The information for the patient is provided below.
Patient for RUA
1. A.M. is a 55-year-old female who was diagnosed with lung cancer 3 years ago and had been treated with surgery and chemotherapy. Two weeks ago, she had a computed tomography scan that showed progressive spread of the cancer, and today she has come into the outpatient cancer clinic to begin a new round of chemotherapy. She is accompanied by her 78-year-old mother, Dorothy. A.M. is divorced and has three children who all live out of town. You are the student nurse who has been assigned to A.M. today during your clinical rotation.
Group A will complete the following discussion and then respond to Group B discussion. Emergency Contraception: A16 year old reports to the local Family Planning clinic with concerns regarding pregnancy. She relates she had unprotected intercourse 2 nig
Group A
Emergency Contraception:
A16 year old reports to the local Family Planning clinic with concerns regarding pregnancy. She relates she had unprotected intercourse 2 nights ago and believes she may be ‘fertile’. She wants to learn more about the ‘morning after pill’
What additional information should you obtain from her?
Please use 7th edition APA format. One reference and one incitation. 200 words.
I would suggest you use your textbook as your reference for your first post.
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families (with The Women’s Health Companion) by Susan Ward and Shelton Hisley.
Multiple Relationships in Psychotherapy and Counseling
Vignette Analysis III
Note: The course textbook is an edited text. You must cite and reference correctly, in APA, 7th edition format. Please see the file How To Cite and Reference the Course Textbook, under Resources that illustrates how to cite and reference correctly. PRIMARY RESOURCES:
These resources are required to complete the course.
American Psychological Association (2020). Publication manual of the American Psychological Association. (7th ed.).
This assignment focuses on vignette analysis and direct application of course concepts to the persons, and situations presented in the vignette. All assignments MUST be typed, double-spaced, in APA style, and must be written at graduate level English. Your responses must be written in an original personal and/or professional synthesis of the text and research.
You must integrate the material presented in the assigned text.
You are also required to integrate additional evidence-based research, taken from professional journals, to support and enhance the textbook information. A minimum of 4, current, research articles are required
You must identify and cite the Code of Ethics that are relevant to each of the vignettes. The Ethics Codes are located in under Resources. If the links do not work, please copy and paste them into your browser.
You must illustrate multicultural competence. All discussions must take into account issues of culture and human diversity that may pertain to the situations presented below. Information on Culture and Diversity are covered in the course text, but you are encouraged to utilize other cultural resources to enhance your analysis for this assignment. For example, if the client in the vignette is a Native American who asks to participate in a healing ritual, you would research Native American ceremonies and the ethical issues relating to this.
Please keep your responses focused on what is presented in the vignette. Creativity is encouraged but do not add information or change the vignette.
Your response to each vignette should be approx 2 ½-pages per vignette.
Your entire assignment will be approx 10 pages total plus a title and reference page.
For each of the four vignettes presented below:
What are the ethical issues in the case? Identify the issue in the ethics code.
Did the professional act in a manner consistent with current standards and principles? If not, what other courses of action would be more ethical? Support your decision by identifying the standards and principles relevant to this case.
How can colleagues and supervisors help the professional to act ethically in this situation? Please be specific.
Vignette 9
Beatrice is an eager client who has survived a traumatic youth and is committed to maintaining her mental and emotional stability despite her troubled past. She has been in counseling with Diego, a licensed professional counselor, for many months through services paid by a community program. Beatrice was recently hired by a retail store, and for the first time, has health insurance that will cover the cost of her counseling sessions, provided she is diagnosed with a mental and emotional disorder. Because she no longer qualifies for free service, Diego wants to help Beatrice take advantage of her health insurance benefits. At the moment, however, Diego does not believe Beatrice meets any of the criteria for a mental or emotional disorder. Nevertheless, because Beatrice has a history of depression, Diego uses the diagnostic code for depression in the insurance paperwork in order to relieve Beatrice of the burden of paying for counseling at a time when she has many other expenses.
Vignette 10
Gella, is a significantly underweight 14-year-old adolescent, who self-identifies as a lesbian. She has come out to her family and friends. Her parents have “permanently grounded” her except for school and church activities and she feels isolated at school. She met with her school counselor and showed signs of an eating disorder, serious depression with a moderately high risk of suicide. Gella admitted to the counselor that she knows where her father hides his guns, but that her religious beliefs stop her from killing herself. The school counselor believes that immediate treatment is essential, but her parents refuse and say they will bring her to the pastor at their conservative church to pray. The counselor is unsure of what to do next.
