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Im international students and i have homework of health
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Asked: Sep 13th, 2015
Question Description
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Health Science:
Human and Social
Dimension
Dr. M. L. Holt
Application #3
Morgan State University
Ecological Model
w
PUBLIC POLICY
national, state, local
laws
COMMUNITY
Relationships among organizations
ORGANIZATIONAL
organizations, social Institutions
INTERPERSONAL
family, friends, social networks
INDIVIDUAL
knowledge,
attitudes, skills
Ecological Model
PUBLIC POLICY
national, state, local laws
COMMUNITY
felationships among organizations
ORGANIZATIONAL
organizations, social Institutions
INTERPERSONAL
family, friends, social networks
INDIVIDUAL
knowledge,
attitudes, skills
Instructions
.
Pick a particular group within society who experiences
social exclusion
With this group in mind, examine the various kinds of
interactions that happen within each of the 4 (micro,
meso, exo, macro) systems/levels
Write a 4 to 5 sentence paragraph for each
system/level
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NURS 6521 WU Ethical & Legal Implications of Prescribing Drugs Discussion
Ethical and Legal Implications of Prescribing Drugs
What type of drug should you prescribe based on your patient’s diagn ...
NURS 6521 WU Ethical & Legal Implications of Prescribing Drugs Discussion
Ethical and Legal Implications of Prescribing Drugs
What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient?
These are some of the questions you might consider when selecting a treatment plan for a patient.
Photo Credit: Getty Images/Caiaimage
As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that the treatment plans and administration/prescribing of drugs is in accordance with the regulations of the state in which you practice. Understanding how these regulations may affect the prescribing of certain drugs in different states may have a significant impact on your patient’s treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and consider how to appropriately respond.
To Prepare
Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.
Review the scenario assigned by your Instructor for this Assignment.
Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.
Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.
By Day 7 of Week 1
Write a 2- to 3-page paper that addresses the following:
Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.
Explain the process of writing prescriptions, including strategies to minimize medication errors.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The College of Nursing Writing Template with Instructions provided at the Walden Writing Center offers an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.
Submission and Grading Information
Learning resources
Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier. Chapter 1, “Prescriptive Authority” (pp. 1–3)
Chapter 2, “Rational Drug Selection and Prescription Writing” (pp. 4–7)
Chapter 3, “Promoting Positive Outcomes of Drug Therapy” (pp. 8–12)
Chapter 4, “Pharmacokinetics, Pharmacodynamics, and Drug Interactions” (pp. 13–33)
Chapter 5, “Adverse Drug Reactions and Medication Errors” (pp. 34–42)
Chapter 6, “Individual Variation in Drug Response” (pp. 43–45)
American Geriatrics Society 2019 Beers Criteria Update Expert Panel. (2019). American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults. Journal of the American Geriatrics Society, 67(4), 674–694. doi:10.1111/jgs.15767
American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults by American Geriatrics Society, in Journal of the American Geriatrics Society, Vol. 67/Issue 4. Copyright 2019 by Blackwell Publishing. Reprinted by permission of Blackwell Publishing via the Copyright Clearance Center.
This article is an update to the Beers Criteria, which includes lists of potentially inappropriate medications to be avoided in older adults as well as newly added criteria that lists select drugs that should be avoided or have their dose adjusted based on the individual's kidney function and select drug-drug interactions documented to be associated with harms in older adults.
Drug Enforcement Administration. (n.d.-a). Code of federal regulations. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/21cfr/cfr/1300/...
This website outlines the code of federal regulations for prescription drugs.
Drug Enforcement Administration. (n.d.-b). Mid-level practitioners authorization by state. Retrieved May 13, 2019 from http://www.deadiversion.usdoj.gov/drugreg/praction...
This website outlines the schedules for controlled substances, including prescriptive authority for each schedule.
Drug Enforcement Administration. (2006). Practitioner’s manual. Retrieved from http://www.legalsideofpain.com/uploads/pract_manua...
This manual is a resource for practitioners who prescribe, dispense, and administer controlled substances. It provides information on general requirements, security issues, recordkeeping, prescription requirements, and addiction treatment programs.
Drug Enforcement Administration. (n.d.-c). Registration. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/drugreg/index.h...
This website details key aspects of drug registration.
Fowler, M. D. M., & American Nurses Association. (2015). Guide to the Code of Ethics for Nurses with Interpretive Statements: Development, Interpretation, and Application (2nd ed.). Silver Spring, Maryland: American Nurses Association.
This resource introduces the code of ethics for nurses and highlights critical aspects for ethical guideline development, interpretation, and application in practice.
