The will be used to develop a written implementation plan.

Step 1) Review your strategic plan to implement the change proposal, the objectives, the outcomes, and listed resources.

Step 2) Develop a process to evaluate the intervention if it were implemented.

Step 3) Write a 150-250  summary of the evaluation plan that will be used to evaluate your intervention.
Address the following in your summary:

• What data was collected?
• What tool will be used to collect the data?
• Who will be responsible for collecting data?
• How will this data be communicated to the team?

APA style is not required, but solid academic writing is expected.

You are not required to submit this to LopesWrite.

What is a time when you or someone you know experienced a clash between professional duties and familial duties? Reference a professional code such as that of the American Nurses Association or American Bar Association in explaining the clash. What moral values should have been used in that case? Why those values? What would social contract ethics have said to have done? Why would social contract ethics say that? Note what you feel is the best course of action.

Prioritizing what the right thing to do when working in the healthcare field is very crucial and important. With that being said a time i know where someone experienced a clash between professional duties and familial duties was when my cousin who was a healthcare provider was needed at the hospital to work as they were short-staffed during the covid pandemic but at the same time that was happening her mother was diagnosed with Cancer and needs to get surgery. She obviously needed to be there for her mother as there wasn’t anyone else to take care of her besides her father but she also had to care for her patients but cant risk the idea of going to work and attending her patients and possible transmitting the virus to her mother who just got out of lumpectomy surgery and undergoing radiation. In the American Nurses Association it is said that “carrying out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession” (Gaines, 2022). With that being said my cousin knew if she would have stayed at work she wouldn’t have been able to give the proper care and give her best as her mother would be at the back of her mind and she would be worried about her. The moral values that should have been used in this scenario is to do what the best option is. For my cousin this was a difficult decision to make as her profession is everything to her but at the same time so is her mother. She decided to help her mother for the beginning of her treatment until she was able to be okay on her own then immediately went back to work to help her patients and do her job. The social contract theory is the idea that “morality consists in the rules that rational people will accept on the condition that others accept them as well” (Rachels, 2018, pg. 93). In this scenario i feel like the social contract theorists would do the same as most people would drop anything for their if they are in a situation like this where they have no one during this difficult time. I feel as if i would do the same but then immediately return back to work once everything is all good. 

Rachels, J. (2018). The Elements of Moral Philosophy (9th ed.). McGraw-Hill Higher Education (US).

Gaines, K. (2022, November 4). What is the Nursing Code of Ethics? Nurse.org. Retrieved January 25, 2023, from https://nurse.org/education/nursing-code-of-ethics/#:~:text=What%20are%20the%20five%20codes,justice%2C%20and%20privacy%2Fconfidentiality.

Course Competency :

• Design plans for care specific to the older adult.

Consider the scenario below, then follow the instructions underneath it to complete the assignment.

Mrs. Y

Mrs. Y is an 84-year-old client who was recently discharged from the hospital for an infected diabetic ulcer on her left leg. During her hospitalization, Mrs. Y required intravenous antibiotic therapy through a peripherally inserted central catheter (PICC) line.

Due to Mrs. Y’s long history of diabetes, her physician ordered that intravenous antibiotic therapy be continued at home. Subsequently, home health services were initiated, a home health nurse was assigned to Mrs. Y’s case, and an initial home visit was scheduled.

The home health nurse arrives at Mrs. Y’s home and introduces herself to the client and the family. The nurse explains the home nursing services that will be provided, including the PICC line and intravenous antibiotic therapy treatments.

During the initial home visit, the nurse assessed the physiological, psychological, functional, and safety needs of the client. The nurse’s findings were as follows:

• Mrs. Y lives alone; however, her daughter checks on her frequently throughout the day.
• The client is noted to have moderate functional issues and ambulates with a cane.
• The client has several throw rugs in the main walking quarters and minimal lighting throughout the hallways.
• Mrs. Y states “I used to get around my house with ease, but now I get a little tired and have to sit down and rest frequently.”

Consider Mrs. Y’s current health status and functional decline, then address the following:

• Download the Concept Map and Plan of Care worksheet below. An example is also provided for your reference.

Concept Map and Plan of Care worksheet

Concept Map and Plan of Care example

• Identify three (3) priority nursing diagnoses for Mrs. Y. Visit the School of Nursing Guide Nursing Reference eBooks section for resources to assist with nursing diagnoses. 
• Create a visual representation of the three (3) priority nursing diagnoses by incorporating them into the Concept Map (template in the worksheet). Be sure each nursing diagnosis includes the following elements:
• “related to (r/t)” — description of the client’s problem
• “as evidenced by” — description of the client’s symptoms
• Complete the Nursing Plan of Care (table in the worksheet) describing what should be implemented for Mrs. Y.
• Goals: Establish at least one (1) goal for each of the nursing diagnoses you identified (for a total of 3 goals). Goals should be: patient specific, measurable, actionable, realistic, and time limited.
• Nursing Interventions: Describe at least three (3) nursing interventions for each of the goals (for a total of 9 nursing interventions). Each intervention should be in alignment with the goal it is supporting.
• Complete the assignment using proper spelling, grammar, and APA.

