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Wk2Responses/Response # 1 To Tigist Week 2 Initial Post: Ethical Challenges in Health Care for Practicing NPs

 

Wk2Responses/Response # 1 To Tigist

Week 2 Initial Post: Ethical Challenges in Health Care for Practicing NPs

An explanation of whether NPs should treat family members.
Treating patients or family members include prescribing diagnostic tests, diagnosing and prescribing treatments (drug or other treatment plans). Some states are allowing Nurse practitioners (Nps) or care providers to provided treatments to family members only in emergency situations and some allow with written record of an exam and treatment is needed (Midlevel U: The Online Hub for Midlevels, 2013). Buppert (2004), suggests that NPs should review the laws governing in his/her state and not to prescribe controlled medications to family, coworkers, and friends: as this will be a red flag to pharmacist, other legal teams, and organizations to keep an eye on the prescriber.
What are the ethical dilemmas in this situation?
In this week case study, the Mother who is a NP should know better not to prescribe an antibiotic. The mother did a mistake not wearing her six thinking hats: she went ahead and gave her daughter treatment without any evidences of strep infections, such as fever, throat/tonsils (exudates, edema, erythema,), tender lymph nodes, or positive strep test (Buttaro, Trybulski, Polgar Bailey, & Sandberg-Cook, 2013). The mother also should have known that her daughter’s situation is an emergency: her daughter pain symptoms could have been treated with over the medications such as ibuprofen or acetaminophen Tylenol, others (Buttaro, et al., 2013).
In addition, as NP and a care provider understanding the term beneficence is vital to prevent other from harmful conditions (Buppert, 2018). The antibiotic that the mother prescribed have many side effects that may cause more discomfort to her daughter such as vomiting, diarrhea, abdominal cramps, allergic reaction, vaginal itching, misuse of antibiotics may arise in bacterial resistance, and more (Buttaro, et al., 2013).
What are the laws in your state for NPs treating themselves, family, or friends?
There is no specific written law that I have found which states New Jersey Nps not to treat family, friends, family, or themselves as they are technically independent providers. NJ NPs are responsible ethically and legally for any care they provided including diagnosing and treating any individuals (Midlevel U: The Online Hub for Midlevels, 2014). Physicaials do not need to be on a site with the NPs when prescribing medications or treatments yet they need to keep communication with the collaborative physician (Midlevel U: The Online Hub for Midlevels, 2014). Although, NPs in New Jersey are allowed to prescribe schedule II-V controlled substance after completing six contact hours of substances pharmacology course,
personally, I would not prescribe any controlled medication to any of my friends, families, or co-workers (Stokowski, 2015).
Refrences

Buppert, C. (2018). Nurse practitioner’s business practice and legal guide (6th ed.).

Sudbury, MA: Bartlett & Jones Learning

Buppert, C. (2004). Can NPs Prescribe for Family Members or Themselves? Retrieved
from http://www.medscape.com/viewarticle/478418
Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2013).

Primary care: A collaborative practice (4th ed.). St. Louis, MO: Mosby.

Midlevel U: The Online Hub for Midlevels. (2013 January 14). Should Providers Treat

Their Friends and Family? [Blog Post]. Retrieved from

http://midlevelu.com/blog/should-providers-treat-their-friends-and-family

Stokowski, L. (2015). APRN prescribing law: a state-by-state summary. Available from:.
Accessed,10, 16. Retrieved from http://www.medscape.com/viewarticle/440315
Midlevel U: The Online Hub for Midlevels. (2014 September 12) Nurse Practitioner Scope of Practice:New Jersey retrieved from http://www.midlevelu.com/blog/

nurse-practitioner-scope-practice-new-jersey

Response # 2 to Jennifer Lambert

In this case study, there are some questions that one should consider prior to a decision. Buppert (2018) briefly discusses ethical principles and ethical decision processes when faced with different types of ethical dilemmas. The legality of this situation would need to be the first consideration, then the ethical issues if any.

