Category: Nursing

Details:

Choose one of the scenarios in episodes 1 through 7. Create a presentation with voiceover in which you examine the effectiveness of advanced practice nursing in the scenario.

1. Introduction (1 slide)

2. Reflect on the ethics of the workplace (2-3 slides)

• What ethics theory was mainly followed: utilitarianism, duty, deontology, egalitarianism, right, and virtues?
• What ethical principle (justice, beneficence, non-maleficence, autonomy) influenced the practice?
• How did the practiced ethics affect the patient’s outcomes?
• How would you handle the scenario ethically? Similarly or differently?

3. Reflect on the financial management (2-3 slides)

• How did the finances affect the healthcare decision in the scenario?
• What financial, billing, or reimbursement practices would you support or disagree with, and why?

4. Reflect on the politics and policies (2-3 slides)

• Identify a practice you would want to change and describe how you would propose and lead collaborative/interprofessional effort using one of the leadership models to create the desired change.

5. References (1 slide)- Include 23 scholarly resources in APA Style. Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations published within the last five years.

This is the video to the scenario :

Submit a problem-focused SOAP note for grading. You must use an actual patient from your clinical practicum who presents with one or more chief complaints. Use the format below for your SOAP note. Use the current APA format to style your paper and cite your sources. Review the rubric for more information on how your assignment will be graded. Problem-focused SOAP Note Format Demographic Data Age, and gender (must be HIPAA compliant) Subjective Chief Complaint (CC): A short statement about why they are there History of Present Illness (HPI): Write your HPI in paragraph form. Start with the age, gender, and why they are there (example: 23-year-old female here for…). Elaborate using the acronym OLDCART: Onset, Location, Duration, Characteristics, Aggravating/Alleviating Factors, Relieving Factors, Treatment Past Med. Hx (PMH): Medical or surgical problems, hospitalizations, medications, allergies, immunizations, and preventative health maintenance Family Hx: any history of CA, DM, HTN, MI, CVA? Social Hx: Including nutrition, exercise, substance use, sexual hx, occupation, school, etc. Review of Systems (ROS) as appropriate: Include health maintenance (e.g., eye, dental, pap, vaccines, colonoscopy) Objective Vital Signs Physical findings listed by body systems, not paragraph form- Highlight abnormal findings Assessment (the diagnosis) At least Two (2) differential diagnoses (if applicable) with rationale and pertinent positives and negatives for each Final diagnosis with rationale, pertinent positives and negatives, and pathophysiological explanation Plan Dx Plan (lab, x-ray) Tx Plan (meds): including medication(s) prescribed (if any), dosage, frequency, duration, and refill(s) (if any) Pt. Education, including specific medication teaching points Referral/Follow-up Health maintenance: including when screenings eye, dental, pap, vaccines, immunizations, etc. are next due Reference Compare care given to the patient with the National Standards of Care/National Guidelines. Cite accordingly.

Insight Questions: This assignment looks deceptively easy; you may be surprised how much time and effort it takes to come up with five truly insightful discussion questions! First, do a careful reading of Chapter 9 — your only assigned chapter this week — on the health care principle of Role Fidelity. Make sure to thoroughly review the links and attachments it contains, (particularly the section on professional boundaries in nursing), and take the chapter quiz. Then, write a paragraph explaining professional boundaries and why it is so important for health care professionals to stay within these boundaries.

Finally, create your insight questions [Examples of bad questions: “What are professional boundaries?”, “What role does the Ethics board at a hospital play?” “Is it ok for a nurse to sleep with their patient?” Example of good questions: “If a health care professional performs an act that is against the rules, but that stemmed from a good intention, should that affect our moral judgment about the act?”, “If the family of a group home resident where you work offers you free concert tickets to take special care of their relative, what kind of ethical problems could this cause?” “Would attending the funeral of a beloved patient somehow be boundary-breaking?” I’m sure you can see the difference!] Keep in mind that questions should not revolve around the policy and operational issues in health care institutions, but should be original ideas that concern the ethical concept of Professional Boundaries for individual practitioners in health care. This assignment is due next Tuesday; make them good — like on something you’d want to get into stimulating discussion about regarding professional boundaries. For a question or two, you could use a personal example or create a scenario where an ethical issue may arise around boundaries. You could ask about the appropriateness of an action. You could ponder the outcome of certain actions or constraints on those actions. Picture yourself in a lively conversation on the ethical issues involved here. What kinds of questions are you asking to keep that conversation engaging? There is no need to answer the questions; just ask them!