Discuss how easy or difficult it was to complete the AD. Your comments should be specific and both objective and subjective. For example, when you state your personal feelings, you must relate them to the literature (textbook and research) that discusses this process and the difficulties that many people face when completing an advance directive.

This paper will have three parts addressing two important pieces of legislation related to the right of individuals to make health care decisions for themselves.
Part I
The Advance Health Care Directive 
Locate a copy of an advanced directive (AD) that complies with the laws of the state in which you work. The organization in which you work should have a copy of an advance directive that is given to patients. If not, download your state’s Advance Directives here http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3289.
Complete the advance directive for yourself.  Do not turn in your AD with your paper. The AD is for your personal use.
In your paper, Part I:

Identify where you obtained the AD and explain its compliance with state law.
Conduct research (1-2 sources) to learn more about the AD in your state and explain how it works.
Discuss how easy or difficult it was to complete the AD. Your comments should be specific and both objective and subjective. For example, when you state your personal feelings, you must relate them to the literature (textbook and research) that discusses this process and the difficulties that many people face when completing an advance directive.

(Cite/ reference any sources you use to explore these questions, including your texts.)
Part II
Physician Orders for Life-Sustaining Treatment (POLST) Form

What is a Physician Orders for Life-Sustaining Treatment (POLST) form?
When should this form be completed?
Who can complete the form?
Who needs to sign the form to make it a legal document?

(Cite/reference any sources you use to explore these questions, including your texts.)
Part III
Tie the two first sections together by writing a summary and conclusion.
This section should address:
1. the differences between an Advance Health Care Directive and the POLST,
2. the RN’s important role in assuring the patient’s right to autonomy in choosing the healthcare interventions the patient does or does not want.
____________________________________________
Use current APA format.
The paper should be between 3-5 pages in length excluding the title and reference page(s).
Cite and reference the course text and at least two (2) additional appropriate professional sources.
Links to use:
http://www.caringinfo.org/files/public/ad/Florida.pdf

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Outline the basic components of the clonogenic cell survival assay. What difficulties exist in extrapolating results from this assay to in-vivo tissue responses?

Outline the basic components of the clonogenic cell survival assay. What difficulties
exist in extrapolating results from this assay to in-vivo tissue responses?

“Conventional” external beam fractionated radiotherapy generally refers to daily
fractions, five days per week at approximately 2.0Gy per fraction. Discuss the
underlying radiobiological factors, including tumour and tissue kinetic factors, that may
have contributed to the evolution of this practice.
2 Outline the basic components of the clonogenic cell survival assay. What difficulties
exist in extrapolating results from this assay to in-vivo tissue responses?
Clinical Radiobiology – Previous Examination Papers
3 Define a “late effect” in radiobiological terms. Discuss the radiobiology and
pathophysiology of late effects giving examples.
4 Describe the properties of high-energy neutrons. In radiobiological terms, give an
account of the potential value of neutron radiotherapy for the treatment of some types
of human solid tumours. Do the clinical results justify the continued employment of
this form of treatment?
5 Write short notes on any three of the following:
a) The shrinking field technique
b) The clinical and radiobiological relevance of tumour doubling time (Td) and
potential doubling time pot)
c) Biological dosimetry
d) Discuss the role of cytokines in the pathogenesis of acute and late radiation effects.
Illustrate your answer with reference to effects on the lung.

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Male nurses face more difficulties and challenges than female nurses due to gender stereotypes and the perception that nursing is a nurturing profession for women.

Male nurses face more difficulties and challenges than female nurses due to gender stereotypes and the perception that nursing is a nurturing profession for women..

Introduction:

For many years, the nursing career has always been considered a gender-typed career. The profession was performed only by women because of their characteristic compassion and caring for others. Out of the nursing workforce in the United States, men represent less than 5.8 percent. Since men started to take interest in the career of nursing, they have faced a variety of challenges, stressors and barriers. Male nurses face more difficulties and challenges than female nurses due to gender stereotypes and the perception that nursing is a nurturing profession for women.

Outline:

1- Men do not care”

· Women are compassionate and care givers, those characteristics identify them; while men on the other side, are known for their rough treatment.

2- Male nurses do not have a role model most of the time.

· Some barriers start while in nursing school programs. With the male nursing faculty being less than the general population of males in nursing, men do not feel the same connection with instructors and clinical rotation managers as female do.

3- Male nurses experience more role strain than female nurses when it comes to touching patients of the opposite sex and even the same one.

· Male nurses reported to be hesitant to touch female patients, fearing of being accused of inappropriately touching them; and when touching men, they fear of giving the impression of being gay.

Conclusions:

In conclusion, the nursing career has been chosen by women for a long time, despite this, men interests in the field have increased over the years. With this, people would imagine that the barriers keeping men from entering a nursing program would disappear, but they still exist. The gender stereotyping in the nursing career must be stopped; men have proven to be good care takers, as much as women.

Male nurses face more difficulties and challenges than female nurses due to gender stereotypes and the perception that nursing is a nurturing profession for women.

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Describe the difficulties healthcare providers and organizations have in properly managing patients™ pain.

Describe the difficulties healthcare providers and organizations have in properly managing patients™ pain..

 

 

Describe the difficulties healthcare providers and organizations have in properly managing patients™ pain.

 

Topic of Paper: Can the implementation of a multifaceted, 4 week (28 day) pain management protocol pilot improve Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) pain scores in adult patients hospitalized in the Progressive Care Unit (PCU) at ******* Hospital compared to no pain management protocol usage?

Paper Must Include the Following Two Sections:

I. Significance of the Practice Problem (3 Pages)

Provide pain statistics for United States. Describe how not treating or under treating pain in hospitalized patients can negatively impact patient satisfaction (HCAHPS) score. Describe the difficulties healthcare providers and organizations have in properly managing patients™ pain. Describe the consequences of not properly managing patients™ pain (e.g. decreased reimbursement rates, poor public perception of the healthcare provider/hospital, fines, regulatory accreditation issues, etc.).

II. Synthesis of the Literature (7 Pages)

Conduct a focused systematic review of scholarly literature (see the articles I uploaded) related to the practice problem and the effectiveness of the selected Intervention to the desired outcome in the selected population and setting; effectively synthesize and concisely summarize the reviewed scholarly literature related to the practice problem.
Background Information: The pilot pain management protocol uses the following interventions:

-A three-part online education module for nurses on use of the teach-back method and pain management. A pre and post-education quiz will be completed by each nurse online and the scores will be collected in the online learning management system

-Nurses will be expected to utilize the teach-back method when delivering patient education

-Nurses will be expected to use the white board in each patient™s room to identify the pain management plan of care (i.e. current pain score, goal pain score, pharmacological and non-pharmacological pain management intervention and a listing of when pain interventions are next available). Nursing leadership will be validating (with a simple validation tool) that the white board is updated every shift and that patients understand their pain related plan of care.

Describe the difficulties healthcare providers and organizations have in properly managing patients™ pain.

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