Psychology Paper/Discussion Questions

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Psychology Paper/Discussion Questions

(Psychology Paper/Discussion Questions)

1.Let us assume that Socrates, Plato, Aristotle, Descartes, Locke, and Hume kept daily diaries of their thoughts. Choose one of the ancient Greek philosophers (Socrates, Plato, or Aristotle) and one of the modern European philosophers or protopsychologists (Descartes, Locke, or Hume). Write a diary page (500-word maximum) from each of these gentlemen that discusses a central theme in their respective beliefs. Be creative, but stay factual.

Make sure that you evaluate the points of view or central themes you have identified for each of the two philosophers you have chosen. Include material that illustrates the culture and time period in which they lived. Analyze the influences of social and cultural conditions on the philosophers. Describe how the different perspectives from the different time periods led to distinctive beliefs about social issues.

You do not need an index or abstract for this paper. Use the APA Style Paper Template linked in the Resources.

· Written communication is free of errors that detract from the overall message.

· Resources and citations are formatted according to APA (6th Edition) style and formatting.

· Font and font size: Times New Roman, 12 point.

Discussion #1.Discuss how Thomas Upham built upon the work of John Locke and Thomas Reid. How did British empiricism and Scottish realism influence the development of the American Mental philosophers?

Discussion #2.Psychology is a relatively young science, with the first psychology laboratory being opened in 1879, but its roots extend back thousands of years to the ancient Greek philosophers. Psychology’s roots are closely related to both biology and philosophy. Because of its hybrid heritage, psychology is often considered a social science, a natural science, and part of the humanities. What are the benefits of this complex heritage? What are the drawbacks? Why is it important to study the history of psychology? How does the history of psychology inform modern day psychology?

 
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Role Of Counselor In Comminity.

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Assignment 2: Discussion Question: Role of the Counselor in the Community

(Role Of Counselor In Comminity.)

By the due date assigned, respond to the discussion question assigned by the instructor. Submit your responses to the appropriate Discussion Area. Use the same Discussion Area to comment on your classmates’ submissions and continue the discussion through the end of the module.

Nine-year-old Wanda’s teacher notices that for the past few weeks, Wanda has not been talking to her friends and is always sitting alone in a corner. After talking to Wanda’s friends, the teacher finds out that Wanda’s sixteen-year-old brother was killed in a gang fight two months ago and her parents have since separated. The teacher talks to her friend Daphne, a counselor, to see if there is anything she can do about Wanda. She wants to know if there is any way in which children and families affected by exposure to violence can be assisted with emotional impact of these events. The teacher also asks Daphne, in the role of a counselor, to call Wanda’s parents to see if they would be willing to talk with her about the death of their son, their separation, and Wanda’s behavior at school. Daphne is not employed or affiliated with the school.

(Role Of Counselor In Comminity.)

What would be Daphne’s role, as a counselor, in helping the teacher?

What do you see as important roles of a counselor working in a community?

What are the ethical responsibilities that counselors and human services professionals hold toward the community? When answering this question identify the ethical code number and definition, using your own words, of the ethical responsibilities of these professionals.

Briefly speak how you, as an ethical counselor, would respond to the teacher’s request for you to speak with Wanda and her family.

Grading CriteriaMaximum PointsQuality of initial posting, including fulfillment of assignment instructions16Quality of responses to classmates12Frequency of responses to classmates4Reference to supporting readings and other materials4Language and grammar4Total:40

 
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Strategic Staffing Plan Development

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Strategic Staffing Plan Development

(Strategic Staffing Plan Development)

Question description

Business 335 Week 6 Assignment

Assignment 1: Staffing Plan for a Growing Business
Due Week 6 and worth 280 points

Please choose from one (1) of the scenarios below. Note: The scenario that you choose in this assignment will be the one (1) with which you continue for Assignment 2.

Scenario 1

You are a Human Resources Manager of an expanding technology company consisting of 170 employees that develops and distributes small electronic devices. Over the past two (2) years, a research group formed, designed, and built prototypes of small remote surveillance cameras used for security. Recently, your company won a contract to build and provide these remote surveillance cameras to various government agencies. The contract will begin with your company supplying these cameras to agencies within your home state. If all orders are fulfilled sufficiently, the contract will be expanded to supplying agencies outside of your home state.

