Scenario Three
You have many patients with chronic low back pain, some of whom have not improved enough with usual therapies. You are interested in whether acupuncture is an effective intervention. Find the best available evidence in the literature to inform you as to whether acupuncture is a worthwhile treatment for your clients with low back pain.
Structure
Part A, Section 1: Background Essay
In a 500 word essay, introduce your topic and explain why an evidence search is required.
• Word limit is 500 words (not including reference list).
• Penalties apply over 550 words.
• Use APA 6th citation and referencing style.
• Double spaced, 12 point font size, Times New Roman or Arial or Calibri font.
• Margins of 2.5cm (1 inch) all sides.
• Reference list can go straight after the essay.
• See UniStep Academic S******s Guide for guidance on how to write an essay
• The examples in this section are longer than yours but the concepts are the same. With lower word limits, introductions and conclusions should be brief.
This essay should provide a background to your topic and introduce the evidence search.The essay should justify overall why you are asking this specific evidence question.
Introduce the problem (or condition), proposed intervention, outcome measures, and if relevant, the comparison.Say why this evidence question is important. Are there any other important aspects to the evidence question that you should mention? If yes, then include those aspects, too. You will need background evidence to demonstrate the above elements.
As an example, your evidence question might be: “Is diet more effective than exercise for treating diabetes?”
In the Part A essay you might introduce what diabetes is, why it is an important problem, why other treatments might not work why diet should be considered as a treatment and why it is useful to compare it to exercise.
Day: May 14, 2018
Deliverable Length: Part 1: 200–300 words; Part 2: 400–500 words.
For this 2-part task, you will create the introduction for this proposal and provide a level setting of the 3 supply chain flows within the company you have chosen. Describe the flows and how they are connected and interrelated.
Part 1
Create Section 1 of your Supply Chain Process Improvement Proposal: Company Profile.
- Introduce the company you have chosen for this project. Include a level-setting summary of the company that you have chosen to use as the subject of your Key Assignment.
Part 2
Create Section 2 of your Supply Chain Process Improvement Proposal: Supply Chain Management Flows.
- Describe the following 3 flows within supply chain management in the organization you have selected:
- Information
- Financial
- Product or service
- From your research, describe how you would improve the 3 flows for your chosen company.
Your instructor will provide feedback. Use this feedback to improve your plan to prepare your final Supply Chain Process Improvement Proposal.
1, Risk management is a developing field in health care. The readings for this week, along with the link to the Health Care Compliance Association (HCCA), discuss what risk manager or compliance officer responsibilities are in different health care organizations. Job titles for this area include compliance officer, risk manager, chief risk officer, and compliance consultant.
Exhibit 2.5 on page 59 of the Carroll textbook provides a lengthy list of major responsibilities for a chief risk officer. Review this exhibit. Pick one area of responsibility from this exhibit and discuss the possible activities that are related to this responsibility area. (250 word)
2, Health care organizations are working toward a “just culture.” Formerly, the medical culture was one of the “ABCs of Accuse, Blame, and Criticize” (Carroll, 2009, p. 95). With the patient safety movement now in full force, the idea of a new organizational culture has emerged. The “just culture of safety” provides for a set of values, guiding beliefs, or ways of thinking that are to be shared by all members of the organization.
Pick a health care organization or area (for example, hospital, s******ed nursing facility, physician’s office, dental office, health plan, group home, assisted living facility, et cetera). You are a risk management consultant. Discuss how you would introduce the idea of a “just culture” within this type of organization.
As the administrator for the organization discussed, respond to at least two other learners. Provide a substantive viewpoint on why you agree, disagree, or have additional thoughts to improve a just culture for your organization. Raise questions for the consultant. Is the plan doable for your organization? (250 words)
In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?
Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states
Review your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.
In a paper of 1,000-1,250 words:
Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.
What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?
Summarize two initiatives spearheaded by your state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?
A minimum of three scholarly references are required for this assignment.
In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?
Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states
Review your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.
In a paper of 1,000-1,250 words:
Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.
What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?
Summarize two initiatives spearheaded by your state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?
A minimum of three scholarly references are required for this assignment.
Task 1- Word count- 1500 words.
due date- 25th august 2017
professional powerpoint presentation within 10 powerpoint slide.
Note to writer- please check all three given modules and complete this task. Also i dont want you to put all info in the powerpoint slide. i mean u can include the important points on the powerpoint and the explanation part u can actually write in detail with heading so that i can read it afterwards and record it.
For task 2- word count – 1500 words
Due date- 10th october 2017
note to writer- Please use the same module that u are going to use in first task.
Lastly, Do use the provided UTS harvard referencing style for referencing and turnitin report should be less than 5%. Also, kindly follow the marking criteria carefully.
Dear sir/ madam,
I hope you doing well.. I attached three files and if you read this instruction I appreciate that for you.
