4 questions. same question different answer

HA3300D – Healthcare Policy and Ethics

   Assignment 04: Patient Care Partnership

 Directions

In the past two Learning Plans you’ve studied various codes that can govern the behavior of healthcare administrators, including the ACHE Code of Ethics, the Patient Care Partnership, and the ethical theorists you encountered in Week 1. In this assignment, you’ll apply the codes and theories you’ve learned about to the following healthcare management dilemma.

You are the healthcare manager in a university medical center. After an inspection, JCAHO, your accreditor, notes that patient satisfaction surveys give you a low rating. Although your hospital has a great track record for disease detection, treatment, and monitoring, patients routinely rate their experience at and satisfaction with the hospital as low.

In follow-up interviews with patients, JCAHO discovers that patients felt they and their families were not well-informed about upcoming procedures and options. They had a general feeling of uncertainty about their care and treatment. One former patient stated, “The doctor spent more time talking with the medical residents and student nurses than with me!”

Answer each of the following questions in a paragraph of 5-7 sentences (for a total of 4 paragraphs):

1.Which ethical principles would you apply to this scenario? Which ethical theorists would you use to guide you? Refer to your textbook, putting all direct citations in quotes.

2.Which parts of the AHA’s Patient Care Partnership document would you apply to this scenario? Refer to specific parts of the document, putting all direct citations in quotes.

3.Which parts of the ACHE Code of Ethics would you apply to this scenario? Refer to specific parts of the document, putting all direct citations in quotes.

4.Describe an “action plan” to present to the accrediting body (JCAHO) to convince them you’re serious about improving your patient satisfaction scores.

Include an APA-style reference list below your paragraphs, and be sure to use proper grammar, spelling, and punctuation.

Complete the final draft of your course project. You can review the detailed requirements for the course project proposal on the Module 01 Course Project – Introduction page.

*****(EVERYTHING YOU NEED TO COMPLETE THIS ASSIGNMENT IS IN THE ATTACHMENTS)*****

Be sure to include all required components of the proposal:

• Title page
• Table of contents
• Outline
• Executive summary
• 4 – 5-page essay that includes purpose statement, problem, original and creative solutions and conclusion sections
• Reference page with at least four sources, two of which must be scholarly
• Visuals
• Appendix if necessary (appendix can include other supporting documents).

please write at least 200 words about : 

Staffing is such an integral part of leading and managing in nursing.  There are many factors to consider when deciding how many nurses are needed to provide safe patient care.  Look at the models in your reading in Chapter 13.  Reference a professional nursing journal article within the last 5 years supporting a model’s staffing efficacy and discuss key points of how that model takes patient safety into consideration.  

Upload your article with your post. 

Head-to-Toe Assessment 

For this assignment, perform a complete head-to-toe assessment on someone of your choice or a hypothetical person who has at least two (2) systems issues. Use the head-to-toe template here to document your assessment (add more lines as needed). In a Microsoft Word document of 4-5 pages (in addition to the template) formatted in APA style, discuss the remaining criteria for the assignment. Please note that the title and reference pages should not be included in the total page count of your paper.

In your paper, address each of the following criteria:

• Use the template and include:
  • System being assessed.
  • Detailed review of each system with normal and abnormal findings.
  • For any system for which you do not have equipment, explain how you would do the assessment.
  • Normal laboratory findings for client age.
• An analysis of age-specific risk reduction health screening and immunizations.
• Two differential diagnoses (diseases) associated with possible abnormal findings.
• A plan of care (including two priority-nursing diagnoses, interventions, evaluation).
• Pharmacological treatments that can be used to address health issues for this client.
• Client and age appropriate evidenced-based practice strategies for health promotion.

On a separate references page, cite all sources using APA format.

 EBP is an essential component  

Reply separately to two of your classmates posts (See attached classmates posts, post#1 and post#2). 

INSTRUCTIONS:

Your responses should be in a well-developed paragraph (300-350 words) to each peer. Integrating an evidence-based resource!

Note: DO NOT CRITIQUE THEIR POSTS, DO NOT AGREE OR DISAGREE, just add informative content regarding to their topic that is validated via citations. 

– Utilize at least two scholarly references per peer post. 

Please, send me the two documents separately, for example one is the reply to my peers Post #1, and the second one is the reply to my other peer Post #2.

– Minimum of 300 words per peer reply.

– TURNITIN Assignment.

Background: I live in South Florida, I am currently enrolled in the Psych Mental Health Practitioner Program, I am a Registered Nurse, I work in a Psychiatric Hospital.

Assignment 1: Practicum – Assessing Client Family Progress (Due in Week 8)

Learning Objectives

Students will:

• Create progress notes
• Create privileged notes
• Justify the inclusion or exclusion of information in progress and privileged notes
• Evaluate preceptor notes

To prepare:

• Reflect on the client family you selected for the Week 3 Practicum Assignment.

