You are working as a charge nurse on a medical-surgical unit in an acute healthcare facility. One of the staff nurses who recently from bereavement leave has been assigned to care for an elderly client, newly diagnosed with stage IV pancreatic cancer. While you are visiting with the client, the nurse is completing her assessment. The client requests assistance to set up hospice care, complete an advanced directive, and reach out to his estranged daughter. The nurse stated, “I can get you the paperwork for the advance directive, but I can’t call your child for you, I am not a social worker.” The nurse leaves the room and asks to speak with you stating, “I can’t care for this client, I need my client assignment changed now or else I will go home.”
As the charge nurse, you step in and change the nurse’s client assignment and offer to assist the client with his requests. Later, you have the opportunity to debrief with the nurse regarding her reaction and decisions regarding the client’s requests and make some recommendations on how the nurse could have responded differently. You write up a summary of the events and include the follow-up conversation with the nurse.
Instructions
Compose a written memo of the situation and debrief for the employee’s personnel file. Include the following in the summary:
Analysis of the internal and external cues impacting the responses of the staff nurse and the charge nurse.
Describe how these factors influenced the clinical decision making of both nurses.
Emotional intelligence action plan for the nurse based on interactions observed with the client and the charge nurse.
Include self-compassion and compassion toward others.
Include an alternative response from the staff nurse and charge nurse.
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You will write responses to five (5) questions provided by the instructor, each response
approximately 350-500 words long.
These questions will help you identify and evaluate:
theroleofthegoverningbodythatyouaretargetingwithyourproposal; thetwoopposingpolicypositionsandtheirclaimsmakers(i.e.thosewhoaresupporting each position and their investment in that stance); and,
your integration of conceptual material from weekly readings and class discussions through midterm, including:
types of moral perspectives; political alliances and relative political power of policy proposals; impact of social factors/social conditions on issue and proposed solutions; current and projected disparities in healthcare use and outcomes. It is expected that you will be building on these writings as you proceed through the term.
list of the topic
Sources must include course readings as well as research from peer-reviewed academic
journals.
Final write-up of the paper is due at 7 p.m. on Wednesday of Finals Week and emailed to the instructor.
Choose one of the following for your policy analysis paper.
Public Health and Rights to Privacy: Should medical providers be bound by Public Health policies? Recently, a nurse who was exposed to the Ebola virus refused quarantine rules imposed by the legislature and health department of New Jersey. What were the arguments on both sides? What roles did science, cultural values and norms, and political posturing play in policymaking? What other factors were involved? What are implications for other issues in which private and public health sectors must collaborate? Is unregulated economic growth good for our health? Scientists argue that diminishing biodiversity in our ecosystems world-wide, much of it due to unrestricted development and other human activity, will affect our health in the future. Are there ways we can grow an economy and maintain diversity in the environment? Health care digitization and other new technologies in your doctor’s office: Physicians and their staffs are facing increased pressures to digitize medical records, and recruit and maintain a remote client base through telemedicine practices, i.e., incorporate new technologies into their practices. Are these new practices changing the doctor-patient relationship? What do both doctors and patients think about the changes? And, what roles are medical industries, healthcare corporations, and governments playing in effecting certain changes? Making the rules regarding women’s contraceptive choices: One of most controversial (and litigated) provision of the PPACA is the obligation of employer plans to cover contraceptive services under prevention. Businesses that oppose coverage have challenged the law and won concessions. What are the origins of this debate, both in the construction of the law and in the history of women’s contraceptive choices in America? What implications does this have for women’s health care and for future policymaking? Should private businesses be able to block access to health care for women? What should government do in response to the problem of access to health care?: The Obama administration developed a health care policy that addressed the tens of millions of Americans who in 2010 were uninsured (and millions more who were underinsured). What provisions of the PPACA attempt to create a more inclusive system? What are the values and politics behind them? What are the arguments opposed? Did the PPACA go far enough, as others contend the U.S. should transition to a federally-funded “Medicare for Everybody” universal health insurance system?
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section two This section should take you approximately 1 hour 15 minutes. Answer TWO questions 1. (a) Describe and justify the use of 2 methods of production. (b) Discuss the methods of physical distribution of a product from the producer to the customer. (c) Describe the methods of financing a takeover. (d) Explain the effects on an organisation of branding their products. (e) Describe the methods available to a Public Relations department to improve the image of an organisation. 2. (a) Describe the main features of a matrix structure. (b) Explain the role of the Finance department in an organisation. (c) Describe the types of industrial action that employees could take. (d) Explain the effects that prolonged industrial action could have on an organisation. (e) Describe how a manager could assess the effectiveness of a decision. (f) Describe the characteristics of high quality, reliable information. 3. (a) Explain the impact of outsourcing on an organisation. (b) Describe the changing patterns of employment that have occurred recently in the UK. (c) Describe the different stages involved in setting an appropriate stock level. Use a diagram to support your answer. (d) Discuss the use of structured decision making models within an organisation. (e) Distinguish between the terms: • Quantitative and qualitative information • Primary and secondary information.
