You will perform a history of a nose, mouth, throat, or neck problem that your instructor has provided you or one that you have experienced, and you will perform an assessment including nose, mouth, throat, and neck. You will document your subjective and objective findings, identify actual or potential risks, and submit this in a Word document to the drop box provided.  

ApA format  please reference 

  

Topic for capstone 

.Implementing Opiod Risk assessment tool from a multidisciplinary pain management approach

The purpose of the doctoral capstone project was to: (a) provide education to nursing staff on implementing a structured risk assessment tool in order to identify risk for imminent aggression, manage risk for imminent aggressive behaviors 

Write a 6-8 page double-spaced paper with an additional template in which you analyze potential ethical considerations that may arise from your doctoral project. Determine strategies to address these ethical considerations.

Introduction

Ethical researchers act in honest ways. Ethics are conduct norms or standards that distinguish between right and wrong and acceptable and unacceptable behaviors. Ethical considerations matter because they guard against the fabrication or falsification of data. They promote the pursuit of knowledge and truth, research’s primary goal. Ethical behavior is also crucial for collaborative work because it encourages an environment of trust, accountability, and mutual respect among team members. Likewise, researchers must adhere to ethical standards for the public to support and believe in the research. Although most quality improvement and evidence based practice projects pose minimal risk to human subjects, an IRB screening process for your capstone project is required to ensure the project is meeting the appropriate ethical standards.

The Nuremberg Code (1947) protects human rights and is the leading code for conducting ethical research. It focuses on:

• Voluntary informed consent.
• Freedom to withdraw from research.
• Protection from physical and mental harm.
• Protection from suffering and death.

It also emphasizes the risk-benefit balance of conducting research. The Declaration of Helsinki (1964) underscored the importance of protecting subjects in research and strongly proclaimed that individuals’ well-being takes precedence over scientific and social interests.

Good research is well planned, appropriately designed, and ethically approved. Developing and following a research protocol helps to ensure this. Research needs to seek to answer specific questions rather than just collect data. Researchers must obtain approval from the Institutional Review Board or Ethics Committee. Researchers also need to pay special attention to vulnerable subjects to avoid breech of ethical codes. Although most quality improvement and evidence based practice projects pose minimal risk to human subjects, an IRB screening process for your capstone project is required to ensure the project is meeting the appropriate ethical standards.

The major ethical issues in conducting research usually involve:

• Informed consent.
• Beneficence—do no harm.
• Respect for anonymity and confidentiality.
• Respect for privacy.

You are responsible to ensure your project is conducted ethically and responsibly from planning to publication. Be familiar with ethical principles and follow them strictly. Discuss openly with the project team any potential ethical issues. If in doubt, consult the Institutional Review Board (IRB) for expert opinion and direction.

In this assessment, you will apply what you have learned from the CITI training and from your independent research on ethics to your doctoral project. In a 6- to 8-page paper plus a template, you will identify ethical considerations that may arise as part of your doctoral project. You will also identify strategies to address these ethical considerations.

Reference

World Medical Association General Assembly (2004). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. International Journal of Bioethics, 15(1), 124–9.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 2: Apply strategies to maintain a climate of mutual respect and shared values.
  • Apply historical ethical principles to analyze potential ethical concerns related to your doctoral project.
  • Determine vulnerability or possible concerns for identified project participants.
  • Create strategies to address potential ethical risks related to the doctoral project.
  • Describe the IRB processes to be completed prior to starting the data collection process.
  • Describe possible future changes to your doctoral project that would require IRB approval and the process to follow to obtain this approval.
• Competency 4: Address assessment purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences.
  • Create a clear, well-organized, succinct, professional ethics analysis paper that uses appropriate tone and is generally free from errors in grammar, punctuation, and spelling.
  • Integrate relevant sources to support arguments, correctly formatting citations and references using APA style.

Preparation

To successfully prepare for this assessment, you will need to conduct independent research on ethics related to research studies. You will be asked to supply a minimum of five references in your ethics analysis paper over and above those provided under suggested resources.

