkinson’s disease is a disorder of the central nervous system, yet its alterations actually affect multiple body systems from the cardiovascular system to the gastrointestinal system. In this Assignment, you examine alterations associated with disorders, as well as the impact of the alterations on multiple body systems. 

To prepare:

• From the list below, select a disorder of interest to you: 
  • Alzheimer’s disease
  • Asthma in children
  • Chronic obstructive pulmonary disease (COPD)
  • Congestive heart failure
  • Hepatic disease (liver disease)
  • Hypertension 
  • Hyperthyroidism and hypothyroidism
  • Seizures
  • Sepsis

• Identify alterations associated with your selected disorder. Consider the pathophysiology of the alterations. Think about how these alterations produce pathophysiological changes in at least two body systems. 
• Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as the diagnosis and treatment of your selected disorder.  
• Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology and clinical presentation of your selected disorder.

To complete:

Develop a 5- to 10-slide PowerPoint presentation that addresses the following:

• Describe your selected disorder, as well as associated alterations. Explain the pathophysiology of the alterations, including changes that occur in at least two body systems.
• Explain how genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as diagnosis and treatment of your selected disorder.
• Construct a mind map for the disorder you selected. Include the epidemiology, pathophysiology of alterations, risk factors, and clinical presentation, as well as the diagnosis and treatment of the disorder.

“Professional Roles and Responsibilities”

Family nurse practitioners (FNPs) are graduate-educated, nationally-certified and state licensed advanced practice registered nurses (APRNs) who care for medically stable patients across the lifespan, from infants to geriatric patients. 

Share your thoughts

1. What are the educational requirements to practice as a FNP?
2. According to the American Association of Colleges of Nursing (AACN), what is the recommended terminal degree to prepare nurse practitioners. 
3. Who determines the scope of practice for FNPs?
4. Who defines it? Who Credentials and what is the role of a Professional and Political Organization in defining the role? 
5. See rubric

Discussion 3

Much of the ongoing debate over scope-of-practice (SoP) laws that govern the practice of nurse practitioners (NPs) across the country focuses on the cost of and access to health care and on whether these laws legitimately promote patient safety or are simply anticompetitive restrictions on NPs’ ability to compete with physicians. After completing the following CE activity at Medscape https://www.medscape.org/viewarticle/506277_1 ( sign for the free account), please answer the following questions:

Should an NP who is educationally prepared as an acute care NP work in an adult primary care setting? 

Is it within the scope for an FNP to diagnose and treat uncomplicated mental health conditions like depression, anxiety, and ADHD?

Are there any restrictions for the FNP to treat patients with mood disorders and to prescribe them antipsychotics or SSRIs ?

Discussion 4:

CS/SB 614 authorizes  an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.

ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:

 Presigning blank prescription forms.

 Prescribing a Schedule II for office use.

 Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.

 Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.

 Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.

 Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.

 Prescribing, dispensing, or administering a controlled substance to himself or herself.

 Prescribing, dispensing, or administering laetrile.

 Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.

 Promoting or advertising controlled substances.

After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/

Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations?