Implications of Disclosure and Nondisclosure

Implications of Disclosure and Nondisclosure
American writer Nikki Giovanni once said: “Mistakes are a fact of life. It is the response to the error that counts” (Goodreads, 2012). Whenever you make an error when writing a prescription, you must consider the ethical and legal implications of your error—no matter how seemingly insignificant it might be. You may fear the possible consequences and feel pressured not to disclose the error. Regardless, you need to consider the potential implications of non-disclosure. How you respond to the prescription error will affect you, the patient, and the health care facility where you practice. In this Assignment, you examine ethical and legal implications of disclosure and nondisclosure of personal error. Consider the following scenario: You are working as an advanced practice nurse at a community health clinic. Implications of Disclosure and Nondisclosure

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You make an error when prescribing a drug to a patient. You do not think the patient would know that you made the error, and it certainly was not intentional. To prepare: Consider the ethical implications of disclosure and nondisclosure. Research federal and state laws for advanced practice nurses. Reflect on the legal implications of disclosure and nondisclosure for you and the health clinic. Consider what you would do as the advanced practice nurse in this scenario including whether or not you would disclose your error. Review the Institute for Safe Medication Practices website in the Learning Resources. Consider the process of writing prescriptions. Think about strategies to avoid medication errors. By Day 7 Write a 2- to 3- page paper that addresses the following: Explain the ethical and legal implications of disclosure and nondisclosure. Be sure to reference laws specific to your state. Describe what you would do as the advanced practice nurse in this scenario including whether or not you would disclose your error. Provide your rationale. Explain the process of writing prescriptions including strategies to minimize medication errors. Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting. Implications of Disclosure and Nondisclosure
 

 
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Annotated Bibliography on Transitions of Care

Annotated Bibliography on Transitions of Care
An annotated bibliography is a combination of the words annotation and bibliography. An annotation is a set of notes, comments, or critiques. A bibliography is a list of references that helps a reader identify sources of information. An annotated bibliography, then, is a list of references that not only identifies the sources of information but also includes information such as a summary, a critique or analysis, and an application of those sources’ information. Annotated Bibliography on Transitions of Care

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Your Module 2 Assignment (due in Week 5) will be a paper on nurse leadership during transitions of care for two selected entities. In preparation for that paper, you will develop an Annotated Bibliography and submit it to your Instructor for feedback. To prepare: Select a transition of care (hospital, specialty care, rehabilitation, nursing home, homebound, etc.). Use the Walden Library and other reputable academic resources to locate 5 scholarly resources on nurse leadership during this transition of care. Identify what constitutes effectiveness (i.e., cost, care management, best/effective providers, best setting, sustaining outcomes) for this transition of care within each setting. What evidence supports this transition of care or transition of care intervention? Review the Writing Center resources on annotated bibliographies and scholarly writing. Also review the Week 4 Assignment Rubric for specific details about the requirements for your annotated bibliography. Assignment Create an annotated bibliography of the 5 scholarly resources you located on your selected transition of care. Follow the annotated bibliography format presented in the Writing Center resource. Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting. Annotated Bibliography on Transitions of Care
 

 
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Capstone Project Topic Selection and Approval

Capstone Project Topic Selection and Approval
In collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the “Educational and Community-Based Programs” page of the Healthy People 2020 website. Capstone Project Topic Selection and Approval Write a 500-750 word description of your proposed capstone

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project topic. Make sure to include the following: The problem, issue, suggestion, initiative, or educational need that will be the focus of the project The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed. A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need. Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes. Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing. A proposed solution to the identified project topic You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. You are required to submit this assignment to Lopes Write. Please refer to the directions in the Student Success Center.  Capstone Project Topic Selection and Approval

 
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Wound Healing in Relation to Metabolic Concerns

Wound Healing in Relation to Metabolic Concerns
Norma James, a 65-year-old widow who lives alone, presents at the geriatric nursing clinic at the local senior center with a wound on her ankle about the size of a quarter. The wound is sore, with yellowish drainage. Wound Healing in Relation to Metabolic Concerns

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The skin around the wound is red and inflamed. Ms. James says that she has had the sore about 3 weeks and that she treated it with butter for a while but that that seemed to make it worse. Ms. James says that her foot hurts when she walks on it. The nurse at the clinic smells cigarette smoke on Mrs. James clothing. When asked, Ms. James reports that she smokes about a pack a day. In response to a question from the nurse, Ms. James says that she has diabetes and high blood pressure. Ms. James is not able to say what medicines she takes but estimates that she takes “about four different ones.” Question 1 What metabolic factors will increase the risk of delayed wound healing? Question 2 What teaching can the nurse provide Ms. James to promote wound healing in relation to metabolic concerns? Linking the exemplar of wound healing with the concept of perfusion: Question 3 What factors related to perfusion will increase the risk of delayed wound healing for Ms. James? Question 4 What teaching will you provide Ms. James to reduce these risks related to perfusion? Wound Healing in Relation to Metabolic Concerns
 

 
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