For this discussion, you will define the nurse’s scope of practice as described by the ANA. You will also define the nurse’s scope of practice in California. Next, you will explain a clinical scenario that demonstrates how you have applied this scope of practice successfully (from start to finish – a complete example). Finally, you will explain why all nurses should have a functional knowledge of their own nurse practice act. 

 Please organize your discussion board as follows:

Paragraph 1: Introduce your discussion board with a general statement about the  discussion board, then a purpose statement. A purpose statement starts with: The purpose  of this posting is to discuss . . . . then the key elements of what you are going to discuss.  This paragraph should define the nurse’s scope of practice as defined by the American Nurses Association.  This will cover the objective of: Define the nurse’s scope of practice as defined by the  American Nurses Association.

Paragraph 2: You will also define the nurse’s scope of practice in your own state.( My state is California) This will  vary between states.  This will cover the objective of: Define the nurse’s scope of practice as defined by that  nurse’s own state’s nursing law.

Paragraph 3: Next, you will explain a clinical scenario that demonstrates how you have  applied this scope of practice successfully (from start to finish complete example).  Finally, you will explain why all nurses should have a functional knowledge of their own  nurse practice act. End the paragraph with a conclusion sentence or two that summarizes  your thoughts.

must contain minimum of two (2) references, in addition to examples from your personal experiences to augment the topic.  No direct quotes are allowed in the discussion board posts. 

Minimum of two (2) total references: one (1 )from ANA Nursing Scope and Standards of Practice 3rd Edition ISBN 13:878-1-55810-619-2 and one (1) from peer-reviewed references.

 Minimum 200 words excluding references (approximately one 1 page)

 Case Study Chapter 5 

100 words

Transcultural Nursing in the Community Community health clients belong to a variety of cultural groups. To gain acceptance, nurses must strive to introduce improved health practices that are presented in a manner consistent with clients’ cultural values. The student nurse is going to visit two different homes with the community health nurse with different cultural beliefs. 1. In preparation for the student nurse’s visits to two different homes, what five transcultural principles will assist in guiding community health nursing practice in these settings? 2. During the first visit, the student nurse has to conduct a cultural assessment by questioning the patient and observing the family dynamics. The community health nurse has requested that the student nurse assess for appropriate information in six major areas. What six major areas should the student nurse consider? 3. After the conclusion of the first visit, the community health nurse cautions the student nurse to be consciously aware of any ethnocentrism attitudes toward other cultures and the importance of cultural diversity. What is ethnocentrism and why is it so important to be conscious of cultural diversity? 

 

In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

  

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Assignment:Now you try it!!  Develop your own SWOT for the following:HCA was founded in 1968, in Nashville, Tennessee by Dr. Thomas F. Frist, Sr., Jack C. Masseyand Dr. Thomas F. Frist, Jr.. Frist Sr. is the father of former U.S. Senate majorityleader Bill Frist. Milton Johnson is the CEOof HCA.The first hospital that HCA owned was Park View Hospital, near downtown Nashville.[3]The small group of founders worked out of a small house not far from Park View for the first few years of operation.[4]In 1969, HCA conducted its first Initial Public Offering (IPO) on the New York Stock Exchange(NYSE).[3]As HCA grew, the small house that served as office space for the company no longer provided enough space. In 1972, the company built a new office to house corporate operations behind Centennial Parkin Nashville.[5]Parkview Hospital circa 1968Growth & mergerDuring the 1970s and 1980s the corporation went through a tremendous growth period acquiring hundreds of hospitals across the United States which numbered 255 owned and 208 which HCA managed.In 1988, the hospital operator was acquired for $5.3billion in a management buyoutled by Chairman Thomas F. Frist, Jr.[6]and completed a successful initial public offeringin the 1990s. In 1993 HCA merged with Louisville-based Columbia Hospital Corporation to form Columbia/HCA. In April 1998, Birmingham, Alabama-based HealthSouth Corporationannounced it was acquiring the majority of HCA’s surgical division.Fraud & investigationIn 1997, the company was part of a fraud investigation initiated by a number of governmental departments in the United States. Later that year, Rick Scottresigned as Chairman. He later became the 45th and current Governor of Florida. The case was settled in 2002 at a reported cost of $2 billion to HCA. This made it the largest fraud settlement in US history.

