Soap Note about Diabetis

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Grading Rubric

Student______________________________________

This sheet is to help you understand what we are looking for, and what our margin remarks might be about on your write ups of patients. Since at all of the white-ups that you hand in are uniform, this represents what MUST be included in every write-up.

1)      Identifying Data (___5pts): The opening list of the note. It contains age, sex, race, marital status, etc. The patient complaint should be given in quotes. If the patient has more than one complaint, each complaint should be listed separately (1, 2, etc.) and each addressed in the subjective and under the appropriate number.

2)      Subjective Data (___30pts.): This is the historical part of the note. It contains the following:

a) Symptom analysis/HPI(Location, quality , quantity or severity, timing, setting, factors that make it better or worse, and associate manifestations.(10pts).

b) Review of systems of associated systems, reporting all pertinent positives and negatives (10pts).

c) Any PMH, family hx, social hx, allergies, medications related to the complaint/problem (10pts). If more than one chief complaint, each should be written u in this manner.

3)      Objective Data(__25pt.): Vital signs need to be present. Height and Weight should be included where appropriate.

a)      Appropriate systems are examined, listed in the note and consistent with those identified in 2b.(10pts).

b)      Pertinent positives and negatives must be documented for each relevant system.

c)        Any abnormalities must be fully described. Measure and record sizes of things (likes moles, scars). Avoid using “ok”, “clear”, “within normal limits”, positive/ negative, and normal/abnormal to describe things. (5pts).

4)      Assessment (___10pts.): Diagnoses should be clearly listed and worded appropriately.

5)      Plan (___15pts.): Be sure to include any teaching, health maintenance and counseling along with the pharmacological and non-pharmacological measures. If you have more than one diagnosis, it is helpful to have this section divided into separate numbered sections.

6)      Subjective/ Objective, Assessment and Management and Consistent (___10pts.): Does the note support the appropriate differential diagnosis process? Is there evidence that you know what systems and what symptoms go with which complaints? The assessment/diagnoses should be consistent with the subjective section and then the assessment and plan. The management should be consistent with the assessment/ diagnoses identified.

7)      Clarity of the Write-up(___5pts.): Is it literate, organized and complete?

Comments:

Total Score: ____________                                                          Instructor: __________________________________

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DQ

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 What are social determinants of health?  Explain how social determinants of health contribute to the development of disease.  Describe the fundamental idea that the communicable disease chain model is designed to represent. Give an example of the steps a nurse can take to break the link within the communicable disease chain 

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Clinical discussion

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L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5′4″ and has always been on the large side, with her weight fluctuating between 165 and 185 lb.

Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%.

Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160/90 mmHg on three occasions. L.N. was initially treated with lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated.

One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg/dl of microalbumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes. Physical examination reveals an obese woman with a BP of 154/86 mmHg and a pulse of 78 bpm.

Questions

  1. What are the effects of controlling BP in people with diabetes?
  2. What is the target BP for patients with diabetes and hypertension?
  3. Which antihypertensive agents are recommended for patients with diabetes?

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5hrs 1 page nursing paper…discussion reflection on a website..

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if you can manage in 5hrs 

 

Research a selected local, national, or global nonprofit organization or government agency to determine how it contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community.

Assignment: Legislation Grid and Testimony/Advocacy Statement

As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.

Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy. Many nurses see or hear things every day that make them want to be advocates and try to change policies, laws, or rules that affect healthcare issues they care about. Of course, doing so means getting into the world of policy and politics, which is less familiar to them. Even though many nurses don’t feel ready to work in this space at first, the chance to shape and influence future health policy is worth it.

To Prepare:

  • Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.

The Assignment: (1- page Legislation Grid; 1-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Grid Template. Be sure to address the following:

  • Determine the legislative intent of the bill you have reviewed.
  • Identify the proponents/opponents of the bill.
  • Identify the target populations addressed by the bill.
  • Where in the process is the bill currently? Is it in hearings or committees?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:

  • Advocate a position for the bill you selected and write testimony in support of your position.
  • Describe how you would address the opponent to your position. Be specific and provide examples.
  • At least 2 outside resources and 2-3 course specific resources are used.
  • —-

Sample:

Legislation Grid

Name of the Health-Related Bill

Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666)

Bill Number H.R.7666

Description

Rep. Frank Pallone, Jr. [D-NJ-6] put forward the bill. 5/6/2022. The goal of the bill is to suggest changing the Public Health Service Act so that some mental health and drug abuse programs can continue (GovTrack.us., 2022).

