Multimodal Personal Narrative – Develop a multimodal document to both visually illustrate and verbally express a personal transformation.
Use a one-page newspaper or single-panel brochure format to present a personal narration of a transformation of your choice from a point in your childhood to today. You might discuss a career aspiration you had as a child, transition to the job you held as a teenager, and lastly, explain the profession you maintain today. Use connecting ideas to ensure you have a cohesive essay, which will ultimately (in the conclusion) explain what you learned from this transformation. For example, how and why did you go from point A (job 1) to point B (job 2) and then on to point C (job 3)? Or, you might consider illustrating a transformation based on a way of life or philosophy.
Implement three photos to represent your ideas, feelings, etc., at the three focal points in your life. You may use personal photos, clip art, or other images, but be sure you use and/or attribute the them appropriately. For example, you are free to use your personal photos as you’d like, but make sure to choose clip art or other images that you either have permission to use freely or that you cite adequately. Equally consider your document’s layout, such as text sizes, photo placement (near the related essay text), and colors, in addition to how you present your content, to include thesis, support, and organization.
Sample thesis statement: Growing up in Sedona, Arizona, I was constantly looking up into the clear night sky, viewing multiple constellations and shimmering stars, which had me yearning to reach them—literally—so when I turned 16, I began working as a camp counselor at a space camp, which ultimately led to a career at NASA; my journey taught me that if I reached for the stars, nothing could stop me.
Format Requirements:
While you do not need to follow standard MLA format for this assignment, be sure to still include your name, the course title, assignment name, and date within your submission as part of the newspaper or brochure.
Length: This assignment should be at least 500 words.
Underline your thesis statement.
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Identify where subacute care fits in the continuum of care
Identify sources of financing for subacute care
Learning Objectives (continued)
Identify and describe regulations affecting subacute care
Identify and discuss ethical issues affecting subacute care
Identify trends affecting subacute care for the near future and the impact of those trends
What is Postacute Care?
Postacute care:
Improves transition from hospital to the community
Provides services to patients needing additional support following discharge from the hospital
Postacute Care Providers
Include:
Inpatient rehabilitation facilities
Long-term care hospitals
Skilled nursing facilities
Home health agencies
What is Subacute Care?
Comprehensive inpatient care
Comes after, or instead of, acute care
Between acute and long-term care
Usually for a defined period of time
Developed largely for cost savings
Philosophy of Care
Four types:
Transitional
General
Chronic
Long-term transitional
Ownership of Subacute Facilities
Mostly freestanding SNFs (two-thirds)
Rehabilitation focus
Hospital-based
Medical focus
Many owned by corporate chains
Services Provided
• Rehabilitation • Chemotherapy
• Physical therapy • Parenteral nutrition
• Occupational therapy • Dialysis
• Respiratory therapy • Pain management
• Cardiac rehabilitation • Complex medical care
• Speech therapy • Wound management
• Postsurgical care • Ventilation care
• Other specialty care
Care Planning
Focus on quality of care and outcomes
Initial assessment
Interdisciplinary team
Weekly team conferences
Ongoing evaluation
Case Management
Focus on efficiency, cost-effectiveness
Manage resources to optimize outcomes at lowest cost
Case managers may be:
“External” – hired by payer
“Internal” – hired by provider
Consumers of Subacute Care
Post hip-replacement surgery
Spinal cord or brain injuries
Strokes
Cancer
AIDS
Wounds
Cardiac recovery
Respiratory ventilation
I.V. therapy or feedings
Market Forces
Cost-saving efforts
Managed care
Choice
Regulations
Purpose of regulations:
Care is safe and of high quality
Care is not unnecessarily expensive
Services are uniformly accessible
Rights of workers are protected
Types of Regulations
Medicare
OBRA
Other – similar to other providers
Accreditation
Joint Commission
CARF International
NCQA
Financing Subacute Care
Reimbursement Sources:
Medicare – two-thirds
Pays as SNF
Other third:
Managed care
Medicaid
Private insurance, self-pay, and other
Staffing
Interdisciplinary team:
Program administrator
Physicians
Nursing
Other professional staff
Nonlicensed staff
Legal and Ethical Issues
Meeting regulations
Liability issues
Management Qualifications
Licensed by the states as nursing facility administrators
Hospital-based units must find a licensed administrator or get one of the hospital administrators licensed
Management Challenges and Opportunities
Changing the culture of the organization
Balancing cost and quality
Coordination, competition
Physical facility considerations
Significant Trends
Managed care
Changes in acuity levels
Emphasis on outcomes
Summary
Subacute care is the newest form of long-term care, falling between acute and long-term care.