On March 19, 1997, investigators from the FBI, the Internal Revenue Serviceand the Department of Health and Human Services served search warrants at Columbia/HCA facilities in El Paso and on dozens of doctors with suspected ties to the company.[7]Following the raids, the Columbia/HCA board of directors forced Rick Scottto resign as chairman and CEO.[8]He was paid a settlement of $9.88 million and left with 10 million shares of stock worth over $350 million, mostly from his initial investment.[9][10]In 1999, Columbia/HCA changed its name back to HCA, Inc. HCA also admitted fraudulently billing Medicare and other health programs by inflating the seriousness of diagnoses and to giving doctors partnerships in company hospitals as a kickbackfor the doctors referring patients to HCA. They filed false cost reports, fraudulently billing Medicare for home health care workers, and paid kickbacks in the sale of home health agencies and to doctors to refer patients. In addition, they gave doctors “loans” never intended to be repaid, free rent, free office furniture, and free drugs from hospital pharmacies.[11][12]After Scott stepped down, Frist Jr. returned as chairman and CEO. He called on longtime friend and colleague Jack O. Bovender, Jr.to help him turn the company around. Frist and Bovender, who became CEO in 2001, pulled off what Fortunemagazine called a remarkable corporate rescue.[13]In settlements reached in 2000 and 2002, Columbia/HCA pleaded guilty to 14 felonies. They admitted systematically overcharging the government by claiming marketing costs as reimbursable, striking illegal deals with home care agencies, and filing false data about use of hospital space.Corporate office in 1972In late 2002, HCA agreed to pay the U.S. government $631 million, plus interest, and pay $17.5 million to state Medicaid agencies, in addition to $250 million paid up tothat point to resolve outstanding Medicare expense claims.[14]In all, civil lawsuits cost HCA more than $2 billion to settle, by far the largest fraud settlement in US history.[15]The name subsequently reverted to “Hospital Corporation of America.” HCA abandoned the use of its name in its home market and instead promotes its Nashville hospitals under the TriStar brand.On July 1, 2005, Senator Frist sold all of his HCA shares two weeks before disappointing earnings sent the stock on a 9-point plunge. Frist claimed that he sold his shares to avoid the appearance of a conflict of interest if he ran for president. Other executives sold their stock at the same time. Shareholders sued HCA, alleging that the company made false claims about its profits to drive up the price, which then fell when the company reported disappointing financial results. Eleven of HCA’s senior officers were sued for accounting fraud and insider trading. [16]HCA settled the lawsuit in August 2007, agreeing to pay $20million to the shareholders.[17]

Recent historyIn 2006, Kohlberg Kravis Robertsand Bain Capital, together with Merrill Lynchand the Frist family (which had founded the company) completed a $31.6billion acquisition of the hospital company, making the company privately held again 17 years after it had first been taken private in a management buyout. At the time of its announcement, the HCA buyout was the first of several to set new records for the largest, eclipsing the 1989 buyout of RJR Nabisco. It would later be surpassed by the buyouts of Equity Office Propertiesand TXU.[18]On Friday May 7, 2010, HCA announced that the corporation would once again go public with an expected $4.6-billion IPO.As of 2012, HCA operated 162 hospitals and 113 freestanding surgery centers located in 20 U.S. states and London.[2]The London sites include The Harley Street Clinic, The Lister Hospital, London Bridge Hospital, The Portland Hospital for Women and Children, The Princess Grace Hospitaland The Wellington Hospital. In July 2007, HCA sold its hospitals in Switzerland.[19]The Princess Grace Hospitalspecializes in breast cancer and surgery, aided by Professor Kefah Mokbeland Dr. Nick Perry who, in 2005, founded The London Breast Institute.HCA Holdings Inc. (HCA:US), the biggest for-profit U.S. hospital chain by patient volume, raised its 2014 earnings forecast and said it would announce second-quarter earnings that are higher than analyst estimates. HCA expects 2014 earnings excluding certain items of $4 to $4.25 per share, compared with a previous forecast of $3.45 to $3.75 per share, the Nashville, Tennessee-based company said in a statement today. Second-quarter profit excluding some items will be $1.07 per share, compared with 92 cents average estimate of 21 analysts surveyed by Bloomberg. The results “exceeded our internal expectations, both in terms of our core operations and healthcare reform,” said Milton Johnson, HCA’s chief executive officer, in a statement. HCA is scheduled to release its full second-quarter results on July 29. HCA expects second-quarter net income of $904 million, 12 percent above a year earlier, according to its statement. HCA shares (HCA:US)rose 10 percent to $60.99 at 4 p.m. New York time, the most since 2012. HCA Corporation SWOT 

analysis:

Strengths:

Weaknesses:

Opportunities:

Threats:

 

 

 APA essay and PowerPoint due April 8th(8am central standard time). Topic is Medical Nutrition and Therapeutic Diets. The paper should be minimum  5 pages in length (including the title page and reference page) and PowerPoint presentation (minimum 10 slides) Reference should include Foundation of nursing Book 8th edition Cooper and Gosnell and other choices. Please include pictures in presentation for creativity. Please include pictures for creativity in the powerpoint.