Vignette 11
Darcy is a psychologist in a group practice. He refers to himself as a non-traditional therapist who seeks to integrate non-Western philosophies into therapy and describes his approach as holistic. Darcy believes strongly that the most important factor in psychotherapy is the relationship between counselor and client. He encourages his clients to attend yoga and meditation to resolve emotional issues before considering medication, though he will refer them to a psychiatrist if they prefer traditional methods. He views the use of written records of psychotherapy sessions as incompatible with holistic approach. Consequently, he keeps no records of counseling sessions other than a listing of the client’s name, and the date and length of the session. Not believing in diagnosis, Darcy does not accept insurance and requires that all his clients are self-pay. He explains this process to all clients at the initiation of counseling and obtains their consent prior to beginning therapy.
Vignette 12
Juanita, a 24-year-old Latina, is a counseling intern in an outpatient unit of a psychiatric hospital. Juanita has completed all requirements for her doctorate except internship. The first client to whom she is assigned at the hospital is a man with a diagnosis of Bipolar I Disorder, a history of suicide attempts, and episodes of violent behavior towards his family. Juanita has little experience with clients with such significant problems and asks that the case be transferred to a more experienced professional or that she be an observer or co-therapist for this client. Her supervisor insists that she tackle this case independently because Juanita has completed all her courses on psychopathology and shown good counseling skills with less disturbed clients. The supervisor assures Juanita that she will have all the supervision she needs. Juanita is skeptical about the supervisor’s capacity to meet that commitment because interns from prior years have warned Juanita that this supervisor is often unavailable outside of the regularly scheduled supervision hour. Still, Juanita elects not to try to change her supervisor’s mind about the assignment and goes forward with the sessions. Over the course of the semester, the client makes little progress, and Juanita believes she has gained more from her work with the client than he has gained from her.
Assignment Outcomes
Identify legal and ethical issues relevant to mental health professions.
Write one paragraph describing the clinical and economic burden of the disease that is being treated by the chosen drug class. Cite using numeric references in ascending order.
Write one paragraph with an overview of the assigned study and expand on why it is important to evaluate the use of the chosen drug class. Note: cite using numeric references in ascending order.
1. You Have learned about health information technology (HIT) in this chapter. Give a few examples for the application of HIT in the clinical practice. Explain the main barriers of using HIT in the healthcare system.
Week 2 DQ 2 Follow the discussion questions’ participation and submission guidelines. Follow the 3 x 3 rule: minimum of three paragraphs per DQ, with a minimum of three sentences each paragraph, and 2 to 3 references
Policies guide structure and ensure organizational compliance. In a broader context, national and state health care policies exist to direct organizations and populations.
Select a national or state health care policy that is currently in effect. This policy will be used to complete your research paper in the final week of the course. In preparation for your final research paper, you will complete weekly tasks that are related to the policy you have chosen.
Pre-approved research topics are available below. pick from one of the following approved topics.
What affect did ERISA 1974 have on health plan options?
What was the effect of OBRA 1987 on skilled nursing facilities?
How has the EMTALA 1986 legislation affected hospitals?
What has been the effect of the PPACA on healthcare organizations as an employer?
What has been the effect of the PPACA on healthcare organizations as a provider?
How has the prospective payment system (PPS) affected the delivery of services in an acute care hospital?
How has the fee for service system affected the delivery of services in a clinic
Complete the following:
Choose your national or state health care policy.
Develop a Statement of the Problem for your final paper (1,000–1,500 words).
A Statement of the Problem should include the general problem and the specific problem that you would like to research or address in your final paper.
Dissertation resource:
Each week, you will be presented with a different dissertation resource. The weekly dissertation resource does not need to be read in full. It should be used as a guide to keep you on track with your work.
Phase 2 dissertation resource:
Salvador, D. (2010). Registered nurses perceptions and practices related to health policy. ProQuest Dissertations and Theses, 145–n/a. The University of Toledo. Retrieved from http://search.proquest.com/docview/757373386?accountid=50415. (757373386).
2. Think about the definitions of the metaparadigm concepts and the assumptions or propositions of each of the theories presented. Which of the theories most closely matches your beliefs?
1. What are the specific competencies for nurses in relation to theoretical knowledge?
2. Think about the definitions of the metaparadigm concepts and the assumptions or propositions of each of the theories presented. Which of the theories most closely matches your beliefs?
