Applying Ethical Principles (Case study: the missing Needle protector) 2025

Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solution . Access the Ethical Case Studies media piece to review the case studies you will be using for this assessment. Select the case most closely related to your area of interest and use it to complete the assessment. Note : The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make. Include the selected case study in your reference list, using proper APA style and format. Refer to the Evidence and APA section of the Writing Center for guidance. Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it. Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge. Identify who is involved or affected by the ethical problem or issue. Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues. Apply the three components outlined in the Ethical Decision-Making Model media. Analyze the factors that contributed to the ethical problem or issue identified in the case study. Describe the factors that contributed to the problem or issue and explain how they contributed. Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case. Discuss the effectiveness of the communication approaches present in a case study. Describe how the health care professional in the case study communicated with others. Assess instances where the professional communicated effectively or ineffectively. Explain which communication approaches should be used and which ones should be avoided. Describe the consequences of using effective and non-effective communication approaches. Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study. Describe the actions taken in response to the ethical dilemma or issue presented in the case study. Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case. Discuss the key lessons this case provides for health care professionals. Apply ethical principles to a possible solution to an ethical problem or issue described in a case study. Describe the proposed solution. Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization. Discuss how likely it is the proposed solution will foster professional collaboration.

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Critiquing Quantitative, Qualitative, or Mixed Methods Studies 2025

Application: Critiquing Quantitative, Qualitative, or Mixed Methods Studies Critiquing the validity and robustness of research featured in journal articles provides a critical foundation for engaging in evidence-based practice. In Weeks 5 and 6, you explored quantitative research designs. In Week 7, you will examine qualitative and mixed methods research designs. For this Assignment, which is due by Day 7 of Week 7 , you critique a quantitative and either a qualitative or a mixed methods research study and compare the types of information obtained in each. To prepare: Select a health topic of interest to you that is relevant to your current area of practice. The topic may be your Course Portfolio Project or a different topic of your choice. Using the Walden Library, locate two articles in scholarly journals that deal with your portfolio topic: ( does hand washing and appropriate staff dressing among the surgical ward nurses reduce cross infection during patient management?) 1) Select one article that utilizes a quantitative research design and 2) select a second article that utilizes either a qualitative OR a mixed methods design. These need to be single studies not systematic or integrative reviews (including meta-analysis and metasynthesis ) . You may use research articles from your reference list. If you cannot find these two types of research on your portfolio topic, you may choose another topic. Locate the following documents in this week’s Learning Resources to access the appropriate templates, which will guide your critique of each article: Critique Template for a Qualitative Study Critique Template for a Quantitative Study Critique Template for a Mixed-Methods Study Consider the fields in the templates as you review the information in each article. Begin to draft a paper in which you analyze the two research approaches as indicated below. Reflect on the overall value of both quantitative and qualitative research. If someone were to say to you, “Qualitative research is not real science,” how would you respond? To complete this Assignment: Complete the two critiques using the appropriate templates (see attached files). Write a 2- to 3-page paper that addresses the following: Contrast the types of information that you gained from examining the two different research approaches in the articles that you selected. Describe the general advantages and disadvantages of the two research approaches featured in the articles. Use examples from the articles for support. Formulate a response to the claim that qualitative research is not real science. Highlight the general insights that both quantitative and qualitative studies can provide to researchers. Support your response with references to the Learning Resources and other credible sources . As you complete this Assignment, remember to: Submit your paper to Grammarly and Turnitin through the Walden Writing Center. Based on the Grammarly and Turnitin reports, revise your paper as necessary. Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The School of Nursing Sample Paper provided at the Walden Writing Center provides an example of those required elements (available from the Walden University website found in this week’s Learning Resources). All papers submitted must use this formatting. Combine all three parts of this assignment into one Word document including both critique templates and the narrative with your references . Submit this combined document. Required Resources . TOTAL OF 6 REFERENCES, MINIMUM OF 3 MUST BE FROM THE LIST PROVIDED BELOW, THE OTHER THREE ARE EXTERNAL. ALL EXTERNAL REFERENCES MUST BE LESS THAN 5 YEARS OLD AND MUST BE SCHOLARLY. Readings Polit, D. F., & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (Laureate Education, Inc., custom ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Chapter 10, “Rigor and Validity in Quantitative Research” This chapter introduces the concept of validity in research and describes the different types of validity that must be addressed. Key threats to validity are also explored. Chapter 11, “Specific Types of Quantitative Research” This chapter focuses on the specific types of quantitative research that can be selected. The focus is on the purpose of the research rather than the research design. These include such approaches as clinical trials, evaluation research, health services and outcomes research, needs assessments, or replication studies. Cantrell, M. A. (2011). Demystifying the research process: Understanding a descriptive comparative research design. Pediatric Nursing, 37 (4), 188–189. Retrieved from the Walden Library databases. (for review) The author of this article discusses the primary aspects of a prominent quantitative research design. The article examines the advantages and disadvantages of the design. Schultz, L. E., Rivers, K. O., & Ratusnik, D. L. (2008). The role of external validity in evidence-based practice for rehabilitation. Rehabilitation Psychology, 53 (3), 294–302. Retrieved from the Walden Library databases. This article details the results of a study that sought to balance concern for rigor with concern for relevance. The authors of the article derive and determine a rating format for relevance and apply it to cognitive rehabilitation. Note: For the Discussion this week, you will need to read the method section of one of the following quasi-experimental studies. Refer to the details provided in the Week 6 Discussion area. Metheny, N. A., Davis-Jackson, J., & Stewart, B. J. (2010). Effectiveness of an aspiration risk-reduction protocol. Nursing Research, 59 (1), 18–25. Retrieved from the Walden Library databases. Padula, C. A., Hughes, C., & Baumhover, L. (2009). Impact of a nurse-driven mobility protocol on functional decline in hospitalized older adults. Journal of Nursing Care Quality, 24 (4) , 325–331. Retrieved from the Walden Library databases. Yuan, S.-C., Chou, M.-C., Hwu, L.-J., Chang, Y.-O,, Hsu, W.-H., & Kuo, H.-W. (2009). An intervention program to promote health-related physical fitness in nurses. Journal of Clinical Nursing, 18 (10) , 1,404–1,411. Retrieved from the Walden Library databases.

