Week 1B

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Ethical and Legal Implications of Prescribing Drugs

​One of the key roles that an advanced practice nurse assumes is prescribing medications. However, one is required to be prudent as well as deliberate in the decision making to avoid potential prescribing errors. This has been emphasized by Rosenthal and Burchum (2018) that the ability to prescribe medication cannot only be considered as a privilege, but also a burden. This is given to the fact that one is required to take into consideration the ethical and legal implications of prescribing. In light of this, this paper seeks to explore legal as well as ethical implications of prescribing in respects to the scenario assigned, strategies to address disclosure and non-disclosure in respect to the scenario, strategies that can be used to guide decision-making as well as the process of writing prescriptions and minimizing medication errors.

Ethical and Legal Implications

​The scenario assigned involves a 5-year old patient who was prescribed a dose suitable for an adult rather than that an appropriate dose for his age. The legal implications of this scenario on the prescriber include civil action, criminal charges as well as a discipline by the medical board.According to Westrick and Jacob (2016), a nurse practitioner can be sued for medical malpractice if the negligence resulted in the injury of the patients. Gross negligence is therefore required to be proven for the practitioner to be charged at the court. Another legal implication from the above scenario isaction from the regulatory board. In such a scenario the board is obligated to investigate the scenario and take action such aseducation if it is established that education can remedy the situation. However, this action is only taken if the board findsthat minimal standards of care were not met in the occurrence of the errors.  In case the event was egregious, the board may suspend or revoke the practitioner’s license. Ethical implications of the above scenario include the erosion of the trust by the patients as well as possible harm or injury to the patients.

Strategies to Address Disclosure and Nondisclosure

Despite the fact that the practitioner strives to offer the highest quality care, unintended consequences still occur. In light of this, one of the strategies to address disclosure and non-disclosure in the scenario above is complying with the State law on disclosing medication error. Nurse practitioners have a legal obligation of reporting medication errors in IllinoisState. For instance, in Illinois, Adverse Health Care Event Reporting Law (410 ILCS 522/10) was passed in 2005 tofacilitate reporting of medication errors such as the wrong dose (Illinois General Assembly, 2020). However, this law is not used to punish the errors reported. The other approach isthe use of ethical imperative to disclose in which Joint Commission Standard RI.2.90 necessitates patients as well as their families not only to be informed about the outcomes of care and treatment but also the unintended outcomes (Kass & Rose, 2016). This standard can, therefore, helps in disclosing the errors to the patient and families in this context in a timely manner.

Strategies an Advanced Practice Nurse would use to GuideDecision Making

​One of the strategies I would adopt to guide decision making in the scenario above is the use of ethical principles beneficence and Nonmaleficence. These principles typically denote that healthcare practitioners should do what is best for their patients and do no harm. This would help in making the right decision and understanding the projected risk and benefits that comes with disclosure. This has been emphasized by Shaikh and Cohen (2020) that disclosure of medication error is profound in enhancing patient safety as relevant actions can be taken to prevent or minimize adverse events.The other strategy that I would use is consulting the physicians or other nurse practitioners on how to handle theabove scenario. This can ensure the best interest, which in this case is patient safety are taken into consideration. Notifying the rest of the team would further help in better handling of any negative outcome and reduce mismanagement from occurring.

​Despite the fact that practitioners are frequently faced with the dilemma of whether to disclose or not disclose medication errors, Shaikh and Cohen (2020) recommend that practitioners should always opt for disclosure. This is given that disclosure can help in reducing harm to the patients and enhance safety. In regard to the above scenario, I would disclose the medication error to the parents of the patients to ensure any harm that might have occurred is addressed as well as prevent further adverse events.

Process of Writing Prescriptions and Strategies of Minimizing Medication Errors

​In writing prescriptions, Rosenthal and Burchum (2018) recommend that key elements should be included. These elements include the prescriber’s name, license number, contact, DEA number, name of the patient and age, medication name, strength and frequency as well as the number of refills. Some of the strategies that can be used to minimize medication errors include the use of technology such as CPOE, which has been found to reduce medication errors by 50 percent, use of barcode system as well as medication reconciliation (Rosenthal & Burchum, 2018).