For the immediate future, you will need to secure a larger facility and hire more staff to sustain the first part of the contract. This staff will consist of ten (10) Assembly Technicians, one (1) Certified Quality Control Engineer, one (1) Contract Administrator, and one (1) Office Support Paraprofessional. Meanwhile, there is a contract clause requiring that you provide a staffing plan in order to ensure future product deliveries and sustain the possible future growth.   Â

Scenario 2(Strategic Staffing Plan Development)

You are a former certified education administrator who departed your former position to become the owner of a small, in-home day care consisting of you and a part-time assistant where you care for children from age three (3) to age ten (10). Over the course of time, your demographic population has increased due to significant business growth that has resulted in many families relocating to your area. With more businesses projected to move to the area and the building of new housing developments, it is projected that this growth could be long term.

You have decided that this is a good opportunity to expand your day care business as you have received many inquiries for childcare. In order to comply with your home state regulations, you will require a larger facility and will need to hire additional staff in order to sustain the larger demand for day care. This staff will consist of five (5) Certified Day Care Professionals, one (1) Registered Nurse Professional, five (5) After-School Assistants and one (1) Office Support Paraprofessional. You have secured approval for a bank loan and qualify for future loans for future expansion if your current endeavor is successful. Meanwhile, the state in which you operate has requested that you provide a staffing plan before it will issue licensure for your expanded capacity.

Note: You may create and / or make all necessary assumptions needed for the completion of these assignments.

Select one (1) of the scenarios and write a four to five (4-5) page paper in which you:

  1. Identify two (2) types of staffing models that could apply to your chosen scenario and determine which model would be best suited for efficiency, productivity, and possible future growth. Examine the significant effect of each identified staffing model on processes that may be occurring within the organization (e.g., outsourcing, contingent workers, consulting firms, etc.).
  2. Predict the major potential legal issues that you may encounter when establishing equal employment opportunities and diversity within the workplace while still aiming to acquire employees with the needed certifications and credentials. Next, explain the method of achieving transparency within your staffing model. Justify your response.
  3. Specify three (3) tasks that you need to perform to identify, analyze, and develop job requirements and task statements that you will include in formalized job descriptions. Next, predict the frequency with which you would need to review and adjust these job descriptions as your company progresses. Provide a rationale for your response.
  4. Describe three (3) methods to deal with high employee turnover and the availability of employees with required knowledge, skills, or abilities. Next, describe the primary manner in which the described succession-planning methods would be beneficial to your company. Justify your response.
  5. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.

 Â(Strategic Staffing Plan Development)
Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Explain the role of staffing to support an organization’s strategy and improve productivity.
  • Develop a model for staffing an organization that supports the firm’s Human Resources Management strategy and sustains productive operations.
  • Summarize the key legal compliance issues associated with staffing organizations.
  • Explain the planning considerations for staffing organizations, the use of job analysis, and the components of a staffing plan.
  • Use technology and information resources to research issues in staffing organizations.
 
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Leadership and Management Approaches

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Leadership and Management Approaches

(Leadership and Management Approaches)

Leadership and management, though often intertwined, have distinct approaches. Leadership focuses on inspiring and motivating individuals towards a shared vision. Effective leaders communicate a clear vision, build trust, and foster an environment of innovation and creativity. They prioritize emotional intelligence, empathy, and the ability to inspire others. Leaders often take a transformational approach, encouraging change and development within the team.

Management, on the other hand, emphasizes organizing, planning, and overseeing day-to-day operations. Managers ensure that organizational goals are met through effective resource allocation, performance monitoring, and problem-solving. A key aspect of management is maintaining stability and efficiency, often through a transactional approach where roles, tasks, and rewards are clearly defined.

While leadership is about setting direction and inspiring people to follow, management is about ensuring that the direction is executed effectively. Integrating both approaches leads to a balanced organizational strategy: leaders drive the vision and inspire change, while managers ensure that the vision is implemented efficiently. In dynamic environments, blending transformational leadership with strong management skills is crucial for sustained success, fostering both innovation and operational excellence.