Institute for Safe Medication Practices. (2017). List of error-prone abbreviations, symbols, and dose designations. Retrieved from https://www.ismp.org/recommendations/error-prone-a...
This website provides a list of prescription-writing abbreviations that might lead to misinterpretation, as well as suggestions for preventing resulting errors.
Ladd, E., & Hoyt, A. (2016). Shedding light on nurse practitioner prescribing. The Journal for Nurse Practitioners, 12(3), 166–173. doi:10.1016/j.nurpra.2015.09.17
This article provides NPs with information regarding state-based laws for NP prescribing.
Sabatino, J. A., Pruchnicki, M. C., Sevin, A. M., Barker, E., Green, C. G., & Porter, K. (2017). Improving prescribing practices: A pharmacist?led educational intervention for nurse practitioner students. Journal of the American Association ofNursePractitioners, 29(5), 248–254. doi:10.1002/2327-6924.12446
The authors of this article assess the impact of a pharmacist?led educational intervention on family nurse practitioner (FNP) students’ prescribing skills, perception of preparedness to prescribe, and perception of pharmacist as collaborator.
Case Analysis.
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Case Analysis.
Case Analysis (Individual) –Quality/Patient Safety Improvement Plan: Students will be assigned a case that they need to analyze utilizing QI tools taught in the class. Cases/Scenarios will be provided in class and students will use the information and data provided within the case and specific QI/PS tools and techniques to address the problem at hand. Deliverables will include a QI/Patient Safety Case Analysis that addresses – what happened (incident), why it happened (contributory factors), key contributory factors (two to three), recommendations to address the key contributory factors (with evidence to support effectiveness of interventions), measures to assess improvement and rationale. Students will provide charts, graphs and use the learning from defects tool and other tools from class – fish bone, pareto chart etc. Length of the paper: The case analysis should be between six to eight pages (double spaced) excluding appendices, cover page, and references.You must use sub-headings e.g. what happened, why/contributory factors, key contributory factors that led to the event, recommendations to address key contributory factors and rationale, measures to assess improvement and conclusion.Please refer to detailed instructions on the course blackboard.The Learning from Defects (LFD) tool was developed at Johns Hopkins by Prof. Peter Pronovost and his team at the former Quality and Safety Research Group. Students should use this tool to systematically investigate:1. What happened - A clear, thorough and objective explanation of 'what happened"2. Why did it happen? - Review the list of factors that contributed either positively or negatively to the incident. Rate the MOST IMPORTANT factors that relate to the incident.3. Describe how you will reduce the likelihood of this defect/event happening again. See the tables. Develop/Suggest interventions for each IMPORTANT contributory factor and rate each intervention for its ability to mitigate the defect and ability to be implemented. Identify 2-5 interventions that you will implement. List WHAT you will do, WHO will lead the intervention and WHEN you will follow up on the intervention to review progress.4. Describe how and when you know that you have reduced the risk. What measures will indicate progress. -I just want to mention that the professor told us not to write for example 3 pages for just the first question (what happened). Also, use charts in the paper. I will attach a powerpoint file that contain all the info.
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Patient Identity Management Policies, health and medicine homework help
Formative Paper: Patient Identity Management PoliciesAfter reading the required articles on patient identity management, p ...
Patient Identity Management Policies, health and medicine homework help
Formative Paper: Patient Identity Management PoliciesAfter reading the required articles on patient identity management, prepare a one- to two-page patient identity management policy. (Note: the assignment is patient identity management and NOT how to identify a patient). Your policy should be one to two pages, and include the following:Policy titleVersion NumberEffective DateDate RatifiedRatified ByIntroduction (Rationale for the policy)DefinitionPolicyGeneral GuidelinesExcluding sources listed in this course, utilize a minimum of two sources to support your points. Cite and reference your sources in APA format as outlined by the Ashford Writing Center. Refer to the Recommended Resources “Health Informatics Journals” section of this course guide for additional resources available in the Ashford University Library.Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.
What type of skin cancer is suspect? What type of treatment would be recommended? What is the prognosis?
Week 2: Case Study 1No unread replies.No replies.A 30 year old female presented with a tan-brown growth on her back. The p ...
What type of skin cancer is suspect? What type of treatment would be recommended? What is the prognosis?
