Weekly tasks or assignments (Individual or Group Projects) will be due by Monday and late submissions will be assigned a late penalty in accordance with the late penalty policy found in the syllabus. NOTE: All submission posting times are based on midnight Central Time.
The United States Constitution divides power between the federal and state governments. In this assignment, you will describe those powers.
Assignment Guidelines:
Write a short essay addressing the following questions in 400–600 words be sure to use detail to explain each answer:
What powers are extended to the federal government?
What components of the US Constitution describe and detail the powers extended to the federal government?
What powers are extended to the state governments?
What components of the US Constitution describe and detail the powers extended to the state governments?
What are the power limitations of the federal government?
What are the power limitations of the state governments?
What are the similarities or overlapping of powers between the two levels of government?
How do the state governments and the federal government deal with those powers that are similar or overlap? Which government has supremacy when there are similarities or overlap?
Use a minimum of 1 reference to reinforce your thoughts. Be sure to include in-text citations and a reference list using APA style.
Description
As part of the Electronic Health Record (EHR) Implementation Team, you will be discussing how the work flow for all departments will change with the implementation of the EHR. The team will also compare all software applications in the health care facility to see if they integrate with the chosen EHR and if the applications will meet the needs of each department and work flow. The team will discuss advantages and disadvantages of the EHR so that they are prepared for discussions with the administrators.
Instructions
The EHR implementation team will soon meet with the administrators and present all of the information collected in proceeding with the EHR implementation. In preparation for this meeting, all team members are collecting information on work flow, software applications, and advantages and disadvantages of the EHR. The implementation team must understand the work flow processes in the EHR and understand the importance of each work flow process in the EHR. The team will need to know all of the facility software applications that will interact with the EHR as well as understand the advantages and disadvantages of the EHR.
Choose 1 of the department work flow processes, and put together a thorough 1-paragraph summary to explain to the team the importance of this process and how it works with the EHR. Choose 1 work flow process from the following choices:
Appointment scheduling
Front desk or check-in
Nursing or clinical support
Care provider
Check-out desk
Business office or billing
Clinical staff or care provider
Discuss and describe 3 facility software applications that integrate with the EHR. Examples of software applications are electronic prescribing, speech recognition, master patient index, encoder, picture archiving and communication, personal health record (PHR), decision support, and more.
Prepare a 3-paragraph summary of each application for the implementation team, and discuss any problems that may be encountered during EHR implementation.
Describe the impact of 2 advantages and 2 disadvantages of the EHR so that the implementation team can start to prepare for this discussion with the administrators.
Exceptional critical discussion noted
Promoting mental health and wellbeing
Essay – Promoting mental health and wellbeing (1000 words)
Aim of assessment
The purpose of this guided essay is to enable students to consolidate nursing/midwifery issues covered in class materials and to determine students’ understanding of the topics and applications, in preparation for transition into the professional nursing and midwifery workforce. This is a guided essay based on a case study where the students respond by answering a series of questions.
Details
Using EITHER Scenario A or Scenario B- please answer the following questions:
1. Investigate and outline the prevalence/incidence of depression / anxiety (depending on the scenario you have chosen) in Australia – Your answer needs to cover: gender, age groups, specific risk groups, hospitalisations.
2. Using current literature discuss TWO (2) factors that may have contributed to the development of the client’s presentation and mental health concerns.
3. Using current literature discuss TWO (2) ethico-legal issues related to your scenario.
4. Identify TWO (2) nursing/midwifery concerns / problems with evidence from your chosen scenario- Your risk identification should be focused on the next 1-5 days of nursing/midwifery care for your client.
5. For each nursing / midwifery concern / problem you have identified in Question 4, outline and describe TWO (2) evidence based nursing / midwifery interventions (ie; what you would actually do as a nurse / midwife to support the person and how you would do it). Your interventions should be focused on nursing / midwifery care for your client over the next 1-5 days. They must be interventions which you would actually undertake directly with your client within your role as a nurse or midwife. You are also required to provide a clear rationale for each nursing / midwifery intervention (ie. why have you chosen the particular nursing interventions? How will the interventions support the person or contribute positively to their current presentation or concern?) Each intervention and rationale must be supported by current literature.
Scenario A
David has been referred to you in the Emergency Mental Health Community Team by his GP. His GP is concerned about David’s mental health state and risks to self. David is a 23 year old man, currently living with his mother. Both David and his brother, Peter, have a positive relationship with their mum. David’s mother and father divorced when he was 15 years old. Before his parent’s divorce, David had a positive relationship with his dad. However at the time of his parent’s divorce David became very angry towards his dad. David also directed his anger towards his friends at the time and he quickly became isolated from his peers, ultimately leaving school at 15 years old, at the end of year 9. David and his older brother, Peter, aged 25, had shared interests of bike riding and computers during their teenager years. During your meeting with David, he stated that he did feel that he and his brother had a close relationship and friendship. However, he acknowledged that they had become more distance in recent years. David has had three past heterosexual relationships lasting several months. His last relationship finished two months ago. His most recent girlfriend has disclosed she is three months pregnant and does not wish for David to be involved in the care of the baby.
