The typical relationship of patient to physician used to be one of deference to a more knowledgeable authority. Why is it now critically important for patients take a more proactive role in their medical care?

Many alternative medicine treatments and complementary medicine treatments are controversial and may suffer the disdain of a majority of medical practioners in the community. Does it then follow that the state medical board may use its judicial powers to enforce orthodox treatment where the alternative treatment is not unlawful?

Under the decision In Re Williams, is it the case that all physicians in all cases must practice in accordance with the view and manner held by the majority of physicians?

1. Discuss educational plans for preventing the spread of COVID-19 within the community setting and within your families.

2. Discuss prevention measures among two (2) groups who are at risk for contracting of COVID-19.

Why fostering a sense of ownership throughout the organization a challenge for the leadership in an healthcare organization?

Identify and describe 2 observable impairments of a person with an acquired brain injury

Jennifer is 72 years old and has been confined to bed while she recovers from a hip fracture. Why does her doctor say she is at risk for developing a bladder infection? Describe the correlation between Jennifer's condition and a possible bladder infection.

confidence, communication and team building are most important leadership improvement areas why?

1. How is Tuberculosis treated?

2. What is Cipro used to treat? What are the adverse effects? What are the contraindications? What are the medication interactions?

3. Which medication is the first choice in treating C-Difficile infection?

4. What are the adverse effects of amphoterocin B? What monitoring would need to be done while on this medication? How is an amphoterocin B infusion reaction treated?

Explain the connection between law, policy, and the public’s health using a concept map and narrative

1. What are some nursing concerns for the patient on protease inhibitors?

2. What medication is used to treat Syphilis?

3. What is the most important thing that healthcare workers can do to help reduce the spread of infection?

Discuss your roles and limits within your scope of practice guidelines.(PMHNP)Are therr any times that you may feel those boundaries are not well defined?

Write an analysis describing how the selected medication class relates to the selected systems disorder. (Medication: Meropenem and system disorder: Meningitis)

• 300 words minimum.

• A strong connection and correlation are made between the selected medication and disease process.

You are a staff nurse working in an intensive care unit and assigned to care for a 75-year-old man who had coronary artery bypass graft surgery 4 days ago. The patient has a history of chronic obstructive pulmonary disease exacerbated by heavy smoking. His postoperative course has been difficult, and he has suffered a number of setbacks. The staff, despite their diligent efforts, have not been able to wean him off the ventilator since the surgery. He has required frequent suctioning throughout the shift, and he is being evaluated for the development of ventilator-associated pneumonia. Today, when returning from lunch, you observed that an experienced nurse was suctioning your patient. His secretions were thick, and you observed that the nurse was instilling saline into the patient’s endotracheal tube as she was suctioning him. The patient turned red and began coughing, and it was obvious he was in distress. You asked the nurse why she was instilling saline into his endotracheal tube. She replied that this was being done to loosen the secretions. You told her this was no longer an acceptable practice. She stated that she had lots of critical care experience and she didn’t care what anyone said, that the only way you could loosen the patient’s secretions would be to instill saline. She also said that would be the last time she would do something for one of your patients while you were at lunch. Questions

1. What tenets of the ANA Code of Ethics for Nurses (2001) can be applied to this particular situation?

2. What would be your immediate response to the nurse in this situation? Provide a rationale. a. If you are the staff nurse originally assigned to care for the patient b. If you are the charge nurse c. If you are the supervisor or the nurse manager

3. Identify at least one potential source for pre-processed evidence such as a clinical guideline.

4. What strategies would you use to search for evidence related to best practices for suctioning and whether the instillation of saline while suctioning is an acceptable technique?

6. Identify a source for grading the level of evidence located.

7. What are potential barriers to the utilization of research findings in this setting? a. The research itself b. Clinician c. Organization d. Presentation

8. What are potential resources in your institution to help with the translation of research into practice?

9. Who are potential community partners to assist with addressing this clinical practice problem?

10. Assuming that you located evidence to support the position that instilling saline into an endotracheal tube is ineffective, what would be included in a plan to translate research into practice in the intensive care unit? In the rest of the hospital?

11. What strategies would you use to determine whether indeed nurses and other healthcare professionals are adhering to the recommended practices for endotracheal suctioning?

12. What would you do if you found contradictory evidence regarding the instillation of saline before endotracheal suctioning such as increased dyspnea with saline instillation, but lower rates of ventilator-associated pneumonia?