What about the states?

Federal

Intention of Lawmakers

The goal of the bill is to change the Public Health Service Act so that certain programs for mental health and drug abuse can continue (GovTrack.us., 2022). The goal is to give more people access to programs for mental health and drug abuse.

Proponents/ Opponents

Proponents:

The people who back the bill think that reauthorizing programs for mental health and drugs will help low-income families. The goal is to provide more health care services for people with mental health problems and drug and substance addictions. Opponents:

Opponents of the bill think that reauthorizing the mental health issue will cost the government more money because it will mean more services for health care. The people who are against the bill don’t think it will make a big difference in mental health and drug addiction. They think that the bill doesn’t deal with the real problems with mental health and drugs.

People to be reached

People with mental health problems or who are addicted to drugs or other substances are the target group.

The Human and Health Services Department.

Disease Control and Prevention Center.

What is the status of the bill? (Is it in committees or hearings?)

The bill has been brought up and put on the union’s schedule for more action.

Notes and Comments in General

Mental health problems and addiction to drugs and other substances are health problems that affect a lot of people in the United States. It is important to make changes to the public health service that give hope back to millions of people. The goal of the act is to keep some mental health and drug abuse programs going so that people of all ages can benefit from them.

Part 2: Statement/Testimony on Legislation

The goal of the bill is to keep certain programs for mental health and drug abuse going. The goal is to make sure that people in all 50 states can get mental health care. The way the Covid-19 pandemic is developing shows that more and more people are at risk for mental health problems because they are losing their jobs, living costs are going up, and they may lose their homes and savings (Knopf, 2022). People often turn to alcohol, drugs, and other substances to feel better. The law is needed now because the country needs better mental health care and treatment for people who abuse drugs or alcohol.

I think the law is a good idea because there are millions of people who are at risk of anxiety and depression. By reauthorizing treatment and expanding the care network, deaths that could have been prevented will no longer happen. Reauthorization makes it possible for millions of depressed and suicidal people to get help (Makwana, 2019). Research shows that healthcare services are very important for saving lives, making people’s lives better, and educating them (Knopf, 2022). By giving people with mental disabilities access to health care, the government will be able to reach more people and give them free, professional care.

The different points of view argue about how the money should be spent. First, the goal is to look at mental health and drug, alcohol, and substance abuse in the past to find the weak spots. With more information, you will be able to make a better choice. I’d say that the other side’s argument is insensitive because it doesn’t care about the health of the millions of people who don’t get the health care services meant for people with mental illnesses or who are addicted to alcohol, drugs, or other substances. The law needs support from many different groups in order to improve mental health care and reduce alcohol and drug abuse, especially now that the pandemic is over.

References

GovTrack.us. (2022). (2022). H.R. 7666 is the Restoring Hope for  Mental Health Thesis  and Well-Being Act of 2022. It was passed by the 117th Congress. Retrieved from http://www.govtrack.us/congress/bills/117/hr7666

Knopf, A. (2022). A big bill from both parties would change the way SAMHSA programs work. Alcoholism and Drug Abuse Weekly, Vol. 34, No. 19, pp. 1–4.

Makwana, N. (2019). Disasters and how they affect mental health: A review of the facts. Journal of family medicine and primary care, 8(10), page 3090.

As you begin to prepare this assessment, it would be an excellent choice to complete the Nonprofit Organizations and Community Health activity. Complete this activity to gain insight into promoting equal opportunity and improving the quality of life in a community. The information gained from completing this activity will help you succeed with the assessment.

Choose the organization or agency you are most interested in researching:

Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

Instructions

Research a selected local, national, or global nonprofit organization or government agency from the list provided. Determine how the organization or agency contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 4-6 page report.

Cite at least three credible sources from peer-reviewed journals or professional industry publications published within the past 5 years that support your research findings.

Additional Requirements

Before submitting your paper, proofread it to minimize errors that could distract readers and make it difficult for them to focus on your research findings.    

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5hrs 1 page nursing paper…discussion reflection on a website..

/in /by

if you can manage in 5hrs 

 

Research a selected local, national, or global nonprofit organization or government agency to determine how it contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community.

Assignment: Legislation Grid and Testimony/Advocacy Statement

As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.

Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy. Many nurses see or hear things every day that make them want to be advocates and try to change policies, laws, or rules that affect healthcare issues they care about. Of course, doing so means getting into the world of policy and politics, which is less familiar to them. Even though many nurses don’t feel ready to work in this space at first, the chance to shape and influence future health policy is worth it.

To Prepare:

  • Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.

The Assignment: (1- page Legislation Grid; 1-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Grid Template. Be sure to address the following:

  • Determine the legislative intent of the bill you have reviewed.
  • Identify the proponents/opponents of the bill.
  • Identify the target populations addressed by the bill.
  • Where in the process is the bill currently? Is it in hearings or committees?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:

  • Advocate a position for the bill you selected and write testimony in support of your position.
  • Describe how you would address the opponent to your position. Be specific and provide examples.
  • At least 2 outside resources and 2-3 course specific resources are used.
  • —-

Sample:

Legislation Grid

Name of the Health-Related Bill

Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666)

Bill Number H.R.7666

Description

Rep. Frank Pallone, Jr. [D-NJ-6] put forward the bill. 5/6/2022. The goal of the bill is to suggest changing the Public Health Service Act so that some mental health and drug abuse programs can continue (GovTrack.us., 2022).

What about the states?

Federal

Intention of Lawmakers

The goal of the bill is to change the Public Health Service Act so that certain programs for mental health and drug abuse can continue (GovTrack.us., 2022). The goal is to give more people access to programs for mental health and drug abuse.

Proponents/ Opponents

Proponents:

The people who back the bill think that reauthorizing programs for mental health and drugs will help low-income families. The goal is to provide more health care services for people with mental health problems and drug and substance addictions. Opponents:

Opponents of the bill think that reauthorizing the mental health issue will cost the government more money because it will mean more services for health care. The people who are against the bill don’t think it will make a big difference in mental health and drug addiction. They think that the bill doesn’t deal with the real problems with mental health and drugs.

People to be reached

People with mental health problems or who are addicted to drugs or other substances are the target group.

The Human and Health Services Department.

Disease Control and Prevention Center.

What is the status of the bill? (Is it in committees or hearings?)

The bill has been brought up and put on the union’s schedule for more action.

Notes and Comments in General

Mental health problems and addiction to drugs and other substances are health problems that affect a lot of people in the United States. It is important to make changes to the public health service that give hope back to millions of people. The goal of the act is to keep some mental health and drug abuse programs going so that people of all ages can benefit from them.

Part 2: Statement/Testimony on Legislation

The goal of the bill is to keep certain programs for mental health and drug abuse going. The goal is to make sure that people in all 50 states can get mental health care. The way the Covid-19 pandemic is developing shows that more and more people are at risk for mental health problems because they are losing their jobs, living costs are going up, and they may lose their homes and savings (Knopf, 2022). People often turn to alcohol, drugs, and other substances to feel better. The law is needed now because the country needs better mental health care and treatment for people who abuse drugs or alcohol.

I think the law is a good idea because there are millions of people who are at risk of anxiety and depression. By reauthorizing treatment and expanding the care network, deaths that could have been prevented will no longer happen. Reauthorization makes it possible for millions of depressed and suicidal people to get help (Makwana, 2019). Research shows that healthcare services are very important for saving lives, making people’s lives better, and educating them (Knopf, 2022). By giving people with mental disabilities access to health care, the government will be able to reach more people and give them free, professional care.

The different points of view argue about how the money should be spent. First, the goal is to look at mental health and drug, alcohol, and substance abuse in the past to find the weak spots. With more information, you will be able to make a better choice. I’d say that the other side’s argument is insensitive because it doesn’t care about the health of the millions of people who don’t get the health care services meant for people with mental illnesses or who are addicted to alcohol, drugs, or other substances. The law needs support from many different groups in order to improve mental health care and reduce alcohol and drug abuse, especially now that the pandemic is over.

References

GovTrack.us. (2022). (2022). H.R. 7666 is the Restoring Hope for  Mental Health Thesis  and Well-Being Act of 2022. It was passed by the 117th Congress. Retrieved from http://www.govtrack.us/congress/bills/117/hr7666

Knopf, A. (2022). A big bill from both parties would change the way SAMHSA programs work. Alcoholism and Drug Abuse Weekly, Vol. 34, No. 19, pp. 1–4.

Makwana, N. (2019). Disasters and how they affect mental health: A review of the facts. Journal of family medicine and primary care, 8(10), page 3090.