For Essays Guru – Benchmark – Effective Approaches In Leadership And Management

In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

  1. Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.
  2. Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
  3. Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.
  4. Identify a possible funding source that addresses your issue. Consider looking at federal, state, and local organizations. For example: There are many grants available through the CDC, HRSA, etc.
  5. Use at least two references other than your text and those provided in the course.
 
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Disaster Planning: Haiti Insights

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Disaster Planning: Haiti Insights

(Disaster Planning: Haiti Insights)

Please Do A Comment Base In These . Write At Least 140 Words. Academic References Need. Write The References In Each Comment. Please Not Together. References From (2012 -2018 ). Please Read Carefully The Comments.

COMMENT 1

primary intervention in disaster planning is the planning prior to the disaster (Davis, et al., 2010). In the case of the Haiti earthquake the disaster was present prior to the actual earthquake. The country was already stricken by poverty. This national poverty lead to infrastructure problems that were difficult for disaster response to overcome.

Managing the problem of impoverished nations infrastructure prior to a disaster would slow the progression of disease after disaster strikes. The healthcare needs of Haiti were not being met prior to the disaster. Hospitals were underfunded and when disaster struck the hospitals and medical facilities that were not built to be earthquake resistant were severely damaged. Funding of proper facilities and education of disaster planning of healthcare workers and the community would have gone a long way in easing the extent of the Haiti disaster.

Tertiary interventions directed at managing this disaster would be funding of programs to improve the economy and lessen the impact of poverty for Haiti. Once immediate healthcare needs are met, the process of rebuilding with a focus on overall improvement of economy so that it is sustainable for the future is needed.

There are many organization and charitable foundations involved in improving the economies and infrastructures of countries to lessen the overall impact of poverty. International Action is a charitable foundation that currently has a focus on bringing clean water to Haiti. They are building sustainable supply of clean water. The organization is working the local population to provide affordable clean water. I would choose to work with this organization because they are making an improvement in an infrastructure that improves health and safety of a basic necessity, clean water.

COMMENT 2

Primary prevention with patients who experienced the 2010 earthquake in Haiti, would focus on preventing disease from occurring. For Instance, the community health nurse could attempt to prevent patients from breathing in dust, and air contaminants by having them, and staff wear masks. Medical staffing was somewhat scarce, however staff available are to make sure to use universal precautions to ensure that patients are not exposed to illness, and disease, from other patients, by staff who did not take their time to wash their hands properly, and Don gown, and gloves when necessary.

An example of a Secondary Prevention, would be to require staff keep all patient wounds covered and clean. Patients that may have suffered injury, or loss of a limb would need proper wound care.  Although, water supplies were limited, making sure that patient wounds are cleaned with peroxide, or betadine, and keeping the wound covered with clean bandages so that patient’s wounds wont’s become infected. Also, if patients skin has been exposed to foreign objects (such a wood or nails) if the patient is not up to date on their shots they may need a tetanus shot or booster. Tertiary intervention would focus on reducing complications of disease. Patients that were suffering from Sepsis would need to be monitored closely, and treated with antibiotics or Patients with fever would be treated with antipyretics.

All three of the proposed interventions listed above fall under the Post Impact Phase. “The post impact phase has to parts, the emergency phase, and the recovery phase” (Mauer, & Smith, 2009 All the above listed interventions happened during the Post Impact Phase. The disaster had already occurred, and these are the steps to be taken after. In a disaster situation, I would work with organizations such as FEMA. FEMA’s (or the Federal Emergency Management Agency) “mission is to help people before, during, and after disasters” (FEMA, 2018)

 
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Nutritional Impact on Mental Health

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Nutritional Impact on Mental Health

(Nutritional Impact on Mental Health)

Nutrition plays a crucial role in mental health, influencing mood, cognitive function, and overall well-being. Diets rich in whole foods such as fruits, vegetables, lean proteins, and whole grains provide essential nutrients that support brain function. For instance, omega-3 fatty acids found in fish are vital for maintaining brain health and have been linked to reduced symptoms of depression. Similarly, antioxidants in fruits and vegetables protect brain cells from oxidative stress and inflammation, which are associated with mental health disorders.

