1
Respond to 2 people. Heidi and Pearl, by suggesting additional patient factors that might have interfered with the pharmacokinetic and pharmacodynamic processes of the patients they described. In addition, suggest how the personalized plan of care might change if the age of the patient were different and/or if the patient had a comorbid condition, such as renal failure, heart failure, or liver failure.
Heidi
Week 1 Discussion
Top of Form
It is important when prescribing medication to consider a patient’s medical history and current medication regimen. The way that a patient responds depends on numerous factors that all need considered to provide safe care.
Patient Case
At a previous job I worked in the surgical department of a rural, critical access hospital. We had an orthopedic surgeon who performed numerous joint replacements each week. As with almost any surgery, patients need to stop anticoagulation therapy at least five days prior to the procedure unless otherwise indicated by the cardiologist. We had a female patient with a history of atrial fibrillation and pulmonary embolism, taking coumadin, scheduled for a knee replacement. Our protocol in surgery was to have patients hold anticoagulants five days prior to surgery after consulting the cardiologist, getting cardiac clearance, and orders for holding anticoagulants if permitted to do so.
Pharmacokinetic/Pharmacodynamic Processes
Coumadin is quick to be absorbed and has a half life of 1.5-2 days (Rosenthal & Burchum, 2018, p. 460). The way that coumadin works in the body is by blocking the vitamin k dependent clotting factors (RxList, n.d.). The patient described needed to be on anticoagulant therapy for prevention of blood clots, but for surgical purposes could be dangerous to continue. The patient was relatively healthy with no comorbidities other than the atrial fibrillation and history of a prior pulmonary embolism. The patient’s kidney function was good, her PT/INR were in therapeutic range, and she was in her mid 50’s. This patient did have decreased mobility, which is why she was undergoing a total knee replacement, which put her at risk postoperatively for a DVT or embolism.
Personalized Plan of Care
The first plan of care that I would address is to obtain cardiac consultation and clearance by the patient’s cardiologist. I would plan care based on their recommendations on how long to hold anticoagulant therapy. One option would be to dose the patient with a Lovebox bridge, that is short acting, so that they can still have some type of anticoagulant in their system and it won’t affect the surgical procedure. Atrial fibrillation is a major factor that increases the risk for a blood clot (Douketis & Lip, 2019). Interruption of anticoagulant therapy could be dangerous for a person with atrial fibrillation. Collaboration with anesthesiologist, cardiologists, and surgeons is needed for best practice consideration for holding anticoagulant.
Introduction to pharmaceutical care of geriatric G eriatric pptxmalik1ajlan
- Older patients commonly experience drug-related problems like polypharmacy and inappropriate prescribing that can lead to adverse health outcomes.
- It is important for clinicians to understand age-related physiological changes like reduced renal function and how those changes impact pharmacokinetics and pharmacodynamics.
- Health care utilization and costs increase substantially with age, as older adults use more services and have longer hospital stays on average. Managing medications can help address issues like polypharmacy and adverse drug events.
Polypharmacy and Rational Prescribing in Elderly Patients.pptxAhmed Mshari
Polypharmacy is typically defined as the prescription of five or more medications.
It also refers to the prescription of medications that do not have a specific current indication, that duplicate other medications, or that are known to be ineffective for the condition being treated.
In other words, polypharmacy is the use of multiple medications that are unnecessary and have the potential to do more harm than good.
Thesis_PhD_Improving medication safety in the elderlyHA VO THI
The document discusses medication safety issues for elderly patients, noting that physiological changes with aging increase their risk of adverse drug reactions and interactions from polypharmacy. Polypharmacy, defined as using multiple medications, is common in elderly patients due to multiple chronic conditions but can increase problems with adherence and side effects. Improving medication safety for elderly patients requires addressing polypharmacy issues through individualized treatment reviews that consider life expectancy, treatment goals and targets.
C. Give the patient Tylenol 650mg P.O as ordered and assist the patient with guided imagery.
This patient's pain level is relatively low at a 2/10 and is being well managed with scheduled Tylenol. Guided imagery could help further reduce the patient's perception of pain without unnecessary opioid exposure. Options A, B, and D would likely provide more pain relief than is needed and increase risks of opioid dependence, misuse or overdose.
