Assignment: This week students will create a powerpoint to address the following

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Assignment:
This week students will create a powerpoint to address the following questions…
Case Study:
A mother expecting her first child miscarried at home on June 22, 2010. The pregnancy was six months along. An ambulance was called at 4:57 a.m. The EMTs helped the mother to the stretcher and then went inside to retrieve the fetus from the bathroom floor. The baby was seen moving its head. The EMTs requested ALS to the scene. The baby was placed inside a small container. The ALS personnel visually assessed the fetus and stated the fetus was “non-viable”. There was never a fetal heart check in the field. Mother and fetus were transported to the hospital arriving at 5:16 a.m.
At the hospital, a nurse noticed that the fetus was warm and had a heartbeat. The baby was raced to the special care nursery and placed on a warmer. The staff then proceeded to resuscitate the baby. The baby was dusky and noted to have a heart rate of 30 with respirations of 6-8 at 5:40 a.m., and cardiopulmonary resuscitation was initiated. The oxygen saturation was 2-10%. The baby was intubated at 5:55 a.m. At 6:05 a.m., the blood pressure was 44/24. By 6:15 a.m., the baby was on a ventilator with oxygen saturation of 96%, a heart rate of 102, but remained dusky. By 6:30 a.m., the baby’s heart rate was 120 and blood pressure 52/24.
At 7:45 a.m., the baby was transported to a Boston hospital NICU for further care and treatment. Unfortunately, the baby died on August 10, 2010 at age 1 month and 16 days, not from prematurity but rather from brain damage due to lack of oxygen.
The plaintiffs’ claimed the accepted standard of care for basic and paramedic emergency medicine technicians in Massachusetts in 2010 required basic and paramedic EMTs to provide appropriate evaluation and treatment by following established protocols. It is beyond the scope of practice for EMTs at any level to make determinations in regard to viability of a patient. As a result of the negligence, the baby was improperly designated as “non-viable”, was placed in a Pizzeria Uno’s delivery plastic bag inside of a box with a lid on it further depriving the baby of oxygen, and as a result was not resuscitated for the first several minutes of life.
Lubin & Meyers. (2016). EMT negligence lawsuit settles for $1 million. 2011 medical Malpractice Trial Report. Retrieved from http://www.lubinandmeyer.com/cases/emt-malpractice.html
Title page (1 slide)
What are the facts of the case? This should include: what do we need to know, who is involved in the situation, where does the ethical situation take place, and when does it occur? (3-4 slides)
What is the precise ethical issue in regards to autonomy, nonmaleficence, beneficence, fidelity, and justice? (4-5 slides)
Identify the major principles, rules, and values of the case.  Values are sets of beliefs about good and bad, right and wrong, and about many other aspects of living and interacting in the society with others. A principle is a personal rule that governs personal behavior. A rule is generally imposed by a figure of authority, and used to guide and govern people. (3-4 slides)
Locate the scope of practice for EMTs in your state.  Is your scope of practice dictated by the state or facility the EMT works for? Does the scope of practice vary from state to state? Explain and support your answers (4-5 slides)
Locate your professional code of ethics for EMTs.  Does the code of ethics address autonomy, nonmaleficence, beneficence, fidelity, and justice? Explain and provide an example for each (5-6 slides)
Based on the scope of practice and code of ethics found, do you support the EMT’s decision in this case? Why or why not? Be specific with examples (3-4 slides)
If you were a member of the ethics committee at this facility, what actions or changes would you recommend changing? Why? (2-3 slides)
For the presentation, insure information is referenced and cited in your slides. The presentation should start with a title slide and end with a reference slides. At least 3 references are required for this assignment. You must include at least 5 pictures or graphics. All pictures or graphics taken from outside sources must be referenced and cited.
Assignment Expectations:
Length:
25-33 slides
Use the tips at http://www.garrreynolds.com/preso-tips/design/ to create the slideshow.  Because good PowerPoints have very few words, submit a script that describes the content of each slide – about 50 words per slide.  Place this script in a separate Word document that shows each slide number and the text for each slide as shown in the provided PowerPoint Slide Notes.docx.

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This week students will create a powerpoint to address the following appeared first on homework handlers.

