All posts by : chebby

 Based on the required topic study materials, write a reflection about worldview and respond to following:

1. In 250-300 words, explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care.
2. In 250-300 words, explain what scientism is and describe two of the main arguments against it.
3. In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview:
   1. What is ultimate reality?
   2. What is the nature of the universe?
   3. What is a human being?
   4. What is knowledge?
   5. What is your basis of ethics?
   6. What is the purpose of your existence?

Remember to support your reflection with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines.

 Discuss the benefits of virtualization software, as described in the text. Do you agree/disagree with these benefits, or can you think of additional benefits not already presented?  Also discuss the security concerns highlighted by server sprawl and how you would propose to solve those in your (real or hypothetical) organization. 

Minimum- 250 words, Include intex-citation,  Minimum 1 scholarly article.

• What are the characteristics of the consumers that you regularly see in your current work environment? What are some ways in that they are impacted by the other identified healthcare stakeholders?

• What effect has ACA had on stakeholders? Explain what strategies a nurse leader might adopt that would make it more effective?

• What is important for nurse leaders to share with their staff regarding payers? Why?

• Who are the various regulators that affect your healthcare organization? What is your role in the respective regulatory process?

This PowerPoint® (Microsoft Office)

please see the attachment.

I need a response to the following 2 peers

Peer 1

Elements of Malpractice in Nursing

A nursing intervention may result to a medical error, and this error may occur due to the nurse’s failure to competently treat a patient. This occurrence constitutes a case of malpractice, and it is associated with various elements including negligence. As one of these elements, negligence involves failing to follow the due clinical procedures or directives for performing an intervention. This is noticeable in a scenario where a nurse, instead of examining a patient and performing diagnosis tests, puts a patient on a medication regimen (Cheluvappa & Selvendran, 2020). This amounts to negligence because the nurse fails to perform diagnosis, which is necessary to inform the kind of treatment to administer.

Breach of duty, still, is an element linked to the act of malpractice. It is characterized by a provider failing to meet the required standards of caring for patients. A nurse has a duty of preventing injury of the patient by administering the correct medication. If a nurse receives instructions from a physician to administer a certain medication, and the nurse instead of administering the medication, administers another medication that serves the same purpose, this amounts to breach of duty (Kim, 2017). This is because they go against the physicians’ decisions to have the patient receive a particular treatment that might be less risky. 

Cases of malpractice can be costly to the nurses and the organizations they work for, and this warrants the need for nurses as well as hospitals to prevent these cases. For nurses, adopting measures or practices such as documentation medical information in clear and accurate manner, can help limit their risks of making mistakes. Being consistent in observing the protocols of administering care, still, can limit the occurrence of negligence (Hågensen et al.,2018). 

PEER 2

 Advanced nurse practitioners work in complex healthcare environment vulnerable to malpractice lawsuits. Over the past years, malpractice lawsuits have increased as healthcare consumers become informed (Myers, Sawicki, Heard, Camargo Jr & Mort, 2020). Medical malpractice is defined as any act or omission by a physician during treatment of a patient that deviates from accepted norms of practice in the medical community and causes an injury to the patient. it is a subset of tort law that deals with professional negligence. Professional negligence is defined as conduct that fall short of a standard by a reasonable professional (Cooper, 2016). Negligence can be a result in diagnosis errors, errors in treatment, aftercare, or management. The four core elements of medical malpractice personal injury include duty, breach of duty, damage, and cause (Joel, 2017). For a patient to claim malpractice, they must demonstrate that a healthcare practitioner owed them a duty to care. Duty of care is based on nurse-patient or physician-patient relationship. The healthcare practitioner who had the duty of care must have failed n their duty by not exercising the expected degree of care that another professional in the same capacity and specialty would have used in an equal situation. In this case, an expert must testify as to what constitutes appropriate standard of care. The expert must hold the same or higher qualification in the same field or be a professional or regulatory body. The patient must demonstrate that the breach of duty resulted to damage, including emotion or physical injury. The breach of duty may cause a new injury or worsen an existing injury. Finally, it must be proven beyond reasonable doubt that the breach of duty by the practitioner caused the injury. For instance, the patient or plentiful must demonstrate that a medical error led to injury or harm.  