As you begin to prepare this assessment, it would be an excellent choice to complete the Nonprofit Organizations and Community Health activity. Complete this activity to gain insight into promoting equal opportunity and improving the quality of life in a community. The information gained from completing this activity will help you succeed with the assessment.

Choose the organization or agency you are most interested in researching:

Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

Instructions

Research a selected local, national, or global nonprofit organization or government agency from the list provided. Determine how the organization or agency contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 4-6 page report.

Cite at least three credible sources from peer-reviewed journals or professional industry publications published within the past 5 years that support your research findings.

Additional Requirements

Before submitting your paper, proofread it to minimize errors that could distract readers and make it difficult for them to focus on your research findings.    

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

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5hrs 1 page nursing paper…discussion reflection on a website..

/in /by

if you can manage in 5hrs 

 

Research a selected local, national, or global nonprofit organization or government agency to determine how it contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community.

Assignment: Legislation Grid and Testimony/Advocacy Statement

As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.

Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy. Many nurses see or hear things every day that make them want to be advocates and try to change policies, laws, or rules that affect healthcare issues they care about. Of course, doing so means getting into the world of policy and politics, which is less familiar to them. Even though many nurses don’t feel ready to work in this space at first, the chance to shape and influence future health policy is worth it.

To Prepare:

  • Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.

The Assignment: (1- page Legislation Grid; 1-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Grid Template. Be sure to address the following:

  • Determine the legislative intent of the bill you have reviewed.
  • Identify the proponents/opponents of the bill.
  • Identify the target populations addressed by the bill.
  • Where in the process is the bill currently? Is it in hearings or committees?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:

  • Advocate a position for the bill you selected and write testimony in support of your position.
  • Describe how you would address the opponent to your position. Be specific and provide examples.
  • At least 2 outside resources and 2-3 course specific resources are used.
  • —-

Sample:

Legislation Grid

Name of the Health-Related Bill

Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666)

Bill Number H.R.7666

Description

Rep. Frank Pallone, Jr. [D-NJ-6] put forward the bill. 5/6/2022. The goal of the bill is to suggest changing the Public Health Service Act so that some mental health and drug abuse programs can continue (GovTrack.us., 2022).

What about the states?

Federal

Intention of Lawmakers

The goal of the bill is to change the Public Health Service Act so that certain programs for mental health and drug abuse can continue (GovTrack.us., 2022). The goal is to give more people access to programs for mental health and drug abuse.

Proponents/ Opponents

Proponents:

The people who back the bill think that reauthorizing programs for mental health and drugs will help low-income families. The goal is to provide more health care services for people with mental health problems and drug and substance addictions. Opponents:

Opponents of the bill think that reauthorizing the mental health issue will cost the government more money because it will mean more services for health care. The people who are against the bill don’t think it will make a big difference in mental health and drug addiction. They think that the bill doesn’t deal with the real problems with mental health and drugs.

People to be reached

People with mental health problems or who are addicted to drugs or other substances are the target group.

The Human and Health Services Department.

Disease Control and Prevention Center.

What is the status of the bill? (Is it in committees or hearings?)

The bill has been brought up and put on the union’s schedule for more action.

Notes and Comments in General

Mental health problems and addiction to drugs and other substances are health problems that affect a lot of people in the United States. It is important to make changes to the public health service that give hope back to millions of people. The goal of the act is to keep some mental health and drug abuse programs going so that people of all ages can benefit from them.

Part 2: Statement/Testimony on Legislation

The goal of the bill is to keep certain programs for mental health and drug abuse going. The goal is to make sure that people in all 50 states can get mental health care. The way the Covid-19 pandemic is developing shows that more and more people are at risk for mental health problems because they are losing their jobs, living costs are going up, and they may lose their homes and savings (Knopf, 2022). People often turn to alcohol, drugs, and other substances to feel better. The law is needed now because the country needs better mental health care and treatment for people who abuse drugs or alcohol.

I think the law is a good idea because there are millions of people who are at risk of anxiety and depression. By reauthorizing treatment and expanding the care network, deaths that could have been prevented will no longer happen. Reauthorization makes it possible for millions of depressed and suicidal people to get help (Makwana, 2019). Research shows that healthcare services are very important for saving lives, making people’s lives better, and educating them (Knopf, 2022). By giving people with mental disabilities access to health care, the government will be able to reach more people and give them free, professional care.

