Ethical dilemma essay on U.S. Emergency med dr

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Write an essay that compares and contrasts the ethical dilemmas that an emergency medicine physician may face versus the ethical dilemmas that another healthcare provider of your choice may experience. Examples of other healthcare providers include, but are not limited to, nurses, social workers, primary care physicians, or physician specialists. Your paper should be a minimum of three pages, not including the title and reference pages. You must use a minimum of three sources, including your textbook. All sources used must be referenced; any paraphrased or quoted material must have accompanying citations. The paper will be formatted in APA style. Information about accessing the grading rubric for this assignment is provided below.

THE PRICE IS FIRM

PLEASE BE A U.S. BASED BACKGROUND, FOREIGN EDUCATION OR ENGLISH AS SECOND LANGUAGE WILL NOT WORK WITH MY OTHER SUBMISSIONS, NO DISRESPECT TO ALL, THANK YOU

MN553 Unit 5 Practice Quiz Latest 2017

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Question

Question 1 1 / 1 point

Elderly patients who are started on levothyroxine for thyroid replacement should be monitored for:

Question options:

Excessive sedation

Tachycardia and angina

Weight gain

Cold intolerance

Question 2 1 / 1 point

Potentially fatal granulocytopenia has been associated with treatment of hyperthyroidism with propylthiouracil.  Patients should be taught to report:

Question options:

Tinnitus and decreased salivation

Fever and sore throat

Hypocalcemia and osteoporosis

Laryngeal edema and difficulty swallowing

 

Question 3 1 / 1 point

Metformin is a primary choice of drug to treat hyperglycemia in type 2 diabetes because it:

Question options:

Substitutes for insulin usually secreted by the pancreas

Decreases glycogenolysis by the liver

Increases the release of insulin from beta cells

Decreases peripheral glucose utilization

Question 4 1 / 1 point

Hypoglycemia can result from the action of either insulin or an oral hypoglycemic .  Signs and symptoms of hypoglycemia include:

Question options:

“Fruity” breath odor and rapid respiration

Diarrhea, abdominal pain, weight loss, and hypertension

Dizziness, confusion, diaphoresis, and tachycardia

Easy bruising, palpitations, cardiac dysrhythmias, and coma

Question 5 1 / 1 point

Sulfonylureas may be added to a treatment regimen for type 2 diabetics when lifestyle modifications and metformin are insufficient to achieve target glucose levels .  Sulfonylureas have been moved to Step 2 therapy because they:

Question options:

Increase endogenous insulin secretion

Have a significant risk for hypoglycemia

Address the insulin resistance found in type 2 diabetics

Improve insulin binding to receptors

 

Question 6 1 / 1 point

Treatment with insulin for type 1 diabetics:

Question options:

Starts with a total daily dose of 0 . 2 to 0 . 4 units per kg of body weight

Divides the total doses into three injections based on meal size

Uses a total daily dose of insulin glargine given once daily with no other insulin required

Is based on the level of blood glucose

Question 7 1 / 1 point

The American Heart Association states that people with diabetes have a 2- to 4-fold increase in the risk of dying from cardiovascular disease . Treatments and targets that do not appear to decrease risk for micro-  and macro-vascular complications include:

Question options:

Glycemic targets between 7% and 7 . 5%

Use of insulin in type 2 diabetics

Control of hypertension and hyperlipidemia

Stopping smoking

Question 8 1 / 1 point

Drugs used to treat diabetic peripheral neuropathy include:

Question options:

Metoclopramide

Cholinergic agonists

Cardioselective beta blockers

Gabapentin

Question 9 1 / 1 point

The goals of therapy when prescribing hormone replacement therapy (HRT) include reducing:

Question options:

Cardiovascular risk

Risk of stroke or other thromboembolic event

Breast cancer

Vasomotor symptoms

Question 10 1 / 1 point

Inadequate vitamin D intake can contribute to the development of osteoporosis by:

Question options:

Increasing calcitonin production

Increasing calcium absorption from the intestine

Altering calcium metabolism

Stimulating bone formation

Question 11 1 / 1 point

The drug recommended as primary prevention of osteoporosis in men over age 70 years is:

Question options:

Alendronate (Fosamax)

Ibandronate (Boniva)

Calcium carbonate

Raloxifene (Evista)

Question 12 1 / 1 point

In addition to methimazole, a symptomatic patient with hyperthyroidism may need a prescription for:

Question options:

A calcium channel blocker

A beta blocker

Liothyronine

An alpha blocker

Question 13 1 / 1 point

When starting a patient on levothyroxine for hypothyroidism the patient will need follow-up measurement of thyroid function in:

Question options:

2 weeks

4 weeks

2 months

6 months

Question 14 1 / 1 point

Treatment of a patient with hypothyroidism and cardiovascular disease consists of:

Question options:

Levothyroxine

Liothyronine

Liotrix

Methimazole

Question 15 1 / 1 point

Men who use transdermal testosterone gel (AndroGel) should be advised to avoid:

Question options:

