people have different cultural, spiritual and religious requirements and needs .These can be included in advanced care directives and influence the way that people wish to be treated during palliative and end of life care. Identify two examples of cultural, spiritual and religious differences in relation to death and dying.

Over the next couple of weeks, you are asked to write a 700-900 word essay on a biomedical ethics subject or event of your choosing, which in some way relates to one or more of the materials we have so far studied. It can be from your chosen course of study, an area of interest you have, or an experience you went through as a patient or caregiver. You will not be given a written assignment for the next two weeks to allow you the full week to focus exclusively on this, though will be asked to read two articles on the ethics of pharmaceutical medicine, which is one of the topics you may choose for your paper.

The point of this short paper is to create an argument about the ethical significance of the subject or experience you are writing about, a significance that is informed by your study in our class so far.

Your argument should have a clear thesis statement (a sample thesis about a biomedical ethical subject might look like, "because nursing is a field dominated by women, many patients expect a style of care from them that corresponds with the patient's gender expectation of women rather than what nurses are medically responsible to perform." NOTE: I MADE THIS THESIS UP, as an example of the form a thesis might take). That thesis statement should then be supported by a few subpoints (3 or 4 , no more, that are explained in a paragraph or so. It should also contain a conclusion that offers fresh insight into the subject you have chosen to discuss.

Use APA format in writing this (you can find a style guide for APA here (Links to an external site.)).

What other assessments should be included for this patient? Explain your answers.

Discuss the various types of pain that a patient can experience. Explain your answers.

What type of pain does this patient describe? Explain your answers.

What standards of assessing pain will be applied to this patient’s plan of care? Explain your answers.

Discuss three (3) patient education/teachings that should the nurse consider from the problems list. Explain your answer.

Provide four (4) interventions that should be included in the plan of care for this patient. Explain your answers.

Personal electronic devices and social media are not appropriate in the healthcare workplace.

Based on your position, agree or disagree, EXPLAIN why you agree or disagree with this statement and provide evidence to support your position.

Support = research or information (from the past 5 years) that supports your position on this statement. You must provide a website link in your answer.

Your answer should be COLLEGE LEVEL and include supporting evidence.

Describe how KPC production can be detected and why KPC-producing bacteria are often difficult to detect.

A vaccine company working on an inhaled COVID19 vaccine wants to assure that B cells and T cells form cognate pairs so that a germinal center will ultimately be formed.
A. What signals will the SARSCoV2-reactive TFH and B cell need to form a cognate pair?
B. In a research animal, where would you find this cognate pair together (specific anatomical location)?

1. What do the letters in SBAR represent?

S

B

A

R

2. When does the nurse use the SBAR?

3. Why is the SBAR an important tool to use in healthcare?

4. Brainstorm and list potential problems with using the SBAR.

5. In what ways does this facility use the SBAR?

6. How is the SBAR report related to Patient-Centered Care?

What is the role of EHR interface? Explain how EHR technology platforms address information being shared through EHR interfaces.

Describe the differences between cloud-based and client-server architectures. What are tye advantages and disadvantages of each model? what is the general difference in cost between the two models, and should cost be a factor in considering the best?

Use no more than 100 words total to write about the difference between Antitussives and Protussives and the difference between Decongestants and Antihistamines.

what are the benefits of being involved in information technology as a manager?

Describe the approach to calculating the energy need for a patient who is septic, male, 172 lbs, 6 feet tall, and 60 years old of age. He is able to eat orally and is not on a ventilator. He has  lost approximately 10 lbs during the past 2 weeks. He is not sedated and activity is limited to sitting up and using the restroom in the ICU.

1. Design an indirect IF protocol that could be used to detect the presence of antibodies to SARS CoV-2, the virus causing covid-19. Assume that the specificity of the antibodies from patients would be against epitopes on the spike proteins of the virus. Include both a description of the protocol and a diagram showing the steps of your protocol. (Draw the diagram, take a picture of it, and then insert that JPEG image into this word document).

The following three (3) case studies are designed to demonstrate the integration of various principles of managing the care of older adults.

