Explain how you would approach a family who wants “everything” done for a patient with only a limited time to live

Explain how you would approach a family who wants “everything” done for a patient with only a limited time to live

The amorphous relationship between practitioners and the families of patients at the end of life presents both challenges and opportunities for which nurse practitioner’s may be unprepared. Families play important roles in the practical and emotional aspects of patient care and in decision making at the end of life. At the same time, family members may carry significant burdens as a result of their work. The discussion of death and dying is one that most people and also most healthcare professionals find very difficult to talk about. As a nurse practitioner, I would be more empathetic and be a good listener on their feelings about the situation. I will let them tell their stories, verbalized their feelings and thoughts and find the reason why they want everything done for the patient. Being a good listener and empathetic to their feelings will help them be more comfortable in discussing the prognosis of the patient. I will respect their opinions but at the same time I will explain to them thoroughly the minimal benefits that the patient could get if will do everything for him. I will be more realistic to them and show them the outcome if patient will go for an aggressive treatments. I will make a reasonable effort to clarify their doubts, questions, and communicate with them the risk and its potential benefits. Considering the patient’s advanced age and poor prognosis, I will have them a clear understanding of the patient’s prognosis and the pros and cons of doing everything for the patient like CPR. Although all patients who require CPR have severe acute illness by virtue of needing CPR, there may be differences in the type or severity of the acute illness leading to CPR that could influence outcomes. I will emphasize to them the minimal benefits that the patient gets from such procedures and at the same time I will explain to them the advantages and benefits that the patient gets from palliative care and the quality of life that he would have on his last days of his life. The final months of the patient is the most precious one and we want the patient to spend the rest of his life in a comfortable and peaceful way of living (Ehlenbach, et al, 2009).


 

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Are there education, access, or other issues that community programs could help address?

Health Disparities

As you think about the patients you currently serve or hope to work with in the future, it is important to be aware of the health disparities some populations experience.

In this assignment, you will examine health disparities for a population of your choice and then offer a community-based approach to improve patient outcomes.

When selecting your population, consider aspects of culture, geographical area, generational factors, and any other factors that might be considered outside the perspective of the majority population.

Describe the types of health disparities for this group, and then select one health care concern to focus on for the rest of the assignment. For example, the elderly might be your population and the health care concern could be heart disease.

Instructions

•Specify the selected population.

•Identify the types of health disparities for this group and select one health care concern to focus on for this assignment.

•Distinguish factors that create health disparities for this population. ◦Why does this group have health disparities?

•Describe the identified health concern for this population as well as the pharmacological treatment for the condition.

•Describe and discuss how the cultural values, socio-economic status, and traditional beliefs and practices impact the acceptance of pharmacological treatment for this identified health concern.

•Offer at least one strategy for a community-based approach to improve the current pharmacological treatment regimens for this population.

◦What types of community outreach programs could be consulted to effectively reach your target population?

◦Are there education, access, or other issues that community programs could help address?

•Discuss why you believe this strategy would be effective. Support your rationale with references from at least three resources, at least two of which must be from resources not required for this course.

Additional Requirements

•Length of paper: 3–4 pages, not including title page and reference page.

•References: At least three resources, two of which must be from resources not required for this course.

•Formatting: Follow proper APA style and formatting.


 

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What is the value of the test-statistic?

This week you will begin working on Phase 3 of your course project. Using the same data set and variables for your selected topic that you used for phases 1 and 2, add the following information to your analysis:Discuss the process for hypothesis testing.Explain the 8 steps of hypothesis testingWhen performing the 8 steps for hypothesis testing, which method do you prefer; P-Value method or Critical Value method? Why?Claim: The average age of all patients admitted to the hospital with infectious diseases is less than 65 years of age. Test the claim using α = 0.05 and assume your data is normally distributed and σ is unknown. Based on your selected topic, perform and document the following steps:Write the null and alternative hypothesis symbolically and identify which hypothesis is the claim.Is the test two-tailed, left-tailed, or right-tailed? Explain.Which test statistic will you use for your hypothesis test; z-test or t-test? Explain.What is the value of the test-statistic? Show your calculationWhat is the P-value? Explain how you determined itWhat is the critical value? Explain how you calculated itWhat is your decision? Reject the null or do not reject the null? Explain why you made your decision including the results for your p-value and the critical value.State the final conclusion in non-technical terms Please show your work for the construction of the test-statistic and explain your process for finding the p-value and critical value. You may use the Equation Editor to format your calculation steps on the Word document or attach an Excel spreadsheet clearly showing each calculation for #B4 and #B5, but your answers still need to appear on the Word document. Also, be sure to number each response in your paper using the same numbers as above


 

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Explain the various definitions of disability that are found in disability-income insurance.

Explain the various definitions of disability that are found in disability-income insurance.

b. Briefly explain the following disability-income insurance provisions: Residual disability, Benefit period, Elimination period, Waiver of premium.

2. Identify five major provisions of the Affordable Care Act that will have an impact on individuals and families. Document your source and attach a copy of your information.

3. a. Describe the basic characteristics of individual medical insurance.
b. Why are deductibles and coinsurance used in medical expense policies?

4. Briefly explain the major characteristics of a health savings account (HSA).

5. Identify the optional benefits that can be added to a disability-income policy.

6. Explain the following renewal provisions that may appear in individual health insurance policies:
a. Guaranteed renewable
b. Noncancellable
c. Conditionally renewable

7. James, age 28, is insured under an individual medical expense policy that is part of a preferred provider organization (PPO) network. The policy has a calendar-year deductible of $1000, 75/25 percent coinsurance, and an annual out-of-pocket limit of $2000. James recently had outpatient arthroscopic surgery on his knee, which he injured in a skiing accident. The surgery was performed in an outpatient surgical center. James incurred the following medical expenses. (Assume that the charges shown are the charges approved my James?s insurer and that all providers are in the PPO network.)


