NURSING

Formulate a PICOT statement for your capstone project.A PICOT starts with a designated patient population in a particular  clinical area and identifies clinical problems or issues that arise  from clinical care. The intervention should be an independent,  specified nursing change intervention. The intervention cannot require  a provider prescription. Include a comparison to a patient population  not currently receiving the intervention, and specify the time frame  needed to implement the change process.Formulate a PICOT statement using the PICOT format provided in the  assigned readings. The PICOT statement will provide a framework for  your capstone project.
In a paper of 500-750 words, clearly identify the clinical problem  and how it can result in a positive patient outcome.Make sure to address the following on the PICOT statement:

1. Evidence-Based Solution
2. Nursing Intervention
3. Patient Care
4. Health Care Agency
5. Nursing   Practice

Use a minimum of 3 scholarly references and prepare this assignment according to APA guidelines. No Plagiarism   

  

                                      Discussion: Treating Childhood Abuse

In 2012, statistics in the United States indicated that state CPS agencies received 3.4 million referrals for child abuse and neglect. Of these, nearly 700,000 children were found to be victims of maltreatment: 18% were victims of physical abuse and 78% were victims of neglect (CDC, 2014). Child sexual abuse makes up roughly 10% of child maltreatment cases in the United States (CDC, 2014). The CDC considers sexual abuse at any age a form of violence. Child abuse of any kind can lead to an increased state of inflammatory markers in adulthood, as well as multiple physical illnesses and high-risk behavior such as alcoholism and drug abuse. If a PMHNP identifies child abuse, there may be a need to report the abuse to authorities. Once able to provide treatment, the PMHNP can be instrumental in reducing the long-term effects of child abuse.

In this Discussion, you recommend strategies for assessing for abuse and analyze influences of media and social media on mental health. You also evaluate the need for mandatory reporting of abuse.

                                                                             Assignment

· What strategies would you employ to assess the patient (Child) for abuse?   

   Explain why you selected these strategies.

· How might exposure to the media and/or social media affect the patient?

· What type of mandatory reporting (if any) is required in this case? Why?

PLEASE, INCLUDE INTRODUCTION, CONCLUSION, 3 OR MORE REFERENCES LESS THAN 5 YEARS OLD, AND ANSWER ALL THE QUESTIONS AS INSTRUCTED.

                                                            Learning Resources

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

• Chapter 31, “Child Psychiatry” (pp. 1216–1226)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

• “Trauma- and      Stressor-related Disorders”

Pfefferbaum, B., & Shaw, J. A. (2013). Practice parameter on disaster preparedness. Journal of the American Academy of Child & Adolescent Psychiatry, 52(11), 1224–1238. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00550-9/pdf 

American Psychiatric Nurses Association. (2017). Childhood and adolescent trauma. Retrieved from http://www.apna.org/i4a/pages/index.cfm?pageID=4545

Document: Childhood Abuse Case Study (PDF). REVIEW THE ATTACHED DOCUMENT

Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press. 

To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.

                                                  Optional Resources

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Hoboken, NJ: Wiley Blackwell. 

• Chapter 50, “Provision of      Intensive Treatment: Intensive Outreach, Day Units, and In-Patient Units”      (pp. 648–664)
• Chapter 58, “Disorders of      Attachment and Social Engagement Related to Deprivation” (pp. 795–805)
• Chapter 59, “Post Traumatic      Stress Disorder” (pp. 806–821)
• Chapter 64, “Suicidal Behavior and Self-Harm”      (pp. 893–912)

1. Which of the following behaviors may be: (1) ethical but illegal, (2) legal but unethical, (3) illegal and unethical, and (4) legal and ethical.     

a) Working in a clinic that performs abortions.     

b) Respecting the wishes of a client suffering from ALS that he be permitted to die with dignity and not placed on “breathing machines”    

c) Respecting the health surrogate’s wishes regarding termination of life support of her friend.     

d) Observing a coworker take out two tablets of oxycodone as ordered for pain management for his patient but keeping one for himself, administering only one tablet to the patient.        