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Advanced Coding: Integumentary/Cardiovascular/Sensory 2025

Please answer all questions CORRECTLY, and return back to me. 1. A 38-year-old patient is admitted to the hospital due to a lesion in her right breast, and a painful lump and nipple discharge from the left breast. The physician places a percutaneous needle localization device in the right breast under ultrasound guidance, excises the right breast lesion, and then excises the lactiferous duct fistula in the left breast. What CPT codes should be assigned? A. 19129-RT, 19284-RT, 19122-LT B. 19125-RT, 19285-RT, 19112-LT C. 19127-RT, 19283-RT, 19132-LT D. 19122-RT, 19275-RT, 19142-LT 2. A 92-year-old female patient experiences difficulty hearing in her left ear. She is prescribed a BICROS hearing aid that she can wear behind the ear. What HCPCS code is assigned? A. V5250 B. V5320 C. V5220 D. V5240 3. A 57-year-old patient is admitted to the hospital for a hip arthroscopy procedure. The patient is a normal healthy patient with no systemic disease. What CPT code should be assigned? A. 01612-P1 B. 01402-P1 C. 01202-P1 D. 01312-P1 4. An 80-year-old patient is admitted to the hospital with congestive heart failure. What ICD-10-CM code should be assigned? A. K15.0 B. L50.5 C. K52.9 D. I50.9 5. A 44-year-old female patient comes to the hospital for removal of a 4 cm malignant lesion from the arm. During the course of the procedure, the patient undergoes a 14 sq. cm adjacent tissue transfer from the right leg, as well as a 20 sq. cm split-thickness skin graft from the left arm. What CPT codes are assigned? A. 14021, 15100-51 B. 14045, 15400 C. 14032, 15207 D. 14044, 15350 6. A patient has a breast localization device placed through the skin using stereotactic guidance in order to treat two lesions. What codes would be assigned? A. 19285, 19286 B. 19287, 19288 C. 19283, 19284 D. 19296, 19297 7. A 19-year-old patient is diagnosed with acne vulgaris. The physician performs laser dermabrasion of the facial skin. What codes are assigned? A. L50.5, 0HB1XZZ B. L70.0, 0HD1XZZ C. L70.5, 0HA1XZZ D. L70.6, 0HQ1XZZ 8. Implantation of a patient-activated cardiac event recorder is assigned to code A. 33286. B. 33282. C. 33285. D. 33284. 9. A 27-year-old patient is diagnosed with a chalazion on the upper left eyelid, which is excised using an external approach. What ICD-10 diagnosis and procedure codes are assigned? A. H04.16, 08BQXZZ B. H02.14, 08BTXZZ C. H00.14, 08BPXZZ D. H07.19, 08BRXZZ 10. A 77-year-old patient is diagnosed with an ear infection. She receives an injection of 40 mg of gentamicin sulfate. What HCPCS code should be assigned? A. J1452 B. J1472 C. J1675 D. J1580 11. A patient undergoes a transcanal labyrinthectomy. What code would be assigned? A. 69930 B. 69915 C. 69955 D. 69905 12. A 92-year-old patient is diagnosed with senile cataracts and bilateral sensorineural hearing loss. The physician performs a bilateral cataract extraction. What ICD-10 codes are reported? A. H27.9, H90.3, 08KJ3ZZ, 08MK3ZZ B. H26.9, H90.3, 08EJ3ZZ, 08LK3ZZ C. H25.9, H90.3, 08DJ3ZZ, 08DK3ZZ D. H21.9, H90.3, 08PJ3ZZ, 08NK3ZZ 13. Mr. Oliver is an elderly gentleman who has been having problems with his vision for the previous three weeks. He is diagnosed with keratoconus, as well as hypertension with stage III chronic kidney disease, and diabetes mellitus, for which he takes long-term insulin. The anesthesiologist provided general anesthesia for this patient with severe systemic disease. After the administration of anesthesia, the surgeon performs an endothelial keratoplasty. Prior to performing the endothelial keratoplasty, the surgeon performs backbench preparation of the allograft. Code this scenario (including the anesthesiology service). A. 65756, 65757, 00144-P3; H18.609, E11.65, R46.89, Z79.4 B. 65754, 65727, 00134-P1; H18.609, E11.40, I12.9, N18.4, Z79.899 C. 65756, 65757, 00144-P3; H18.609, E11.9, I12.9, N18.3, Z79.4 D. 65757, 65787, 00142-P2; H18.229, E11.51, I12.0, N18.9 14. A 47-year-old female patient is seen for a worrisome lesion on the back of her hand. What ICD-10-CM code should be assigned? A. L94.9 B. L98.9 C. L91.5 D. L97.4 15. Breast reconstruction with transverse rectus with a TRAM flap would be assigned to code A. 19370. B. 19342. C. 19369. D. 19316. 