QUESTION

Nursing

In 2011 the United States Department of Agriculture (USDA) introduced the “My Plate” initiative, to help Americans make healthy food choices and to be active every day. Recently, new guidelines were released, and the initiative was updated to include, “MyPlateMyWins!”

Initial Discussion Post:

Review the following resource: United States Department of Agriculture: ChooseMyPlate.gov. (2015). Older adults. Retrieved from http://www.choosemyplate.gov/older-adults

Mrs. Jenkins is a 70-year-old patient at the primary care provider for a routine visit. As you are gathering data prior to showing her into an examination room, you note her height and weight, of 65 inches and 101 pounds.

• Calculate Mrs. Jenkins’ BMI and interpret the result.
• Discuss two additional specific assessments you would perform, and why the information you obtain in these assessments might be a concern to the RN.
• Based on these assessments:
  1. What education would you provide related to this concern?
  2. Identify a member of the health care team with whom you would collaborate about this concern.

Be sure to use evidence from the assigned text or website, or other professional sources in your answer.

Base your initial post on your readings and research

Details:

In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

1. Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.
2. Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
3. Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.
4. Identify a possible funding source that addresses your issue. Consider looking at federal, state, and local organizations. For example: There are many grants available through the CDC, HRSA, etc.
5. Use at least two references other than your text and those provided in the course.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

RUBRIC:

1Unsatisfactory0.00%2Less than Satisfactory71.00%3Satisfactory79.00%4Good89.00%5Excellent100.00%80.0 %Content 35.0 %Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue is not provided.The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue is provided; however, relevant information is missing, such as not providing support for your rationale by using the theories, principles, skills and roles of the leader versus manager described in your readings, or not providing at least two references beyond your text.The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue is provided and meets the basic criteria for the assignment as indicated by the assignment instructions.The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue meets all criteria for the assignment, and is provided in detail.The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue meets all criteria for the assignment, is provided in detail. Higher level thinking is demonstrated by incorporating prior learning or reflective thought.35.0 %Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.The identification of the approach that best fits your personal and professional philosophy of nursing is not provided.The identification of the approach that best fits your personal and professional philosophy of nursing is provided; however, relevant information is missing, such as an explanation to why the approach is suited to your personal leadership style.The identification of the approach that best fits your personal and professional philosophy of nursing is provided and meets the basic criteria for the assignment.The identification of the approach that best fits your personal and professional philosophy of nursing, along with an explanation to why the approach is suited to your personal leadership style, is provided in detail.The identification of the approach that best fits your personal and professional philosophy of nursing meets all criteria for the assignment, and is provided in detail. Higher level thinking is demonstrated by incorporating prior learning or reflective thought.10.0 %Identify a possible funding source that addresses your issue.A source of funding is not identified.A source of funding is referenced, but does not meet the assignment criteria.A source of funding is discussed. Some assignment criteria are met. More information is needed.A source of funding is discussed. The overall assignment criteria are met. Some detail is needed for clarity.A strong source of funding is established. The assignment criteria are clearly met. How the source of funding will address the proposed issue is thoroughly discussed.15.0 %Organization and Effectiveness 5.0 %Thesis Development and PurposePaper lacks any discernible overall purpose or organizing claim.Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.Thesis and/or main claim are apparent and appropriate to purpose.Thesis and/or main claim are clear and forecast the development of the pap. It is descriptive and reflective of the arguments and appropriate to the purpose.Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.15.0 %Organization and Effectiveness 5.0 %Paragraph Development and TransitionsParagraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.15.0 %Organization and Effectiveness 5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register); sentence structure, and/or word choice are present.Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.Writer is clearly in command of standard, written, academic English.5.0 %Format 2.0 %Paper Format (use of appropriate style for the major and assignment)Template is not used appropriately or documentation format is rarely followed correctly.Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.Template is used, and formatting is correct, although some minor errors may be present.Template is fully used; There are virtually no errors in formatting style.All format elements are correct.3.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)No reference page is included. No citations are used.Reference page is present. Citations are inconsistently used.Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct.In-text citations and a reference page are complete. The documentation of cited sources is free of error.100 %Total Weightage

Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.

Summarize the facts in a case study and use the 3 components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.

• The ethical decision making-model:  moral awareness, moral judgement, and ethical behavior needs to be included in this paper
•  apply more than 2 of the ethical principles: autonomy, and nonmaleficence.

1. Length: At least 1 page typed, double-spaced pages, not including the title page and reference page.
2. Font and font size: Times New Roman, 12 point.
3. APA Template: Use the APA Style Paper Template as the paper format and the APA Style Paper Tutorial for guidance. See the Resources for these documents.
4. Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
5. References: Integrate information from outside sources to include at least two references (the case study and an academic peer-reviewed journal article) and three in-text citations within the paper.
6. APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.