HCAD 650: Legal Aspects of Health Care Administration
Discussion 3 Questions –
Instructions: Please answer using your own words in a minimum of 400, maximum 550 words (2.5-3 paragraphs). PER QUESTION 3 in total. Referenced with Three (3) peer-reviewed journal articles or qualified text publish within the past five years and follow APA Manual 6th or 7th editions scholarly writing guidelines. APA in-text Citation formatting is required. When writing replies, please provide your experiences, new ideas, add probing questions to engage readers and new literature on the topic to enhance the learning opportunity.
Questions 1.Federal and State Regulation
Part 1: Critical Analysis of the Law
Address (Answer) ALL questions in part 1 in a minimum of 400, maximum 550 words
Discuss the strengths and weaknesses of the current coverage of preventive services. Give reasons to support your discussion.
Birth control benefits and regulations have been controversial and have changed several times since the ACA was put in place. Evaluate the impact of current requirements on individuals, health care providers, health insurers, and religious employers. Support your conclusions with solid reasons.
Part 2: Strategic Application of the Law
Address (Answer) ALL questions in par 2 in a minimum of 400, maximum 550 words
You are the Vice President for Network Operations of Regnat Populus Health System, comprised of three hospitals and two clinics. The system is located in “the Delta,” the most rural parts of Arkansas. You want to inform the In-House Counsel (Attorney) and the Chief Medical Officer (CMO) about the value of telehealth.
Describe the Medicare and Medicaid populations serviced by the hospitals and clinics. Indicate how they will benefit from telehealth.
Find the laws of the state of Arkansas that pertain to telehealth. How will these laws impact your ability to implement telehealth services across the health system and clinics?
Discuss common legal barriers to telehealth. Make a recommendation on how to overcome these barriers. Support your recommendation with reasons.
Question 2. Medicare and Medicaid
Address (Answer) ALL questions in a minimum of 400, maximum 550 words
Medicare and Medicaid provide health insurance for many people and often lead the way in terms of health insurance policy reform.
CMS maintains an extensive list of Conditions of Participation (CoP). For what reason and how it is developed?
Who certifies providers’ compliance with the CoPs? Explain “Deemed Status”. Is the Joint Commission a regulatory agency? Why or why not? Is JCAHO accreditation mandatory? Why?
Explain the role of waivers with CMS. How do these contribute to the development of State Medicaid Plans (SPAs)?
Question 3: Fraud and Abuse Laws
Address (Answer) ALL questions in a minimum of 400, maximum 550 words
Consider the settlement in U.S. v. Halifax and the Corporate Integrity Agreement entered into by Halifax Hospital Medical Center, which addresses methods for preventing Anti-Kickback violations.
What measures required by the Corporate Integrity Agreement do you believe will be most effective in preventing future violations?
Which, if any, do you think will be least effective or ineffective in preventing future Anti-kickback violations? Explain your reasoning.
What is a Medicaid Integrity Plan? Who is responsible for creating and maintaining it? What does it cover?
The Physician Self-Referral law (Stark law) prohibits physician referral to designated health services (DHS) in which the physician or family member has an ownership interest. As a health care administrator what could you do to monitor this?
The False Claims Act is often linked to billing problems such as upcoding, billing for non-medically necessary services, services not provided, unbundled services, etc. What billing strategies could you implement to lessen the likelihood for a False Claims Act problem?
Requirements: .doc file
Attached are the readings you can also use others materials that you deem appropriate. Please make sure you 3 use in-text citations per question.
Review a historic situation where our understanding of disease and health practices grew out of occupational health concerns. Choose your own topic, or select one from the learning activities readings, and be sure to include original research or a review of the original research that led to the discovery of negative health outcomes due to the environment’s influences.
ECT vs. TMS therapy- Discuss the topic….. either confirm or disprove via the literature.
Requirement:
Posts to demonstrate quality and critical thinking as noted per the syllabus must be no less than 300 words (not including references). Failure to meet the criteria will result in 0 points being awarded.
Per APA and graduate studies standards, all references must be 5 years or newer and posts are required to have in-text citations and refernces (1 point will be deducted from each post that do not meet the standards). At least 3 references peer review articles within 5 years of publication in the United States of America.
DB2667:
1.What is Visual Spatial Memory?
Why and how is it important in the case examples?
Requirement:
Posts to demonstrate quality and critical thinking as noted per the syllabus must be no less than 300 words (not including references). Failure to meet the criteria will result in 0 points being awarded.