Treating family or friends is sometimes a gray area and not addressed legally in certain states. Some states recommend against it except in emergency situations and some states allow this practice provided the documentation shows a physical exam and treatment plan along with the prescription. Treating family for minor illnesses may be acceptable but prescriptions for controlled substances are not good practice due to the inability to participate in a true unbiased patient-provider relationship (MidlevelU, 2013).

Ethical issues in the case study

A couple of dilemmas stand out in this example such as the NP seeing her daughter as the patient without taking time to properly evaluate her as the patient. Also, prescribing an antibiotic even after a negative Rapid Antigen Detection Test(RADT), just to appease the patient.

There was no indication for this treatment regimen. Acute pharyngitis, either viral or bacterial is almost always a self-limiting condition but GABHS is the only diagnosis and cause for acute pharyngitis where antibiotics are recommended. RADT false negative results are usually low while the expense of DNA backup testing is usually very high. Antibiotics are given to reduce the severity of symptoms or possible complications such as peritonsillar abscess, lymphadenitis, mastoiditis, or rheumatic fever. Rheumatic fever rates are very low in the United States as are the other suppurative complications with GABHS. Waiting on DNA probe testing delays antibiotic treatment which could mean the patient may not benefit from the treatment and prescribing an antibiotic for negative RADT while awaiting the back-up testing causes an over-use of antibiotics and possible resistance (Nakhoul, & Hickner, 2013).

I believe in this situation, the NP should have suggested another provider see her daughter or to encourage analgesics for throat pain and to increase fluids, due to the high probability that it was viral in nature (UpToDate, Inc. 2017).

State law

The Nurse Practice Act in Arkansas does not specifically address or regulate the treatment of family or friends except that documentation has to be that of other patients in the practice which would consist of physical exam, treatment plan, and prescription all present in the chart. Best practice is encouraged which is to have another provider see them especially if controlled substances are involved. Also, to remember that objectivity is harder to maintain when treating family or friends and the objectiveness of decision making should make sense in front of any jury (Arkansas State Board of Nursing, 2016).

References

Arkansas State Board of Nursing (2016). Advanced Practice Nursing in Arkansas: A Legislative

Update. Retrieved from http://www.arsbn.org/.

Buppert, C. (2018). Nurse practitioner’s business practice and legal guide, (6th ed.). Sudbury,

MA: Bartlett and Jones Learning.

Midlevel U: The Online Hub for Midlevels. (2013 January 14). Should Providers Treat Their

Friends and Family? [Blog Post]. Retrieved from

http://midlevelu.com/blog/should-providers-treat-their-friends-and-family

Nakhoul, G. N., & Hickner, J. (2013). Management of adults with acute streptococcal

pharyngitis: Minimal value for backup strep testing and overuse of antibiotics. JGIM Journal

of General Internal Medicine, 28(6), 830-834. doi: 10.1007/s11606-012-2245-8.

UpToDate, Inc. (2017). Symtomatic treatment of acute pharyngitis in adults. Retrieved from

https://www.uptodate.com/.

ASSIGNMENT 3 – Use the AMSCO textbook – Chapters 1 AND 2, as well as the following online textbooks, to draft one analytical essay . Focus on effects and impact, not just details and facts. a. Compare and contrast the first settlements of Jamestown, Plymouth and Massachusetts Bay, including: economic, social and religious factors. (As you answer this AP level question, think about the following: Where were they colonies located? Why did people settle in each area? Who came and why? What were the laws/government like? What role did religion play? What was the main focus in Jamestown? How were these areas different from each other and why?) The Americans Textbook – SEE Chapters 1-3 – McDougall Littel http://www.mybigcampus.com/bundles/u-s-history-the-americans-text—222967?g_id=844954

 

ASSIGNMENT 3 – Use the AMSCO textbook – Chapters 1 AND 2, as well as the following online textbooks, to draft one analytical essay . Focus on effects and impact, not just details and facts.

a. Compare and contrast the first settlements of Jamestown, Plymouth and Massachusetts Bay, including: economic, social and religious factors. (As you answer this AP level question, think about the following: Where were they colonies located? Why did people settle in each area? Who came and why? What were the laws/government like? What role did religion play? What was the main focus in Jamestown? How were these areas different from each other and why?)