2. Differentiate among the following: deontological theories, utilitarianism, and principlism.     

3. What do you think about health-care professionals disclosing information to clients about a poor prognosis, even though the information may cause severe distress.    

4. What do they think about health-care professionals disclosing information to clients against family wishes?      

5. You see a colleague use another nurse’s password to access the medication administration system and take out a narcotic. What would you do?     

6. Your colleague’s child fell and was brought to the emergency department. She comes back up to the unit and tells you that they cleaned and debrided the wound, and she needs to change the dressings twice a day using a wet to dry method. You see her go into the supply system and remove the dressings and saline using a patient’s identification number. What would you do?    

7. You are caring for a patient who has a terminal disease. He asks you if he is dying. Would you tell him? If yes, how? If no, what might you say? .     

8. You are administering hydromorphone to a patient. The patient asks you what you are administering. Would you tell the patient about the medication?     

Essentials of Nursing Leadership & Management 6th Edition  Sally A. Weiss  MSN, EdD, RN, CNE, ANEF   Ruth M. Tappen  EdD, RN, FAAN    ISBN-13: 978-0-8036-3663-7

  

Discussion Topic/ The Patient Protection and Affordable Care Act (PPACA) was passed… 

This is a discussion post, ABOUT 250 WORDS, tittle page not require In- text citation is required original work please,  scholarly references are required for this assignment, website source strongly preferred.

 

QUESTION 1

The Patient Protection and Affordable Care Act (PPACA) was passed into legislation in March of 2010. Identify the impact of this legislation on your nursing practice by choosing two key nursing provisions outlined in the topic material “Nursing and Health Reform.” Discuss how these two provisions have impacted, or will impact, your current practice of nursing.

 

Read the Case Law and answer the questions.

Instructions:

1. Read the Case Law – Werth vs. Taylor (See Below)
2. Then, answer the questions below.
   1. Did this case turn out the way you thought it would? Why or why not?
   2. How could Cindy have assured herself that she would not receive any blood no matter what happened?
   3. Would it have made any difference in the outcome of the case if the anesthesiologist had interviewed Cindy before the procedure and told her that her life could be in danger if she refused blood during both procedures?
   4. What kind of consent is it when there is an emergency situation and the physician/healthcare worker needs to act or the patient may lose their life?
3. Your paper should be:
   • One (1) page
   • Typed according to APA style for margins, formatting and spacing standards
   • Typed into a Microsoft Word document, save the file, and then upload the file
   • CASE LAW
   • Case Law Werth vs. Taylor 475 N.W.2d 426, 427 (Mich. Ct. App. 1991) Cindy Werth was expecting twins. Because she was a Jehovah’s Witness and had a firm belief in the religion’s teaching “that it is a sin to receive blood transfusions”, Cindy signed a “Refusal to Permit Blood Transfusions” form as part of her hospital preregistration. After delivery, Cindy had complications and was experiencing uterine bleeding. She was advised to undergo a dilatation and curettage and agreed. Again, she discussed her refusal to allow a blood transfusion with her obstetrician/gynecologist (OB/Gyn). After being placed under anesthesia and despite the specialist’s efforts during surgery, Cindy continued to bleed and was experiencing, among other things, premature ventricular activity and a significant decrease in blood pressure. The anesthesiologist (Dr. Michael Taylor) determined that Cindy needed a blood transfusion to sustain her life. Cindy’s OB/Gyn expressed Cindy’s refusal of blood transfusions, but the anesthesiologist proceeded anyway stating that it was medically necessary. The Werth’s filed a malpractice suit, alleging that Dr. Taylor committed battery by performing the transfusion without Cindy’s consent. Dr. Taylor moved for a summary disposition “because Cindy’s refusal was not conscious, competent, contemporaneous and fully informed.” The trial court found that Cindy’s refusals of a transfusion were made when she contemplated “merely routine elective surgery” and not life-threatening circumstances, and that, “it could not be said that she made the decision to refuse a blood transfusion while in a competent state and while fully aware that death would result from such refusal.” The record apparently reflected “the unexpected development of a medical emergency requiring blood transfusion to prevent death or serious compromise of the patient’s wellbeing.”