Each case study has two (2) questions attached.
Students are to answer all six (6) questions, remembering to include a critical analysis of the role of the nurse as

relevant to the question.

Answers are expected to be around 250 words for each, to a total of 1500 words.

All answers need to be written as academically structured paragraphs and supported by current, credible research with intext citations.

ase Study 1

You are a RN working in ED, looking after Edith, an 87-year-old with an admitting diagnosis of Acopia. All acute interventions have been completed for Edith, but the wards are full, so she will spend the next 8 hours (+) on an ED trolley in a corridor.

Case Study 1. The implication in this scenario is that a diagnosis of 'acopia' is a diagnosis based on functional abilities and is a form of labelling.

1. What is the impact of a diagnosis based on the labelling of a patient?

Answer this using online learning materials provided and other peer reviewed evidence. Acopia itself is more of a symptom of underlying changes than a diagnosis. 'Acopia' refers to decreased ability to cope/ manage activities of everyday life and is a symptom of increasing frailty. Edith is 87 years of age. Normal ageing process eventually leads to frailty. We studied frail aged in week 8 tutorial (review recording if you have forgotten) and in week 6 online material. Nurses role - Include an analysis of how this labelling impact the care Edith receives. (250 words)

2. How do normal changes of ageing increase the risk of Edith developing a pressure injury in this scenario?

Here you need to consider normal physiological changes that occur as part of ageing to body systems that increase the risk of developing pressure injury. We covered this in week 6 and week 10 online learning and in additional readings. You could easily relate at least 3 systems to this answer. Nurses role - Also analyse the role of the nurse to prevent pressure injury for Edith. Remember the scenario context. (250 words)

Case Study 2

You are a RN working in community care, visiting Amita, a 76-year-old with a chronic and painful venous ulcer on her lower leg. She takes multiple medications for chronic illness, and a codeine-based medication for pain. Amita lives alone in her own home.

3. How would Amita’s chronic pain impact on her ability to maintain a safe environment?

Consider how chronic pain, particularly a leg ulcer may make it difficult for Amita to maintain a safe
environment. Key points - chronic pain, what is a ‘safe’ environment and the impact on Amita’s ability to maintain safe environment given this scenario. Falls is only one concern, but what impacts this risk? Nurses role – analyse the nurse’s role in facilitating Amita to achieve a safe environment and consider facilitators, barriers and what you can do as a nurse. (250 words)

4. Why is Amita, as an older adult, more vulnerable to adverse drug events?

We looked at this in week 7online learning. We also see normal physiological changes that occur as part of ageing to body systems and the impact of socio economic factors, polypharmacy. Consider the immune system, renal system and the digestive system (liver, stomach). Consider how the vulnerability may be related to the issues associated with changes in pharmacokinetics and pharmacodynamics of the older person’s body. Nurse role – analyse with respect to Amita being more vulnerable to adverse drug events. (250 words)

Case Study3

You are a RN working on an acute medical ward, looking after Oliver, an 80-year-old with painful cellulitis from hand to shoulder resulting from a small left hand scratch sustained while gardening. He is admitted for 7 days of QID IVABs via a right cubital fossa PIVC. Because of the cellulitis, PIVC and IVAB regime, Oliver’s mobility is limited.

5. Outline the normal changes of ageing on the respiratory system in predisposing Oliver to pneumonia during his hospital admission.

Here you could consider normal physiological changes that occur as part of ageing (Oliver is 80) to the respiratory system and other related systems. Consider functional and anatomical changes that will be evident in 80 year old Oliver. Nurse’s role - analyse how the nurses understanding of changes to the respiratory system impact care they provide for Oliver. (250 words)

6. What are the benefits of increasing the mobility of an older adult during hospitalisation? How should the RN encourage incidental exercise during Oliver’s admission?

This question has 2 parts.
Part 1 is straight forward. There is a lot of literature about the physiological and psychosocial benefits of increasing mobility of the hospitalised patient, but make sure you apply your discussion to Oliver.

Part 2 is also a straight forward question but again you must apply your nursing interventions and rationales to Oliver’s scenario. (part 1 and 2 500words)