Using the classroom resources or South University Online Library, research the tympanic membrane and the thyroid gland. In a Microsoft Word document of 4-5 pages formatted in APA style, address each of the following criteria.

• Two focused health assessment histories
  • One assessment related to the tympanic membrane and the other focused on the thyroid gland.
  • The assessments can be hypothetical patients or patients you have had in the past (remember HIPAA if you are describing a previous patient).
• A description of the normal and abnormal findings of the tympanic membrane.
• Information on how to examine the thyroid gland using both the anterior and posterior methods.
• A concise note in the subjective, objective, assessment (be sure to include the NANDA diagnosis as well as the medical diagnosis), and plan (SOAP) format with each patient’s encountered findings.
  • For a review of SOAP notes:
  • SOAP Documentaion
• Information about laboratory/diagnostic tests used for screening clients with tympanic membrane or thyroid gland issues.
  • Include the expected normal results for each test.

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

Please note that the title and reference pages should not be included in the total page count of your paper.

Submission Details:

• Name your document SU_NSG3012_W2_Project_LastName_FirstInitial.doc.
• Submit your document to the  Submissions Area by the due date assigned.

Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.

For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?

In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue.

To Prepare:

• Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.
• Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.

By Day 3 of Week 3

Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.

• In the United States, 32% of adults eat a vegetarian diet (Vegetarianism in America, n.d.). What does the term “vegetarian” mean?
• Do you think vegetarian diets are practical? That is, can someone easily be a vegetarian while living the typical American life of being rushed and busy?
• Vegetarian diets are associated with a lower risk of obesity and diabetes as well as other chronic conditions (Marsh, Zeuschner, & Saunders, 2012). Clearly a vegetarian diet can be a healthy one, but can a vegetarian diet lack nutrients? If so, which nutrients may be lacking? How could these nutrients be measured in the body to determine if someone is deficient in them? Are there vegetarian foods that provide these nutrients or would supplementation be necessary? Are there any interactions to be aware of with the supplements that a vegetarian may take?
• Do you think that a vegetarian diet would be costlier than a nonvegetarian diet?
• Look at the meals you ate in your 3-days diet record. Do any of your meals contain no meat? Choose one of your meals that contain meat and modify it to be vegetarian. Would you eat the modified meal?

References:

Marsh, K., Zeuschner, C., & Saunders, A. (2012). Health implications of a
           vegetarian diet: A review. American Journal of Lifestyle Medicine, 6(3),
           250–267.

Vegetarianism in America. (n.d.). Vegetarian Times. Retrieved from
           http://www.vegetariantimes.com/article/vegetarianism-in-america/

Below is the scenario you will use to write your week 3  RUA paper We Can But Dare We? The purpose of this paper is to really examine how as healthcare providers, we look more and more to technology to improve patient outcomes, streamline operations, and lower costs. Sometimes, technology can be used in ways that have ethical, moral, and legal considerations too. You will be writing about the use of personal devices and social media and their use in healthcare.

Please review the assignment guidelines for details. 

Scenario:

You are working in a medical center during the COVID-19 pandemic and are experiencing several challenges.

Choose an ending to the scenario, and construct your paper based on those reflections specific to personal devices (smartphones, ipads etc.)  and social media and their use in healthcare. Link those reflections to one of the following outcomes:

1. A HIPAA violation occurs, and client data is exposed to the media.

2. A medication error has harmed a client.

3. A technology downtime that impacts patient care occurs, and an error is made.

4. A ransomware attack has occurred, and the organization must contemplate paying the ransom or lose access to patient data.

Please remember to adhere to current APA formatting guidelines including proper use of:

Title page; Running head; Page numbers;  Length is 4-5 pages, excluding title and reference pages;  Includes at least three (3) references that are  from recent (within the last 5 years) scholarly sources; Cited in text appropriately; Included on an APA formatted reference page;  Scholarly writing reflects:  Accurate spelling;  Correct use of professional grammar;  Logical organization of thoughts. 

This is a “think outside the box” assignment in which there is not necessarily only one right answer. Still, you are required to find sources that support your opinions. Be sure to cite and reference them in your paper 

Please use the APA resources available to you on your Canvas. 

· Review the media Clinical Interview: Intake, Assessment,& Therapeutic Alliance in your Learning Resources.

· Select one nursing theory and one counseling theory to best guide your practice in psychotherapy. Note: For guidance on nursing and counseling theories, refer to the Wheeler textbook in this week’s Learning Resources.

· Explain why you selected these theories. Support your approach with evidence-based literature.

· Develop at least three goals and at least three objectives for the practicum experience in this course.

· Create a timeline of practicum activities based on your practicum requirements.