Discussion on Informed Consent Participation Requirement: You are required to po

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Discussion on Informed Consent
Participation Requirement: You are required to post a minimum of three (3) times in each discussion. These three (3) posts must be on a minimum of two (2) separate days. You must respond to the initial discussion question by 11:59 p.m. on Wednesday.  On additional days, respond to your peers’ posts as well as additional faculty posts. Responses to peers must be posted by 11:59 p.m. on Sunday each week a discussion is due.
Step 1: Read the attached article entitled, “Informed Consent – The Joint Commission” 
Step 2: View the video entitled, “Nursing Fundamentals: Informed Consent, Advance Directives, Reporting and Nursing Documentation”https://www.youtube.com/watch?v=9u53jNI4qoU (Links to an external site.)
Informed consent is obtained after a client receives complete disclosure of all pertinent information provided by the provider regarding the surgery or procedure to be performed. The nurse may obtain informed consent only after the client verbalizes understanding of the potential benefits and risks associated with the surgery or procedure.
Elements of Informed Consent:
The individual giving consent must fully understand the procedure that will be performed, the risks involved, expected/desired outcomes, expected complications/side effects, and alternative treatments or therapies available.
Consent is given by a competent adult, legal guardian or designated power of attorney (DPOA), emancipated or married minor, parent of a minor, or a court order.
A trained medical interpreter must be provided when the person giving consent is unable to communicate due to a language barrier.
The nurse’s role is to witness the client’s signature and ensure the provider gave the necessary information and that the client understood and is competent to sign. If it has been identified that the client does not understand the procedure or is not competent to sign the informed consent, the nurse must STOP the process and the physician must be notified immediately.
A consultation occurs when a professional provides expert advice in a particular area and determines what treatment or services the client requires. The nursing intervention evolves around facilitating coordination with other health care providers throughout the continuum of care in order to protect the client from conflicting and potentially dangerous treatments.
A referral is a formal request for a special service by another care provider so that the client can access the care identified by the primary care provider or consultant. Some examples of referrals include physical therapy, wound care, and hospice. The nursing intervention continues to evolve around monitoring the client’s response and progress.
Directions: There are three scenarios that will be used in this discussion posting. You are all responsible for the initial discussion posting and then responding to one posting in the remaining scenarios. For example, my last name is Combs, therefore my initial discussion posting will occur from CASE #1. I will then be responsible for responding to one post from CASE #2 and one post from CASE #3.
CASE #1 (A to H); CASE #2 (I to Q); CASE #3 (R to Z)
CASE #1:
30-year-old male presents to the emergency department with RLQ pain and fever. Labs reveal an elevated white blood count. The surgical intern tells the patient that appendicitis is suspected and that the plan is to proceed with surgery to remove the appendix. He explains that the surgery is to be performed to prevent complications of appendicitis, including abscess formation, sepsis or even death. He goes on to explain the risks of surgery, including bleeding, infection and damage to adjacent organs. What additional information needs to be included in this consent? Provide an evidence-based reason for your answer.
Whether or not the intern would undergo the procedure in a similar circumstance.
Alternative to the surgery, including receiving antibiotics and monitoring the patient.
Name of the surgeon who will actually be performing the procedure.
A, B and C
B and C only
CASE #2:
33-year-old woman is in the operating room to undergo colectomy for ulcerative colitis. Patient was given appropriate information, and consented for the procedure. During the operation, a mass is identified involving the liver. Given the previous consent, it is acceptable for the surgeon to proceed further to either biopsy or excise the lesion. Provide an evidence-based reason for your answer.
True
False
CASE #3:
14-year-old girl presents to the emergency department, accompanied by her 10-month-old daughter and boyfriend. The boyfriend is the child’s father. Patient complains of severe lower abdominal pain, although she is afebrile, with normal laboratory values and normal vital signs. No cause of the pain is able to be delineated, and the plan is to take the girl to the operating room to perform a diagnostic laparoscopy. In this case, from whom should informed consent be obtained? Provide an evidence-based reason for your answer.
Patient
Patient’s parents
Patient’s boyfriend
Informed Consent – The Joint Commission.pdf

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Participation Requirement: You are required to po appeared first on homework handlers.

