Medical consent is a requirement by law that the patient must agree to be examined or treated by a physician. Consent can be given orally, implied, and/or written.

In a one to two page summary, describe under which circumstances the patient should never sign a consent form. Explain why in these situations the medical administrator should never enforce the consent form. Also, describe how the medical administrator should follow-up these situations.

Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.

Case Scenario

Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.

Subjective Data

1. Is very anxious and asks whether she is going to die.
2. Denies pain but says she feels like she cannot get enough air.
3. Says her heart feels like it is “running away.”
4. Reports that she is so exhausted she cannot eat or drink by herself.

Objective Data

1. Height 175 cm; Weight 95.5 kg
2. Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation
4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
5. Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin

Critical Thinking Questions

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

1. IV furosemide (Lasix)
2. Enalapril (Vasotec)
3. Metoprolol (Lopressor)
4. IV morphine sulphate (Morphine)

Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

Discussion: The Role of Government in the U.S. Health Care System

As stated in the course text, Health Care Delivery in the United States, “the health care enterprise is one of the most important parts of the U.S. social system and of our economic system as well” (Kovner and Knickman, 2011, p. 4); however, with millions of citizens uninsured, rising costs, massive health disparities, and the need to improve quality and access, many view health care as a broken system. As such, it continues to be a significant political issue in the United States. Most agree that something needs to be done to fix the health care system, but the methods and solutions for addressing problems vary greatly, particularly with respect to the role government should play. Proponents of varying approaches often have strong, emotional opinions, making compromise difficult.

In this Discussion, you will consider the role of government in health care, and you will examine the impact of a social, economic, technological, ethical, or legal issue on health care delivery. 

To prepare:

• With this week’s Learning Resources in mind, consider this question: Is health care a right or a privilege? 

• Review the media presentation for this week, focusing on the role of the government in health care including the Affordable Care Act. 

• Pinpoint a social, economic, technological, ethical, or legal issue that could, or has, affected health care delivery in the United States. 

• Locate a current article from the popular press (within the past 6 months) related to the health care issue you identified. How does this article inform your understanding of the influence of your selected issue in the health care debate? 

Post your position on whether health care in the United States is a right or a privilege, and explain what you believe to be the proper role of government in health care. Justify your position. Explain how the social, economic, technological, ethical, or legal issue you selected is impacting health care delivery and whether this issue should be addressed by the government or by private entities. Identify the article you selected, and explain how this article informs your stance.

IMPORTANT: THE DISCUSSION QUESTION HAS TO BE FREE OF PLAGIARISM

NOTE: READ CAREFULLY EVERY INSTRUCTION, AND THE DOCUMENTS AND THE VIDEO ( MEDIA PRESENTATION)  ATTACHED BELLOW IN ORDER TO RESPOND CORRECTLY THE ASSIGNMENT. I ATTACHED DOCUMENTS THAT CAN  BE USED AS A GUIDE TO RESPOND THE DISCUSSION QUESTION CORRECTLY

MY PROFESSION/SPECIALIZATION IS : MENTAL HEALTH NURSE PRACTITIONER

What are your thoughts??

The Coronavirus disease has already impacted our communities and daily lives as community gathering more than ten people discouraged. Individuals and communities are advised on proper handwashing, distance spacing of a minimum of six feet, and avoid handshaking, as few ways to stop the diseases from spreading.

As I watched TV at home yesterday, President Trump, during coronavirus briefing, announces that the development of vaccines is in stage one trial.

please respond to the following discussion which requires one peer-reviewed Nursing journal reference from database not the internet.

 

The Healthcare system is a very complex industry which provides many different job opportunities for people. Ranging from construction workers, maintenance, advertisement, technology specialist, business, and of course patient care jobs just to name a few. Joe DiMaggio Children’s Hospital was established in 1992. It embraces a patient and family-center care. The vision focuses on providing families with the tools they need to care for their loved being that’s ill. Incorporating families in the care of the patient not only provides an opportunity for them physical involvement in their care but allows them to heal spiritually and mentally. It focuses on the emotional vulnerability of the patient and families. Medical emergencies are often terrifying for children and their families.  Families have the option of being present with their children during these difficult times. Giving families these options even during a code/resuscitation of their young loved one gives them a sense of control of the situation. Allowing families to stay even in the Intensive Care Units during these times truly heals minds, bodies and souls. The compassion and care giving of these healthcare providers is endless. Nurses can not only connect but to teach families on a day to day basis in regard to their loved one illness. Health education and health promotion could help avoid future illnesses.  

            This hospital truly captivates the community. It constantly provides many ways to show the community how much they support these families in times of need and the children as they go through their illness. Many volunteer services are offered, as well as many different programs that help promote health in the community. Families are not turned away for not being able to help, and with the help of the Conine Clubhouse families are able to stay close to their loved one free of charge. The hospital has created many positions within their organization to successfully implement this type of care for their pediatric patients. This organization truly abides to their mission and vision.