Priciples of therapeutics, Dosage Indiviualization, Herbal SupplimentsFarazaJaved
This presentation briefly covers the general aspect of therapeutics and drug development then its dose adjustment according to the pt. need and checking either patient comply to that therapy or not. last portion based on herbal supplements and its use.
Personalized Therapies for OA: Can Biomarkers Get Us There?OARSI
This document discusses the potential for using biomarkers to enable personalized therapies for osteoarthritis (OA). It defines key terms like personalized therapies, biomarkers, phenotypes, and endotypes. The presenter argues that biomarkers could help identify the right treatment for individual OA patients by enabling prognostic and predictive enrichment in clinical trials. However, moving biomarkers from discovery to clinical validation and use involves a long process including assay development, testing biological links and hypotheses, and conducting randomized controlled trials. Several studies are highlighted that have discovered potential new biomarkers and are beginning to test biological links and hypotheses regarding how biomarkers may reflect disease processes and response to treatments.
POINTS TO BE INCLUDED
Definition, scope,
Technical definitions, common terminologies used in clinical
settings
Daily activities of clinical pharmacists
Ward round participation
Treatment Chart Review
Adverse drug reaction monitoring
Interprofessional collaboration
Spinal anesthesia may be associated with better outcomes than general anesthesia for older adults undergoing hip fracture surgery. A randomized controlled trial assigned over 2,000 patients undergoing hip fracture surgery to either spinal or general anesthesia to evaluate their ability to walk independently 60 days after surgery. The trial found that patients receiving spinal anesthesia were more likely to be alive and walking independently at 60 days compared to those receiving general anesthesia. The results provide evidence that spinal anesthesia may lead to better recovery of mobility outcomes important to patients.
Introduction to pharmaceutical care of geriatric G eriatric pptxmalik1ajlan
- Older patients commonly experience drug-related problems like polypharmacy and inappropriate prescribing that can lead to adverse health outcomes.
- It is important for clinicians to understand age-related physiological changes like reduced renal function and how those changes impact pharmacokinetics and pharmacodynamics.
- Health care utilization and costs increase substantially with age, as older adults use more services and have longer hospital stays on average. Managing medications can help address issues like polypharmacy and adverse drug events.
Polypharmacy and Rational Prescribing in Elderly Patients.pptxAhmed Mshari
Polypharmacy is typically defined as the prescription of five or more medications.
It also refers to the prescription of medications that do not have a specific current indication, that duplicate other medications, or that are known to be ineffective for the condition being treated.
In other words, polypharmacy is the use of multiple medications that are unnecessary and have the potential to do more harm than good.
Thesis_PhD_Improving medication safety in the elderlyHA VO THI
The document discusses medication safety issues for elderly patients, noting that physiological changes with aging increase their risk of adverse drug reactions and interactions from polypharmacy. Polypharmacy, defined as using multiple medications, is common in elderly patients due to multiple chronic conditions but can increase problems with adherence and side effects. Improving medication safety for elderly patients requires addressing polypharmacy issues through individualized treatment reviews that consider life expectancy, treatment goals and targets.
C. Give the patient Tylenol 650mg P.O as ordered and assist the patient with guided imagery.
This patient's pain level is relatively low at a 2/10 and is being well managed with scheduled Tylenol. Guided imagery could help further reduce the patient's perception of pain without unnecessary opioid exposure. Options A, B, and D would likely provide more pain relief than is needed and increase risks of opioid dependence, misuse or overdose.
Priciples of therapeutics, Dosage Indiviualization, Herbal SupplimentsFarazaJaved
This presentation briefly covers the general aspect of therapeutics and drug development then its dose adjustment according to the pt. need and checking either patient comply to that therapy or not. last portion based on herbal supplements and its use.
Personalized Therapies for OA: Can Biomarkers Get Us There?OARSI
This document discusses the potential for using biomarkers to enable personalized therapies for osteoarthritis (OA). It defines key terms like personalized therapies, biomarkers, phenotypes, and endotypes. The presenter argues that biomarkers could help identify the right treatment for individual OA patients by enabling prognostic and predictive enrichment in clinical trials. However, moving biomarkers from discovery to clinical validation and use involves a long process including assay development, testing biological links and hypotheses, and conducting randomized controlled trials. Several studies are highlighted that have discovered potential new biomarkers and are beginning to test biological links and hypotheses regarding how biomarkers may reflect disease processes and response to treatments.