For information about creating a concept map, review the FAQ, What is a concept map and how do I create one

Case Study for the Obsolescence of Nursing Grand Theories

Make a case for the ongoing development and use of nursing grand theories. Conversely, make a case for the obsolescence of nursing elegant ideas for today’s practice and research.  

 I want you to simply get familiar with the learning platform.  I expect 400 words in your initial post bwith 2 scholarly references. Please include 2 answers to two peers

COMMENTARY AND QUESTIONS:  Please consider the following series of inter-related questions that address the evolution of health care in the United States as well as the role of health services professionals in delivering quality health services to patients located both within and without the borders of the United States.  Remember to post three different times on three different days, and to make your posts progressively responsive to the posts of your fellow classmates.  I look forward to participating in your posts on this question.  Please feel free to post more than three times to the dynamic question below. Answer all 3 questions

“The economy, stupid” is a phrase coined in 1992 by Bill Cliniton’s political strategist, James Carville.  According to Wikipedia, Carville’s statement was directed to campaign workers and was intended as one of three messages for them to focus on.  A second phrase for the campaign workers was “Don’t forget health care.”

Today, the U.S. economy continues to suffer negative effects of COVID, including business closures, unemployment, employee shortages, inflation and supply chain problems directly attributable to the COVID-19 virus pandemic that reportedly began in Wuhan, China and immigrated to the United States in January 2020.  The first reported case can be traced to November 17, 2019 according to unpublished Chinese government records. https://www.theguardian.com/world/2020/mar/13/first-covid-19-case-happened-in-november-china-government-records-show-report (Links to an external site.).  On January 19, 2020, the first case was diagnosed in the United States in Snohomish, County, Washington.  The patient had just returned from Wuhan, China where the novel coronavirus allegedly began. https://www.nejm.org/doi/full/10.1056/NEJMoa2001191. 

In just under two years, the virus spread from that one international traveller to infect 72,310,575 people in the United States and result in 870,195 COVID-related deaths.  https://covid.cdc.gov/covid-data-tracker/index.html#cases (Links to an external site.).  These numbers are staggering compared to the March 2020 data when there were just 5,738 positive cases and 80 deaths in the United States.   https://covidtracking.com/data/national (Links to an external site.).   

Early in the COVID pandemic crisis, the United States did not have an adequate supply of personal protective equipment (PPE), such as respirators, gloves, face shields, gowns, hand sanitizers, etc.  The PPE was needed to protect our front line health care workers from becoming infected.  The United States was also experiencing a shortage of common medical supplies needed to treat hospitalized patients.  You may recall news reports of ordinary people sewing home-made face masks and shipping them to hospitals across the country.  China – where the COVID-19 virus originated, is a major manufacturer of the PPE and medical supplies that were in short supply. 

The shortage of PPE and medical supplies in the United States can be attributed to multiple causes, including problems with the global supply chain that were also impacting other countries.  It was reported that China produced approximately half the world’s face masks before the pandemic.  As the infection spread across China, it stopped exporting face masks to other countries.  As China’s infection rate slowed, it began shipping masks to other countries as part of goodwill packages. The United States, however, was not a major recipient of the good will packages.  https://www.nejm.org/doi/full/10.1056/NEJMp2006141.

The pandemic highlighted that healthcare in the United States has evolved such that it is dependent on global economic transactions.  In addition to PPE and medical supplies, China produces pharmaceuticals, medical devices, technology and rare minerals that are essential to the delivery of modern U.S. health care services. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)31908-7/fulltext.  

The globalization of healthcare is also evident in health care transactions unrelated to the COVID-19 pandemic.  India has developed a robust telemedicine industry to provide remote medical services to U.S. health care providers. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6618173/ (Links to an external site.).  India, Mexico and other countries actively market lower cost medical procedures to U.S. health care consumers. https://www.newsweek.com/thousands-americans-cross-border-mexico-affordable-medical-treatment-each-1426943 (Links to an external site.).  On a personal note, in a recent conversation with a distant family member, I learned that his girlfriend was in the country of Columbia for a complex dental procedure that would only cost her $6,000 compared to the $60,000 she would pay in the United States.  Reportedly, Columbia has developed an expertise in dental procedures and markets to the global medical consumer.  

Similarly, U.S.-based health care providers provide telemedicine and other health care services to developing countries that cannot provide these services on their own.  The United States and other countries also provide global relief health care workers to assist with public health crises in developing countries.  

The foregoing are only a few examples of the impact of health care on the global economy, and the inter-connectedness of the U.S. health care system to global economies is perhaps endless. 

Please discuss the following:

1.  What does the impact of the COVID-19 virus in the United States tell us about the inter-connectedness of U.S.-based health care, the U.S. economy, and the rest of the world?

2.  Does the globalization of health care improve the health of people living in the U.S. or does it create a greater risk to our health and/or economic security?  

3.  Should health care executives and/or policymakers seek to develop global alliances to bring high quality health services to U.S. consumers at the lowest cost?  Why or why not?