Assignment

Part 1: Progress Note

Using the client family from your Week 3 Practicum Assignment, address in a progress note (without violating HIPAA regulations) the following:

• Treatment modality used and efficacy of approach
• Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the treatment plan for progress toward goals)
• Modification(s) of the treatment plan that were made based on progress/lack of progress
• Clinical impressions regarding diagnosis and or symptoms
• Relevant psychosocial information or changes from original assessment (e.g., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job)
• Safety issues
• Clinical emergencies/actions taken
• Medications used by the patient, even if the nurse psychotherapist was not the one prescribing them
• Treatment compliance/lack of compliance
• Clinical consultations
• Collaboration with other professionals (e.g., phone consultations with physicians, psychiatrists, marriage/family therapists)
• The therapist’s recommendations, including whether the client agreed to the recommendations
• Referrals made/reasons for making referrals
• Termination/issues that are relevant to the termination process (e.g., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
• Issues related to consent and/or informed consent for treatment
• Information concerning child abuse and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
• Information reflecting the therapist’s exercise of clinical judgment

Note: Be sure to exclude any information that should not be found in a discoverable progress note.

Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment.

In your progress note, address the following:

• Include items that you would not typically include in a note as part of the clinical record.
• Explain why the items you included in the privileged note would not be included in the client family’s progress note.
• Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why.

The following case for discussion is from the eText, chapter 18, page 527:

Steven and Marisol are a young married couple who are concerned about passing genetic diseases to their children.  Members of Steven’s family have been diagnosed with Huntington’s disease, an incurable genetic disorder that causes cognitive problems, difficulties with movement that ultimately require full-time nursing care, and reduced life expectancy.  Members of Marisol’s family have tested positive for a mutation of the BRCA genes that are strongly associated with breast and ovarian cancer.

At a family reunion, they are discussing their decision to use in vitro fertilization and preimplantation genetic screening of embryos.  Seven’s cousin, Valerie, is appalled.  She is opposed to the idea of in vitro fertilization and to the entire idea of genetic screening. 

Valerie says, “You can’t just choose the babies you want to have.  God will only give you the challenges He knows you can handle.  And if a child is born with a disease, your job is to love that child, no matter what.” 

Steven is speechless.  But Marisol is not.  “But if we can guarantee that our child is healthy and will live a happy life, shouldn’t we do that?  We don’t want to raise a child who is doomed to genetic diseases.” 

Valerie shakes her head.  “There is no way to know,” she says.  “Kids get sick and die.  Some who have diseases get better.  You can’t control everything.  And besides, that test-tube baby stuff is really expensive.  How can you afford it?” 

Now Steven replies, “We want to invest in this procedure now because it might save money in the long run.  I’ve seen how much Huntington’s costs a family – so have you.  I’d rather pay to prevent it now than have to deal with the costs later.”

Valerie responds, “That sounds really rude.  It sounds like you resent people who get sick and need your help.  The whole thing is very selfish.”

Questions for discussion – Answer any two of the following questions:

With whom do you agree here: Steven and Marisol or Steven’s cousin, Valerie?  Explain.

Is it wrong to want to prevent genetic disease through use of IVF and preimplantation genetic screening?   Is it a wise investment?  Should it be covered by health insurance?

Is it selfish to want to control your child’s genes?  Explain your answer.

What about using IVF for selecting the gender of the baby you want to have?  Explain your reasoning.

These options are available to couples today: LINK

Literature Search (25 points)

Directions: Identify a clinical issue or problem. Develop a study question to answer the question. Perform a literature search (consider working with a librarian on this). Complete the following items on the word document (.docx) provided in the module (download the document, complete it, then upload into the assignment area). Or, copy and paste the assignment (below) into your own word document (.docx), then upload it into the assignment area.

Name (-1 point if missing):

Date (-1 point if missing):

Clinical Issue or Problem (3 points) (e.g., there is a high number of pediatric needlesticks in an Emergency Department)

Problem Statement (3 points) (e.g., the average number of needlesticks for children in an Emergency Department is 2.2 needlesticks per visit [author & author, 2019])

Study Question (5 points)

· PICO(T) format (e.g., Melnyk & Fineout-Overholt, 2019, Appendix A, pp. 706-7)

Key Search Terms (5 points) (include Boolean operators) 

Search Engines Used (3 points) (e.g., PubMed, CINAHL, etc., need at least 3 search engines) 

Number of Initial Publications Generated (2 point) (matching the search terms and phrases)

Refined Search: Inclusion and Exclusion Criteria (2 points)

Number of Publications Generated and Number Selected the Literature Review (2 point)