Conclusion

​From the above discussion, it has been established that medication error is one of the key errors that occur in healthcare. However, it has been deduced that healthcare providers have a legal obligation to disclose medication errors. This is primarily for the purpose of enhancing patients’safety.

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Case study on biomedical ethics in the christian narrative

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This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles and four boxes approach.

Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following:

Part 1: Chart

This chart will formalize the four principles and four boxes approach and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.

Part 2: Evaluation

This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.

Remember to support your responses with the topic study materials.

APA style is not required, but solid academic writing is expected.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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DQ WEEK 3

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  • State your PICOT question.
  • Indicate in parentheses after each segment, what part of PICOT the preceding words represent.
  • For example: In patients recently discharged from the hospital following care for heart failure (P), do hand-off calls by the nurse to the primary care provider using the SBAR format (situation, background, assessment, recommendation) (I) compared to no calls (C) decrease readmission rates (O) over a one year period (T).

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health care assignment

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Nurse Staffing and Inpatient Hospital Mortality.

Write a Memorandum (no more than 2 pages) directed to your faculty answering the questions:

  1. What questions the did researchers try to answer?
  2. What study design was chosen for this study? Why?
  3. What data was collected? Why?
  4. What biases the study was subjected to?
  5. What conclusions were made?
  6. How a healthcare manager can use this study to guide departmental staffing?

**Refer to credible sources following APA format when appropriate

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Discussion 8-2

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Research a health-care initiative or legislative statue that is currently underway in your state or federally. You may want to check with nursing organizations that have legislative departments that can provide their analysis on current health-care issues. You may also conduct online research to identify current issues. Discuss how you can take an active role as a health-care advocate (at the local, state, or federal level as appropriate). Identify one tacitic to advocate for your identified initiative or legislation.

Expectations

  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

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Benefits, Research studies that support health benefits

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Welcome to Learning Team #1 (Aromatherapy)

I hope everyone is this team is safe and well.

I encourage you to work together as a team. Each student is going to choose one part in this project. The project is going to be divided as follows:

Part #1:

Where does the word Aromatherapy come from?

Team Leader (put all work together)

Part #2:

Background / history

Who can practice it? Training in aromatherapy?

What are essential oils? / Examples

Part #3:

How does essential oils work?

Contraindications

Part #4:

Benefits

Research studies that support health benefits (at least 3)

Part #5:

Abstract

Integration into nursing practice

Conclusions

The team leader will put the work together at the end. Therefore, group members must post their parts at least 2 weeks before the due date (Sunday, July 5) (due date is Sunday, July 19). In this way the leader has time to put all parts together, do the conclusion (student that chose part #5) and post the paper for group members to check and do suggestions. The final paper / revision is responsibility of all group members.

Please, review all the information and be sure that you understand what to do. Start working as soon as possible. Do not leave it for the end.

Please, do not hesitate to contact me if you have any question or doubt. Please, contact me if you are having any issue with any team member or if any team member is not participating. Student that do not participate will get a “0” in the Group

Research Project which accounts for 20% of the final grade.

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Reflective Seminar

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This isn’t a paper.. you can just answer each question, with examples, and incorporate reflective learning concepts where appropriate (be sure to cite). Make sure to answer with good strong paragraphs to show you know the material.

1.  In the field in which you are majoring or earning your Prior Learning Assessment credit, are there various frameworks or “schools of thought”? Do people have differences of opinion about them? Describe them.

2.  Have you changed your mind between different theories, approaches, or “schools of thought” in your work? How did the change in your thinking happen and why?

3.  Have you had to explain different approaches to someone new at work or to someone new in your volunteer activities? What was it like explaining it, as compared to doing it?

