• What is a time when you or someone you know of experienced a conflict between duty to self and loyalty to the community? What would logical reasoning say should be done in that case? Why that? What would an Ethical Egoist say to do? Why would they say to do that? Note what you feel is the best course of action.
• What is a time when you or someone you know experienced a clash between professional duties and familial duties? Reference a professional code such as that of the American Nurses Association or American Bar Association in explaining the clash. What moral values should have been used in that case? Why those values? What would social contract ethics have said to have done? Why would social contract ethics say that? Note what you feel is the best course of action.

In your own words, describe what is the Universal Declaration of Human Rights.

In your own words, list and describe at least three implications on health as a result of migration.

please.don't copy and paste

how do you see George encouraging assimilation ? how does assimilation change throughout the book in the raisin in the sun?

What are some psychosocial nursing diagnosis for a COPD patient?

how does the integrity in the healthcare industry balance that with maintaining profitability?

This week, you will conduct system selection, which requires completion of the following steps:

• Reviewing a Request for Proposal (RFP)—this invites selected vendors to submit a proposal to you that outlines details of their proposed information system or systems.
• Evaluation of the proposed system through on-site demonstration, site visits, reference checks, and making a decision.
• Contract negotiation.

Assume that your healthcare organization has conducted an RFI, or a fact finding part of the system implementation and helps to select the potential vendors. It has requested information from vendors about their products and services. With the information gathered, the organization has screened the potential vendors and issues the RFP (request for proposal).

Download this RFP for EHR Implementation: UA_RFP-EHR. This is an actual RFP. Review the document and answer the following:

• Does the RFP expressly state organization and user needs? If so, what are these? If not, why is the RFP failing to do so?
• What are the strengths and weaknesses of this RFP?
• How would you change this document?

II. ***Write the following information in a more clear and concise manner, as it would appear in the medical record. Include an appropriate subheading.

1. The patient walked 75 feet in the hallway of the hospital with the therapist lightly touching her back. She used a front-wheeled walker. The therapist was needed to help provide the patient with support to maintain balance.

2. The patient’s strength was 3/5 for the right biceps and 4/5 for the right triceps.

3. Upon arrival to therapy, the patient told you that she had been doing her HEP without any problems and really

felt like her ability to get in and out of bed has improved.

4. The patient said that her pain was 3/10 on a pain scale.

5. You performed an ultrasound to the dorsal aspect of the patient’s right foot. You used 3 MHz at 50% duty cyclewith the intensity set at 1.0 w/cm2.

6. The patient demonstrated the following range of motion measurements: active range of motion for the right elbow was 130° flexion and 10° of hyperextension.

7. Knee active range of motion was 100° flexion and lacking 10° of extension.

8. The patient propelled his wheelchair around the hospital, outside on the sidewalk, and up and down several ramps with you providing verbal reminders on trunk positioning for going up and down the ramps.

9. The patient was able to put her ankle-foot orthosis on and remove it independently. She was also able to independently check her skin for any irritated areas after she removed the orthosis.

10. You instructed the patient to perform 10 repetitions of each exercise as part of her home exercise program. The exercises included ankle pumps, quadriceps setting, short arc quadriceps strengthening from 45° to 0°, and heel slides.

11. During a busy morning in a hospital, you were working with a patient who told you that she was going to be discharged and wanted home health services, primarily physical therapy. After writing the note and moving on to the next patient, you realize that you did not document the patient’s desire for home therapy. What should you do? How would you document this entry into the medical record. Where should this information be placed? How might this be different if you were using an EMR?

12. When handwriting information in the medical record, you realize that you made an error in documenting the patient’s AROM. It should have been 125°, not 152°. Demonstrate how to correct this mistake.

A 22 year old female with no previously known medical history presented to her primary care doctor for a 2 month history of intermittently increased spasticity of her upper extremities and intermittent paralysis of her lower extremities with no known cause.

She states that her symptoms seem to “come and go” without a known cause, usually worse in the mornings. Her biomedical engineering college professors have not been very accommodating to her symptoms, however, and have instructed her to be seen by her primary doctor to “rule out mental issues.” While discussing her symptoms, she also mentions that she noticed worsening blurriness with ophthalmalgia (pain) while moving her eye which is constant. She endorses a mild history of depression which began when she was 16 but which was never treated, around the same time that she was diagnosed with infectious mononucleosis.