Introduction:
There is an increasing volume of published research accessible to health professionals. With ever changing developments and new evidence it is also important to have strategies to access and interpret this material so that you can provide the best care to your patients. To ensure you that you can safely use evidence to influence your clinical decision making, you need to have s******s in assessing the quality and relevance of the research you find, these s******s are described as critical appraisal.
Aim
The aim of this assignment is for students to critically appraise a selected published randomised controlled trial (RCT) and to apply what you have found to a clinical scenario.
Students are required to:
· Summarise the provided study using the PICOT framework
· Critically appraise the validity of the study using an established framework
· Explain the primary study results
· Relate the appraised study evidence to the clinical scenario
Assignment Presentation
The following is a guide to standard presentation requirements:
· Assignment pages should be identifiable only by the inclusion of the relevant student number and subject code on each page. This allows “blind” marking of assignments.
· Assignments must be typed using double spacing and size 11 or 12 font
· Text must be left justified and presented with margins of at least 2cms (right margin) and 4cm
(left margin)
· All pages must be numbered consecutively from the title page.
· Referencing must conform to American Psychological Association (APA) guidelines
· A reference list must be included with each assignment and a bibliography submitted if
appropriate
In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?
Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states
Review your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.
In a paper of 1,000-1,250 words:
Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.
What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?
Summarize two initiatives spearheaded by your state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?
A minimum of three scholarly references are required for this assignment.
NURS90076 – Applied Pathophysiology 2017
Case Study Page 1 of 1 NURS90076 – Applied pathophysiology | Case Study Assignment Case Study 7: Diabetic Ketoacidosis Carly is a 12-year-old girl who presents to the emergency department after two weeks of polydipsia, polyuria and a fever. In the last 24 hours, Carly has complained of abdominal pain and nausea, and has been vomiting. Over the last 2-3 months she has experienced a 4 kg weight loss. In ED, she appears quite unwell. She is tachypnoeic with deep sighing respirations and ‘acetone’ smelling breath. She has orthostatic hypotension and she is tachycardic. Her skin is pale, dry and hot to touch. An arterial blood gas analysis shows a pH of 7.06 and PaCO2 of 10 mmHg which demonstrates the severity of her acidosis. Her urinalysis is positive for glucose and ketones. Blood tests show her serum glucose to be 48 mmol/L with an elevated β-hydroxybutyrate (β-HBO) level of 1.9 mmol/L. Her serum Na+ has been measured at 128 mmol/L and serum K+ at 6.3 mmol/L. CRP is elevated as is her WCC which also shows immature band cells. Carly is drowsy, easily roused but also somewhat irritable. At best her GCS is E3+V4+M5 = 12 She is quickly commenced on IV fluids and an IV insulin infusion with gradual clinical and biochemical improvement over the next 3-4 hours. Six (6) hours into her resuscitation and treatment, there is a noticeable neurological deterioration where she becomes highly agitated, and inappropriate. Subsequently she has self-terminating tonic-clonic seizure and following which she is unarousable. Her GCS on assessment is 6 and her pupils are dilated but reactive. She is intubated and administered Mannitol. Over the following 24 hours her GCS gradually improves to the point that she is extubated, and discharged home a week later with no neurological deficits. Assignment Task: 1. Develop a concept map which identifies and links the presentation and pathophysiological processes that have occurred in Carly, over the time leading up to Carly’s presentation to hospital 2. Explain how these pathophysiological disease processes lead to the observed signs, symptoms and test results found in this patient after admission to hospital and her subsequent deterioration.
In your role as a registered nurse, you will be faced with complex and challenging situations. There will at times be a legal solution that can be applied to the situation. It is important that you are aware of what this might be so that you can confidently practice within these legal boundaries. Almost always there will be differing ethical positions that need to be considered. The purpose of this case study is to enable you to practice identifying a legal issue and possible outcomes and consider why an ethical conflict arises.
Instructions:
You are required to write a 1500 word essay. In your essay, you must identify and discuss the legal and ethical issues presented in the case study that follows. In your discussion, you must address the questions posed at the end of the case study.
You are expected to submit your essay with appropriate grammar, spelling, sentences, paragraphs and references. It should be structured using the following ‘APA Level 2’ headings:
✓Introduction ✓Legal Issues ✓Ethical Issues ✓Conclusion
1
Case Study Scenario
Joseph and Sofie have been happily married for more than 50 years and have one adult daughter, Cindy. Before they retired Joseph worked as an accountant, and Sofie was a cosmetics consultant. Although Joseph is relatively well for his age he has very poor eyesight. Sofie suffers from chronic gastro-oesophageal reflux, recurrent urinary tract infections and diabetes. To help manage her unstable diabetes, Sofie is visited three times each week by the community nurse, RN Kiki.
Sofie has always been quite particular about her looks; over the past few years has undertaken several cosmetic surgical procedures, including liposuction a facelift and rhinoplasty. Sofie has always had the same surgeon, Dr Lin, perform these procedures and has been very happy with the result on each occasion.