4. (a) Explain the advantages to an organisation of selling products using e-commerce. (b) Compare the objectives of a private sector organisation with the objectives of a public sector organisation. (c) Discuss the use of 3 field research techniques. (d) Describe the different forms of testing that can be used in the selection process. (e) Describe the different forms of grouping which can be used by a multinational organisation. 5. (a) Describe the factors an organisation would take into account before choosing a channel of distribution. (b) Describe why some organisations produce a mission statement. (c) Distinguish between the following financial terms: • Gross Profit and Net Profit • Fixed Assets and Current Assets • Debentures and Shares. (d) Explain the reasons managers use accounting ratios. (e) Describe the factors an organisation would take into account prior to selecting a supplier. (f) Justify the use of staff training for an organisation.
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Until recently, the risk of criminal prosecution for nursing practice.
Until recently, the risk of criminal prosecution for nursing practice was nonexistent unless nursing action rose to the level of criminal intent, such as the case of euthanasia leading to murder charges. However, in April 1997, three nurses at the Centura St. Anthony Hospital, outside of Denver, were indicted by a Colorado grand jury for criminally negligent homicide in the death of a newborn. Public records show that one nurse was assigned to care for the baby. A second nurse offered to assist her colleague in caring for the baby. A third nurse was a nurse practitioner in the hospital nursery. Because the baby was at risk for congenital syphilis, the physician ordered that the nurses give 150,000 units of intramuscular penicillin, which would have required five separate injections.
In relation to other problems the same day, the baby was subjected to a lumbar puncture, which required six painful attempts. To avoid inflicting further pain, nurse two asked the nurse practitioner whether there was another route available for the administration of the penicillin. Nurse two and the nurse practitioner searched recognized pharmacology references and determined that intravenous administration would be acceptable. The nurse practitioner had the authority to change the route and directed nurse two to administer the medication intravenously rather than intramuscularly. Unrecognized by the nurses, the pharmacy erroneously delivered the medication, prepared and ready to administer, in a dose ten times greater than was ordered—1.5 million units. As nurse two was administering the medication intravenously, the baby died. The Colorado Board of Nursing initiated disciplinary proceedings against nurse two and the nurse practitioner, but not against nurse one. The grand jury indicted all three nurses on charges of criminally negligent homicide but did not indict the pharmacist (Calfee & Plum, 1997).
Respond to the following with these headings:
Identify what emotions are evoked as you consider the Colorado Board of Nursing case stated above?
Should the courts take into consideration the fact that the nurses’ error occurred because they wanted to avoid causing the baby unnecessary pain? Discuss your thinking.
Can you think of other occupations in which the consequences of unintentional errors have greater legal implications? Discuss your answer.
How should the nursing profession respond to this frightening new legal threat?
Which sections of the State Nurse Practice Act did the nurses violate?
identify an imported product that you purchased recently, and estimate the amount of consumer surplus you received from your purchase..
The Microeconomics Learning Portfolio
This learning portfolio consists of a series of short writing assignments. You will be required to complete and revise these assignments throughout the semester, and to compile and submit your completed portfolio by the due date.
General Directions:
Please complete ALL of the individual assignments listed below, and compile them into one document to submit by the due date. Note that some chapters do not have a corresponding assignment (e.g. chapter 1).
Please submit your compiled and revised learning portfolio using one of the following programs/formats: Microsoft Word/.doc, Open Office/.odt, or Adobe Acrobat/.pdf. Other formats are not acceptable since I cannot read them.
Follow the directions for each individual assignment closely. This sounds simple, but most of the points people lose are due to failure to follow the directions. To help with this, many assignments are broken down by components, for example A, B, C, D, etc. Please respond to these assignments by specifically addressing each component with its own paragraph.
Use your best writing skills. This assignment should reflect college-level writing ability and will be graded significantly lower if it does not. High school-level work uses proper grammar, punctuation, spelling, sentence structure, and reasonable paragraph lengths, so these components are absolutely mandatory in the learning portfolio.
There are no length requirements for the individual assignments, so please do not try to lengthen your submission by including fluff, by being redundant, or using formatting tricks. But at the same time, do not provide superficial responses. Take your time to respond to the assignments in a complete, meaningful way, and whatever length it ends up being is the right” length.
Individual Chapter Assignments:
Chapter 2:
Chapter 2 shows and discusses the gains from trade that can result when individuals, firms, or countries specialize in producing goods for which they have the comparative advantage, and trade those goods with others.