Her family doctor, concerned about the intermittent nature of the symptoms, instructed her to attempt to stretch in the mornings before heading to class and to return in 2 weeks if her symptoms did not remit. Approximately 1 week after her primary visit, she began to experience severe, knife-like shooting pains in her bilateral upper and lower extremities, in addition to a severe headache. Her roommate, concerned, called an ambulance and the patient was immediately taken to the University Hospital. While at the University Hospital, she underwent an emergent MRI of the brain with contrast, which revealed significant demyelination (death of neurons) in the periventricular zones (in proximity to the lateral ventricles of the brain). Neurology was immediately consulted, and, after viewing her imaging and labs, was convinced that a chronic inflammatory process was occurring in this patient. The patient, prior to being discharged from the hospital after other disorders had been ruled out, was prescribed Gabapentin and asked to follow up with a neurologist as an outpatient.

Further outpatient imaging 3 months later revealed worsening demyelination in the brain and the initial stages of demyelination in the cervical and thoracic spinal cord sections; lumbar puncture testing was also performed, which was revealing of increased numbers of macrophages, CD8 T cells, and anti-myelin IgG antibodies, revealing of a diagnosis of Multiple Sclerosis.

Please answer the following questions:

• Given the diagnosis of multiple sclerosis, what type of hypersensitivity reaction is most likely occurring in this young female?
• Given your answer in number one, what type of immune cells are most likely active in this patient?
• What type of interferons are most likely involved in the activation of the immune system components involved in this disease?

Week 2 Clinical Discussion Activity: Managing Quality, Safety, and Ethics in the Community

Now that you have completed the Sentinel City tour:

1. Select a target population of interest and discuss relevant demographic data and health status indicators for this population group. You may select specific people in your own community as your target population (i.e., elderly in skilled nursing facilities, children, or any of the groups in Sentinel City).
2. Identify major health concerns for the target population. Include discussion of major health concerns in relation to a global health issue.
3. Describe at least 5 interventions that you think might help in addressing those health concerns.

Identify ONE strategy (for each link) through which you can prevent the spread of the common cold by breaking the chains:

a) Destroy the pathogen

b) Between the pathogen and reservoir

c) Between the reservoir and portal of exit

d) Between the portal of exit and transmission

e) Between transmission and portal of entry

f) From becoming a new host

why children's suffer severe social isolation cannot develop their social self in healthy manner ? can we (human) become fully human beings without social interactions and effective socialization? to interpret these, use the theories and ideas of George H.mead and his sociological concepts

Case Study

Many of you are a registered nurse. Since your graduation 3 years ago, you have worked as a full-time industrial health nurse for a large manufacturing plant. Although you love your family (spouse and one preschool-aged child), you love your job as well because a career is very important to you. Recently, you and your spouse decided to have another baby. At that time, you and your spouse reached a joint decision that if you had another baby, you would reduce your work time and spend more time at home with the children. Last week, however, the director of human resources told you that the full-time director of health-care services for the plant is leaving and that the organization wants to appoint you to the position. You were initially thrilled and excited; however, you found out several days later that you and your spouse are expecting a baby. Last night, you spoke with your spouse about your career future. Your spouse is an attorney whose practice has suddenly gained momentum. Although the two of you have shared child-rearing equally until this point, your spouse is not sure how much longer this can be done if the law practice continues to expand. If you take the position, which you would like to do, it would mean full-time work and more management responsibilities. You want the decision you and your spouse reach to be well-thought-out, as it has far-reaching consequences and concerns many people.

Writing Pompts

• Determine what you should do.
• Examine both the individual aspects of decision making and the critical elements in making decisions.
• Make a plan including a goal, a list of information, and data that you need to gather and areas where you may be vulnerable to poor decision making.
• Examine the consequences of each alternative available to you.
• After you have made your decision, get together in a group (four to six people) and share your decisions.
• Were they the same?
• How did you approach the problem solving differently from others in your group?
• Was a rational systematic problem-solving process used, or was the chosen solution based more on intuition?
• How many alternatives were generated?
• Did some of the group members identify alternatives that you had not considered?
• Was a goal or objective identified?
• How did your personal values influence your decision?