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he term growth and development refers to a dynamic process. Growth being the term for physical changes and development being the term that refers to the increase in complexity of the skills a person is able to perform. There are many factors that influence growth and development these can be divided into biological, environmental, and social factors.
Theories are used to organize growth and development that humans experience. It is important that as a health care provider you have an understanding of the appropriate expectations of physical, psychosocial, cognitive, moral and spiritual development.
Choose one of the following theorists and describe the stages of development and the nursing implications: Erickson, Piaget, Kohlberg, or Fowler.
Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.
Scoring Rubric:
Criteria
Points
Describe what your job is as a nurse to help these individuals with their challenges. Your answers to each of the following prompts should be at least 2-3 paragraphs in length and should be contained within a single Word document.
Remaining independent
Maintaining self-esteem
Finding outlets for energies and interests
Developing a happy lifestyle with financial means
Continuing positive relationships with others
Meeting all basic human needs
Confronting morality
5
Total
5
Module 10 Written Assignment – Types of Hazards in Nursing
Scoring Rubric:
Criteria
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Beginning in Module 1 of this course you have been researching a healthcare informatics topic of your choice. Now you will present your findings in a 7 to 12 minute recorded presentation complete with PowerPoint slides (no length requirement).
Discuss your topic and its relationship to your current (or future) practice. Discuss why the topic is important in healthcare informatics.
What research have you have found on the topic. Describe how each scholarly article relates to the topic and your current (or future) practice. Describe what conclusions you have drawn based on your research of the topic.
What ethical or legal issues does this topic present?
Create a plan for implementing a change (or justify the need for no change). Who needs to be involved? What training programs are needed? Is there a need for on-going training? Discuss how you would evaluate the success of the change (or the continued success of what you are currently doing). What is the cost to implement or maintain this change? Who will be financially responsible? How feasible is this change?
Finally, identify how changes in public policy and technological advances in the future could impact this topic. What would those changes mean to the healthcare industry?
My topic is health care cost.
Posted: 2 Months Ago
Due: 25/05/2019
Budget: $25
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ou have been asked by your health care organization to provide a detailed report on the benefits of implementing a new health information technology system to comply with the current mandates. Develop a report of 10 pages detailing how information technology systems can be used to analyze organizational data for a health care organization. This should include types of systems where data may be retrieved and how IT and various applications can be used to aggregate and analyze the data to understand issues, identify root causes, and document progress related to implemented changes, patient progress, quality assurance, and compliance. Make sure to address the following questions:
With plenty of data stored on computer systems, data should not be a problem, but access to the data and sharing of information may have implications under federal regulations. What precautions might you suggest when handling health care data? Be sure to apply current trends in health care from proven sources and models.
Consider the support capabilities of a typical health care operation and where employees may access data of various types related to patient needs. What might be accessed, and what controls may be needed to protect patient data?
From a departmental perspective, consider the role of the health information manager (HIM). What qualifications and experience would be needed for your specific health care setting? What functions and role would the HIM have in regard to this organization’s medical records?
As technology advances, what compliance issues and regulations do health care managers at this organization need to be on top of? Consider the impact of falling behind the technology curve not only in terms of productivity but regulatory compliance. What role do the Affordable Care and Patient Protection Acts have on the implementation and use of technology and electronic health records (EHRs) at this setting?
For a resource guide on using the online library to search for references, please click here.
Please submit your assignment.
For assistance with your assignment, please use your text, Web resources, and all course materials.
This assignment will also be assessed using the Common Assessment criteria provided here.
Posted: 2 Months Ago
Due: 01/06/2019
Budget: $40
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Note: Preliminary parts of this case study will be completed as online modules
during the semester, leading up to the completion of this case study essay.
For the purpose of this assignment you are the Cancer Care Coordinator at the
hospital where John receives his adjuvant chemotherapy for colorectal cancer.
John is currently receiving his last cycle of chemotherapy and you will be meeting with
him to provide education with regards to his discharge and self-management planning
following the end of his active treatment.
What you need to do Discuss the content you would include in a Survivorship Care Plan, and
outline your approaches to education and collaboration with John and his wife to
develop this plan. Your plan should consider:
The recommended follow up regimen after curative treatment for colorectal cancer, having critically reviewed the available evidence.
Signs and symptoms associated with colorectal cancer recurrence.
Strategies to prevent survivorship issues that John may experience across all domains of health (including physical, psychological, social and spiritual health) after treatment for colorectal cancer.
Evidence-based communication strategies and theories of behavior
change to facilitate effective education about health behaviours and
Points for Consideration: The above assessment task is best addressed using the following format
Use the following headings:
Introduction [100 words]
Your introduction should clearly explain the context and purpose of this case study
essay, as well as outline the areas covered within it.
Discharge planning [400]
This section should discuss John’s cancer diagnosis and treatment summary, followed by:
– The recommended follow up regimen after curative treatment for colorectal cancer
for John, incorporating critical discussion of available evidence
Relevant referrals/clinical documentation to be provided to coordinate ongoing care
Signs and symptoms associated with colorectal cancer recurrence
–
Collaborative approaches to education and planning for self-management [900]
In the context of education and planning for self-management, this section should discuss:
– Survivorship issues that John may experience across 1) physical, 2) psychological,
3) social and 4) spiritual domains of health; and at least one strategy for prevention
of the identified issues.
Health education to be provided as well as the communication principles and evidence-based strategies that will facilitate effective education and goal-setting.
–
Conclusion [100 words] Give a brief summary of the main points of your case study essay.
References [not included in word count]
Bachelor of Nursing
Academic Integrity Reminder
The School of Nursing takes academic integrity very seriously. All work
submitted must be your own work, and the work of others must be
correctly acknowledged and referenced accordingly.
There are serious consequences that will be imposed should you be found to
breach academic integrity. Make sure you are familiar with the MOPP C/5.3
Academic Integrity and view the Academic Integrity video and explore the
Academic Case Studies available on your Blackboard site.
Maintaining academic integrity is your responsibility. If in doubt check
1. Use references that are primarily peer-reviewed journal articles or evidence-based guidelines that have been published within the last seven years. Consumer websites, Wikipedia and websites that are not government-based or related to professional
organisations are not appropriate. Examples of acceptable websites include:
Australian Institute of Health and Welfare
Government Health Departments
Publications aimed at health professionals from organisations such as those found in Cancer Australia – Cancer Learning Resources (for example EdCan, eviQ).
2. At least 15 high quality academic references, used appropriately, are expected to support the arguments within your essay.
Formatting Guidelines: You are expected to present your assignment in a scholarly fashion. It should conform to the following academic conventions. Penalties will apply if these conventions are not adhered to. Use the following points as a checklist prior to submission:
You may have plus/minus 150 words of the designated word count, not including in-text references (in-text citations are not included in word count).
Include a footer with page numbers and your name and student number on all pages
Use a separate page for references. The reference page is not included in the word count
Reference according to QUT, APA conventions only. Please refer to QUT Cite/Write for these referencing conventions.
Bullet points and numbering are not appropriate in this assessment item
Use size 12 font, Times New Roman, Arial, or Calibri font and 1.5 line or double-spacing for all assignments, and ensure margins of 2.5 cm on the right and left of the page.
Submit your assignment through Turn It In by the due date. Assessments submitted after the due date without an approved extension will not be
marked and will receive a grade of 1 or 0%. Please refer to the Faculty of Health ‘Late submission of assessment’ policy and the ‘Application for
assessment/ assignment extension form’ located on the Blackboard site.
Bachelor of Nursing
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Claim: It is wrong for parents to allow children to watch violent movies
Analysis: My argument is deductive. My first premise is the broad general principle that children daily face examples of violence in the real world. My next premise is that watching violent movies helps children to think about how to deal with violent behavior. My conclusion is that watching violent movies is okay for kids. This argument has indicator words “if” and “then” so it is truth-functional. It would be stated this way: If children face violence daily then they need to think about how to deal with it. Violent movies help them to think about violence and how to deal with it. Therefore, it is okay for children to watch violent movies.
Instructions
Read the following argument examples in this activity.
Argument 1
Dick and Jane have insured their house and cars with Farmer’s Mutual for 10 years. During this time, they filed only one claim for $500, and the premiums have risen 100%. Two weeks ago, while backing out of the garage, Jane damaged the right fender. They didn’t fix it, and yesterday, while Jane was parked at the supermarket, someone hit the right side of the car, damaging everything but the right fender. When Jane checks the insurance policy, she discovers that while the supermarket accident is covered, the damaged right fender is not.
Jane says, “Let’s claim that all the damage happened at the supermarket. It’s only fair. The insurance company has made thousands of dollars from our premiums alone, not to mention all the other people they insure, so they’ll hardly miss the few thousands that their repairs will cost. Many of their friends have done the same – included items that were not part of actual collision damage. It’s unlikely that they we will be discovered, because the fender could easily have been damaged in the collision.”
Argument 2
In a world where medical resources are in ever-shorter supply, allocation of those resources is becoming an issue. Critical care units (ICU) put heavy demand on hospital resources. Adult medical intensive care units (MICU’s) are often occupied by elderly patients in the final stages of chronic illnesses. Neonatal ICU’s, however, are reserved for premature infants that need critical care in the first few days of life. Surveys of mortality rates in relation to amount of care for both units show that on a cost/benefit basis, outcomes for NICU patients are statistically better than those for MICU patients. Since hospitals should prioritize outcomes, it is clear that resources should be allocated more heavily to the NICU.
Using the examples in the introduction of this activity, address the following:
Briefly analyze each argument as follows:
State the issue and the conclusion.
For each argument, analyze the argument:
State if it is deductive or inductive.
Explain how the argument follows the form of an inductive or deductive argument.
Reference words, phrases, the structure of the argument, or any other facts or observations you believe support your claim.
Diagram the argument.
Writing Requirements (APA format)
Length: 1-2 pages total (not including title page or references page)
1-inch margins
Double spaced
12-point Times New Roman font
Title page
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In this assignment, students will review a microbial journal article.
Choose one article from a primary scientific literature source that uses a microbe as a model organism/system and write a comprehensive summary of the study that answers the following questions: (SSIs is the organism or system I choose)
Choose one article from a primary scientific literature source that uses a microbe as a model organism/system.
NOTE: Many free articles may be obtained from http://www.pubmed.gov or visit the WCU library.
Write a summary of the study that includes:
Why did the scientists perform the study (i.e., description of background)?
What was the hypothesis (or hypotheses) under investigation?
What were the major results and did they support or negate the hypothesis? Which key techniques were used to achieve these results?
Why are the results significant and do they point to further/future studies? In other words, why does this article matter and what should or could be done next?
Why did you choose this particular article to review? Was it interesting, informative, clearly written, or none of the above?
Compose your review in APA format and include:
A title page
Answers to the questions above in paragraph format (5 pages written) no cover page
A reference page with the reference for your article and any other sources used in your review.
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Nine-year-old Yusef Camp began experiencing symptoms soon after eating a pickle bought from a street vendor. He felt dizzy and fell down, he could not use his legs, and he began to scream. By 10:00 p.m., he was hallucinating and was transported to the DC General Hospital by ambulance. He went into convulsions. His stomach was pumped, and they found traces of marijuana and possibly PCP. He soon stopped breathing, and by the next morning, brain scans showed no activity.
Four months later, Yusef’s condition had not changed. The physicians believed his brain was not functioning and wanted to pronounce him dead based on brain criteria. Several difficulties were encountered, however. First, there was some disagreement among the medical personnel over whether his brain function had ceased completely. Second, at that time the District of Columbia had no law authorizing death pronouncement based on brain criteria. It was not clear that physicians could use death as grounds for stopping treatment. Most important, Ronald Camp, the boy’s father, protested vigorously any sug- gestion that treatment be stopped. A devout Muslim, he said, “I could walk up and say unplug him; but for the rest of my life I would be thinking, was I too hasty? Could he have recovered if I had given it another 6 months or a year? I’m leaving it in Almighty God’s hand to let it take whatever flow it will.”
The nurses involved in Yusef’s care faced several problems. Maggots were found growing in Yusef’s lungs and nasal passages. His right foot and ankle became gangre- nous. He showed no response to noises or painful stimuli. The nurses had the responsi- bility not only for maintaining the respiratory tract and the gangrenous limb, but also for providing the intensive nursing care needed to maintain Yusef in debilitated condition on life support systems. Had the aggressive care been serving any purpose, they would have been willing to provide it no matter how repulsive the boy’s condition was and in spite of there being many other patients desperately needing their attention. However, some of the nurses caring for Yusef were convinced that they were doing no good what- soever for the boy. They believed they were only consuming enormous amounts of time and hospital resources in what appeared to be a futile effort. In the process, other patients were not getting as much care as would certainly be of benefit to them. Could the nurses or the physicians argue that care should be stopped because he was dead? Could they overrule the parents’ judgment about the usefulness of the treatment even if he were not dead? Could they legitimately take into account the welfare of the other patients and the enormous costs involved when deciding whether to limit their atten- tion to Yusef?