Gains from specialization and exchange can be seen in many situations. For example, most people that we pay to do things for us (e.g. grow our food, cut our hair, tutor us, etc.) perform the task for a lower opportunity cost than we would bear if we were to do it ourselves. This is where the gain from trade that benefits both parties comes from, and is why it is rational for you to pay for the service.
To show that you understand how comparative advantage works in the modern economy, please discuss a good you recently purchased and address the following prompts:
What is the item, and how much did you pay for it?
What is a reasonable estimate of how long it would take you to make the item if you hadnt been able to buy it? You need to come up with a number of hours or days or years, or whatever time measurement you want, for how long it would take you. Dont try to avoid this. If you cant figure it out, pick another good.
Who worked to get the money to pay for the item, and how long did they have to work to get the money? If your money came from the government, see the how the government gets money page.
Based on your answers to 2 and 3 above, was it rational to buy the good? Explain. Make sure you compare the time it would take you to make the good (mentioned in part 2) and the amount of time that had to be worked to get the money (mentioned in part 3). It is only rational to buy something if you give up less resources working to earn money to pay, than you would have if you made the good yourself. If it turned out to be irrational, why did you buy it?
If you want to see an example, check out the great work” linked above. But do not copy the example or even the wording. There are many ways to express these ideas if you understand the material. Please find your own words or face the consequences of academic dishonesty.
Chapter 3:
In chapter 3 we learn that the supply and demand for a good or service can shift in response to changes in certain variables, and about how supply and demand interact to determine the market equilibrium price.
Please identify a price change you have observed in the last few years.
Use the supply and demand model to explain why the price changed in 1) above.
Summarize your explanation with one sentence that mentions what you think has happened to both supply and demand,and why, and how this interaction has resulted in the price change you observed. If both curves are moving, you will need to comment on the relative size of each shift to justify the price change you observed.
*Please do not try to explain the price of gas or a cell-phone; please pick something else.
Helpful tip: be sure you discuss both supply AND demand, as they both play a role in determining the price.
Chapter 4a:
In our everyday lives as consumers we purchase many goods and services, and we derive consumers surplus for most of them. With that in mind, please:
Identify 3 goods or services you have purchased in the last year, and estimate the amount of consumer surplus you enjoy from those purchases. For each good, please state specifically:
The highest amount you would have been willing to pay.
The price you actually paid.
The amount of consumers surplus you received from each item.
Helpful tips: Be sure to state exactly the highest price you would have been willing to pay, and the price you actually paid. The difference between these two is your consumers surplus. There are different phrases you can use to communicate the highest price you were willing to pay, but note that the following are incorrect:
The price you were willing to pay. Just because you were willing to pay $20 for a good, doesnt mean this is the highest you were willing to pay.
The price you expected to pay. Again, this is not necessarily the highest price you were willing to pay.
Chapter 4b:
We are about one quarter of the way through the course. How is it going for you? Are your grades where you want them to be? If not, what can you do to remedy the situation? If you want a different result, it is imperative that you change your strategy.
Chapter 5:
This chapter focuses on externalities in the context of producing goods and services, but like many concepts in our course, these ideas are very applicable to our daily lives. In this discussion, please:
Identify and describe a situation where you have experienced either a positive or negative externality.
State clearly what the external cost or benefit is.
Estimate the dollar value of the externality. You may not be sure how to do this, so consider asking yourself the following: If its a positive externality, what is the highest price you would be willing to pay for the external benefit you received? If its a negative externality, what is the lowest price you would be willing to accept as compensation for the external cost you are bearing?
How many people in total are affected by this externality? Recommend either a tax or subsidy amount that the externality creator should pay or receive (to internalize the externality”) based on the number of people affected. You may assume that everyone affected has the same valuation for the externality as you do.
Chapter 9:
In this chapter on international trade we explained the benefits of trade using the concepts of producer and consumer surplus. We know that trade barriers such as quotas and tariffs cause prices to rise, which reduces consumer surplus, but we also discussed that trade barriers save or create jobs for American workers. In a writing of no more than two pages, please:
identify an imported product that you purchased recently, and estimate the amount of consumer surplus you received from your purchase.
state how much, if any, of your consumer surplus you would be willing to give up if it meant another job could be saved for an American worker.
determine, if you knew that the job saved for the American worker came at the expense of a job for someone in a third-world country, if that would change the amount of consumer surplus (in dollars) you would be willing to give up.
determine, if you knew the surplus you gave up went directly to increase the wage of a worker in a third-world country, if that would change the amount of surplus you would give up.
state whether or not you would change the purchase, and the associated consumer surplus you received, in any way to redistribute the gains you personally received from international trade. If you would have been willing to give up some of the surplus you received if it went directly to the worker in the third world country, would you consider making a donation to a charitable organization benefiting workers that country (this is a way for you to give some of your surplus to the workers)? Why or why not?
