Author: chris

As Newly elected Mayor of Sparksville, the town’s citizens are eager to hear what you plan on doing to promote the local economy while maintaining a high level of environmental air quality.

Write a 700- to 1,050-word speech for a Town Hall Meeting that addresses the following points:

• State the current economic situation and the three choices that were available to the town of Sparksville.
• Discuss how these three choices would impact water pollution and indoor and outdoor air pollution. Explain how each of the three choices could be a point and non-source of water and air pollution.
• Describe how the air and water pollution generated from these sources can impact the health of Sparksville’s citizens, the local ecosystem, and the local economy. Include some potential solutions.
• Explain why your decision addresses the key environmental challenges and is the optimal choice given this situation.

Include two outside references to support your main points. One reference should be an academic journal found at the University’s library.

1. What are five components of an effective industrial hygiene program?
2. Explain why it is important to determine whether training can solve a safety problem.
3. Why is it important to have a written procedure for sampling methods?
4. List three examples of what a certified industrial hygienist can do to earn certification maintenance points.
5. List three examples of the types of health and safety activities that might be performed by Occupational Health and Safety Technologists.
6. What are some important questions found on an occupational health history form? Why are they important?
7. Describe the 5 steps of a Risk Management Program.
8. How can health and safety committees and employee suggestion boxes assist with the implementation of industrial hygiene programs?
9. Describe at least 2 benefits of an industrial hygiene program?
10. There is no regulatory requirement to have a written industrial hygiene program. Present your case to your employer or prospective employer as to why your company should develop and implement a written comprehensive industrial hygiene program. Your response should be a minimum of 400 words.

Based upon your readings and our discussion of business ethics, what in your opinion is the most important thing a company can do to ensure employees act in an ethical manner? Why?

Learning Activity #2

Based upon your readings and our discussion of business ethics, what in your opinion was the most interesting, important, or surprising thing you learned during this course that you did not think about prior to the start of the course? Why?

To complete this assignment, read through the scenario below and address the specific questions and issues indicated. Review the “Introduction to the Miller Family” document for specific information on each member of the family.

Grandmother Ella has been dealing with cancer for years now and has tried alternative remedies and juicing.  She went into remission for some time, but now the cancer has returned and she is in the hospital.  Her husband, of American Indian descent, has his ideas about what needs to be done as Ella comes to the end of her life.  Ella has her preferences, though she is now so weak that she has given up in many ways.  The family members are each experiencing their own fears and are grieving as they face the loss that will occur as Ella’s life comes to a close.  Ella prefers to die at home and has felt stressed by the discord and discomfort of family members since being hospitalized.

You are the social worker for this case.  You meet this family in the hospital setting as they are considering whether the patient will remain there for her final days or whether hospice and palliative care will be provided for her in her home.

For this assignment, you will:

1. Synthesize the current research that is relevant to this scenario.
2. Discuss the cultural or traditional issues that could arise at this time.  Consider how the integration of alternative and complementary medicine and beliefs, mainstream medical practices, and cultural/traditional rituals and practices might create issues and what they might include.
   • Describe how the family might react to the following possible scenarios:
     • Ella wishes to stick with alternative and complementary practices.
     • Ella is coerced into following mainstream medical advice.
     • Ella’s husband insists that, as father and husband, his family traditions should be adhered to.
   • Examine the biological basis for care and describe how the choices for care might affect the other family members with respect to their individual problems, if at all.
     • Son Sam, the alcoholic
     • Daughter Lila, with diabetes
     • Grandson Josh, starting to have drug problems
     • Granddaughter Lucy, bipolar with more entrenched drug problems
     • Daughter-in-law, Sarah’s stress related to her family’s medical issues (nephew with leukemia, brother with HIV, and her father’s perspective that they are all “crazy!”)
3. Discuss the micro, mezzo, and macro influences affecting both the patient and the diverse family members in this scenario as impacted by Ella’s medical condition and prognosis.
   • What are the pertinent and likely family (micro) conflicts and differences, and concerns that could be encountered?
   • How is the neighborhood and extended family (mezzo) reacting to the situation?
   • If she returns home, what considerations need to be taken into account as part of her discharge plan? Using your local area, research and present the needed or preferred community resources (macro) that would be available to them.  Critique the ability of these community resources to adequately meet the needs of this diverse family’s circumstances.
4. Discuss the relevant medical issues and the advantages and disadvantages of hospital versus home.  When discussing medical issues in this case, use appropriate medical terminology.
5. Discuss the psychological and social issues that are present and will possibly be more pronounced at this stressful time.  How has the fact that this illness has been ongoing (chronic) impacted the family?
6. Analyze the current scenario as it pertains to diversity, as well as to cultural, psychological, and social perspectives and influences, taking into account the stories that you have been discussing throughout the course.
7. Discuss the impact of lifespan development on the perspectives of the various members of the family (i.e., their intellect, cognitive abilities, insight, and judgment) as well as their sociocultural perspectives, preferences, understandings, and positions on the situation.

 

“Research and Sources” Please respond to the following:

 

• Describe the resources you have previously used to do research either at work or school and identify their strengths and weaknesses. How you would expand and limit your search options?
• Imagine you interviewed five people from your company and two other companies for a technical oriented information report. You also received internal documents from the two other companies, including graphics that you used in the report. Describe how you would cite these sources in an academic setting and a work environment.