Washing their hands after applying the gel

Wearing occlusive clothing while using the gel

Exposure to estrogens while using the gel

Skin-to-skin contact with pregnant women while using the gel

Question 16 1 / 1 point

A 22-year-old woman receives a prescription for oral contraceptives .  Education for this patient includes:

Question options:

Counseling regarding decreasing or not smoking while taking oral contraceptives

Advising a monthly pregnancy test for the first 3 months she is taking the contraceptive

Advising that she may miss two pills in a row and not be concerned about pregnancy

Recommending that her next follow-up visit is in 1 year for a refill and annual exam

Question 17 1 / 1 point

A 56-year-old woman is complaining of vaginal dryness and dyspareunia.  To treat her symptoms with the lowest adverse effects she should be prescribed:

Question options:

Low-dose oral estrogen

A low-dose estrogen/progesterone combination

A vaginal estradiol ring

Vaginal progesterone cream

Question 18 1 / 1 point

Ashley comes to the clinic with a request for oral contraceptives .  She has successfully used oral contraceptives before and has recently started dating a new boyfriend so would like to restart contraception .  She denies recent intercourse and has a negative urine pregnancy test in the clinic .  An appropriate plan of care would be:

Question options:

Recommend she return to the clinic at the start of her next menses to get a Depo Provera shot .

Prescribe oral combined contraceptives and recommend she start them at the beginning of her next period and use a back-up method for the first 7 days .

Prescribe oral contraceptives and have her start them the same day as the visit with a back-up method used for the first 7 days .

Discuss the advantages of using the topical birth control patch and recommend she consider using the patch .

Question 19 1 / 1 point

Women who are prescribed progestin-only contraception need education regarding which common adverse drug effects?

Question options:

Increased migraine headaches

Increased risk of developing blood clots

Irregular vaginal bleeding for the first few months

Increased risk for hypercalcemia

Question 20 1 / 1 point

Oral emergency contraception (Plan B) is contraindicated in women who:

Question options:

Had intercourse within the past 72 hours

May be pregnant

Are taking combined oral contraceptives

Are using a diaphragm

 

 

Leading – final

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When you have finished reading the biography on your selected leader, and with the help of your guidance outline (Submitted in Week 9), complete your paper that analyzes the person through the four frames of leadership: structural, human resources, political, and symbolic. Address how personality, leadership style, influence, and motivation factored into the successes and failures of the person. The structure of your paper should be as follows: Introduction: Who you selected and why (remember this is not a first person paper). Background of the person. Explain how do personality, leadership style, influence, and motivation factored into the persons success or failure (these points may not be explicitly addressed in your biography, but you should have enough information based on our coursework to make some logical determinations about these aspects of your selected person). Analyze how the person functioned within the structural frame. Analyze how the person functioned within the human resource frame. Analyze how the person functioned within the political frame. Analyze how the person functioned within the symbolic frame. Explain how the four frame interacted, impacted, and/or influenced the person’s perspective. Conclusion

Remember that your final paper submission is not a question and answer document. You are to analyze the information you find, organize it, and present it in a paper that is 12-15 pages in length. Your paper should be written at the college level, adhere to APA guidelines, and include a reference list. Any sources used must be cited properly, including the biography, using in-text citations and a references page.

please do early/final research

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Research Proposal

Visit the CDC website and read the report “Advancing the Nation’s Health: A Guide to Public Health Research Needs, 2006–2015”. Select a topic related to public health care from the CDC’s report or from the following: Health disparities: Chronic diseases Environmental health Impact of infectious diseases on public health

Using the South University Online Library or the Internet, research about your chosen topic on public health care. Based on your research and understanding, create a research proposal in a 5- to 6-page Microsoft Word document that includes the following: A brief introduction to the chosen topic on public health care A brief description of the various components of a research proposal The problem statement At least five research questions An analysis and definition of the research method to be used in your research proposal An analysis and identification of the research measures and design methodologies that you plan to use in your research proposal A description of different types of threats that you think would affect the validity of your research proposal, and an identification and explanation of the strategies to minimize them. A data analysis plan to use to collect data for your research proposal A reference page A logical data analysis strategy based on the research question and types of data collected A conclusion that ties everything together

Suppo

For Essays Guru – Combining Nurse Leader With Advocacy

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 Details:

Rate yourself using the results from the “Nurse Manager Skills Inventory”:

http://www.aone.org/resources/nurse-manager-skills-inventory.pdf

Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below: Personal and professional accountability Career planning Personal journey disciplines Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace.

Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.

Please follow answer the question. Reference (2013-2018). Thanks

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Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness to each of these six articles on why the article may or may not provide sufficient evidence for your practice change.

Week 7 Ethical Implications of Administrative and Organizational Decisions

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What is a managed care organization? Based on your reading, discuss how managed care organizations attempt to control costs.  What are the benefits and disadvantages associated with these cost controlling measures?
 

Assignments are to be a minimum of 2 full pages of text and 3 reputable references in proper APA format. 

POWERPOINT (Invitro Fertilization)

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Please see attached the document for the instructions. it is a powerpoint presentation. 

