Mr. Jones is a 92 year old gentleman with acute congestive heart failure. He has a long list of comorbidities, and his prognosis is guarded. Upon discussion with Mr. Jones’ family members present, the medical resident documents a “do not resuscitate decision” in the electronic record on day one of hospitalization. On day three of hospitalization, Mr. Jones’ daughter, named as agent in Mr. Jones’ durable medical power of attorney, arrives from out of town and speaks to the attending physician, asking him to cancel the DNR order and resuscitate, if necessary. This is handwritten in the progress notes, which are scanned into the electronic record, but the electronic field where DNR orders are documented is not changed. In addition, in the daily progress notes entered by the medical resident, the day one discussion resulting in the DNR order continues to be copied and pasted into the record each day, making it appear that the DNR order is still in force. Mr. Jones’ son disagrees with the daughter’s decision and feels it was uninformed; he complains that he (as a registered nurse) was in a better position to make the correct decision. Unfortunately, on day 5 of hospitalization, Mr. Jones’ condition deteriorates and he has a cardiac arrest. “Code Blue” is called by the nurse on duty, and the team arrives to begin resuscitation. Shortly after they begin, the unit clerk enters the room and tells the team that “this patient is DNR.” Resuscitation is canceled and Mr. Jones dies.

1. Who had authority to decide whether Mr. Jones should be resuscitated? Is any information that is necessary to answer this question missing from the scenario? If so, what else must be known to answer this question.
2. Who should be responsible for documenting DNR decisions?
3. What should happen if a record reflects conflicting documentation?
4. Are there circumstances in which family members should NOT be allowed to make DNR decisions on behalf of a patient?
5. How did the format and capabilities of the electronic record contribute to the confusion in this case? What could be done to address those problems?

Each of these questions should be answered should be at least a paragraph.

module 4 You are responsible for minimally at least 3 posts for each question in your discussion boards; your initial post and reply to two of your classmates. Your initial post(s) should be your response to the questions posed in the discussion question. You should research your answer and cite at least one scholarly source when appropriate, and always use quality writing. The discussion board is never a place to use text language or emoticons. You will also be asked to respond to your classmates. This is designed to enhance the academic discussion around the topic. It is all right to disagree with something posted by another, however your responses should always be thoughtful and respectful and reflect your opinions professionally.

Discussion Question:

Give an example of the difference between being assertive and being aggressive. What is the importance of this in communication? In leadership?

Give an example of passive aggressive communication.

What do you think of the statement, “assertiveness is unfeminine”?

What kind of advice would you give to be assertive? What role does being assertive play in handling criticism? In effective communication?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. Please reply to at least two classmates. Replies to classmates should be at least 200 words in length.

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module 5 Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append.

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussions and any insights gained from it.

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment Description

Delegation in Practice

What does your State Board of Nursing say about Unlicensed Assistive Personnel and their role, and the role of the Registered Nurse? Describe the responsibilities of the Registered Nurse when delegating patient care tasks.

How does the ICU environment differ from a general medical-surgical unit as far as assigned responsibilities for Unlicensed Assistive Personnel?

Assignment Expectations:

Length: 750 to 1000 words

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. Please include at least one reference in addition to the textbook.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)

File name: Name your saved file according to your first initial, last name, and the assignment number (for example RHall Assignment 1.docx)

M5 Assignment UMBO – 1, 2, 3M5 Assignment PLG – 1, 6

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussion and any insights you gained from it.

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment:

Write a 2000-2500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be eight sections, (about one double-spaced page) for each soft skill. Separate each section in your paper with a clear heading (level one heading) that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Create an essay on soft skills in healthcare

List and identify a minimum of 8 soft skills that are important to have in a healthcare position.
Describe the importance of each soft skill and provide an example of how it may be used in a healthcare setting.
Provide one page for each soft skill (min 250 words). In each paragraph, highlight in yellow a minimum of two medical terms. Identify five nouns, five pronouns, five verbs, five adjectives, and five adverbs by placing the appropriate mark before the word. [ i.e. (n), (pn), (v), (aj), (av)]
Assignment Expectations

Length: 2000-2500 words; answers must thoroughly address the prompts in a clear, concise manner

Structure: Include a title page and reference page in APA style. These do not count towards the minimum word amount for this assignment. Each of the soft skills must use a level one heading to divide the paragraphs.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly citations to support your claims.

Format: Save your assignment as a Microsoft Word document (.doc or .docx).