After leaving school, David had a number of part time labourer jobs. Each job lasted for two to three months. His most recent employment, over a year ago, was terminated by the employer as a result of conflict with his colleagues. David had left three of his previous jobs on his own accord as he felt “he just didn’t fit in”. He recalled a constant feeling of agitation and sadness at the time. During your contact with David, he has not worked for at least a year. He has contact with his father and brother every month or so. Many of the contacts with his father and brother end in verbal hostility. During the assessment with David, you notice he becomes distressed and tearful on your questioning. He reports recent weight loss. He discloses he has been having difficulties sleeping, feeling exhausted and increasingly depressed. You make further attempts to find out what has been happening for David and to engage with him. He asks you to stop questioning as he is ashamed of how he is currently feeling. He is worried about letting his mum down as they have always had a positive relationship. He declines to look at you while you ask him about thoughts of suicide. He does not wish for you to have any discussions with his family.
Scenario B
Tracey is a 35 year old woman who presents for assessment to the Emergency Mental Health Community Team. She is six months pregnant with her third child. Her other children, to her ex-partner, are aged three and five. Tracey is in a heterosexual relationship with her partner of one year, Peter. Peter moved in to live with Tracey and her children eight months ago. The children’s father is distressed about Peter moving in to live with his children. There is verbal hostility between Tracey and her ex- partner each time he visits to collect the children for a weekend visit. Her ex- partner frequently states he is making arrangements for court to have full time care of the children. Tracey and her current partner, Peter, are in $35,000 uncontrolled debt after a recent new joint business venture failed. A finance company calls weekly requesting payment. Tracey and her partner stopped making the mortgage repayments three months ago, with the belief that dealing with the uncontrolled debt would be a better option. Her parents are supportive but live in Queensland. Tracey is able to have face to face contact with them once a year. She does chat with her parents over telephone every week if possible. Tracey states she is worried about how she will cope with her two children and new baby. She reports low mood, weekly panic attacks and fleeting thoughts of suicide. During your meeting with Tracey, you note she is fidgety and restless, breathing rapidly, shaking slightly, sweating and tearful. She is not wishing to actively engage with the mental health services, for fear it will impact on her having care of her children, stating she will visit her General Practitioner (GP).
Important details about your assessment
? Refer to marking criteria and standards for mark allocation for each question.
? This guided essay does not require a standard essay introduction or conclusion.
? The use of tables or column layouts to answer questions 4 and 5, is encouraged.
? There is a word limit of 1000 words.
? You are required to organise your answers in order of questions; by referring to the question
number in your answer.
? Marks will be allocated for academic writing and referencing.
Marking criteria and standards:
Assessment 1 – Guided Essay – Promoting Mental Health and Wellbeing
Investigate and outline the prevalence/incidence of depression / anxiety (depending on the scenario you have chosen) in Australia using current literature. (10 marks). The details related to the prevalence/incidence of depression or anxiety are exceptional and of the highest quality. The answer is well supported by relevant literature. The details related to the prevalence/incidence of depression or anxiety are accurate and of superior quality. The answer is supported by relevant literature.
Discuss using current literature TWO (2) factors that may have contributed to the development of either David’s or Tracey’s presentation and mental health concerns. (10 marks). Discussion consistently conveys evidence of analysis and synthesis showing exceptional understanding of the factors that may have contributed to the client’s presentation and mental health concerns. Sources used are exceptional to support work. Exceptional critical discussion noted. Discussion consistently conveys evidence of critical analysis and shows superior understanding of the factors that may have contributed to the client’s presentation and mental health concerns. Sources used are accurate and superior to support work. Superior critical discussion noted.
Discuss using current literature TWO (2) ethico- legal issues related to your chosen scenario (10 marks). Exceptional discussion related to the ethico-legal issues related to the scenario. Sources used are exceptional to support work. Exceptional critical discussion noted. Superior discussion of the ethico-legal issues related to the scenario. Superior critical analysis and discussion noted. Sources used are of high standard.
Identify TWO (2) nursing/midwifery problems/risks with evidence from your chosen scenario. (5 marks). Exceptional identification of TWO (2) nursing/midwifery problems/risks with clear evidence and relevance to the case study chosen. Superior identification of TWO (2) nursing/midwifery problems/risks with clear evidence and relevance to the case study chosen.