The Americans Textbook – SEE Chapters 1-3
– McDougall Littel http://www.mybigcampus.com/bundles/u-s-history-the-americans-text—222967?g_id=844954

Pageant AP US History Textbook – Chapter 1 http://www.scuc.txed.net/webpages/cbaker/files/chapter%201%20new%20world%20beginnings.pdf

AMSCO [Chapters 1 and 2] also available online at
http://ma.lvlhs.org/ourpages/auto/2012/4/12/58446259/TOP%20REVIEW%20TEXTBOOK.pdf

 

Business supervision

 

 

Business supervision

Need a discussion board done in music and response. Also a case study and analyze done in business supervision.
Case Study 6Read the Case Study 6 on page 57 of your textbook, then complete the Analysis at the end of the Case Study, using Figure 2.1 as a guide. Since this requires a table, you may complete it either in a Word document and add a table or complete your work in a Spreadsheet.

 

 

 

 

 

 

Music Application

 

Gregorian chant is the official music of the Roman Catholic Church. For centuries, great lengths were taken to memorize hundreds of chants, sing them accurately, and pass them down aurally to the next generation. 1. Create your own thread, consisting of at least 100 words, explaining how you feel music does or does not serve the practice of worship. 2. Find a good example of music that demonstrates your opinions on YouTube and share the link with the class.3. Then, please respond to at least one of your classmates to complete this forum.Remember, this is a graded forum; therefore, take caution to use good spelling and grammar and always be mindful of your writing style. Too often students fall into an overly informal tone as in a text message. Instead, show me your best work and craft your post with professional eloquence. Think deeply about what you want to say and choose your words carefully.Further, the depth of your response to your classmates will also impact your grade. In your response, don’t just say “great,” or “I agree,” explain why you agree or like their posting.

Need to respond
Music is used for many things- to express emotion, find peace, and definitely worship.  Far too often, the music of today worships money, cars, women, and various other materialistic things.  I do believe that worship through music is an integral part of praise and religious ceremonies and services.  Music hits the soul in a place, for me, that nothing else does.  I think that music in church creates a deeper connection with the Lord, in a way that can be felt in a lump in the throat, chills, tears, and almost aching in the heart.  I chose “How Great Thou Art” because I grew up hearing this song in church, and it was one of my grandfather’s favorite songs. It is a very powerful song as you can see in this recording by Carrie Underwood and Vince Gill.  She is deeply connected and even sheds a tear at the end.  https://youtu.be/q2T1csHUgF4

 

 

 

What is the preliminary hearing and what is its purpose? 2. What is a grand jury and what role do they play in our judicial system? 3. Define what a criminal trial is and the role the jurors in a felony case. 4. In light of recent police involved shootings, should the grand jury system be changed?

 

Chapter 1 Summary

 

Answer The Following Questions

Chapter 1 Discussion

11 unread reply.66 replies.

1. What is the preliminary hearing and what is its purpose?

2. What is a grand jury and what role do they play in our judicial system?

3. Define what a criminal trial is and the role the jurors in a felony case.

4. In light of recent police involved shootings, should the grand jury system be changed?

Describe the overall impact (e.g., economic, social, etc.) of utilizing information technologies in combatting digital crime and digital terrorism.

Digital Crime

Describe the overall impact (e.g., economic, social, etc.) of utilizing information technologies in combatting digital crime and digital terrorism.

 

Describe the overall impact (e.g., economic, social, etc.) of utilizing information technologies in combatting digital crime and digital terrorism.
Explain the existing challenges that result from the independent nature of the law enforcement agencies within the U.S. with regards to computer crimes and terrorism. Next, propose one (1) strategy that the U.S. could use in order to mitigate the challenges in question.
Explain the fundamental manner in which the U.S. could align the efforts of federal agencies in order to better protect the nation against digital crimes and terrorism.
Give your opinion of the key future trends in digital crime and digital terrorism. Next, provide one (1) overall strategy that the U.S. could use in order to combat digital crime and digital terrorism.
Use at least four (4) quality references for this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required page length.