Criminal Prosecution for Nursing Practice

Submit a 1- to 2-page essay

Case Study:

Until recently, the risk of criminal prosecution for nursing practice was nonexistent unless nursing action rose to the level of criminal intent, such as the case of euthanasia leading to murder charges. However, in April 1997, three nurses at the Centura St. Anthony Hospital, outside of Denver, were indicted by a Colorado grand jury for criminally negligent homicide in the death of a newborn. Public records show that one nurse was assigned to care for the baby. A second nurse offered to assist her colleague in caring for the baby. A third nurse was a nurse practitioner in the hospital nursery. Because the baby was at risk for congenital syphilis, the physician ordered that the nurses give 150,000 units of intramuscular penicillin, which would have required five separate injections.

In relation to other problems the same day, the baby was subjected to a lumbar puncture, which required six painful attempts. To avoid inflicting further pain, nurse two asked the nurse practitioner whether there was another route available for the administration of the penicillin. Nurse two and the nurse practitioner searched recognized pharmacology references and determined that intravenous administration would be acceptable. The nurse practitioner had the authority to change the route and directed nurse two to administer the medication intravenously rather than intramuscularly. Unrecognized by the nurses, the pharmacy erroneously delivered the medication, prepared and ready to administer, in a dose ten times greater than was ordered—1.5 million units. As nurse two was administering the medication intravenously, the baby died. The Colorado Board of Nursing initiated disciplinary proceedings against nurse two and the nurse practitioner, but not against nurse one. The grand jury indicted all three nurses on charges of criminally negligent homicide but did not indict the pharmacist (Calfee & Plum, 1997).

Respond to the following with these headings:

• Identify what emotions are evoked as you consider the Colorado Board of Nursing case stated above?
• Should the courts take into consideration the fact that the nurses’ error occurred because they wanted to avoid causing the baby unnecessary pain? Discuss your thinking.
• Can you think of other occupations in which the consequences of unintentional errors have greater legal implications? Discuss your answer.
• How should the nursing profession respond to this frightening new legal threat?
• Which sections of the State Nurse Practice Act did the nurses violate?

Ethical and Legal Issues

Submit 1- to 2-page essay.

Case Study:

Ann is a seventy-seven-year-old grandmother. She has one daughter and three grandchildren. Two years ago, she was diagnosed with moderately advanced Alzheimer’s disease, which causes her to have periods of confusion, frustration, anger, and obsessive thinking. When speaking, she is uncertain and her speech patterns are choppy. Before her mental deterioration, Ann was a woman of love, intelligence, and patience. Realizing they were getting older, she and her husband, Frank, discussed their wishes should anything happen to them. She told Frank that if there was no chance of survival, she would not want to be hooked to a breathing machine. They never got around to filling any papers.

Frank is a sweet and sensitive man. His wife’s state frightens him. Ann’s love for him has been the focus of his life for sixty years. His urgent desire for the best care for Ann shows his devotion and love. Their daughter, Sarah, is a businesswoman. She is a hard worker and a good mother. She is forty-five, successful, and intelligent. Although she loves her parents dearly, she lives ten hours away. She regrets not seeing much of them, especially recently. Frank feels his role is to take care of Ann. He has spent the past year with her, watching after her, cooking for her, cleaning the home, and witnessing her deterioration. Finally, Ann is unable to walk alone safely and he finds he must have her admitted to a long-term care facility. He calls Sarah to come and help with the arrangements. After having Ann admitted to a local nursing home, both Frank and Sarah remember the pleading look in Ann’s eyes as they walk away.

After three weeks in the nursing home, Ann starts to cough and run a fever. She is seen by doctors and diagnosed as having pneumonia. She is transferred to a local hospital, where she is given intravenous antibiotics. Although the progress of her pneumonia is halted by the antibiotics, she stops talking and refuses to eat. The physician calls Frank to insert a feeding tube. Frank calls Sarah to ask what to do. They wonder, Is a feeding tube equivalent to a breathing machine? Would it be possible to allow Ann to lie there and die of starvation? Is that murder? What would she want? What is the right thing to do? (Burkhardt & Nathaniel, 2008).

Respond to the following with these headings:

• Discuss the ethical decisions you would make.
• Discuss the legal decisions you would make.
• Explain, as a nurse, what advice would you give to Frank and Sarah.

Total five questions. Each question need to be answer with at least one reference. Each question is almost half page in length (There is no exact word limit).

Discussion posts:  Nursing course in ethics

Q1) Based on the ethical principles that you studied this week, as a nurse, which ethical principle do you think is most important? Why?

 

 

Q2)  What is good?  Does good enhance the value of human life? Why or why not? Does good avoid or decrease suffering and pain? How?

 

 

Q3) Describe an experience in your nursing practice that you consider to be an ethical issue. Provide the solution as well as the outcome.

 

Q4) From your professional practice, provide an example of an experience that is ethical and illegal or unethical and legal.

 

 

 

 

Q5) Discuss a current public controversy surrounding a health care issue. Examine the issue from a sociopolitical, economic, and cultural perspective. What are the ethical and legal dilemmas that nursing professionals face when health care issues are politicized?

Read the case study and compose an essay of 750–1000 words that discusses the importance of risk communication in epidemics. Be sure to incorporate key concepts from Chapter 6 into your essay and follow APA style.

Please use information from the film and/or readings to address the following question:

 

 

1. How was slavery institutionalized in this country (i.e. what laws allowed for chattel slavery and dehumanization of Africans?).

2. What was the rationale for slavery racism (against Africans) or economics?