Conversely, diets high in processed foods, sugar, and unhealthy fats can negatively affect mental health. These diets can lead to inflammation and reduced brain function, potentially exacerbating conditions like depression and anxiety. Additionally, deficiencies in key nutrients such as vitamin D, B vitamins, iron, and magnesium can impair cognitive function and mood regulation.

Gut health also significantly impacts mental health. The gut-brain axis suggests that a healthy gut microbiome, supported by a diet high in fiber and fermented foods, can improve mood and cognitive function. Probiotics and prebiotics are particularly beneficial in maintaining this balance.

Instructions

In this assignment, you will prepare and record a lecture/podcast that you would deliver to a target group to educate them about the role of nutrition in behavior and mental health, with information specifically for that target group. Your challenge will be to prioritize and communicate clearly the information that they need to make sound nutritional choices, and ensure that they understand why those choices are important, including any relevant consequences of malnutrition.

Your lecture should include evidence and support from your own scholarly research, but use the relevant resources listed above as a starting point. These resources are provided because they may be good models for educational lectures, and because these are the sorts of videos that these groups might come across if they were doing research for themselves. It will be helpful for you, as a developing expert in this field, to have insight into what basic understanding your target group may already have.

Choose one target group from the following:

The elderly

Preschool children

Pregnant and nursing women

Extreme endurance athletes

Members of the Jainism religious group

Remember to be wary of myths and misinformation about these groups!

Length: 10-15 minutes; submit 1-3 page lecture script, with reference list.

References:

Include a minimum of five scholarly resources

 
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Discussion1: The Military & PTSD

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Discussion1: The Military & PTSD

(Discussion1: The Military & PTSD)

Gunfire, improvised explosive devices (IED’s), and casualties.

For many military men and women, the actions of war may not be left on the battlefield. Rather, many military men and women may find themselves addressing symptoms of trauma related to their military experience, otherwise known as posttraumatic stress disorder (PTSD). As a result for many returning military, the transition into military duty or civilian life may be a complicated process. Additionally, this transition may also influence the significant relationships of military men and women.

For this Discussion, consider how the presentation of PTSD for active duty military might be complicated by military experience. Using the Learning Resources and current literature, consider how PTSD may also affect significant relationships (e.g., family, spouse, and/or significant others).

With these thoughts in mind:

Post by Day 3 an explanation of how the presentation of PTSD for active duty military might be complicated by military experience. Then describe how PTSD might influence a military client’s transition into civilian life. Finally, explain how PTSD of military clients may affect their significant relationships.

Be sure to support your postings and responses with specific references to the Learning Resources and current literature.

·         American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

o    Conditions that May be a Focus of Clinical Attention

o    Sleep-Wake Disorders

o    Other Mental Disorders

·         Paris, J. (2015). The intelligent clinician’s guide to the DSM-5 (2nd ed.). New York, NY: Oxford University Press.

o    Chapter 15, Other Diagnostic Groupings

·         Fox, J., & Jones, K. (2013). DSM-5 and bereavement: The loss of normal grief? Journal of Counseling & Development, 91(1), 113–119. Retrieved from the Walden Library databases.

·         Larson, D. G., & Hoyt, W. T. (2007). What has become of grief counseling? An evaluation of the empirical foundations of the new pessimism. Professional Psychology: Research and Practice, 38(4), 347–355. Retrieved from the Walden Library databases.

·         Lorber, W., & Garcia, H. A. (2010). Not supposed to feel this: Traditional masculinity in psychotherapy with male veterans returning from Afghanistan and Iraq. Psychotherapy: Theory, Research & Practice, 47(3), 296–305. Retrieved from the Walden Library databases.

·         Sayer, N. A., Noorbaloochi, S., Frazier, P., Carlson, K., Gravely, A., & Murdoch, M. (2010). Reintegration problems and treatment interests among Iraq and Afghanistan combat veterans receiving VA medical care. Psychiatric Services, 61(6), 589–597. Retrieved from the Walden Library databases.

·         Zisook, S., Corruble, E., Duan, N., Iglewicz, A., Karam, E., Lanuoette, N., & … Young, I. (2012). The bereavement exclusion and DSM-5. Depression & Anxiety (1091–4269), 29(5), 425-443. Retrieved from the Walden Library databases.