POINTS TO BE INCLUDED
Definition, scope,
Technical definitions, common terminologies used in clinical
settings
Daily activities of clinical pharmacists
Ward round participation
Treatment Chart Review
Adverse drug reaction monitoring
Interprofessional collaboration
Spinal anesthesia may be associated with better outcomes than general anesthesia for older adults undergoing hip fracture surgery. A randomized controlled trial assigned over 2,000 patients undergoing hip fracture surgery to either spinal or general anesthesia to evaluate their ability to walk independently 60 days after surgery. The trial found that patients receiving spinal anesthesia were more likely to be alive and walking independently at 60 days compared to those receiving general anesthesia. The results provide evidence that spinal anesthesia may lead to better recovery of mobility outcomes important to patients.
As an advanced practice nurse assisting physicians in the diagnosis BetseyCalderon89
As an advanced practice nurse assisting physicians in the diagnosis and treatment of disorders, it is important to not only understand the impact of disorders on the body, but also the impact of drug treatments on the body. The relationships between drugs and the body can be described by pharmacokinetics and pharmacodynamics.
Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas pharmacodynamics describes what the drug does to the body.
When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.
For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.
To Prepare
Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
Think about a personalized plan of care based on these influencing factors and patient history in your case study.
By Day 3 of Week 1
Post
a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples.
By Day 6 of Week 1
Read
a selection of your colleagues’ responses and
respond
to
at least two
of your colleagues on
two different days
by suggesting additional patient factors that might have interfered with the pharmacokinetic and pharmacodynamic processes of the patients they described. In addition, suggest how the personalized plan of care might change if the age of the patient were different and/or if the patient had a comorbid condition, such as renal failure, heart failure, or liver failure.
Note:
For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to compl ...
PERSONALIZED MEDICINE and customised drug delivery L-1.pptxSumant Saini
1. Personalized medicine aims to provide tailored treatment based on an individual's unique attributes by using diagnostic tools to identify biological markers, often genetic, to help assess which medical treatments will be most effective.
2. Pharmacogenomics plays a key role by studying how genetic variations affect individual responses to drugs to optimize efficacy and minimize adverse reactions. This allows for more targeted therapies and precise dosing.
3. The Human Genome Project mapped the entire human genetic code, opening up possibilities for diagnosing and treating diseases based on a person's genetic profile. Now, molecular testing guides treatment decisions and replaces some invasive procedures.
General prescribing guidelines for Pediatrics geriatrics pregnancy lactating...Koppala RVS Chaitanya
1. The document discusses physiological differences between pediatric and adult patients that are important to consider when selecting and dosing medications.
2. It outlines age classifications for pediatric patients from preterm neonates to adolescents and describes how drug absorption, distribution, metabolism, and excretion can vary significantly across age groups.
3. Selecting appropriate doses and accounting for changing pharmacokinetics is essential for safe and effective pharmacotherapy in pediatric patients.
Reporting and monitoring adverse events with cancer treatment [final]Rosalynn Pangan
This document discusses reporting and monitoring of adverse events from cancer treatment. It begins with objectives of understanding adverse drug events, their importance, common events from cancer treatment, and FDA reporting processes. It then presents a case study of a patient who developed erythema and burning sensations on her hands and heels after her fifth chemotherapy session. Various topics are covered like defining adverse events, reactions, and serious reactions. Common adverse effects of chemotherapy like alopecia, nausea, and peripheral neuropathy are discussed. The importance of monitoring and reporting adverse events is emphasized to improve patient safety.
This document discusses adverse drug reactions (ADRs), including:
1) Defining ADRs and distinguishing them from adverse drug events. ADRs are unintended effects caused directly by a drug, while adverse events can have other causes.
2) Around 5-10% of hospitalized patients experience an ADR, contributing to increased costs and length of stay. ADRs can reduce quality of life and rarely cause death.
3) Pharmacovigilance aims to detect, understand, and prevent ADRs through monitoring, reporting, and research on drug safety. Pharmacists play a key role in pharmacovigilance.