Chapter 10 Reflection:
We are a little bit more than half of the way through the course. How is it going for you? Are your grades where you want them to be? If not, what adjustments can you make to improve the situation? Please respond to these questions in a writing of less than one page (a paragraph may be sufficient).
Chapter 11:
Although most of the concepts developed in chapter eleven pertain to businesses, many of the different notions of cost can be applied to your life. In a writing of no more than one page, please identify a fixed, variable, marginal, and implicit cost that you have paid in the last few years.
Chapter 12:
Many difficult or important jobs in our society pay surprisingly low wages. For example, babysitters, social workers, nursing home workers, seasonal lifeguards, and paramedics, all typically make around $15 per hour or less, but provide services that can save lives.
This phenomenon can be explained via the supply and demand model we developed back in chapter 3, or from related material we learned here in chapter 12 if we view the worker as a business owner selling their labor services.
We know that if barriers to entry into an industry are low, then businesses cannot expect to earn long-run profits. This implies that jobs that require little or no training (read: low barriers to entry) should not expect to get paid much.
For this chapters learning portfolio assignment, please:
Identify a job that you think earns surprisingly little given the task(s) performed
Discuss the training necessary to get the job
Discuss what you think the job should” earn, and try to justify it
What do you think would happen if the government mandated the wage you suggested above? Please apply the lessons from the material on price floors from chapter 4 in your response
Chapter 13:
Many businesses operate in the monopolistically competitive” environment. As we learned in chapter 13, economic profits are possible in this setting, but only to the extent that a firm can continue to differentiate itself from competing firms or produce goods at a lower cost than competitors. For example, Starbucks recently announced that it plans to offer beer and wine for sale after 4 in the afternoon in some markets. Certainly this differentiates it from other coffee shops.
For this chapters learning portfolio assignment, please:
Identify a business operating in the monopolistic competition setting.
List the assumptions of monopolistic competition and explain how the business fits in with these assumptions
Suggest a way that this business could differentiate itself from its competition
Chapter 15a:
Please name a good or service you or your family has purchased in recent months from a monopolist. How did the monopoly come to exist? Do you think you would have benefitted from increased competition in the market for this good or service? Why or why not?
Chapter 15b:
To maximize the probability you succeed at the college level, you may benefit from thinking critically about your role in the learning process. With that in mind, please (purely for your own benefit) reflect on your experience in our class, and address the following:
Realistically, how much work did you put into the course? Was it more or less than what you thought you would need to do?
If you would prefer to earn a higher grade than what you are expecting, what could you do in the future to improve your chances of earning that higher grade? Are there any steps you can take to improve your organization? What could you do to make better use of the time you allocate for studying (e.g. take a study skills” course)? Should you be allocating more time to studying? Should you take fewer classes?
In this course we have used several different methods to try to stimulate learning: book reading, lecture, homework questions, articles and (maybe) videos discussing applications of economic theory, discussion with other students, preparation for quizzes/exams, learning portfolio assignments requiring you to identify economics in your life, and possibly tutoring and/or office hour. Reflecting on these experiences will provide you with useful information about who you are as a student, and what sorts of experiences maximize your ability to learn. So please relax for a minute, reflect on these various exercises, and comment on which you feel worked well for you, and which did not. How can you use this information to improve the likelihood you will succeed in future classes?
Ella has been fighting cancer with complementary and alternative methods with some success for many years. Elías, her grandson, is 10 years old and has recently been diagnosed with leukemia but has not yet begun treatment..
1. In 200-250 words, analyze the basic issues of human biology as they relate to chronic conditions and describe the interaction between disability, disease, and behavior. Examine and discuss the impact of biological health or illness on social, psychological, and physical problems from the micro, mezzo, and macro perspectives. Choose a chronic condition from those provided in your text and consider how you might feel, think, and behave differently if the condition were affecting you versus if the condition were affecting a stranger. How might you think differently about this chronic condition if it were affecting someone close to you, your neighbor, or someone in your community? Please include at least two supporting scholarly resources.
2.Our stage of life, intellectual/cognitive abilities, and sociocultural position in life, affect our perspectives and resultant behaviors about a number of conditions including cancer. Consider the information provided in the “Introduction to the Miller Family” document. Both Ella and Elías have been diagnosed with cancer. Ella has been fighting cancer with complementary and alternative methods with some success for many years. Elías, her grandson, is 10 years old and has recently been diagnosed with leukemia but has not yet begun treatment. Putting yourself in either Ella or Elías’s place, what might your perspective on your cancer be? Integrate how the stage of life, cognitive abilities, and sociocultural position of your chosen person impacts her/his perspective on his/her individual disease.