For each nursing/midwifery problem/risk you have identified in Question 4, Outline and describe TWO (2) evidenced based nursing/midwifery interventions and rationales for each. (10 marks). Exceptional; clear concisely written relevant nursing/midwifery interventions. Sources used are exceptional to support work. Exceptional critical descriptions noted. Superior; well written relevant nursing/midwifery interventions. Superior descriptions noted. Sources used are of high standard.
Academic writing & referencing skills (5 marks). Exceptional referencing: both in text and final reference list according to APA style. Extensive, relevant current academic reference list effectively utilised. Publishable writing style and use of language. Superior referencing, with adequate and correct in text and final reference list according to APA style. Comprehensive, relevant, list of current academic references used. Superior writing style and use of language; no errors in spelling, grammar, or punctuation.
It is important to understand the impact an expert testimony may have in the ultimate decision made by a court. In addition, it is helpful for practitioners of forensic psychology to be able to read and understand legal cases.
Tasks:
Click here to review the case Commonwealth of Virginia v. Allen (2005). It is also attached if you cant open from here.
The case describes an appellate legal opinion or court decision involving expert witness testimony. When a case is appealed, it goes to an appellate or to a higher court. The appellate court then reviews the findings of the lower court, which in this case was the trial court. The appellate court offered the following two opinions:
The first opinion (Commonwealth of Virginia v. Allen, 2005, pp. 1–24) is the majority opinion and is the one that counts.
The second opinion (Commonwealth of Virginia v. Allen, 2005, pp. 24–31) is an opinion filed by a minority of judges who concurred (agreed) in part and dissented (disagreed) in part with the majority of the judges who ruled.
After reading the appellate legal opinion, write a 2- to 3-page paper addressing the following:
Discuss whether either of the expert witnesses in this case acted unethically. Support your opinion with the relevant APA or specialty ethical guidelines.
Indicate whether you agree with the majority decision or the minority concurring or dissenting opinion. Explain why.
The paper should be in APA style.
Question 1
Select any two factors which must be considered by a HCP and discuss how they enable the HCP to improve the health and wellbeing of individuals
Guidelines for submission of the ICPP assignment
To assist with this assignment some suggestions for discussion have been included. It is NOT expected that you work through the entire list, but rather USE THE IDEAS presented to help focus your reading on the two areas you select and then develop your individual discussion.
• Effective team work or inter-professional working
• Patient/client-centred care- patient empowerment
• Ethics as a fundamental aspect of health care
• Confidentiality and consent
• Understanding people- health psychology/ Health behaviour/ Managing change
• Communication/listening/interview skills
In order to answer this question you need to first the define your topics e.g. team working / communication/
Begin your essay by writing an introduction outlining what will be discussed in the body of the essay. Make sure that your introduction maintains a focus on the essay remit.
In the body of your essay you could consider taking each of the two areas independently and discuss their impact on health and wellbeing.
Finally conclude by drawing all the main points of the essay together and summarise the impact of these on health and wellbeing of the individual.
Question 2
Select two moral or ethical principles and discuss how they could impact on the delivery of healthcare.
Guidelines for submission of the ICPP assignment
• In order to answer this question you need to first the define notion of ethical or moral principles
• Explore the two moral/ethical principles you aim to discuss and explain their impact on the healthcare.
• You may choose to discuss this in relation to :
Explain how analytical tools support modern law enforcement and corrections operations.
ASSIGNMENT: 700-1000 words
Create a detailed report that will be presented to a local city council, for your city. If you are unable to find local information, select your state capitol.
Using statistical data on your state’s crime rates for the most recent year—including mean, median, and mode—create a report to be presented to your local city council containing the following information in a bar or pie chart:
Discussing the Mean, Median and Mode in regards to EACH OF these questions problems:
1. Part I violent crime (4 specific types)
2. Part I property crime (4 specific types)
3. Calls for service
4. Clearance rates
5. Arrest rates
6. Number of police officers per population
7. Gender and racial composition of police department and composition of city as a percentage
8. Recidivism rate for individuals on probation
9. Recidivism rate for individuals on parole
Use the following links for examples and help creating charts:
Part 1:Hill Burton Act, Emergency Medical Treatment and Active Labor Act (EMTALA) and Patient Protection and Affordable Care Act (ACA)
Respond to Discussion 1.1, and then provide a primary and follow-up posts to Discussion 1.2 and Discussion 1.3.
2. Discussion 1.1: Some of the cases that will be examined in this course are from state courts, while others have been handed down by
federal courts. Why? When is a matter settled?
3. Discussion 1.2: Review the Hill Burton article above under the Review section. Then, research newspaper articles that were written
just before, during and after the Hill Burton Act was passed. Find one news or magazine article that represents a lack of support for passage
of the law. Share your impressions of that article. What has the Hill Burton Act achieved to date? Is it still relevant or needed?
4. Discussion 1.3: Review the Solis & Guyer analysis of Moses v. Providence Hospital and Medical Centers, Inc., cited in the Review
section. Is EMTALA a needed statute? Why? Does the facilitys obligation under EMTALA end when the patient leaves the emergency department?