1Weiser, B. (1980, September 5). Boy, 9, may not be “brain dead,” new medical examiner shows. Washington Post, p. B1. Weiser, B. (1980, September 12). Second doctor finds life in “brain dead” DC boy. Washington Post, p. B10. Sager, M. (1980, September 17). Nine-year-old dies after four months in coma. Washington Post, p. B6.
Title
Copyright
Contents
List of Cases
Preface
Introduction
What Makes Right Acts Right?
What Kinds of Acts Are Right?
How Do Rules Apply to Specific Situations?
What Ought to Be Done in Specific Cases?
Two Additional Questions of Ethics
What Kind of Person Ought I to Be?
What Does This Relationship Demand of Me?
Endnotes
Part I Ethics and Values in Nursing
Chapter 1 Values in Health and Illness
Identifying Evaluations in Nursing
Identifying Ethical Conflicts
The Rights of the Patient vs the Welfare of the Patient
Moral Rules and the Nurse’s Conscience
Limits on Rights and Rules
Chapter 2 The Nurse and Moral Authority
The Authority of the Profession
The Authority of the Physician
The Authority of the Institution
The Authority of the Health Insurer
The Authority of Society
The Authority of the Patient
Chapter 3 Moral Integrity andMoral Distress
Why Does Moral Agency Matter?
Moral Distress
Creating and Sustaining Healthy and Ethical Work Environments
Ethics Environment Assessments
Resources for Establishing and Sustaining Healthy Environments
Change Theory Models
Resources for Resolving Moral Distress
Part II Ethical Issuesin Nursing
Chapter 4 Benefiting the Patient and Others: The Duty to Produce Good and Avoid Harm
Benefit to the Patient
Uncertainty About What Is Actually Beneficial to a Patient
Health Benefits vs Overall Benefits
Benefiting vs Avoiding Harm
Benefit to the Institution
Benefit to Society
Benefit to Identified Nonclients
Benefit to the Profession
Benefit to Oneself and One’s Family
Chapter 5 Justice: The Allocation of Health Resources
The Ethics of Allocating Resources
Justice in Public Policy
Justice and Other Ethical Principles
Chapter 6 Respect
Ignoring a Person as a Person and Focusing Only on the Pathology or “Task” to be Performed
Arrogant Decision Making
Humiliating Others
Chapter 7 The Principle of Autonomy
Internal Constraints on Autonomy
External Constraints on Autonomy
Overriding Autonomy
Chapter 8 Veracity
The Condition of Doubt
Duties and Consequences in Truth Telling
Complications in Truth Telling
Chapter 9 Fidelity
Promise Keeping
Confidentiality
Chapter 10 The Sanctity of Human Life
Actions and Omissions
Criteria for Justifiable Omission
Withholding and Withdrawing
Direct and Indirect Killing
Voluntary and Involuntary Killing
Is Withholding Food and Water Killing?
Part III Special Problem Areas in Nursing Practice
Chapter 11 Abortion, Contraception, and Sterilization
Abortion
Contraception
Sterilization
Chapter 12 Genetics, Birth, and the Biologic Revolution
Genetic Counseling
In Vitro Fertilization and Artificial Insemination
Genetic Engineering
Chapter 13 Psychiatry and the Control of Human Behavior
Psychotherapy
Other Behavior-Controlling Therapies
Chapter 14 HIV/AIDS Care
Conflicts Between Rights and Duties
Conflicts Involving the Cost of Treatmentand Allocation of Resources
Research on HIV
Chapter 15 Experimentation on Human Beings
Calculating Risks and Benefits
Commentary
Protecting Privacy
Equity in Research
Informed Consent in Research
Chapter 16 Consent and the Right to Refuse Treatment
The Right to Refuse Treatment
The Elements and Standards of Disclosure
Comprehension and Voluntariness
Consent for Patients Who Lack Decision Capacity
Chapter 17 Death and Dying
The Definition of Death
Competent and Formerly Competent Patients
Never-Competent Patients and Those Who Have Never Expressed Their Wishes
Futile Care
Limits Based on the Interests of Other Parties
Appendix Ethics Resources on the Web Bioethics Research Library at Georgetown University
Glossary
Index
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