 

  • Britton, W. B., Bootzin, R. R., Cousins, J. C., Hasler, B. P., et al. (2010). The contribution of mindfulness practice to a multicomponent behavioral sleep intervention following substance abuse treatment in adolescents: A treatment-development study. Substance Abuse, 31(2), 86–97. Retrieved from the Walden Library databases.
  • Bussolari, C. J., & Goodell, J. A. (2009). Chaos theory as a model for life transitions counseling: Nonlinear dynamics and life’s changes. Journal of Counseling & Development, 87(1), 98–107. Retrieved from the Walden Library databases.
  • Sasaki, M., & Yamasaki, K. (2007). Stress coping and the adjustment process among university freshmen. Counselling Psychology Quarterly, 20(1), 51–67. Retrieved from the Walden Library databases.
  • Servaty-Seib, H. L., & Taub, D. J. (2010). Bereavement and college students: The role of counseling psychology. The Counseling Psychologist, 38(7), 947–975. Retrieved from the Walden Library databases.
 
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Financial Forecast business & finance

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Financial Forecast business & finance

(Financial Forecast business & finance)

Question descriptionThis assignment involves development of an Excel-based capital budgeting model and an analysis of a proposed capital budgeting project for Costco.

Prepare Capital Budgeting Model and Analysis

Describe a capital budgeting project (i.e., an investment in fixed assets) that might be undertaken by Costco. Make sure that the project has an initial investment in Year 0, followed by a series of annual cash flows for at least seven (7) years. In addition, determine the discount rate, or hurdle rate, that is appropriate for this project and explain the determination of that rate.

Develop your own Excel spreadsheet model that can be used to determine the Net Present Value (NPV), Internal Rate of Return (IRR), Modified Internal Rate of Return (MIRR), and Profitability Index (PI).

The Excel spreadsheet that you develop must use Excel’s automated financial functions for determining the NPV, IRR,MIRR, and PI.

Following the completion of the spreadsheet analysis, explain whether, or not, the project should be implemented? Also, discuss what the various indicators (i.e., NPV, IRR, MIRR and PI) mean?

For this assignment, it is necessary to develop your own Excel spreadsheet; it needs to be submitted.

The analysis needs to include:

1.Description of Proposed Capital Budgeting Project-Describe a capital budgeting project (i.e., an investment in fixed assets) that might be undertaken by the company that you have selected. Make sure that the project has an initial investment in Year 0, followed by a series of annual cash flows for at least seven (7) years. In addition, determine the discount rate, or hurdle rate, that is appropriate for this project and explain the determination of that rate.

2.Explanation of the Excel Capital Budgeting Model-Develop your own Excel spreadsheet model that can be used to determine the Net Present Value (NPV), Internal Rate of Return (IRR), Modified Internal Rate of Return (MIRR), and Profitability Index (PI). Explain how the model is constructed and the required inputs. Discuss the outputs of the model.

3.Explanation and Interpretation ofCapital Budgeting Criteria-Prepare a written analysis of theresults including NPV,IRR, MIRR, PI, and Profitability Analysis.

4.Recommendation About Implementation of Capital Budgeting Project–Develop and defend a recommendation about whether the proposed project should be implemented or not.

Writing Instructions

The discussion portion of the analysis should be three to five pages in length, double spaced, and should employ APA style and format for reference citations. Supporting data (e.g., figures, tables, etc.) and references should be submitted limited to four separate attachments in an appendix after the written portion of the paper.

The paper should begin with a short introduction and then proceed to examine the four topics outlined in the previous section.

The subheadings used in the paper should be:

1.Introduction

2.Description of Proposed Capital Budgeting Project

3. Explanation of the Excel Capital Budgeting Model

4. Explanation and Interpretation of Capital Budgeting Criteria

5. Recommendation About Implementation of Capital Budgeting Project

Completeness of analysis:The analysis must demonstrate a solid understanding of capital budgeting and the analysis of corporate investments.All assumptions used in preparing the projections for the project need to be thoroughly explained.