4.  Do you feel like you have a variety of different knowledge from different perspectives about what you do? How did you learn to be “versatile” in the learning you achieved?

5.  In reflecting on your past experiences, did you come to a stage in your own development when you could see how “complex” a situation was – more so than people who were new to your work or volunteer experiences? What activities did you engage in that gave you this complex understanding?

6.  Looking back on your prior learning, are there times when you have changed your outlook, or self-transformed? Do you feel that you came to a point in your development when you were more able to change your approach, or you could “see the big picture” and that gave you courage to change how you did things or make new suggestions to people ranking above you?

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leadership and management

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Module 1 Assignment 

The Speed of Trust, Part 1

Overview: The One Thing That Changes Everything

Trust may be something we take for granted until it is injured or destroyed. When that happens, it assumes a new importance. When you think of the people that are important in your life, these are most likely people you trust. We live in a time when we are frequently reminded that trust has to be earned and then reevaluated. Think of some of the public figures that had been trusted and then lost that trust. As you work on this assignment, start developing your trust meter, the instrument that guides you when evaluating trustworthiness.

This assignment is worth 15 points.

Objectives

• Analyze the evolving professional nursing roles of leader/manager within a dynamic health care team

• Design unique strategies to promote adaptation to the professional nursing roles.

• Utilize the critical thinking process in problem solving and decision making.

Directions

Before completing this assignment, read the first section (pages 1- 26) of Covey’s The Speed of Trust. In this assignment, you will write a short (1-2 pages), opinion paper. The paper is to be based on your own experiences and opinions. You should critically reflect on your personal experiences and apply what you have learned in the module to your current practice. Justify and explain your responses with examples and thorough explanations.

Consider your current or past place of employment, and discuss the following:

a. The level of excellence at this institution is (select high or low); possibly because of the high/low level of trust the employees have of the administration. This level of trust of administration is illustrated by:

b. The level of excellence at this institution is (select high or low); possibly because of the high/low level of trust the administration has of the employees. This level of trust of the employees is illustrated by:

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Discussion . Make sure you provide 2 references and utilize APA style

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Jordan  is a 35-year-old woman who presents with intermittent diarrhea with  cramping that is relieved by defecation. The diarrhea is not bloody or  accompanied by nausea and vomiting. Review of past medical history  includes some childhood “stomach issues”, HTN, and a recent  cholecystectomy. She works in the environmental department of a large  hotel. . She denies alcohol and cigarette.

Diagnosis: Irritable Bowel Syndrome (IBS)

I.      Discuss the epidemiology of IBS?

II.     What is your treatment goals for this patient?

III.    Discuss First line and second line drug therapy for IBS. Please include pharmacotherapeutic information.

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Menu Meal Planning

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MENU/MEAL PLAN CASE STUDY ASSIGNMENT – due Week 11

This independent written assignment is worth 15% of your final grade in PSW 164.

Paper Content:

 

 The writer will develop a 7 day work plan and 1 day meal plan related to the case study chosen. The student will integrate course material covered throughout the entire course as necessary. The student will demonstrate synthesis of information within the work plan and diet plan presented.

 

 Material presented will include excellent information and application of the role of the PSW at is pertains to the specific case study.

 The written paper will follow the APA 6th ed. Style, including in-paper citations. Charts and

tables are not acceptable.  Maximum length is four (4) double spaced (font 12) pages (excluding title page and reference

page).

 Submit your final paper to Turnitin and attach the originality report to your paper. Instructions for use of Turnitin will be posted in this course announcement section on Blackboard.

Assignment is due at 2400 hours on Monday, March 23, 2020, assignments submitted after 2400 (midnight) on the due date will be considered late and a late penalty of 20% per day will be deducted.

 

 

 

Student Name: __________________________ PSW 164 Section #: __________________ PSW 164 Menu/Meal Plan Case Study Assignment Grading Rubric Scenario #: ________________________

Assignment Criteria Excellent

 

Good

 

Satisfactory

 

Needs Improvement

 

Below Accepted Standard

Mark

1) Develops a 7 day work plan (Part A) related to the scenario.