Week 2: Case Study 1No unread replies.No replies.A 30 year old female presented with a tan-brown growth on her back. The patient had been totally unaware of the tumor until it was pointed out by a patron in a bridal shop when she was trying on dresses. The patron happened to be the wife of a dermatologist; she informed the patient of the lesion and encouraged her to get seen stat.Past History: Unremarkable health history. Patient reported frequent sunburns throughout life due to frequent sun exposure through her late teens and mid twenties.The patient is a red haired female with fair skin. Eye color is green.The lesion is approximately 1 cm. It was wart-like. Its surface was thick and scaly. Its texture was rough and sandpaper-like. There was no evidence of bleeding when touched.Recommendations: Biopsy. Further intervention is to be performed once diagnosis is confirmed.What type of skin cancer is suspect? What type of treatment would be recommended? What is the prognosis? Your opinion must be supported by reputable link(s).At the end of your initial post, select 10 medical terms related to this body system, and provide their meanings . :-)
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What type of drug should you prescribe based on your patient’s diagn ...
NURS 6521 WU Ethical & Legal Implications of Prescribing Drugs Discussion
Ethical and Legal Implications of Prescribing Drugs
What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient?
These are some of the questions you might consider when selecting a treatment plan for a patient.
Photo Credit: Getty Images/Caiaimage
As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that the treatment plans and administration/prescribing of drugs is in accordance with the regulations of the state in which you practice. Understanding how these regulations may affect the prescribing of certain drugs in different states may have a significant impact on your patient’s treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and consider how to appropriately respond.
To Prepare
Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.
Review the scenario assigned by your Instructor for this Assignment.
Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.
Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.
By Day 7 of Week 1
Write a 2- to 3-page paper that addresses the following:
Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.
Explain the process of writing prescriptions, including strategies to minimize medication errors.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The College of Nursing Writing Template with Instructions provided at the Walden Writing Center offers an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.
Submission and Grading Information
Learning resources
Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier. Chapter 1, “Prescriptive Authority” (pp. 1–3)
Chapter 2, “Rational Drug Selection and Prescription Writing” (pp. 4–7)
Chapter 3, “Promoting Positive Outcomes of Drug Therapy” (pp. 8–12)
Chapter 4, “Pharmacokinetics, Pharmacodynamics, and Drug Interactions” (pp. 13–33)
Chapter 5, “Adverse Drug Reactions and Medication Errors” (pp. 34–42)
Chapter 6, “Individual Variation in Drug Response” (pp. 43–45)
American Geriatrics Society 2019 Beers Criteria Update Expert Panel. (2019). American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults. Journal of the American Geriatrics Society, 67(4), 674–694. doi:10.1111/jgs.15767
American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults by American Geriatrics Society, in Journal of the American Geriatrics Society, Vol. 67/Issue 4. Copyright 2019 by Blackwell Publishing. Reprinted by permission of Blackwell Publishing via the Copyright Clearance Center.
This article is an update to the Beers Criteria, which includes lists of potentially inappropriate medications to be avoided in older adults as well as newly added criteria that lists select drugs that should be avoided or have their dose adjusted based on the individual's kidney function and select drug-drug interactions documented to be associated with harms in older adults.
Drug Enforcement Administration. (n.d.-a). Code of federal regulations. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/21cfr/cfr/1300/...
This website outlines the code of federal regulations for prescription drugs.
Drug Enforcement Administration. (n.d.-b). Mid-level practitioners authorization by state. Retrieved May 13, 2019 from http://www.deadiversion.usdoj.gov/drugreg/praction...
This website outlines the schedules for controlled substances, including prescriptive authority for each schedule.
Drug Enforcement Administration. (2006). Practitioner’s manual. Retrieved from http://www.legalsideofpain.com/uploads/pract_manua...
This manual is a resource for practitioners who prescribe, dispense, and administer controlled substances. It provides information on general requirements, security issues, recordkeeping, prescription requirements, and addiction treatment programs.
Drug Enforcement Administration. (n.d.-c). Registration. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/drugreg/index.h...
This website details key aspects of drug registration.
Fowler, M. D. M., & American Nurses Association. (2015). Guide to the Code of Ethics for Nurses with Interpretive Statements: Development, Interpretation, and Application (2nd ed.). Silver Spring, Maryland: American Nurses Association.
This resource introduces the code of ethics for nurses and highlights critical aspects for ethical guideline development, interpretation, and application in practice.
Institute for Safe Medication Practices. (2017). List of error-prone abbreviations, symbols, and dose designations. Retrieved from https://www.ismp.org/recommendations/error-prone-a...
This website provides a list of prescription-writing abbreviations that might lead to misinterpretation, as well as suggestions for preventing resulting errors.
Ladd, E., & Hoyt, A. (2016). Shedding light on nurse practitioner prescribing. The Journal for Nurse Practitioners, 12(3), 166–173. doi:10.1016/j.nurpra.2015.09.17
This article provides NPs with information regarding state-based laws for NP prescribing.