Hill Burton: https://www.hhs.gov/civil-rights/for-individuals/hill-burton/index.html
â Solis, l. & Guyer. M. (2010). Hospitals Obligations Under the Emergency Medical Treatment and Active Labor Act (EMTALA). The Journal
of the American Academy of Psychiatry and the Law; 38 (4) 610-612. http://jaapl.org/content/38/4/610
â Court Role and Structure: http://www.uscourts.gov/about-federal-courts/court-role-and-structure
â Comparing Federal & State Courts: http://www.uscourts.gov/about-federal-courts/court-role-and-structure/comparing-federal-state-courts
Reform:
â Obamas Deal: https://www.pbs.org/wgbh/frontline/film/obamasdeal/?autoplay
â EMTALA: https://www.cms.gov/Regulations-and-Guidance/Legislation/EMTALA/
â Can A Single Payer Health System Work?: https://khn.org/news/looking-north-can-a-single-payer-health-system-work-in-the-u-s/
â KHN Podcasts: https://khn.org/news/tag/podcast/
â Laws and Regulations: https://www.hhs.gov/regulations/index.html
â Additional HHS Laws and Regulations: https://www.hhs.gov/regulations/additional-regulations/index.html
â Social Security Act: https://www.ssa.gov/policy/docs/ssb/v66n1/v66n1p1.html
â The Social Security Act Overview: http://socialsecurity.findlaw.com/social-security-basics/the-social-security-act-overview.html
â HITECH: https://www.healthit.gov/policy-researchers-implementers/health-it-legislation-and-regulations
â PPACA: https://www.healthcare.gov/where-can-i-Read-the-affordable-care-act/
â Moses v. Providence Hospital and Medical Centers, Inc., 561 F.3d 573 (6th Cir. 2009),
Part 2:Federal Regulatory Agencies and State Regulatory Agencies
As emphasized in this week’s media presentation, all nurses need to be familiar with the laws and regulations that govern their practice: their state’s Nurse Practice Act, ANA’s Nursing: Scope and Standards of Practice, specialty group standards of practice, etc. In addition, basic ethical principles guide nurses’ decision-making process every day. ANA’s Code of Ethics and ANA’s Social Policy Statement are two important documents that outline nurses’ ethical responsibilities to their patients, themselves, and their profession. This said, there is a dilemma: The laws are not always compatible with the ethical positions nurses sometimes take. This week’s Discussion focuses on such a dilemma.
To prepare:
Review this week’s Learning Resources, focusing on the information in the media presentation about the relationship between the law and ethics.
Consider the ethical responsibility of nurses in ensuring patient autonomy, beneficence, non-malfeasance, and justice.
Read the following scenario:
Lena is a community health care nurse who works exclusively with HIV-positive and AIDS patients. As a part of her job, she evaluates new cases and reviews confidential information about these patients. In the course of one of these reviews, Lena learns that her sister’s boyfriend has tested HIV positive. Lena would like to protect her sister from harm and begins to consider how her sister can find out about her boyfriend’s health status.
Consult at least two resources to help you establish Lena’s legal and ethical position. These resources might include your state’s Nurse Practice Act, the ANA’s Code of Ethics, ANA’s Nursing: Scope and Standards of Practice, and internal or external standards of care.
Consider what action you would take if you were Lena and why.
Determine whether the law and the ANA’s standards support or conflict with that action.
Post a description of the actions you would take in this situation, and why. Justify these actions by referencing appropriate laws, ethical standards, and professional guidelines.
Required Readings
Milstead, J. A. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones and Bartlett Publishers.
Chapter 4, “Government Response: Regulation” (pp. 56-81)
This chapter explains the major concepts of the regulation of health professionals, with emphasis on advanced practice nurses (APN) and the process of licensure and credentialing.
ANA’s Foundation of Nursing Package – (Access this resource from the Walden Library databases through your NURS 6050 Course Readings List)
Guide to the Code of Ethics: Interpretation and Application
This guide details the history, purpose and theory, application, and case studies of this must-have Code of Ethics.
Nursing Social Policy Statement
The Nursing Social Policy Statement provides an understanding of the social framework and obligations of the nursing profession.
Nursing: Scope & Standards of Practice
This book contains several national standards of practice that can be used to inform the decision-making process, development, implementation, and evaluation of several functions and aspects of advanced practice nursing.
Imagine that you have applied for the position of Manager of Human Resources at an acute care hospital in your community. The hospital is planning to expand its services to meet the needs of a growing community. As part of the application screening process, you have been asked to write a document that outlines the steps you would take, as the manager of HR, to improve the effectiveness of HRM in this organization.
Write a three to four (3-4) page paper in which you:
Your assignment must follow these formatting requirements: