An ethical dilemma is when someone struggles with deciding between two or more alternatives. Follow the step instructions below: Step 1: Review “How to Analyze a Case Study”

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Case Study: April and Jordan worked in a small ad agency in Providence, Rhode Island The firm started five years ago and was making a profit, but barely. The ad agency needed some larger clients and put in a bid for a city government contract. The firm was one of two agencies up for a large government contract to do the ad work for the Providence’s government day campaign. April being preoccupied with a sick child left much of the work for Jordan to do. Having pulled the entire presentation together Jordan went over everything the day before the final client meeting with April. Since April had better speaking skills, they decided that April would present the majority of the work and Jordan would supplement information in a few areas. The presentation was a huge hit. The contract was awarded to the agency garnering April many accolades. So grateful were the owners of the business, they approached April with a bonus check in the amount of $10,000. April was torn because this money would help with the medical bills for her son but at the same time knew that Jordan did all the work and deserved the bonus money. Instructions: This assignment is the first of two assignments. Students will read a case study related to business ethics. In completing the assignment, students will analyze a case study scenario and apply the concepts learned in week 3 by answering a series of question. In completing the assignment, students will answer the questions in paragraph and sentence format. NOTE: 1) There are four classifications of ethical dilemmas: 1)conflict of interest; 2) conflict of loyalty; 3) issues of honesty and integrity; 4) bribes; and 5) whistleblowing. 2) An ethical dilemma is when someone struggles with deciding between two or more alternatives. Follow the step instructions below: Step 1: Review “How to Analyze a Case Study”

Compare the roles of outpatient services and hospitals related to their place within the health care delivery system. How are they similar? How are they different?

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In this this assignment you will be comparing outpatient services to those offered by hospitals. As medical professionals we need to understand the roles of each and how they differ.

Create a PowerPoint presentation that addresses the following:

  1. Compare the roles of outpatient services and hospitals related to their place within the health care delivery system. How are they similar? How are they different?
  2. How have the roles of outpatient services and hospitals evolved from historical times to the present?
  3. Identify three functions shared by both outpatient services and hospitals. How do outpatient services and hospitals differ in their approach to these functions? How are they similar?
  4. Which type of health provider (outpatient services or hospitals) has been most effective in caring for underserved populations? Explain your reasoning.
  5. Are the financial challenges faced by hospitals different from those of outpatient services? How are they similar?

Discuss your final diagnosis and the pathophysiology behind the diagnosis. Calculate the fluids required for fluid resuscitation.

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Case
You are called to a 30 year old male who has been burned in a factory blast. His factory colleagues have rescued him and have continually poured water over him for the last 10 minutes.

Assessment
Alert and oriented but in significant pain, he is speaking in full sentences but his voice is husky.
He has partial thickness circumferential burns to his arms, partial thickness burns to the front of his legs, full thickness to his chest and partial thickness to his abdomen and although he was wearing a helmet at the time he is displaying a singed mustache and eyebrows.
Vital signs, RR 26, SaO2 – not obtained, PR 128 palpable at the radial pulse, BP not obtained,

PMHx
Nil known allergies
No significant past medical history
No significant family history

What do you know about the patient? What is the key information? What do you still need to find out?

Outline 3 provisional diagnoses.

Discuss your final diagnosis and the pathophysiology behind the diagnosis. Calculate the fluids required for fluid resuscitation.

Discuss the implications for paramedic practice.

Nutrition and Hydration

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Discussion: Nutrition and Hydration

Geriatric patients have many nutritional and hydration concerns that impact their health and ability to acquire sufficient nutrients. Advanced practice nurses evaluating these patients must be able to account for all barriers that prevent elders from obtaining adequate nutrition, including medical conditions, transportation, finances, physiologic changes, and functional abilities. When evaluating patients, it is important to consider how they eat, what their diet consists of, and whether they have any special dietary needs that are not being met. Assessment tools, such as the Lawton Instrumental Activities of Daily Living (IADL) Scale, are an integral part of this evaluation process as they help providers identify potential obstacles for patients. In this Discussion, you assess a patient at your current practicum site and consider strategies for improving any nutrition or hydration issues.

To prepare:
�Review this week�s media presentation, as well as Chapters 28 and 29 of the Flaherty and Resnick text.
�Assess a patient using tools for inpatient and long-term patient care, such as the Lawton IADL Scale.

Note: You should coordinate this opportunity with the Preceptor at your practicum site.
�Consider whether nutrition and/or hydration might be impacted by the patient�s functional abilities. Reflect on whether the patient is able to go out and get food to eat, cook meals, safely use the stove, etc.
�Consider the patient�s diet and whether they have any special dietary needs due to medical conditions, such as congestive heart failure, end-stage kidney disease, diabetes, oral health issues, etc. Reflect on whether or not the patient is attempting to compensate for a medical issue and thus creating a deficiency or excess in his or her diet.
�Based on your patient assessment, think about strategies for improving any nutrition issues that might have presented (e.g., nutritional supplements, community resources such as Meals on Wheels, referral to a nutritionist or dietician, etc.).