Please help me to rewrite and make the additions  to my speech.  the topic is National Association of Pediatric Nurse Practitioner( NAPNAP). Please see the attached document, where you will find the introduction and  where you will see: 

 1. History and background of the organization : include mission and vision

2. Membership: Who are members? Requirements to be a member. Benefits of the membership.    

 – Mission: defines the purpose or current state of an organization. It identifies why the organization exists and what it is doing to achieve its vision.

 -Vision: what an organization hopes to achieve in the future, perhaps in the next 5-10 years

Additions:

– I need you to add more members of this organization(I wrote only continuing students but there is more), their requirements, and the benefits. For the information , please use ONLY this website: https://www.napnap.org/about-us/#:~:text=Our%20Vision%2C%20Mission%20and%20Team,optimize%20child%20and%20family%20health. Please add this source as a reference   APA 7th edition format  (IMPORTANT)

-Please  check , rewrite , and make a corrections or additions  to history and background of the organization : include mission and vision. Please use the  same resource ONLY: https://www.napnap.org/about-us/#:~:text=Our%20Vision%2C%20Mission%20and%20Team,optimize%20child%20and%20family%20health. 

-Please add to the introduction- Attention Getter/Hook- Get audience attention 

Mr. E is a pleasant, 70-year-old, black, male

Source: Self, reliable source

Subjective:

Chief complaint: “I urinate frequently.”  

HPI:  Patient states that he has had an increase in urination for the past several years, which seems to be worsening over the past year. He estimates that he urinates clear/light yellow urine approximately every 1.5-2 hours while awake and is up 2-4 times at night to urinate. He states some urgency and hesitancy with urination and feeling of incomplete voiding. He denies any pain or blood. Denies any head trauma. Denies any increase in thirst or hunger. He denies any unintentional weight loss.

Allergies: NKA

Current Mediations:

Multivitamin, daily

Aspirin, 81 mg, daily

Olmesartan, 20 mg daily

Atorvastatin, 10 mg daily

Diphenhydramine, 50 mg, at night                                                                                                                   

Pertinent History: Hypertension, hyperlipidemia, insomnia

Health Maintenance. Immunizations: Immunizations up to date

Family History: No cancer, cardiac, pulmonary or autoimmune disease in immediate family members

Social History: Patient lives alone. He drinks one cup of caffeinated coffee each morning at the local diner. He denies any nicotine, alcohol or drug use. 

ROS: Incorporated into HPI

Objective:

VS – BP: 118/68, HR: 86, RR: 16, Temp 97.6, oxygenation 100%, weight: 195 lbs, height: 70 inches.

Mr. E is alert, awake, oriented x 3.  Patient is clean and dressed appropriate for age.

Cardiac: No cardiomegaly or thrills; regular rate and rhythm, no murmur or gallop

Respiratory: Clear to auscultation 

Abdomen: Bowel sounds positive. Soft, nontender, nondistended, no hepatomegaly           

Neuro: CN 2-12 intact                                                                                                                        

Renal/prostate: Prostate enlarged, non-tender. No asymmetry or nodules palpated

Labs:

