(Summary/Discussion/Conclusions)

Creating an Outline Prep for your first assignment... Pretend you have been hired in the healthcare career of your choice. Your employer has asked you to write an article for your company's Facebook page. This will require you to choose a healthcare-related topic, perform research, and write an article in the form of a five-paragraph essay. We will work on this article in small steps over the next five weeks. Throughout the rest of this course, you will be creating an article to inform your readers of a healthcare issue that they may face and provide resources related to this issue. Your topic should be one that you think would be both interesting and beneficial for your audience to read. Have fun picking a topic that you might encounter in your future career!

Instructions: Watch the six (6) 'Defining Hope' videos. Reflect on what you learned by creating a written reflection paper. Discuss how your new knowledge and/or skills can be applied to your practice. Be sure that your reflection incorporates and answers the following: • Fully discuss the learning concepts explored in the six (6) 'Defining Hope' videos; what are your five (5) take-aways? ● Explain how your 5 take-aways can be applied to practice. • In the last video you were introduced to Jose, a heart transplant recipient. Explain how palliative care could be helpful to Jose's family in the situation you learned about. • Considering developmental level, what communication techniques could you use when Jose says, "sometimes I cry..."? What might you say? References are not required for this reflection paper. APA format is required. Please see grading rubric for expectations in the completion of this assignment./nDefining Hope Videos "Defining Hope is a story about people weighing what matters most at the most fragile junctures in life, and the nurses who guide them. It's a documentary that follows patients with life-threatening illness as they make choices about how they want to live, how much medical technology they can accept, what they hope for and how that hope evolves when life is threatened. It is optimistic and reminds us that we have choices in how we die. This movie is critical and relevant right now, with our rapidly aging population and incalculable challenges in healthcare and end-of-life care. We aren't dying the way we used to. We have ventilators, dialysis machines, ICUS-technologies that can "fix" us and keep our bodies alive-which have radically changed how we make medical decisions. In our death-denying culture, no matter how sick we get, there is always "hope." The will to live is a powerful force, and eventually we will all have to make individual decisions when faced with very complex choices." These educational materials have been thoughtfully created by the American Nurses Foundation Links to an external site. and D. Mager, DNP, RN-BC, Associate Professor of Nursing, Fairfield University, for the American Nurses Foundation, with funding from the Rita and Alex Hillman Foundation./nVignette 1: Knowing it's the Right Thing (6 mins): https://vimeo.com/234537487Links to an external site. Vignette 2: Remember This Song? (5:08 mins): https://vimeo.com/234538482Links to an external site. https://vimeo.com/232984316Links Vignette 3: Hospice is Hard to Accept (7:39 mins): to an external site. Vignette 4: 1 Signed the Papers (6:28 mins): https://vimeo.com/236003578Links to an external site. Vignette 5: Is it Worth it? I Don't Know (10:25 mins): https://vimeo.com/236223350Links to an external site. Vignette 6: I Said "Yes" Because I Want to Live (3:08 mins): https://vimeo.com/236175107Links to an external site.

Assessment Deliverable Write an 875- to 1,225-word response to the ethical committee regarding your recommendation as a health care manager presented with this case. In your response, you should: • Identify the major stakeholders in the case. • Identify the ultimate decisions makers (e.g., medical team, parents, etc.) in the case. • Explain Baby Bundle's rights in this case. • Describe the ethical theories or principles that pertain to the case. • Analyze your role as a health care manager in this ethics committee decision. • Based on your review of the case and the fact that the parents are not in agreement, state your recommendation to the committee for next steps. Cite at least 2 sources according to APA guidelines.

Autonomy: 1. Does the concept of autonomy impair the dispensation of adequate care? What are some of the issues that may arise when autonomy is understood as "non-interference"? Are there any justifications that can be made for pursuing a course of treatment when it is against the patient's wishes? Do you agree with Ackerman's assertion that "true respect for a patient's autonomy may require the physician to intervene, to deviate from the patient's stated preferences? 2. Discuss the impact of moral relativism on medical practice. Should medical professionals disregard a patient's religious values in the pursuit of treatment? What should doctors do when a patient refuses treatment (either for themselves or their children) on religious grounds? Should the wishes of parents be respected if they, for example, refuse to vaccinate their child on moral or religious grounds?

1. Review the rubric to make sure you understand the criteria for earning your grade. 2. In your textbook, Physical Examination & Health Assessment , review Chapters 3, 4, and 5. 3. Download and review the file Erikson Developmental Stages. 4. Access an additional resource available to you to help with creating care plans, an ebook from the OCLS collection, Nursing Diagnosis Handbook. There are several editions of this book available, besides the one that is linked. Simply search the title. 5. Prepare to discuss the following prompts: a. Using examples of clients from your experience, and with HIPAA regulations in mind, consider two clients with the same medical diagnosis i.e. asthma, flu, seizure disorder…who were at different levels of physical development and at different stages of Erikson’s developmental stages. b. Provide an example of two nursing diagnoses (one for each of the two developmental stages), two goals (one for each nursing diagnosis), and two interventions for each diagnosis and describe how the plan of care would be implemented differently based on each developmental stage described above. Be descriptive and detailed in your response. 6. Research and select at least two current scholarly sources to support your explanations and insights. OCLS resources are preferred sources and can be accessed through IWU Resources. Wikipedia is not permitted, as it is not a peer-reviewed, scholarly source.