 

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What was the impact of the Europeans on the Native Americans?.

Differences between the founding of British colonies in the chesapeake and in New England. What was the impact of the Europeans on the Native Americans?.


 

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Describe the evolution of the virtual organization. What are the pros and cons associated with this design?

Week 5 – Discussion 2 Virtual Organizations Describe the evolution of the virtual organization. What are the pros and cons associated with this design? Provide examples of three technological devices/concepts that have had the greatest impact on virtual organizations.


 

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Analyze the information presented in these articles on factor analysis and describe how it is used to validate the constructs of the instruments.

Analyze the information presented in these articles on factor analysis and describe how it is used to validate the constructs of the instruments.

Prior to beginning work on this assignment, please read the required textbook chapters and articles for this week.

Create a PowerPoint presentation with 16 to 20 slides (not including the title and reference slides) entitled Ethical and Professional Issues in Psychological Testing. Your presentation must provide 2 to 3 slides for each of the required topics and include appropriate citations of your referenced sources. Separate reference slides, which follow APA formatting guidelines for a References page, must be included at the end of the presentation. You must create your own template and organize your presentation in the sequence provided. Do not use a font smaller than 20 pt. You are encouraged to insert relevant figures and graphics. Make sure to appropriately cite any images you use. If you include a table or figure from a journal article, cite it according to APA guidelines. The notes section of each slide must include the text for oral comments you would make while presentating the materials to a live audience.

References must be cited according to APA guidelines as outlined in the Ashford Writing Center (Links to an external site.)Links to an external site.. For assistance with creating a visually engaging and readable presentation, you may review Garr Reynolds’s tips for creating presentations (Links to an external site.)Links to an external site..

The presentation must cover each of the following topics in the order presented below.

The Ethical and Social Implications of Testing

Provide an overview and brief evaluation of the ethical and social implications of psychological assessment.
Professional Responsibilities

Describe the responsibilities of both test publishers and test users.
Testing Individuals Representing Cultural and Linguistic Diversity

Analyze and describe issues related to the testing of cultural and linguistic minorities.
Reliability

Explain the common sources of measurement error and how measurement error can impact reliability.
Validity

Create a diagram or figure to compare the types of validity discussed in the textbook.
Describe the extravalidity concerns related to testing.
Review the articles by Fergus (2013), Kosson, et al. (2013) and Mathieu, Hare, Jones, Babiak, & Neumann (2013). Analyze the information presented in these articles on factor analysis and describe how it is used to validate the constructs of the instruments.
Clinical Versus Statistical Prediction

Compare clinical and statistical prediction of mental health decisions based on the work of Ægisdóttir, et al. (2006) and Grove & Lloyd (2006).
Application One: An Ethical and Professional Quandry

Select one of the Ethical and Professional Quandries in Testing from Case Exhibit 1.2 in your textbook and describe the ethical issues specific to the scenario you selected. Include an analysis of the relevant principles from Standard 9 in the APA Ethical Principles of Psychologists and Code of Conduct (Links to an external site.)Links to an external site.
Taking on the role of the psychologist or counselor in the chosen scenario, describe how you might respond to the challenge you selected and provide a brief rationale for your decision.
Application Two: Evidence-Based Medicine


 

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.Describe why you have an interest in this clinical focus and why you believe it is relevant to nursing evidence-based practice.

1.Identify a clinical topic in which you have an interest and one that requires nursing interventions to achieve improved patient outcomes.
2.Describe why you have an interest in this clinical focus and why you believe it is relevant to nursing evidence-based practice.
3.Discuss the specific steps you would use to conduct a literature review on that topic. What databases and what search criteria would you use, and why?
4.Support your response with at least three (3) citations to credible, scholarly nursing literature.


 

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The important family legacies that are a part of your family of origin.Use your own words to identify, define, and describe the major concepts of the contextual approach.

The important family legacies that are a part of your family of origin.Use your own words to identify, define, and describe the major concepts of the contextual approach.

For this assignment, you will write a reflection paper that includes a summary of the constructs from the Contextual Family Therapy model and an application of those concepts to your own (or another person’s if this is too difficult) family of origin.

Include the following in the model summary:

The major assumptions for change in the contextual approach.
Use your own words to identify, define, and describe the major concepts of the contextual approach.
Address what makes this approach different from some of the other MFT approaches you have studied.
Address what makes it a systems-based approach to treatment.
Include the following in your application of this model to your family of origin:

The important family legacies that are a part of your family of origin
The intergenerational transmission of the family culture
The invisible loyalties that exist in your family of origin
How justice has been applied in your family of origin
How these have impacted your development and that of any siblings, including how you/they exited (grew up) the family of origin
How these concepts, if at all, influence your current life


 

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Teamwork, Collaboration, and Communication- Nursing.Professional Work sheet must be completed which includes Outline to paper. I attached the worksheet template, paper guidelines.

Teamwork, Collaboration, and Communication- Nursing.Professional Work sheet must be completed which includes Outline to paper. I attached the worksheet template, paper guidelines.

Also article that must be reference is attached2nd Reference must be:Hood, L. J. (2014). Leddy & Pepper’s conceptual bases of professional nursing (8th ed.). Philadelphia, PA: Wolters Kluwer Health | Lippincott Williams & Wilkins.Chapter 1: pages 10–15Chapter 4: pp. 85–88 and 101–105


 

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