• Rather than researching the importance of ethical practice (which of course is very important), focus your research efforts on other research studies that have been conducted that are similar to your proposed research. For example:
  • Can you locate other studies that took place in a setting similar to yours?
  • What other studies exist that used participants similar to yours?
  • What studies can you find that address a problem similar to yours?
  • Do other studies exist that used research tools similar to yours, such as surveys, questionnaires, health behavior models, performance improvement plans, et cetera?
  • Examine current resources available through peer-reviewed articles and professional and government websites. These guides can help you identify scholarly and authoritative sources:

Instructions

For this assessment, you will write a 6- to 8-page ethics analysis paper. Include the following headings in your paper and be sure to address the bullets underneath each heading:

Introduction

• In brief, what is your project about?
• Who are the major stakeholders involved?

History of Research Ethics

• What are the major principles in the history of research ethics?
• How do autonomy, beneficence, malfeasance, and distributive justice specifically apply to your project?

Human Subjects/Participants

• What human subjects/participants, if any, will be part of your project?
• What are the exclusion and inclusion criteria for any people who are part of your study?

 

 

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

• Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
• Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
• Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page not including the title and reference page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

• Briefly and generally explain the policy or regulation you selected.
• Address the impact of the policy or regulation you selected on system implementation.
• Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
• Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.
• Use APA format and include a title page, in-text citations, and reference page.
• Use the Safe Assign Drafts to check your match percentage before submitting your work.

By Day 5 of Week 11

Submit your completed Policy/Regulation Fact Sheet.

Submission and Grading Information

  

Outline the steps involved in completing each of the following procedures 

1. Assisting a person to don anti-embolic stockings

2. Caring for drainage tube systems associated with tubes and drains inserted into the body

3. Emptying and changing ostomy bag

4. Emptying and changing a urinary drainage bag

5.  Providing care of suprapubic catheter

6.  Inserting and removing indwelling catheters (IDC) including insertion for male and female genitourinary anatomy

7. Applying isolation nursing practices

8.  Inserting and removing nasogastric tubes (NG)

9.  Feeding through nasogastric tubes (NG) and percutaneous feeding tube

Performing blood specimen collection (venepuncture) 

 

Competency

Explain care for the client with lower respiratory disorders.

Instructions

Read the scenarios below and answer the questions. If you use sources, site them using APA format.

Case # 1

An elderly woman comes into the ER with severe dehydration after spending the day at the beach. The client is weak and feels like she is going to faint. An IV is started, and the RN hangs 0.9% Normal Saline. There are no IV pumps available. The client begins to feel better after 500 mL’s are infused, and the rest of the IV bag is infused. The client begins to have difficulty breathing. Auscultation of the lungs reveals crackles to ½ of the lower lung fields. The provider diagnoses pulmonary edema, and the client is treated with Lasix. She is stabilized but needs to be admitted to the ICU.

Question # 1: What nursing action could have prevented the client from having pulmonary edema? (5-10 sentences)

Question # 2: What makes this client at risk for pulmonary edema? (5-10 sentences)

Case # 2 

A 22-year-old special-needs client comes to the ER with fever and difficulty breathing. The client weighs 66 LBS. The client is admitted with pneumonia and IV fluids, antibiotics, and respiratory treatments are started. The client is dehydrated, so she receives several bags of IV fluids over three days. On the third day, the client has worsening shortness of breath, and an X-ray is ordered which shows pulmonary edema. An echocardiogram is ordered. It shows normal cardiac function. The client is given Lasix, and the shortness of breath resolves.

Question # 3: How did the client’s size (body weight) put her at risk for pulmonary edema? (5-10 sentences)

Question # 4: How could pulmonary edema have been prevented in this client? (5-10 sentences)

Case # 3

A 32-year-old male with a history of cardiomyopathy is admitted to the medical-surgical floor with a diagnosis of flu. The client has a high fever and receives multiple bags of 0.9%NS. One day into the admission the client develops severe shortness of breath. An X-ray shows pulmonary edema.

Question # 5: What puts this client at risk for pulmonary edema? (5-10 sentences)

Format

• Standard American English (correct grammar, punctuation, etc.)
• Logical, original, and insightful
• Professional organization, style, and mechanics in APA format
• Submit document through Grammarly to correct errors before submission.