(8)

Develops a 7 day work plan and one day meal plan. In depth application of course material.

(8)

Develops a 4 – 6 day work plan. Develops a meal one day plan. Moderate application of course material application.

(6)

Develops a work plan but is missing a number of days and details.

(4)

Develops a work plan, but is missing a great deal of information. Little application of course material.

(2)

Little or no necessary content, extremely disorganized, no citations.

(0)

 

/8

2) Develops a one day meal plan (Part B) related to the case study scenario.

(4)

Develops a 1 day meal plan. In depth application of course material.

(4)

Develops a one day meal plan. Moderate application of course material application.

(3)

One day meal plan developed. Some application of course material.

(2)

Minimal meal plan developed. Little application of course material.

(1)

Little or no necessary content, extremely disorganized, no citations.

(0)

/4

3) Knowledge and application of role of PSW

(4)

Material presented with excellent knowledge and application of role of PSW.

(4)

Material presented thoroughly with good application of knowledge and of role of PSW.

(3)

Material presented with some depth and knowledge and application of role of PSW.

(2)

Material presented with limited knowledge and application of role of PSW.

(1)

Little or no necessary content presented.

(0)

 

/4

4) APA format utilized and references provided. Submission of Turnitin originality report.

(2)

APA correct; correct margins, double spaced, title & reference pages, numbered pages, correct in-paper citations, stapled only, no folders, rubric sheet. 0 errors. Submission of Turnitin originality report.

(2)

Mostly correct application of APA, meets most criteria. 1 – 5 errors. Submission of Turnitin originality report.

(1.5)

Some correct application of APA, meets some criteria. 6 – 8 errors. Submission of Turnitin originality report.

(1)

Minimal application of APA with many mistakes. 9 – 10 errors. No submission of Turnitin originality report.

(0.5)

Little or no attempt at APA formatting.

(0)

 

/2

5) Spelling & grammar/punctuation:

(2)

Perfect spelling and grammar. Grammar and spelling appropriate to college level writing expectations. 0 errors.

(2)

Mostly correct spelling and grammar with only a few mistakes. Meets college level writing expectations. 1-5 errors.

(1.5)

Several spelling and grammar mistakes. Below college level writing expectations. 6-8 errors.

(1)

Numerous spelling and grammar errors. Well below college level writing expectations. 9 – 10 errors.

(0.5)

Little or no attempt at correct spelling and grammar.

(0)

 

/2

PSW 2020 MUST SUBMIT THIS RUBRIC WITH ASSIGNMENT Total Mark: ________/20

 

 

 

CASE STUDY ASSIGNMENT SCENARIOS

Scenario 1 You are assigned to care for Mrs. Barnes an 82 year old lady with severe crippling arthritis. Mrs. Barnes has no family in the immediate area. Part A Time Management The Care Plan states:

assist with bathing, grooming and dressing tub bath/shower 2 times per week do light housekeeping do the laundry prepare and serve breakfast, leave lunch change the bedding

meals on wheels brings dinner

You will provide service to the client 7 days per week from 8:00 am to 9:00 am for 2 mornings per week and from 8:00 am to 10:00 am for 5 mornings per week. Mrs. Barnes will also receive your services from 8:00 pm to 9:00 pm every evening to assist her in getting ready for bed and to complete any unfinished tasks. You are the Primary Caregiver. Develop a work plan for the week. Part B Meal Preparation Mrs. Barnes is a vegetarian. Create a one day meal plan which includes breakfast, lunch, dinner and snacks according to Canada’s Food Guide. Include any dietary requirements and preferences.