1.1) Mark has signed an advance directive stating that no life-sustaining measures will be used. What exactly does this imply? 1.2) When Cathy wants a break from caring for Mark at home, what options are accessible to her? 1.3) What is your job as his nurse in caring for Mark and Cathy? 1.4) Identify organizations that support grieving families.? 1.5) How do you provide support to Cathy and yourself outside work?

3. Prepare to discuss the following prompts: a. What focused assessments would you perform on Christopher? What cues are you looking for and why? (Utilize at least one scholarly reference for rationale.) b. What problems would you deduce? What do you believe is happening to Christopher? How severe are the problems? (Prioritize according to labels on page 5 of the text.) c. Utilizing NANDA diagnostic labels, identify 3 nursing diagnoses. d. Based on the data, develop 3 goals. (Goals must be SMART.) e. What recommendations do you have? What are some probable interventions you would recommend based upon the assessment data and goals? Define the assessment data and evidence-based prior knowledge upon which you are basing your recommendations. (You must have at least 3 recommendations and use at least 2 scholarly references.)

Instructions 1. Review the rubric to make sure you understand the criteria for earning your grade. 2. In your textbook, Physical Examination and Health Assessment, read: a. Chapter 1: Evidence-Based Assessment b. Chapter 2: Cultural Assessment 3. Download and review the Nursing Process PowerPoint presentation.  4. Access an additional resource available to you to help with creating care plans, an ebook from the OCLS collection, Nursing Diagnosis Handbook. There are several editions of this book available. Simply search the title. You may utilize other Nursing Diagnoses books that you may have. 5. Utilizing the format in the Care Plan Table, prepare to discuss the following prompts: a. Think of a client you have cared for in the past weeks or months.  Without breaching HIPAA regulations, what health-related nursing problems did you identify in your assessment that went beyond the medical diagnosis but were in the realm of nursing?  Describe the subjective and objective data you assessed, dividing the data into the five realms of the client (physical, spiritual, developmental, cultural, and psychosocial). b. Develop a minimum of one priority nursing diagnosis utilizing the data from the assessment you identified.  Your nursing diagnosis must be an actual problem and should, therefore, include the NANDA label, etiology (related to), and defining characteristics (the subjective and objective data.)  Include a brief explanation (two or three lines) to describe why you chose this nursing diagnosis. c. Construct one short-term SMART outcome. d. Identify three nursing interventions that would help the client accomplish the goal, along with scientific rationales for each intervention, as to why the intervention was indicated. The resource mentioned above (#4) offers a good starting point for identifying evidence-based nursing interventions and scientific rationales. 6. Find at least two current scholarly sources to support your explanations and insights. OCLS resources are preferred sources and can be accessed through IWU Resources. Wikipedia is not permitted, as it is not a peer-reviewed, scholarly source.

2.1)   To list the ethical issues regarding pain management and cultural beliefs in palliative nursing. 2.2)   How would you respond in this situation? 2.3)   Explain the role and legal parameters of families in decision making within palliative care nursing.   2.4)   Outline the nursing interventions for this patient based on your nursing observations and assessments?   2.5)   As Macey is nearing the end of her life, how can you involve family to care for Macey? How could you support their family? 2.6)   Identify professional boundaries regarding communication of services and nursing interventions in the management of a palliative patient? 2.7)   On your next visit, you see that Macey is having delirium and is not able to communicate properly. Macey is groaning and clenching. Macey is breathing shallow and mouth wide open, trying to get a breath. Macey is on a subcutaneous syringe drive with pain relief and antiemetics. Macey has not produced any urine for the last 12 hours and has not had anything to eat or drink since the day before. Based on your nursing observation, identify the end-of-life care needs for Macey. 2.8)   Reflect on self-care when nursing palliative patients and their families. 2.9)   What actions would you take to address this situation? What support is available at the workplace to assist you?

Assignment details Each student needs to find submit annotations for 2 journal articles. This is information that YOU write as a summary AND CRITIQUE of the article. To read the articles, focus on the results and discussion sections for information from the article as well as "mining" the introduction for other sources to review/read. *Hint: These sources need to be JOURNAL ARTICLES (NOT magazines, newspapers, or other popular press sources, nor websites like .com, .gov, .org, or ANYTHING). If you can not state the author's name and/or the date the information was written, it is NOT a good source for this paper. This assignment occurs twice and will be graded on source, summary, and critique quality, writing clarity, and APA formatting/style for the first submission. find academic journal articles that are literature review or empirical studies (quantitative or qualitative) that are likely to be relevant to your behavioral change for the project. SUBMIT - APA formatted title page, annotations (from the articles, with 1 directly quoted and one paraphrased concept per source), and a references list. The topic of this is Cardiovascular disease.