Criminal Prosecution for Nursing Practice

Criminal Prosecution for Nursing Practice

Read the following case study and submit a 1- to 2-page essay in a Microsoft Word document using APA 6th edition in response to the questions.

Case Study:

Until recently, the risk of criminal prosecution for nursing practice was nonexistent unless nursing action rose to the level of criminal intent, such as the case of euthanasia leading to murder charges. However, in April 1997, three nurses at the Centura St. Anthony Hospital, outside of Denver, were indicted by a Colorado grand jury for criminally negligent homicide in the death of a newborn. Public records show that one nurse was assigned to care for the baby. A second nurse offered to assist her colleague in caring for the baby. A third nurse was a nurse practitioner in the hospital nursery. Because the baby was at risk for congenital syphilis, the physician ordered that the nurses give 150,000 units of intramuscular penicillin, which would have required five separate injections.

In relation to other problems the same day, the baby was subjected to a lumbar puncture, which required six painful attempts. To avoid inflicting further pain, nurse two asked the nurse practitioner whether there was another route available for the administration of the penicillin. Nurse two and the nurse practitioner searched recognized pharmacology references and determined that intravenous administration would be acceptable. The nurse practitioner had the authority to change the route and directed nurse two to administer the medication intravenously rather than intramuscularly. Unrecognized by the nurses, the pharmacy erroneously delivered the medication, prepared and ready to administer, in a dose ten times greater than was ordered—1.5 million units. As nurse two was administering the medication intravenously, the baby died. The Colorado Board of Nursing initiated disciplinary proceedings against nurse two and the nurse practitioner, but not against nurse one. The grand jury indicted all three nurses on charges of criminally negligent homicide but did not indict the pharmacist (Calfee & Plum, 1997).

Respond to the following:

• Identify what emotions are evoked as you consider the Colorado Board of Nursing case stated above?
• Should the courts take into consideration the fact that the nurses’ error occurred because they wanted to avoid causing the baby unnecessary pain? Discuss your thinking.
• Can you think of other occupations in which the consequences of unintentional errors have greater legal implications? Discuss your answer.
• How should the nursing profession respond to this frightening new legal threat?
• Which sections of the State Nurse Practice Act did the nurses violate?

Reference:

Calfee, B. E, & Plum, S. D. (1997). Nurses indicted: Three Denver nurses face prison           in a case that bodes ill for the profession. Retrieved from http://business.           highbeam.com/4397/article-1G1-19588498/nurses-indicted-three-denver-           nurses-face-prison-case

Support your responses with examples.

Cite any sources in APA format.

NCS3101: Child and Adolescent Health- Evidence Based Case Study- Nursing Essay Assignment

Kevin is a four-year- old boy who has been transferred to the hospital from a remote community by the family doctor for admission and surgical insertion of bilateral grommets. This follows a history of repeated occurrences of acute otitis media with effusion. Kevin and his grandmother have just arrived on the ward and the nursing team you are working with has been allocated Kevin to their patient load. You are responsible for conducting and an initial assessment when admitting Kevin to the ward, preparing him for theatre and developing a plan of care relevant to his stay on the ward. Kevin appears shy but is demonstrating some age appropriate curiosity about his environment, however, his grandmother is very wary and anxious around the nursing staff, not making eye contact and reluctant to engage with nursing staff. She is unwilling to let go of Kevin’s hand. Kevin has a drink bottle containing cordial in his hands.

Kevin has initial admission observations of, T- 37.4 o C, HR – 86, RR – 26 BP 90/55, and assessment weight 13.9Kgs, height 100cms. During the assessment you notice Kevin has old dried exudate and the remains of a recently completed course of ear drops surrounding the ears and in localised hair. You also notice extensive dental caries affecting his baby teeth.

Specific content guidelines
1. Students are required to research and write a case study essay with headings, directly relating to the above scenario. Examine and discuss your nursing assessment, pre and postoperative management and discuss all general nursing care incorporating a C & FCCapproach. Identify what nursing interventions you will consider and any referrals will you put into place during Kevin’s stay on the ward.
2. Discuss all of the members of the multidisciplinary team, and which particular members that would be involved in Kevin’s management of care, including what service that they will provide in the given scenario.
3. Referring to the C&FCC framework, develop a care plan incorporating an education plan for the child and his family that includes short and long term goals including discharge planning.Supportive rationale for your management is required. The care plan is not to be submitted but your planning, rationale for the plan and anticipated outcomes are to be discussed.