 

 

 

Scenario 2 You are assigned to care for Mr. Fields a business man age 68, recovering from a serious foot ulcer. Mr. Fields lives alone and his job takes him out of town most of the time. Part A Time Management The Care Plan states:

assist with bathing, grooming and dressing tub bath/shower 2 times per week do light housekeeping do the laundry prepare and serve breakfast, leave lunch change the bedding

meals on wheels brings dinner

You will provide service to the client 7 days per week from 8:00 am to 9:00 am for 2 mornings per week and from 8:00 am to 10:00 am for 5 mornings per week. Mr. Fields will also receive your services from 8:00 pm to 9:00 pm every evening to assist him in getting ready for bed and to complete any unfinished tasks. You are the Primary Caregiver. Develop a work plan for the week. Part B Meal Preparation Mr. Fields is a diabetic. Create a one day meal plan which includes breakfast, lunch, dinner and snacks according to Canada’s Food Guide. Include any dietary requirements and preferences.

 

 

 

Scenario 3 You are assigned to care for Mr. Beaton, a 76 year old man who due to taking large doses of codeine for his broken hip is currently suffering from constipation. Part A Time Management The Care Plan states:

assist with bathing, grooming and dressing tub bath/shower 2 times per week do light housekeeping do the laundry prepare and serve breakfast, leave lunch change the bedding

meals on wheels brings dinner

You will provide service to the client 7 days per week from 8:00 am to 9:00 am for 2 mornings per week and from 8:00 am to 10:00 am for 5 mornings per week. Mr. Beaton will also receive your services from 8:00 pm to 9:00 pm every evening to assist him in getting ready for bed and to complete any unfinished tasks. You are the Primary Caregiver. Develop a work plan for the week. Part B Meal Preparation Mr. Beaton has been on a regular diet but needs some assistance now due to his constipation. Create a one day meal plan which includes breakfast, lunch, dinner and snacks according to Canada’s Food Guide. Include any dietary requirements and preferences. Explain why this diet is suitable based on the information provide in the case history.

 

 

 

Scenario 4 You are assigned to care for Mrs. Putty a 48 year old lady who is very weak and tired from chemotherapy due to right breast cancer. Part A Time Management The Care Plan states:

assist with bathing, grooming and dressing tub bath/shower 2 times per week do light housekeeping do the laundry prepare and serve breakfast, leave lunch change the bedding

meals on wheels brings dinner

You will provide service to the client 7 days per week from 8:00 am to 9:00 am for 2 mornings per week and from 8:00 am to 10:00 am for 5 mornings per week. Mrs. Putty will also receive your services from 8:00 pm to 9:00 pm every evening to assist her in getting ready for bed and to complete any unfinished tasks. You are the Primary Caregiver. Develop a work plan for the week. Part B Meal Preparation Mrs. Putty is having difficulty eating due to mouth sores and lack of appetite based on her current treatment. Create a one day meal plan which includes breakfast, lunch, dinner and snacks according to Canada’s Food Guide. Include any dietary requirements and preferences.

 

 

 

Scenario 5 You are assigned to care for Mrs. Murry, aged 62 years, with heart and breathing problems. Mrs. Murry energy level is low but likes to be as independent as possible. Part A Time Management The Care Plan states:

assist with bathing, grooming and dressing tub bath/shower 2 times per week do light housekeeping do the laundry prepare and serve breakfast, leave lunch change the bedding

meals on wheels brings dinner

You will provide service to the client 7 days per week from 8:00 am to 9:00 am for 2 mornings per week and from 8:00 am to 10:00 am for 5 mornings per week. Mrs. Murry will also receive your services from 8:00 pm to 9:00 pm every evening to assist her in getting ready for bed and to complete any unfinished tasks. You are the Primary Caregiver. Develop a work plan for the week. Part B Meal Preparation Mrs. Murry is on a low sodium diet. Create a one day meal plan which includes breakfast, lunch, dinner and snacks according to Canada’s Food Guide. Include any dietary requirements and preferences. Explain why this diet is suitable based on the information provide in the case history.