16. Ms. Nelson comes to the emergency room due to sustaining multiple lacerations after being pushed into a glass door during a physical altercation with her husband at a hotel. She sustained a 5 cm laceration on her right hand and a 7 cm cut on her neck. She also has a 5.0 benign lesion removed from her left arm. The physician performs a simple repair on the lacerations on her hand and neck. Code this scenario. A. 11443, 12008-59; S61.209A, S31.652A, Y04.0XXA, W45.8XXA, V97.29XA B. 11422, 12007-59; S51.809A, S61.351A, W86.8XXA, Y04.0XXA C. 11409, 12005-59; S58.119A, S11.22XA, X19.XXXA, V95.13XA D. 11406, 12004-59; S61.401A, S11.90XA, Y04.0XXA, W45.8XXA, Y92.29 17. Biopsy of the lacrimal gland is assigned to code A. 68520. B. 68811. C. 68815. D. 68510. 18. A patient comes to the emergency room complaining of lightheadedness and difficulty hearing. The physician examines her and determines that she has Ménière’s disease. The physician performs an endolymphatic sac decompression (excision of the right inner ear using an open approach). What ICD-10 diagnosis and procedure codes are assigned? A. H81.03, 09BF0ZZ B. H83.03, 09BK0ZZ C. H81.03, 09BD0ZZ D. H82.03, 09BG0ZZ 19. A physician performs a biopsy of the cornea. What code should be assigned? A. 65420 B. 65410 C. 65419 D. 65415 20. Injection of contrast medium for dacryocystography is assigned to code A. 68853. B. 68854. C. 68850. D. 68851.

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Journal Entry 2025

Journal 1 Entry Reflect on a patient who is beyond 20 weeks gestation and presented with a health problem that commonly arises during pregnancy. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. Then, explain the implications of the patient’s health problem. If you did not have an opportunity to evaluate a patient with this background during the last eight weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences. (Health Problem: Alcohol Consumption ) Journal 2 Entry Reflect on a patient who presented with postpartum depression during your Practicum Experience. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. Then, explain the implications of the patient’s postpartum depression, including how this might impact the entire family unit. If you did not have an opportunity to evaluate a patient with this background during the last nine weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences. Journal 3 Entry Reflect on a patient who presented with a cardiovascular, neurologic, respiratory, or gastrointestinal disorder during your Practicum Experience. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. Then, explain how the patient’s gender might have impacted or influenced her care. If you did not have an opportunity to evaluate a patient with this background during the last 10 weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences. (Health Problem: Hyperlipidemia ) Reference Schuiling, K. D., & Likis, F. E. (2017). Women’s gynecologic health (3rd ed.). Burlington, MA: Jones and Bartlett Publishers. Tharpe, N. L., Farley, C., & Jordan, R. G. (2017). Clinical practice guidelines for midwifery & women’s health (5th ed.). Burlington, MA: Jones & Bartlett Publishers. And any other. Requirement : One and half page each

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