The different points of view argue about how the money should be spent. First, the goal is to look at mental health and drug, alcohol, and substance abuse in the past to find the weak spots. With more information, you will be able to make a better choice. I’d say that the other side’s argument is insensitive because it doesn’t care about the health of the millions of people who don’t get the health care services meant for people with mental illnesses or who are addicted to alcohol, drugs, or other substances. The law needs support from many different groups in order to improve mental health care and reduce alcohol and drug abuse, especially now that the pandemic is over.

References

GovTrack.us. (2022). (2022). H.R. 7666 is the Restoring Hope for  Mental Health Thesis  and Well-Being Act of 2022. It was passed by the 117th Congress. Retrieved from http://www.govtrack.us/congress/bills/117/hr7666

Knopf, A. (2022). A big bill from both parties would change the way SAMHSA programs work. Alcoholism and Drug Abuse Weekly, Vol. 34, No. 19, pp. 1–4.

Makwana, N. (2019). Disasters and how they affect mental health: A review of the facts. Journal of family medicine and primary care, 8(10), page 3090.

As you begin to prepare this assessment, it would be an excellent choice to complete the Nonprofit Organizations and Community Health activity. Complete this activity to gain insight into promoting equal opportunity and improving the quality of life in a community. The information gained from completing this activity will help you succeed with the assessment.

Choose the organization or agency you are most interested in researching:

Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

Instructions

Research a selected local, national, or global nonprofit organization or government agency from the list provided. Determine how the organization or agency contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 4-6 page report.

Cite at least three credible sources from peer-reviewed journals or professional industry publications published within the past 5 years that support your research findings.

Additional Requirements

Before submitting your paper, proofread it to minimize errors that could distract readers and make it difficult for them to focus on your research findings.    

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

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The Role of Conscience

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Answer only two of the inquiries below.

2. A number of medical centers around the United States now offer “finders’ fees” to physicians for referring patients to researchers who are conducting trials of new drug therapies, the side effects of which are not yet known. 
one researcher, for example, was offering physicians a $350 payment for each referred patient who enrolled in the research project.   Many physicians accept the fees and make the referrals, apparently without suffering pangs of conscience.  Are their actions ethical?

3. From 1940 to 1970, more than 4,000 radiation experiments were performed on tens of thousands of Americans, many of them poor and uneducated, without their informed consent. Examples of alleged incidents: children in a Massachusetts orphanage were fed radioisotopes; 829 pregnant Tennessee women were fed radioactive iron; patients in Rochester, New York were injected with plutonium; cancer patients in Cincinnati received heavy doses of gamma rays.  Not all of these experiments can be attributed to researchers’ ignorance of the harmful effects of radiation; the main purpose of the experiments was to identify those effects rather than to cure the patients. Even so, the researchers do not seem to have thought they were committing a moral offense. Were they?

10. The consciences of the people in the following cases are confused.  As a result, the people cannot decide whether the actions they are contemplating are morally right.  Decide for them and present the rationale for your position.

d. An airline pilot goes for his regular medical checkup.  The doctor discovers that he has developed a heart murmur.  The pilot has only a month to go before he is eligible for retirement.  The doctor knows this and wonders whether, under these unusual circumstances, she is justified in withholding the information about the pilot’s condition. 

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The Role of Conscience

/in /by

Answer only two of the inquiries below.

2. A number of medical centers around the United States now offer “finders’ fees” to physicians for referring patients to researchers who are conducting trials of new drug therapies, the side effects of which are not yet known. 
one researcher, for example, was offering physicians a $350 payment for each referred patient who enrolled in the research project.   Many physicians accept the fees and make the referrals, apparently without suffering pangs of conscience.  Are their actions ethical?

3. From 1940 to 1970, more than 4,000 radiation experiments were performed on tens of thousands of Americans, many of them poor and uneducated, without their informed consent. Examples of alleged incidents: children in a Massachusetts orphanage were fed radioisotopes; 829 pregnant Tennessee women were fed radioactive iron; patients in Rochester, New York were injected with plutonium; cancer patients in Cincinnati received heavy doses of gamma rays.  Not all of these experiments can be attributed to researchers’ ignorance of the harmful effects of radiation; the main purpose of the experiments was to identify those effects rather than to cure the patients. Even so, the researchers do not seem to have thought they were committing a moral offense. Were they?