During her routine visit, RN Kiki notices that Sofie appears pale, lethargic and slightly confused. Sofie cannot recall Kiki’s name or the reason for her visit. RN Kiki observes Sofie test her blood sugar levels and notes that the reading is normal. She then records Sofie’s vital signs, noting a slightly elevated temperature, before assisting Sofie to administer her regular dose of insulin. Concerned that Sofie may be developing another urinary tract infection, RN Kiki suggests that Sofie may need to see her usual General Practitioner (GP). Before leaving for the day, RN Kiki discusses her concerns with Joseph who says that he has also noticed that Sofie has recently become quite forgetful. Recalling that Sofie had a doctor’s appointment scheduled the next day, Joseph assures RN Kiki that he will mention these symptoms to the doctor during the consultation.
The appointment that Sofie had scheduled, however, was not with her usual GP but with Dr Lin. Sofie was keen to have some further cosmetic surgery and had booked an appointment to discuss the possibility of an abdominoplasty. Joseph and Sofie both attend the consultation with Dr Lin. While Sofie is very keen to proceed with the surgery, Joseph is a little hesitant. He raises his concerns regarding Sofie’s forgetfulness and her elevated temperature with Dr Lin. Having known Sofie for several years, Dr Lin assures Joseph that Sofie’s current symptoms are probably due another urinary tract infection and prescribes her a course of antibiotics. Dr Lin then proceeds to arrange Sofie’s admission to hospital for the abdominoplasty.
On the morning of her planned admission, Sofie is taken to the hospital by Joseph, and their daughter Cindy. By this time her temperature had resolved, but she was still a little confused. Both Joseph and Cindy commented to Dr Lin that Sofie didn’t really seem to be herself. Dr Lin assesses Sofie, and asks her whether she still wants the surgery. Sofie indicates that she is still keen to proceed. Just as Dr Lin is about to leave the room, Sofie asks Cindy and Joseph why she is in hospital. Cindy reminds Sofie that she is having surgery to ‘fix her tummy’, to which Sofie responds, ‘oh that’s good’. Joseph looks at Dr Lin, and asks whether it would be best to postpone Sofie’s surgery until she is less confused. Dr Lin reassures Joseph that everything will be okay, and as Sofie has indicated that she is keen to proceed, the operation should go ahead. Joseph looks at Dr Lin and nods his head.
Shortly after, Sofie is administered a pre-operative medication and drifts off to sleep. As the ward RN begins to work through the pre-operative paperwork, she sees that the consent form in the medical record has not been signed. Observing that Sofie is sleeping, she asks Joseph if he would sign the consent form that Dr Lin had filled in. Joseph signs the form.
Sofie’s surgery proceeds as expected and after an overnight stay in hospital, she is discharged home. Several days later, during her regular visit, RN Kiki notices that Sofie has not recovered at all well from her surgery. She has an elevated temperature, is tachycardic and much more disorientated than she was before the surgery. RN Kiki arranges for Sofie to be transferred back to hospital. Unfortunately, Sofie had developed a post-operative infection and sepsis. Despite optimum care, her condition rapidly deteriorated and Sofie passed away. Joseph and Cindy are devastated. They believe that, given Sofie’s confusion and possible urinary tract infection Sofie should not have been operated on, and wish to sue Dr Lin.
Full Details of the Task
Your essay is to be written in an academic style with appropriate grammar, sentences and paragraphs. You are not required to number each of the paragraphs, and you should not use dot points. You should structure your essay as follows and answer the legal and ethical questions included below.
Introduction
A short introductory paragraph that outlines what you will be presenting in your case report.
You do not need to include a detailed account of the facts in the scenario; the markers are aware of the facts and this is an unnecessary use of words.
Legal Issues
Using structured sentences and paragraphs, answer the following questions in relation to the legal issues around consent, raised by the case.
- If Joseph and Cindy decided to sue Dr Lin, what type of legal action would that be?
What are the elements of the offence that Joseph and Cindy need to prove for the action to be successful? What is the standard of proof required in this case?
- Describe the defence that Dr Lin could raise. This includes describing the elements of a valid consent (with supporting case law and legislation), and the process for obtaining consent in those circumstances when an adult cannot provide it themselves.
- What are the possible outcomes of this case?
Ethical Issues
With reference to Beauchamp and Childress’ (2009) four principles of bioethics:
- Identify two principles that are relevant in this scenario and describe how they apply to the facts in the scenario.
- Describe where a conflict between these principles may arise by considering the different values of stakeholders in the scenario.
- Apply the Kerridge et al. (2013) model for ethical problem solving to address the conflict.
Conclusion
Write a short concluding paragraph that brings it all together.
NB* you are not required to decide the outcome of this case – in relation to the legal issues this would be a role for the courts. In relation to the ethical issues, there will not be one “right” answer, so the focus for this task is the process that you are being asked to apply.