Test Name

Result

Units

Reference Range

Color

Yellow

Yellow

Clarity

Clear

Clear

Bilirubin

Negative

Negative

Specific Gravity

1.011

1.003-1.030

Blood

Negative

Negative

pH

7.5

4.5-8.0

Nitrite

Negative

Negative

Leukocyte esterase

Negative

Negative

Glucose

Negative

mg/dL

Negative

Ketones

Negative

mg/dL

Negative

Protein

Negative

mg/dL

Negative

WBC

Negative

/hpf

Negative

RBC

Negative

/hpf

Negative

Lab

Pt’s Result

Range

Units

Sodium

137

136-145

mmol/L

Potassium

4.7

3.5-5.1

mmol/L

Chloride

102

98-107

mmol/L

CO2

30

21-32

mmol/L

Glucose

92

70-99

mg/dL

BUN

7

6-25

mg/dL

Creat

1.6

.8-1.3

mg/dL

GFR

50

>60

Calcium

9.6

8.2-10.2

mg/dL

Total Protein

8.0

6.4-8.2

g/dL

Albumin

4.5

3.2-4.7

g/dL

Bilirubin

1.1

<1.1

mg/dL

Alkaline Phosphatase

94

26-137

U/L

AST

25

0-37

U/L

ALT

55

15-65

U/L

Pt’s results

Normal Range

Units

WBC

9.9

3.4 – 10.8

x10E3/uL

RBC

4.0

3.77 – 5.28

x10E6/uL

Hemoglobin

11.5

11.1 – 15.9

g/dL

Hematocrit

35.0

34.0 – 46.6

%

MCV

85

79 – 97

FL

MCH

28

26.6 – 33.0

Pg

MCHC

34

31.5 – 35.7

g/dL

RDW

14

12.3 – 15.4

%

Platelets

220

150 – 379

X10E3/uL

PSA

5.4

0-4.0

ng/mL

Assessment:

Diagnosis: Benign prostatic hyperplasia, ICD-10: N40.1

Please answer the following:

For the sake of this case study, the patient has confirmed BPH and prostate cancer has already been ruled out. Hence, please document your prescribed treatment plan for this patient (i.e. don’t state “refer to urology”).

1. What is your treatment plan (include specific dosage and frequency)? Why did you choose this treatment plan? Do you change any of his current medications?  In your answer, please describe, briefly, the pharmacodynamics (1 point) and pharmacokinetics (1 point) of your treatment choice and how they influenced your decision. Does the patient have any comorbidities that influenced your choice as well (1 point)? 

       Three months later, the patient notes improvement, but no resolution of symptoms. What would be your next prescribed treatment option (1 point)?

1. Document the education you would provide for this patient, specific to the prescribed medication. Please include information pertinent to the patient (2 points) and common potential adverse effects (2 points).

Chapter 3

1. How do heredity and environment influence traits?

Chapter 5

2. Summarize and evaluate Piaget’s theory of cognitive development 

Textbook: Essentials of Understanding Psychology

12th edition              

Author: Robert Feldman

Publisher: McGraw Hill

ISBN-13: 978-1259531804

DQ should follow APA guidelines and be 300 words or more.

*Ran through Grammarly.com, not plagiarised and cited correctly*

Total pts 100

 Health Resources and Services Administration (HRSA) is the primary federal agency for improving access to healthcare by strengthening the healthcare workforce, building healthy communities, and achieving health equity. 

Integrated care involves a team of primary care, dental, and behavioral health practitioners working together using a systematic, cost-effective approach to patient care.

After the reading the following HRSA Report:

https://www.hrsa.gov/sites/default/files/hrsa/advisory-committees/primarycare-dentist/reports/actpcmd-14-report.pdf

Discuss what are the 4 main recommendations given on this report and the rationales for each one.

Please go to the following web address:

https://adfs.rasmussen.edu/adfs/ls?wa=wsignin1.0&wtrealm=urn%3aextranet%3aportal&wctx=https%3a%2f%2fportal.rasmussen.edu%2f_layouts%2f15%2fAuthenticate.aspx%3fSource%3d%252F&wreply=https%3a%2f%2fportal.rasmussen.edu%2f_trust%2fdefault.aspx  Please sign in with the following information:

Username: [email protected]

Password: Addie!0823

Click on Courses on the left side, and then click on Technology Today for Medical Administration, click on Module 2, then assignments. Scroll down to Module 02 Quiz. Complete that quiz.