Per APA and graduate studies standards, all references must be 5 years or newer and posts are required to have in-text citations and refernces (1 point will be deducted from each post that do not meet the standards). At least 3 references peer review articles within 5 years of publication in the United States of America.
The Administrative Procedure Act sets the rules on how a regulatory agency such as the Federal Aviation Administration, Occupational Safety and Health Administration (OSHA), and the Environmental Protection Agency (EPA) turns law into the regulations that dictate much of what we do in aviation.
When you are working in the field of aviation safety it is important to understand the differences between the various governing agencies and know which agency provides oversight for the various components of aviation operations.
Research and explain the differences between OSHA and the EPA and their relevancy to aviation safety, and discuss the economic impact these organizations have on the aviation industry.
For your paper, please cite some examples. You must have a title page and at least two references.
Requirements: .doc file
The Administrative Procedure Act sets the rules on how a regulatory agency such as the Federal Aviation Administration, Occupational Safety and Health Administration (OSHA), and the Environmental Protection Agency (EPA) turns law into the regulations that dictate much of what we do in aviation.
The following links will open sections of the Attorney General’s Manual of the Administrative Procedure Act at FSU College of Law:
The following presentation provides a further explanation of the Administrative Procedure Act and how the law is turned into regulation. This presentation summarizes the making of federal regulation. The presentation also shows how you can participate in the process and how you can influence the regulations with which you will need to comply:
Some presentations may take a while to open in preview. For best results, you can download them onto your computer.
16 hours ago
Webpages
Visit the following websites and ascertain the scope of duties that each organization performs. You should be able to identify how each agency or organization impacts the standards and operation of aviation, nationally and globally. Be prepared to explain the mission of each organization and its cause and effect on aviation safety.
Describe the difference in roles between leadership and management. Explain how the goals of management and leadership overlap and provide one example. As a nurse leader, describe how you can facilitate change by taking advantage of this overlap.
Review a historic situation where our understanding of disease and health practices grew out of occupational health concerns. Choose your own topic, or select one from the learning activities readings, and be sure to include original research or a review of the original research that led to the discovery of negative health outcomes due to the environment’s influences.
Here are some topics which might be of interest, which are examples of how occupational health has led to a greater understanding of disease and better health practices:
-ECT vs. TMS therapy- Discuss the topic….. either confirm or disprove via the literature.
Requirement:
Posts to demonstrate quality and critical thinking as noted per the syllabus must be no less than 300 words (not including references). Failure to meet the criteria will result in 0 points being awarded.
Per APA and graduate studies standards, all references must be 5 years or newer and posts are required to have in-text citations and refernces (1 point will be deducted from each post that do not meet the standards). At least 3 references peer review articles within 5 years of publication in the United States of America.
DB2667:
1.What is Visual Spatial Memory?
Why and how is it important in the case examples?
Requirement:
Posts to demonstrate quality and critical thinking as noted per the syllabus must be no less than 300 words (not including references). Failure to meet the criteria will result in 0 points being awarded.
Per APA and graduate studies standards, all references must be 5 years or newer and posts are required to have in-text citations and refernces (1 point will be deducted from each post that do not meet the standards). At least 3 references peer review articles within 5 years of publication in the United States of America.
The Administrative Procedure Act sets the rules on how a regulatory agency such as the Federal Aviation Administration, Occupational Safety and Health Administration (OSHA), and the Environmental Protection Agency (EPA) turns law into the regulations that dictate much of what we do in aviation.
When you are working in the field of aviation safety it is important to understand the differences between the various governing agencies and know which agency provides oversight for the various components of aviation operations.
Research and explain the differences between OSHA and the EPA and their relevancy to aviation safety, and discuss the economic impact these organizations have on the aviation industry.
For your paper, please cite some examples. You must have a title page and at least two references.
The following presentation provides a further explanation of the Administrative Procedure Act and how the law is turned into regulation. This presentation summarizes the making of federal regulation. The presentation also shows how you can participate in the process and how you can influence the regulations with which you will need to comply:
Some presentations may take a while to open in preview. For best results, you can download them onto your computer.
16 hours ago
Webpages
Visit the following websites and ascertain the scope of duties that each organization performs. You should be able to identify how each agency or organization impacts the standards and operation of aviation, nationally and globally. Be prepared to explain the mission of each organization and its cause and effect on aviation safety.