Explain the significance of legal encyclopedias for legal research methods

Legal Research And Writing Discussion

Explain the significance of legal encyclopedias for legal research methods

Examine the major drawback of such tools. Provide a rationale for your response. From the e-Activity, determine the value to a paralegal of both the Harvard Law Review and online legal dictionaries and encyclopedias, such as Wex. Next, provide at least one (1) example to illustrate the manner in which a paralegal could use the information that you explored as primary or secondary sources of law. Justify your response.

Generate a strengths, weaknesses, opportunities, and threats (SWOT) analysis based on your operational comparison findings. There should be a minimum of 3 SWOT attributes posited.

Generate a strengths, weaknesses, opportunities, and threats (SWOT) analysis based on your operational comparison findings. There should be a minimum of 3 SWOT attributes posited.

 

Hospital versus Long Term Care Facility

Health Care/ Clinical Medicine

You are the vice president (VP) of operations for a medium-sized hospital (80–120 beds). The board of directors wants to consider opening a separate long-term care facility (a skilled nursing facility or nursing home of 30 beds), and they want to know what this would entail operationally. Research the differences in these two types of facilities (hospitals versus long-term care facility).

· Prepare a report for the board that details operational similarities and differences between the two facilities. This should include, at a minimum, the following:

o Policies

o Demographic demand based on your location in the country

o Clinical personnel requirements

o Costs and profits

o Quality of care

· Generate a strengths, weaknesses, opportunities, and threats (SWOT) analysis based on your operational comparison findings. There should be a minimum of 3 SWOT attributes posited.

· In summary, make the recommendation to open or not to open a long-term care facility, including rationale and justification that is referenced.

Your report should be 3 to 5 pages, excluding the cover page, abstract page, and reference page.Be sure to support your work with at least 3 academic or professional peer-reviewed sources that were published within the past 5 years.
For a resource guide on using the online library to search for references, click.aiuniv.edu/LCMSFileShareCommon/fb1/35e/957/988/4a8/fbe/0c2/6dc/d89/383/02/FindingLibraryArticles.pdf”>here.

 

What security measures are taken to protect the datain health care ?

Forms of data in health care

What security measures are taken to protect the datain health care ?

Research the forms of data

used in the system of your choice. This system could be your own health care
organization, the Patton-Fuller Community Hospital found in the University of
Phoenix Virtual Organizations, or an organization from the course readings.

Create a 10- to 15-slide Microsoft®
PowerPoint® presentation, including detailed speaker notes, that
identifies the forms of data collected and used in your chosen system. Include
at least one slide per form of data.

Answer the following questions:

 

Where do the data come
from, such as outside test results?

Where do the data
go—patient record, printer, physician folder, or other destination?

How are the different forms
of data used?

What is the importance of
each form of data?

What kinds of data does the
organization send out, such as quality measures, patient billing, purchase
orders, and so forth?

What security measures are
taken to protect the data?

What kinds of data do
senior executives want mined?

What do they use the data
for?

Who mines the data and who
uses it?

What kinds of statistics
are used to validate the data?

 

 

Analyze persuasive requests and sales messages

business communication

Analyze persuasive requests and sales messages

There are two questions. Each essay needs to be 200 words or more. If at all possible please use Business Communication (making connections in a digital world) as a reference while answering the questions. 1. Is there justification for positive writing in a message refusing credit? In this circumstance, how might you evaluate and respond to the statement “You are not going to sell the reader; so why try to maintain goodwill?” Defend your reasoning. 2.Analyze persuasive requests and sales messages. What traits do persuasive requests and sales messages share in common and how do they differ? Defend your analysis with supporting examples.

Communicating the Strategic Plan

Communicating the Strategic Plan

 

Write a 700- to 1,050-word paper describing your approach for communicating the Strategic Plan developed in Week Three.
Address the following issues:
The administration issue and why it is a concern to the public
The possible impact of the strategic plan on internal and external stakeholders
The ways in which stakeholders affect the strategic plan
Methods for communicating the strategic plan to stakeholders
Possible outcomes of the strategic plan
Format your presentation consistent with APA guidelines.
Click the Assignment Files tab to submit your assignment.