10. The consciences of the people in the following cases are confused.  As a result, the people cannot decide whether the actions they are contemplating are morally right.  Decide for them and present the rationale for your position.

d. An airline pilot goes for his regular medical checkup.  The doctor discovers that he has developed a heart murmur.  The pilot has only a month to go before he is eligible for retirement.  The doctor knows this and wonders whether, under these unusual circumstances, she is justified in withholding the information about the pilot’s condition. 

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Literature Review

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You will submit the Literature Review section of your proposal(See attached PROPOSED STUDY). Each week you have been adding to your growing body of evidence to support your problem and proposed innovation to address the problem. The review of literature is a critical, analytical summary and synthesis of the current knowledge of your research topic. Thus it should compare and relate different theories, findings, etc., rather than just summarize them individually.

DO TWO PAGES

PROVIDE CITATION AND KEEP APA FORMAT.

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Patient Teaching Plan Part one

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 Part One of the Assignment.

Purpose

To create a Patient Teaching Plan aimed at educating a specific patient population about a specific health topic. This plan will be used to develop a Visual Teaching Tool in a future assignment.

Course Outcomes

This assignment enables the student to meet the following course outcomes.

  • CO 2: Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO #1)
  • CO 4: Identify teaching/learning needs from the health history of an individual. (PO #2)

This assignment is worth 125 points.

Background Information

NR305 focuses on nursing assessment, and the identification of opportunities to prevent disease and improve health of patients. An important professional role for nurses is to provide teaching to patients based on knowledge deficits identified during assessment.

Prior to beginning this assignment, follow the link to read the article below. The information related to adult learning and barriers to understanding will be helpful when planning how to best educate your selected population.

Beagley, L. (2011). Educating patients: Understanding barriers, learning styles, and teaching techniques. Journal of Paranesthesia Nursing, 26(5), 331-337. permalink (Links to an external site.)Links to an external site.

Directions

Please read all directions carefully before you begin.

  1. Click to download the Patient Teaching Plan Form (Links to an external site.)Links to an external site..
    Type your answers directly into this Word document and submit. The use of correct terminology, grammar, and spelling is important! Any references and citations used should be written in APA format. Please utilize in-text citations when appropriate, and list all references in the space provided at the end of the worksheet.
  2. You are required to complete the form using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.
  3. Health Topic: Decide WHAT you would like to teach. Describe in detail why this is an important topic for patient education. Use evidence from the textbook, lesson or an outside scholarly source to support your rationale.Select from the following health topics to complete your Patient Teaching Project:

     

    • Stress and Time Management
    • Self-Care (can choose a specific self-care activity)
    • Prevention of Hazards at Work
    • Bicycle Safety
    • Ergonomics (related to work, posture)
    • Skin Cancer Prevention
    • Healthy Eating
    • Exercise/Physical Activity
    • Suicide
    • Human Trafficking
    • Eating Disorders
    • Substance Abuse (Opioid, Alcohol, Nicotine)
    • Depression
    • Palliative Care/Hospice Care
  4. Population and Setting: Once you have selected a topic, you must decide WHOyou will be teaching and WHERE the education will take place. (i.e., teaching a classroom of middle school students; teaching community members at a local health fair)
  5. Learning Barriers: Refer to the assigned article: Educating patients: Understanding barriers, learning styles, and teaching techniques for information related to learning barriers and other teaching considerations. Barriers might be cultural, physical, educational, or environmental. You may also want to consider the developmental stages of your selected population.Example:
     

    • The population in this community is known to have a low-literacy level, therefore clear pictures and graphics will be utilized to assist with understanding.
  6. Learning Objectives: Write three specific learning objectives your Visual Teaching Tool will address. Begin each objective with “At the end of this education, the learner will …” Use an action verb to finish the sentence (i.e., list, demonstrate, describe, define, identify).Example:
     

    • At the end of this education, the learner will be able to demonstrate the proper way to wear a bike helmet.
    • At the end of this education, the learner will be able to describe how to perform a breast self-exam.
    • At the end of this education, the learner will be able to list three benefits of regular physical activity.
  7. Evaluation: Write a paragraph describing how you could evaluate whether your visual teaching tool was successful and met the learning objectives. Consider the population’s abilities and the setting.

 NOTE: The Patient Teaching Plan Form and the Article are the attachment below. You can use additional Article. Please let the patient population be on Middle school  children.

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