NRS-410V Module 3 Case Study 2

Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.

Question

Considering Mr. Ps condition and circumstance, write an essay of 500-750 words that includes the following:

·         Describe your approach to care.

·         Recommend a treatment plan.

·         Describe a method for providing both the patient and family with education and explain your rationale.

·         Provide a teaching plan (avoid using terminology that the patient and family may not understand).

 WORLD PERFECT = UNIVERSALLY DESIRED VALUES from JUDAISM

(http://www.aish.com/sem/wp/)
(http://www.aish.com/sem/wp/Part_1_Key_Values_for_a_Perfect_World.html)
(http://kenspiro.com/article/world-perfect-the-jewish-impact-on-civilization/)
(https://www.youtube.com/watch?v=1QqsA6aqRzo)
(https://www.youtube.com/watch?v=uRqfd34ZaB8)

1- ____________________________________________________________The Christian Author of A History of the Jews.  

2- ____________________________________________________________The Jewish Author of World Perfect.  

3- The 6 ostensibly Universal Values that Judaism (the Mosheic faith of Yisrael) contributed to world civilization.  
(God-HaShem  revealed  these  values  to  the  whole  world  via  the  Yisraelite  people  who  recorded  them  in  the
Tanakh-Bible; these virtues were then promulgated around the globe by Jewish people & Christian
missionaries):

a- ___________________________________________________________________________________________

b- ___________________________________________________________________________________________

c- ___________________________________________________________________________________________

d- ___________________________________________________________________________________________

e- ___________________________________________________________________________________________

f- ___________________________________________________________________________________________

4- The 3 Ancient Reasons for Infanticide:

a- ___________________________________________________________________________________________

b- ___________________________________________________________________________________________

c- ____________________________________________________________________________________________

5- In cultures which practiced widespread infanticide, __________________________ were considered valuable &   

 __________________________ were considered disposable.

6- Aristotle:  Every maimed or imperfect newborn child should be ___________________________.

7- ____________________________ The people who practiced the most human sacrifice (for theological reasons).

8- ____________________________ The people who had the worst motivation for human sacrifice (for human entertainment).

9- The 3 traditional ancient reasons for war:

a- ____________________________________________________________________________________________

b- ____________________________________________________________________________________________

c- ____________________________________________________________________________________________

10- The ancient Golden Rule: Whoever has the ________________, makes the rules.

11- The great Roman Empire was _________% illiterate.  

 Topic 1 DQ 1

Accreditation is extremely important in healthcare. Accreditation refers to the official review process that allows healthcare organisations to demonstrate the ability to meet official regulatory standards and requirements. Accreditation is awarded upon successful completion of an on-site survey. The on-site survey is conducted by a specially trained Joint Commission surveyor or team of surveyors who assess your organization’s compliance to our standards. Accreditation for most types of organizations is a three year award. The exception is laboratory accreditation, which is a two year award.

Cambridge Behavioral Hospital was placed on probationary status on November 25, 2019 after Ohio Mental Health and Addictional Services (OMHAS) concludet investigation on death at the hospital and six complaints about sexual abuse and allegation. The report cited serious deficiencies found during the OMHAS on-site investigation related to failure to obtain medical clearance, lack of medical history and assessment, lack of medical oversight by a psychiatrist and failure to obtain medication informed consent of a psychiatric patient. The state agency has determined the Cambridge facility cannot treat patients until issues are corrected.

Denial of Accreditation is recommended when there’s an immediate threat to health and safety, a submission of falsified documents or misrepresented information, a lack of a required license, or significant noncompliance with Joint Commission standards.

 Explain the role of accreditation in mitigating risk compliance issues.  Provide an example of a health care organization that was placed on probation by its accrediting body or by CMS within the last 3 years for a risk compliance issue. What caused the probation or loss of accreditation and how could it have been prevented? 

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years

 Anna Sanchez, a 21-year-old nursing student, comes to her nurse  practitioner in December with a 5-week history of itchy eyes and nasal  congestion with watery nasal discharge. She also complains of a  “tickling” cough, especially at night, and she has had episodes of  repetitive sneezing. She gets frequent “colds” every spring and fall 

 Use the practice problem and a qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment. In a 1000-1,250 word essay, summarize the study, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study. Refer to the resource “Research Critique Guidelines” for suggested headings and content for your paper. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. Research Critique Guidelines To write a critical appraisal that demonstrates comprehension of the research study conducted, address each component below for qualitative study in the Topic 2 assignment and the quantitative study in the Topic 3 assignment. Successful completion of this assignment requires that you provide a rationale, include examples, or reference content from the study in your responses. Qualitative Study Background of Study: • Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem. • How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem. • Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims. • List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers. • Were the purpose and research questions related to the problem? Method of Study: • Were qualitative methods appropriate to answer the research questions? • Did the author identify a specific perspective from which the study was developed? If so, what was it? • Did the author cite quantitative and qualitative studies relevant to the focus of the study? What other types of literature did the author include? • Are the references current? For qualitative studies, the author may have included studies older than the 5-year limit typically used for quantitative studies. Findings of older qualitative studies may be relevant to a qualitative study. • Did the author evaluate or indicate the weaknesses of the available studies? • Did the literature review include adequate information to build a logical argument? • When a researcher uses the grounded theory method of qualitative inquiry, the researcher may develop a framework or diagram as part of the findings of the study. Was a framework developed from the study findings? Results of Study • What were the study findings? • What are the implications to nursing? • Explain how the findings contribute to nursing knowledge/science. Would this impact practice, education, administration, or all areas of nursing? Ethical Considerations • Was the study approved by an Institutional Review Board? • Was patient privacy protected? • Were there ethical considerations regarding the treatment or lack of? Conclusion • Emphasize the importance and congruity of the thesis statement. • Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice. • Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice. • Integrate a summary of the knowledge learned. Quantitative Study Background of Study: • Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem. • How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem. • Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims. • List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers. • Were the purpose and research questions related to the problem? Methods of Study • Identify the benefits and risks of participation addressed by the authors. Were there benefits or risks the authors do not identify? • Was informed consent obtained from the subjects or participants? • Did it seem that the subjects participated voluntarily in the study? • Was institutional review board approval obtained from the agency in which the study was conducted? • Are the major variables (independent and dependent variables) identified and defined? What were these variables? • How were data collected in this study? • What rationale did the author provide for using this data collection method? • Identify the time period for data collection of the study. • Describe the sequence of data collection events for a participant. • Describe the data management and analysis methods used in the study. • Did the author discuss how the rigor of the process was assured? For example, does the author describe maintaining a paper trail of critical decisions that were made during the analysis of the data? Was statistical software used to ensure accuracy of the analysis? • What measures were used to minimize the effects of researcher bias (their experiences and perspectives)? For example, did two researchers independently analyze the data and compare their analyses? Results of Study • What is the researcher’s interpretation of findings? • Are the findings valid or an accurate reflection of reality? Do you have confidence in the findings? • What limitations of the study were identified by researchers? • Was there a coherent logic to the presentation of findings? • What implications do the findings have for nursing practice? For example, can the findings of the study be applied to general nursing practice, to a specific population, or to a specific area of nursing? • What suggestions are made for further studies? Ethical Considerations • Was the study approved by an Institutional Review Board? • Was patient privacy protected? • Were there ethical considerations regarding the treatment or lack of? Conclusion • Emphasize the importance and congruity of the thesis statement. • Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice. • Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice. • Integrate a summary of the knowledge learned.