Sabatino, J. A., Pruchnicki, M. C., Sevin, A. M., Barker, E., Green, C. G., & Porter, K. (2017). Improving prescribing practices: A pharmacist?led educational intervention for nurse practitioner students. Journal of the American Association ofNursePractitioners, 29(5), 248–254. doi:10.1002/2327-6924.12446
The authors of this article assess the impact of a pharmacist?led educational intervention on family nurse practitioner (FNP) students’ prescribing skills, perception of preparedness to prescribe, and perception of pharmacist as collaborator.
Case Analysis.
Case Analysis (Individual) –Quality/Patient Safety Improvement Plan: Students will be assigned a case that t ...
Case Analysis.
Case Analysis (Individual) –Quality/Patient Safety Improvement Plan: Students will be assigned a case that they need to analyze utilizing QI tools taught in the class. Cases/Scenarios will be provided in class and students will use the information and data provided within the case and specific QI/PS tools and techniques to address the problem at hand. Deliverables will include a QI/Patient Safety Case Analysis that addresses – what happened (incident), why it happened (contributory factors), key contributory factors (two to three), recommendations to address the key contributory factors (with evidence to support effectiveness of interventions), measures to assess improvement and rationale. Students will provide charts, graphs and use the learning from defects tool and other tools from class – fish bone, pareto chart etc. Length of the paper: The case analysis should be between six to eight pages (double spaced) excluding appendices, cover page, and references.You must use sub-headings e.g. what happened, why/contributory factors, key contributory factors that led to the event, recommendations to address key contributory factors and rationale, measures to assess improvement and conclusion.Please refer to detailed instructions on the course blackboard.The Learning from Defects (LFD) tool was developed at Johns Hopkins by Prof. Peter Pronovost and his team at the former Quality and Safety Research Group. Students should use this tool to systematically investigate:1. What happened - A clear, thorough and objective explanation of 'what happened"2. Why did it happen? - Review the list of factors that contributed either positively or negatively to the incident. Rate the MOST IMPORTANT factors that relate to the incident.3. Describe how you will reduce the likelihood of this defect/event happening again. See the tables. Develop/Suggest interventions for each IMPORTANT contributory factor and rate each intervention for its ability to mitigate the defect and ability to be implemented. Identify 2-5 interventions that you will implement. List WHAT you will do, WHO will lead the intervention and WHEN you will follow up on the intervention to review progress.4. Describe how and when you know that you have reduced the risk. What measures will indicate progress. -I just want to mention that the professor told us not to write for example 3 pages for just the first question (what happened). Also, use charts in the paper. I will attach a powerpoint file that contain all the info.
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Patient Identity Management Policies, health and medicine homework help
Formative Paper: Patient Identity Management PoliciesAfter reading the required articles on patient identity management, p ...
Patient Identity Management Policies, health and medicine homework help
Formative Paper: Patient Identity Management PoliciesAfter reading the required articles on patient identity management, prepare a one- to two-page patient identity management policy. (Note: the assignment is patient identity management and NOT how to identify a patient). Your policy should be one to two pages, and include the following:Policy titleVersion NumberEffective DateDate RatifiedRatified ByIntroduction (Rationale for the policy)DefinitionPolicyGeneral GuidelinesExcluding sources listed in this course, utilize a minimum of two sources to support your points. Cite and reference your sources in APA format as outlined by the Ashford Writing Center. Refer to the Recommended Resources “Health Informatics Journals” section of this course guide for additional resources available in the Ashford University Library.Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.
What type of skin cancer is suspect? What type of treatment would be recommended? What is the prognosis?
Week 2: Case Study 1No unread replies.No replies.A 30 year old female presented with a tan-brown growth on her back. The p ...
What type of skin cancer is suspect? What type of treatment would be recommended? What is the prognosis?
Week 2: Case Study 1No unread replies.No replies.A 30 year old female presented with a tan-brown growth on her back. The patient had been totally unaware of the tumor until it was pointed out by a patron in a bridal shop when she was trying on dresses. The patron happened to be the wife of a dermatologist; she informed the patient of the lesion and encouraged her to get seen stat.Past History: Unremarkable health history. Patient reported frequent sunburns throughout life due to frequent sun exposure through her late teens and mid twenties.The patient is a red haired female with fair skin. Eye color is green.The lesion is approximately 1 cm. It was wart-like. Its surface was thick and scaly. Its texture was rough and sandpaper-like. There was no evidence of bleeding when touched.Recommendations: Biopsy. Further intervention is to be performed once diagnosis is confirmed.What type of skin cancer is suspect? What type of treatment would be recommended? What is the prognosis? Your opinion must be supported by reputable link(s).At the end of your initial post, select 10 medical terms related to this body system, and provide their meanings . :-)
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