One page with intext citation reference from the resources provided  Step 1: Rea

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One page with intext citation reference from the resources provided 
Step 1: Read attached article entitled, Advance Directives and Health Care Planning-Are all the pieces in place.pdf 
Step 2: Read the following article: Effect of Living wills on End of Life Care.pdf
Step 3: Watch the video, “Advanced Directives: Important Healthcare Tools for Supporting You and Your Family”https://www.youtube.com/watch?v=GOIrnjqP5_M (Links to an external site.)
Step 4: Watch the video, “How to Have an End of Life Discussion”https://www.youtube.com/watch?v=JtkgTzCSzqk (Links to an external site.)
An Advanced Directive is a document in which a client who is competent is able to express wishes regarding future acceptable health care. The document may include decisions including the desire for extraordinary lifesaving measures, such as resuscitation, intubation, and artificial hydration, and nutrition. The advanced directive may also be used to designate another person to make decisions when the client becomes physically or mentally unable to do so. The Patient-Determination Act requires all clients admitted to a health care facility be asked if they have advanced directives.
Planning guides for seriously ill clients includes:
Living will: Legal document that instructs health care providers and family members about what, if any, life-sustaining treatment an individual wants if at some time the individual is unable to make decisions.
Durable power of attorney for health care: Legal document that designates another person to make health care decisions for the client when the client becomes unable to make decisions independently.
Nursing intervention in these types of situations is to ensure to communicate to the interdisciplinary health care team that the client has provided and advanced directive and that it has been placed in the client’s medical record. Clients who do not have advanced directives must be given written information outlining rights related to health care decisions.
Initial Discussion scenario:
Mr. Gomez is a 73-year-old man who is estranged from his wife. Since he prefers that she doesn’t make any medical decisions for him should the need arise, he has filled out an advance directive naming his daughter Elena as his health care proxy. He has suffered from diabetes for many years and is adamant that he does not want dialysis, even if it would sustain his life. He does, however, wish to have tube feeding for however long it will sustain him.
One evening while at home with his daughter, Mr. Suarez has a seizure. He is taken to the hospital immediately, but never regains consciousness and doctors do not expect him to do so. Elena contacts her mother Mr. Gomez’s estranged wife and she quickly joins her daughter at the hospital. They want to put him on dialysis (as his diabetes is worsening) and a feeding tube (as there is no other way for him to receive nutrients). His daughter informs the doctors of her father’s end-of-life wishes. The doctors warn her that without dialysis her father will pass away more quickly, even with the feeding tube. Mr. Gomez’s estranged wife informs Elena that she needs to follow the advice received from the doctors in order to save her father’s life. Elena says that although she is aware of the consequences, she wants them to carry out her father’s wishes.
The clients estranged wife immediately has her attorney file an order to stop Elena from following her father’s wishes that are in his advanced directive. She feels that even though they are estranged, she still should have the right to make decisions regarding Mr. Gomez’s care. This action delays Elena’s ability to honor her father’s wishes and the doctors feel that it is necessary to inform the hospital’s ethics committee about the ongoing issue.
Assignment: Discuss the following questions
What is the role of the doctors in deciding whether or not to respect Mr. Gomez’s advanced directive?
Does Mr. Gomez’s estranged wife have the authority to step in and ignore Mr. Gomez’s advanced directive. Explain your reasoning while providing evidence-based solutions in your conclusion.
Gomez’s estranged wife has filed temporary order to ignore the advanced directive. If you were Elena, how would you handle this dilemma? What rights does Elena have that allow her to honor her father’s wishes?
What is the role of the ethics committee and how can they best support the client and his family?

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Step 1: Rea appeared first on homework handlers.

Select a nurse theorist and write a paper describing the background of the theor

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Select a nurse theorist and write a paper describing the background of the theorist, the theory, and its application to nursing practice. The paper should address the following: 
1. Describe the background of the nurse theorist and the various social and professional issues that influenced the development of the theory. 
2. Identify the major concepts and relational statement of the nursing theory. Concepts common to most nursing theories include: Person, health, nursing, and environment.
3. Describe the assumptions made by the nurse theorist. To what extent are these assumptions compatible with your personal philosophy of nursing?
4. Apply the theory to a clinical situation and describe how its use will improve nursing care or influence the way care is given. 
The paper must be typed in APA format with a minimum of 1000 words (excluding first and references page) with a minimum of 4 evidence-based references using the required Arial 12 font. Follow the APA example paper under the folder APA tools. Make sure references are used according to APA guidelines and electronic references must be from reliable sources such as CDC. 

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