Filename: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)

LASA 2: Discrimination: Reflection and Interview Watch the Frontline program online. Frontline: A Class Divided http://www.pbs.org/wgbh/pages/frontline/shows/divided/ A Class Divided explores the nature of prejudice. Third grade teacher Jane Elliott deliberately created a classroom situation to teach her students how it feels to be on the receiving end of discrimination. This is an encore presentation of the classic documentary on third-grade teacher Jane Elliott’s “blue eyes/brown eyes” exercise, originally conducted in the days following the assassination of Rev. Martin Luther King Jr. in 1968. This classic classroom experiment, conducted in the late 1960s in a small Midwestern town, demonstrates how quickly and easily schoolchildren can internalize prejudice and discriminate. Years later, these children discuss the valuable lessons they learned from this experiment. Elliott employs this same teaching strategy with a group of adults in the workplace, and discusses their reactions. This assignment is designed to allow you to synthesize what you have been learning about the various dimensions of diversity and the necessity of treating everyone in an inclusive, sensitive and respectful manner. Discrimination Paper Part I: Interpersonal Reflection After viewing the video, consider the following questions and write your response. Your response should be 4-5 pages and should address each question thoroughly, reflecting an accurate representation of what you have learned in this course. Demonstrate scholarship by utilizing supporting resources to justify your ideas and responses: What did you learn from the film? What scene or scenes do you think you’ll still remember a month from now and why those scenes? Did any part of the film surprise you? Do you think someone with a disability, of a different sexual orientation, an older American or some of a different religion would also find it surprising? Why or why not? Both Elliott and her former students talk about whether this exercise should be done with all children. What do you think? If the exercise could be harmful to children, as Elliott suggests, what do you think actual discrimination might do? Use an example, different from the example you used to describe labels, from what you have learned about people with disabilities, older people, sexual minorities, or people of differing religions. How can negative and positive labels placed on a group become self-fulfilling prophecies? Use an example from what you have learned about people with disabilities, older people, sexual minorities, or people of differing religions. Based on what you have learned in this course, discuss an example (either from the video or from your experiences) that illustrates each of the following statements: Dimensions of diversity may be hidden or visible. Dimensions of diversity are in a constant state of flux. Dimensions of diversity are not always clear-cut or easily defined. Discrimination Paper Part II: Personal Interview For Part II of this assignment, you will have a conversation with someone who you feel may have faced discrimination. Examples include someone with a disability, an older American, someone who is a sexual minority, or someone who lives in a multicultural family. After choosing an individual to interview, explain to this individual what you have seen in the Class Divided program. Invite them to watch the program, or parts of the program, with you. After watching or discussing the program, pose the following questions to the individual. Be sure to explain the reason for your questions and why you have selected them to participate in the interview: What, if any, discrimination do you experience? How have you coped with this situation? What do you think needs to change at the cultural level to reduce discrimination? Following your refection (Part I listed above), add 2-3 pages to your paper which addresses the following: A description of the individual you chose to interview and why. Explain how you went about approaching this individual for the interview. What are your observations about the person’s view of discrimination and how it affects his/her daily life? Did the interaction with the person change your view of discrimination? If so, explain how the interaction has affected you either positively or negatively. If it did not change your view of discrimination, explain why. How well do you think you would cope with discrimination from this person’s perspective? Finally, what is the best manner in which to advocate for those facing discrimination? What actions will you change based on what you have learned in this course and how will you serve as an advocate for those individuals who face discrimination? Your final assignment, consisting of both Part I and II, should be approximately 6 -8 pages. Be sure to address each topic listed above and, as appropriate, cite the online course, the textbook, and other credible sources to substantiate the points you are making. For example, when discussing an example of how diversity may be hidden or invisible cite sources, which you have referenced to substantiate the points you are making. Submit your assignment to the M5: Assignment 1 Dropbox by Saturday, May 17, 2014. Assignment 1 Grading Criteria Maximum Points Describes what was learned from the film and explains what scene(s) will be remembered. 20 Clarifies how some scenes were personally surprising and addresses how someone else may find the film surprising. 24 Expresses whether the class exercise should be done with all children. Provides an example of how discrimination impacts children. 20 Discusses positive and negative labeling and, with an example, depicts how labeling can become a self-fulfilling prophecy. 24 Provides examples that illustrate how diversity may be hidden, is in a constant state of flux, and how diversity is not always straightforward. 40 Interviews an individual different from them. Describes the individual and reasons for choosing the individual and provides observations about the individual’s views on, and experience with, discrimination, and what specific challenges, if any, he or she has faced. 56 Explains whether this interview changed their personal view of discrimination and discusses how the student would cope with discrimination from this person’s perspective. 24 Expresses, personally, how to advocate for those facing discrimination and future actions to take based on what has been learned in this course. 28 Style (8 points): Tone, audience, and word choice Organization (16 points): Introduction, transitions, and conclusion Usage and Mechanics (16 points): Grammar, spelling, and sentence structure APA Elements (24 points): In text citations and references, paraphrasing, and appropriate use of quotations and other elements of style 64 Total: 300