QUESTION

Nursing

Scenario:

Mark, a 35-year-old, was brought via ambulance to the emergency department after collapsing on the street. He was diagnosed with appendicitis and the surgical team was alerted to the potential surgery. The physician prepared to obtain informed consent and began discussing the simple effective surgery and the treatment with the patient. The RN was present at the bedside. The patient stated he did not want surgery. Based upon his beliefs as a Christian Scientist, it is against his practices. He requested a Christian Science practitioner. The patient rated his pain as 9 on 0-10 verbal pain scale so the RN prepared the narcotic analgesic to relieve the patient’s pain. The patient declined the medication. The RN believes the patient should accept the pain medication and have the surgery thinking “If it were me I would proceed with the surgery and treatments proposed by the surgeon.” The surgeon can be heard speaking to a fellow surgeon about how to go about changing the patient’s decision.

Initial Discussion Post:

Address the following:

1. State and discuss the legal and ethical considerations occurring in this scenario. Include supporting citations.
2. How can RNs support the patient’s decision when the beliefs of the patient are contrary to their own? List three (3) interventions, with supporting rationales, the RN would perform to ensure the delivery of culturally sensitive care.
3. Identify one (1) additional major religion, in which the same circumstances might also require the RN to advocate for the patient’s refusal of surgery. Describe the beliefs behind why the identified religion could pose a moral conflict for a similar patient.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

 PUBLIC HEALTH
TITLE: HEALTH COMMUNICATION AND PUBLIC HEALTH CONCERNS
To begin developing a campaign, first identify a public health issue which you are interested in. Then research the public health issue to determine whether it is actually a critical issue. For example, if you want to help reduce drug use among urban youth, you need to investigate whether this is a critical issue among that group or if there are other more pressing issues. Research is an essential component to building an effective public health campaign. You must also consider what marketing strategies you might employ and how you might utilize public relations with your target audience.
For this Discussion, revisit the media titled “Introduction to Communications, Marketing, and Public Relations for Public Health Leaders”. Consider the steps needed to create a public health campaign for the public health issue that interests you. In addition, review the article “Farmers sun exposure, skin protection, and public health campaigns: An Australian Perspective” and pay particular attention to the steps taken to develop this campaign. Finally, review the media titled “Introduction to Communications, Marketing, and Public Relations for Public Health Leaders” and think about how communication of public health issues is vital to the role of a public health leader.

Develop a 1000-word Discussion post that addresses the following:
1) Identify a public health issue for which you are interested in developing a public health campaign.
2) Explain why this issue warrants a public health campaign.
3) Identify a key element of health communication that is essential for a public health leader, in particular a leader who wishes to address the issue you have selected.
4) Describe one potential challenge of developing a campaign for your public health issue and explain one way you might address the challenge.

Critical Thinking  
Research the Private Health Care Sector in Saudi Arabia 
For this paper, research the private healthcare sector in your country or region. Begin by selecting one of following health concerns as the substantive basis of your research:

Heart disease

Identify what private health services for your chosen problem are available in your region. Describe how these services are delivered and funded when delivered by the private sector. Analyze the advantages and disadvantages associated with private healthcare. Provide examples and support your statements with logic and argument, citing any sources referenced.
Your well-written paper should meet the following requirements:

Be six to seven pages in length, not including the cover or reference pages.
Provide support for your statements with in-text citations from a minimum of four scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but two must be external.
Utilize headings to organize the content in your work.

i attached word document of one example and i need it the same  

LP3.2 Assignment: Clinical Dilemma

In Learning Activity 1, you dealt with an ethical dilemma caused by your physicians’ refusal to correct their own errors due to resistance to your facility’s new Electronic Medical Records (EMR) system. In this assignment, you’ll consider this case from the perspective of an administrator.

You’ve just spend a lot of money on your new EMR System. Although the purchase and use of the system is in compliance with new federal requirements and will ultimately help improve continuity of care for patients, some physicians refuse to use the new system. They complain that the new system slows them down and is creating errors in documenting procedures. They insist that their old charting methods have always been adequate.

The quality assurance department reports to the VP of Operations that several nurses and student-nurses have observed an increase in the number of physician documentation errors in patients’ medical records. Several physicians field a grievance against the hospital. They claim the hospital is engaging in unethical behavior by forcing clinicians to use the new EMR system.

Address the following points in a 2-page response paper:

• How is technology changing the ethical issues the healthcare administrator must face?
• Discuss the challenges of balancing ethical principles, quality control, fiscal (monetary) concerns, and the organizational mission.
• Describe the position of the doctors in this scenario in ethical terms. The physicians argue the hospital is acting unethically. Upon what ethical bases do they claim this?
• Generate a solution to this conflict. Support your solution with ethical concepts. How can you argue that the hospital is acting in the best interests of the patients, staff, and medical community?

Your paper should be formatted in APA style, including a references list.

Case Studies in Assessment
Prior to beginning work on this discussion, read the assigned chapters from the text. It is highly recommended that you review each of the brief Blumenfeld (2012) video clips demonstrating the administration of a mental status examination. These are listed in the recommended resources and may require that you download Quicktime in order to view them. Although not required, these videos show the administration of a mental status exam and may prove helpful in this discussion.
Access the Barnhill (2014) DSM-5 Clinical Cases e-book in the DSM-5 library, and select one of the case studies. The case study you select must be one in which the client could be assessed using one or more of the assessment instruments discussed in this week’s reading.
For this discussion, you will take on the role of a psychology intern at a mental health facility working under the supervision of a licensed psychologist. In this role, you will conduct a psychological evaluation of a client referred to you for a second opinion using valid psychological tests and assessment procedures. The case study you select from the textbook will serve as the information provided to you from the professional who previously evaluated the client (e.g., the psychologist or psychiatrist).
In your initial post, begin with a paragraph briefly summarizing the main information about the case you selected. Evaluate and describe the ethical and professional interpretation of any assessment information presented in the case study. Devise an assessment battery for a psychological evaluation that minimally includes a clinical interview, mental status exam, intellectual assessment, observations of the client, and at least two assessment instruments specific to the diagnostic impressions (e.g., attention deficit/hyperactivity disorder, post-traumatic stress disorder, autism spectrum disorder, etc.). The assessment battery must include at least one approach to assessing your client which is different from the assessments previously administered. The assessment plan must be presented as a list of recommended psychological tests and assessment procedures with a brief sentence explaining the purpose of each test or procedure. Following the list of tests and assessment procedures you recommend for your client, compare the assessment instruments that fall within the same categories (e.g., intellectual or achievement), and debate the pros of cons of the instruments and procedures you selected versus the instruments and procedures reported by the referring professional.