 

 

 

Scenario 6 You are assigned to care for Mrs. Bark, an active 36 year old mother recovering from bowel surgery. Presently her children and husband have gone on a vacation while she recovers. Part A Time Management The Care Plan states:

assist with bathing, grooming and dressing tub bath/shower 2 times per week do light housekeeping do the laundry prepare and serve breakfast, leave lunch change the bedding

meals on wheels brings dinner

You will provide service to the client 7 days per week from 8:00 am to 9:00 am for 2 mornings per week and from 8:00 am to 10:00 am for 5 mornings per week. Mrs. Bark will also receive your services from 8:00 pm to 9:00 pm every evening to assist her in getting ready for bed and to complete any unfinished tasks. You are the Primary Caregiver. Develop a work plan for the week. Part B Meal Preparation Mrs. Bark is on a low residue diet. Create a one day meal plan which includes breakfast, lunch, dinner and snacks according to Canada’s Food Guide. Include any dietary requirements and preferences. Explain why this diet is suitable based on the information provide in the case history.

 

 

 

Scenario 7 You are assigned to care for Mr. Juner a 25 year old man who was in a motor vehicle accident and recently came home from the hospital with his jaw wired shut. Part A Time Management The Care Plan states:

assist with bathing, grooming and dressing tub bath/shower 2 times per week do light housekeeping do the laundry prepare and serve breakfast, leave lunch change the bedding

meals on wheels brings dinner

You will provide service to the client 7 days per week from 8:00 am to 9:00 am for 2 mornings per week and from 8:00 am to 10:00 am for 5 mornings per week. Mr. Juner will also receive your services from 8:00 pm to 9:00 pm every evening to assist him in getting ready for bed and to complete any unfinished tasks. You are the Primary Caregiver. Develop a work plan for the week. Part B Meal Preparation Mr. Juner is on a liquid diet. Create a one day meal plan which includes breakfast, lunch, dinner and snacks according to Canada’s Food Guide. Include any dietary requirements and preferences. Explain why this diet is suitable based on the information provide in the case history.

 

 

 

Scenario 8 You are assigned to care for Mrs. White a 50 year old woman who is 220 pounds. She returned home following a heart attack. Mrs. White is under strict orders from the cardiologist to lose weight. Part A Time Management The Care Plan states:

assist with bathing, grooming and dressing tub bath/shower 2 times per week do light housekeeping do the laundry prepare and serve breakfast, leave lunch change the bedding

meals on wheels brings dinner

You will provide service to the client 7 days per week from 8:00 am to 9:00 am for 2 mornings per week and from 8:00 am to 10:00 am for 5 mornings per week. Mrs. White will also receive your services from 8:00 pm to 9:00 pm every evening to assist her in getting ready for bed and to complete any unfinished tasks. You are the Primary Caregiver. Develop a work plan for the week. Part B Meal Preparation Mrs. White is on a low calorie diet and has difficulty resisting sweet desserts. Create a one day meal plan which includes breakfast, lunch, dinner and snacks according to Canada’s Food Guide. Include any dietary requirements and preferences.

 

 

 

Scenario 9 You are assigned to care for Mr. Watson, a 35 year old account executive who recently returned home from the hospital and is still recovering from a stomach ulcer. Part A Time Management The Care Plan states:

assist with bathing, grooming and dressing tub bath/shower 2 times per week do light housekeeping do the laundry prepare and serve breakfast, leave lunch change the bedding

meals on wheels brings dinner

You will provide service to the client 7 days per week from 8:00 am to 9:00 am for 2 mornings per week and from 8:00 am to 10:00 am for 5 mornings per week. Mr. Watson will also receive your services from 8:00 pm to 9:00 pm every evening to assist him in getting ready for bed and to complete any unfinished tasks. You are the Primary Caregiver. Develop a work plan for the week. Part B Meal Preparation Mr. Watson is on a bland diet and has difficulty resisting sweet desserts. Create a one day meal plan which includes breakfast, lunch, dinner and snacks according to Canada’s Food Guide. Include any dietary requirements and preferences. Explain why this diet is suitable based on the information provide in the case history.

 

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