Quality Assurance—SWOT Analysis

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Assignment 2: Quality Assurance—SWOT Analysis

You are to develop a two- to three-page SWOT (strengths, weaknesses, opportunities, and threats) analysis for the quality assurance program of your hospice facility. You will present your analysis to senior management. There are several SWOT analysis examples on the Internet that you may access and use, including Excel spreadsheets. Assess a hospice’s internal quality strengths and quality weaknesses. Analyze the hospice industry for opportunities and threats.
Include the following external factors that impact the hospice facility:
consumer and social competitive technological economic legal and regulatory Make a recommendation to senior management based upon the results of the SWOT analysis.

Assignment 2 Grading CriteriaMaximum PointsAssessed the hospice’s internal quality strengths and weaknesses.30Analyzed the hospice industry’s opportunities and threats based on the external factors.30Made a recommendation to senior management based on the results of the SWOT analysis.25Used correct grammar, spelling, and word choice, and cited all sources using correct APA style.15

Discussion Question Guidlines

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Refer to the assigned reading, “Guidelines for Writing Learning Objectives.” How do health providers design educational programs to clearly articulate objectives to engage both patients as well as families?

 

Requirements 125 words no plagirism and by tomorrow at 12:00 pm
 
 
 
 
Measurable Behavioral Learning Objectives
 
Clear and measurable behavioral learning objectives are the foundation for planning an educational activity.  Here are some guidelines to assist with this process. Learning objectives use an active verb to specify the behavior change you expect to be able to measure as a result of the learning.   A learning objective is measurable when the participant can perform a task (list) identified in the learning objective.    An example of a clear and measurable learning objective is:
 
The participant will:   “List two nonsteroidal anti-inflammatory agents used in the treatment of rheumatoid arthritis”.
 
An example of an unmeasurable objective is:
 
The participant will:   “Increase his/her knowledge of anti-inflammatory agents used in the treatment of arthritis.”
 
“Increase knowledge” can not be directly demonstrated, therefore it is not a measurable objective. The words “know” and “understand” are not measurable verbs.
 
When planning how to achieve the purpose of the class, ask yourself:
 
1. What do I want the participants to accomplish/learn?
 
2. How will the participants demonstrate that the desired information has been learned?   3. What verb (see samples listed below) will I use in the objective to indicate what the  participant will do to demonstrate information learned?
 
Use of an Action Verb
 
The verb should correspond with what opportunities are given for the participants to demonstrate the newly learned information. For example, if your objective contains the verb discuss, then there must be opportunities for the participant to discuss (one of your teaching methods must include “discussion”). Following is a list of the six levels of cognitive learning with some of their accompanying verbs which are used when writing learning objectives.
 
KNOWLEDGE COMPREHENSION APPLICATION (to recall facts) (to understand) (to apply concepts/demonstrate skills) Identify List Define Label Match Name Describe Locate Discuss Give examples Explain Paraphrase Perform Demonstrate Use Practice Construct Operate   
 
 
 
Guidelines for Writing Learning Objectives
 
ANALYSIS SYNTHESIS EVALUATION (use information/make connections) (formulation) (judgment) Diagram Examine Analyze Compare/contrast Differentiate Formulate Categorize Design, plan Organize Prepare Rate Evaluate Appraise Revise Interpret
 
 
Use of an Action Verb for Affective/Attitude Categories
 
Here are affective or attitude categories with some verbs and examples: Receiving Phenomena: Awareness, willingness to hear, selected attention. Listen to others with respect. Listen for and remember the name of newly introduced people.
 
Responding to Phenomena: Active participation on the part of the learners. Attends and reacts to a particular phenomenon. Participates in class discussions. Gives a presentation. Questions new ideals.
 
Valuing: The worth or value a person attaches to a particular object, phenomenon, or behavior : Demonstrates belief, is sensitive towards
 
Organization: Organizes values into priorities by contrasting different values, resolving conflicts between them, and creating a unique value system. The emphasis is on comparing, relating, and synthesizing values.
 
Internalizing values (characterization): Has a value system that controls behavior. The behavior is pervasive, consistent, predictable, and most importantly, characteristic of the learner. Instructional objectives are concerned with the student’s general patterns of adjustment (personal, social, emotional). discriminates, displays, influences, listens, modifies, performs, practices, proposes, qualifies, questions, revises, serves, solves, verifies.
 
Use of an Action Verb for Psychomotor Categories
 
Here are some psychomotor (skill) categories and examples: Imitation: Observing and patterning behavior after someone else. Performance may be of low quality. Example: Copying a work of art.
 
Manipulation: Being able to perform certain actions by following instructions and practicing. Example: Creating work on one’s own, after taking lessons, or reading about it.
 
Precision: Refining, becoming more exact. Few errors are apparent. Example: Working and reworking something, so it will be “just right.”
 
 
 
Articulation:
Coordinating a series of actions, achieving harmony and internal consistency. Example: Producing a video that involves music, drama, color, sound, etc.
 
Naturalization: Having high level performance become natural, without needing to think much about it Examples: Michael Jordan playing basketball, Nancy Lopez hitting a golf ball, etc. ning Objectives.” How do health providers design educational programs to clearly articulate objectives to engage both patients as well as families?