 
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Ethics of Prescribing Practices

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Ethical & Legal Implications of Prescribing Drugs
Ethics of Prescribing Practices

(Ethics of Prescribing Practices)

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 thispatient?

These are some of the questions you might consider when selecting a treatment plan for a patient. As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives on a daily basis. 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. In this paper, you explore ethical and legal implications of the following scenario and consider how to appropriately respond.

Scenario:

You see another nurse practitioner writing a prescription for her husband who is not a patient of the nurse practitioner. The prescription is for a narcotic. You can’t decide whether or not to report the incident.

To prepare:

· Review  the following:

·Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach(4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

  • Chapter 1, “Issues for the Practitioner in Drug      Therapy” (pp. 3–14) 
         This chapter introduces issues relating to drug therapy such as adverse      drug events and medication adherence. It also explores drug safety, the      practitioner’s role and responsibilities in prescribing, and prescription      writing.
  • Chapter 59, “The Economics of Pharmacotherapeutics”      (pp. 1009-1018) 
         This chapter analyzes the costs of drug therapy to health care systems and      society and explores practice guideline compliance and current issues in      medical care.
  • Chapter 60, “Integrative Approaches to      Pharmacotherapy—A Look at Complex Cases” (pp. 1021-1036) 
         This chapter examines issues in individual patient cases. It explores      concepts relating to evaluation, drug selection, patient education, and      alternative treatment options.

As well as:

Drug Enforcement Administration. (n.d.). Code of federal regulations. Retrieved August 23, 2012, from http://www.deadiversion.usdoj.gov/21cfr/cfr/1300/1300_01.htm

Anderson, P., & Townsend, T. (2010). Medication errors: Don’t let them happen to you. American Nurse Today, 5(3), 23–28. Retrieved from https://americannursetoday.com/medication-errors-dont-let-them-happen-to-you/

· Consider the ethical and legal implications of the scenario for all stakeholders involved such as the prescriber, pharmacist, patient, and the 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.

With these thoughts in mind:

Post an explanation of the ethical and legal implications of the scenario you selected on all stakeholders involved such as the prescriber, pharmacist, patient, and the patient’s family. Describe two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario.

 
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Pressure Ulcer Prevention Program

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Pressure Ulcer Prevention Program

(Pressure Ulcer Prevention Program)

Discussion 7

Frustrated with ongoing complaints from family members, Reba Sanders, the administrator of 100-bed Lakeview Skilled Care and Rehabilitation Facility, replaced the director of nursing (DON) after she had been on the job for less than 2 years. At the exit conference with Reba, the DON had remarked, “I don’t think pressure ulcers have been a problem in this facility the way it is made out to be by some families. Some patients develop the ulcers at the hospital before they come here; we try our best to take care of them, and I have explained to the families what we are doing. I think firing me is unfair, but it is your decision.” Before the new DON, James Osterwal, was hired for the job, Reba had mentioned to him that looking into the pressure ulcer problem would be his first priority. Reba arranged for James to attend meetings of the local chapter of a national quality improvement organization for nursing homes. Based on some of the information presented at the meetings, James quickly settled on making pressure ulcer elimination as his primary goal. James was quite familiar with the PDSA quality improvement cycle. He discussed it with the charge nurses, decided how data would be collected, and started a campaign asking all nursing staff to adopt the motto: “We will eliminate pressure ulcers at Lakeview.” The associates liked the motto because it gave them a specific goal to work toward. At James’ request, Reba approved hiring an RN nurse coordinator to float between the three shifts. The charge nurses asked their nursing assistants to report to them right away all cases of skin breakdown. James trained the nurses in best practice protocols to treat pressure ulcers. After 4 months, data showed little to no improvement in the prevalence (total number of cases) of pressure ulcers at Lakeview. Both Reba and James could not understand why.

Questions

1.  Based on what you have learned to this point in the course, evaluate the quality improvement program as it pertains to pressure ulcers at Lakeview. Provide a specific outline of weaknesses in the overall approach.

2.  Use the PDSA cycle to address the issue of pressure ulcers. Be specific. For example, how should data be collected? How would you go about identifying root causes of the problem? What interventions would you implement? What roles should the various personnel and the administrator have?

 
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