This document discusses methadone, an opioid analgesic narcotic used for moderate to severe pain. It is metabolized by the CYP3A4 and CYP-450 enzyme systems and the P-glycoprotein efflux protein. Methadone has the potential for interactions due to its metabolism and should be used cautiously in elderly cancer patients taking multiple medications. The goal for elderly cancer patients is to reduce pain and improve quality of life using appropriate assessment tools and monitoring for side effects and comorbidities.
This document provides an overview of medication administration and pharmacology terms. It defines key terms like drug, pharmacology, pharmacokinetics, and clinical pharmacology. It also outlines the ideal properties of drugs and factors that determine drug responses. The nursing process in relation to pharmacology is discussed, including assessing patients, planning treatment, evaluating responses, and educating patients. Regulations around drug names, sources of information, and the FDA are also summarized.
This document discusses key concepts in clinical pharmacology and therapeutics as they relate to a case study of a 67-year-old patient. It covers drug-drug, drug-disease, and drug-patient interactions to consider for the patient's medications. It proposes a therapeutic regimen for the patient and monitoring criteria. It also reviews principles of pharmacodynamics, how drugs act in the body, and pharmacokinetics, what the body does to drugs, including absorption, distribution, metabolism and excretion.
Pharmacogenomics uses genetic testing to determine the most effective drug and dosage for a patient based on how their genes metabolize medications. This can help minimize adverse drug reactions that kill over 100,000 people annually and improve outcomes by guiding physicians to prescribe the right drug and dose. The genetic test analyzes a patient's DNA to classify them into categories that predict their drug response. This "personalized medicine" approach is more effective than the traditional trial-and-error method of finding an appropriate treatment. While initially focused on blood thinners, this testing now guides treatment with neuroactive drugs, pain medications, and many other drugs.
ueda2011 guidelines why and how-d.mohammed.pptueda2015
This document provides guidelines for managing hyperglycemia in adults with type 2 diabetes. It aims to help healthcare providers choose appropriate treatment interventions for their patients. The guidelines consider factors like achieving glycemic goals, treatment safety and costs. Individualized treatment is important given the heterogeneous nature of type 2 diabetes.
The document discusses the importance of pharmacovigilance in health care. It defines pharmacovigilance as the science related to detecting, assessing, understanding, and preventing adverse effects of drugs. The main goals of pharmacovigilance are to improve patient safety, assess the risk-benefit profiles of medicines, and encourage their safe and effective use. Pharmacists can play important roles in pharmacovigilance by monitoring for and reporting adverse drug reactions. Pharmacovigilance programs in health systems should include ongoing surveillance, reporting, analysis, and education to prevent adverse drug events.
This document discusses the importance and benefits of pharmacogenomics in clinical practice. Pharmacogenomics is the study of how genes affect a person's response to medications. It combines pharmacology and genomics to develop safe and effective medication doses tailored to a person's genetic makeup. Integrating pharmacogenomic testing into practice can help reduce adverse drug reactions, enhance patient outcomes, and lower healthcare costs by avoiding trial-and-error prescribing. Certain populations, such as older adults taking multiple chronic medications, are most likely to benefit from this personalized approach to medication treatment and management. Successful integration requires a partnership approach to help navigate workflow requirements and provide expertise, education and support to providers.
The document discusses pharmacotherapy and adherence to Beers criteria in the elderly. It provides an overview of medication use challenges in older adults, including age-related changes to pharmacokinetics and pharmacodynamics. It also discusses tools to evaluate inappropriate medications like Beers criteria and STOPP/START criteria. Beers criteria lists potentially inappropriate medications or classes to avoid in older adults due to risks of adverse effects. STOPP/START criteria addresses medications that should be avoided as well as those that should be considered.
This document discusses the importance and benefits of pharmacogenetic testing for physicians and their patients. It notes that pharmacogenetic testing can help physicians determine the right drug, dose, and timing for each individual patient to reduce adverse drug reactions and improve outcomes. Not utilizing this testing could open physicians up to legal liability issues. The document provides several case studies demonstrating how pharmacogenetic testing could have helped identify the right treatment for patients and avoided negative health consequences or legal risks for physicians. It also addresses the ease of testing, billing, and reimbursement to make the case for integrating pharmacogenetics into medical practice.
The document discusses the importance of preoperative preparation and evaluation of patients undergoing surgical procedures. It outlines the goals of preoperative planning as evaluating the patient's medical condition and health to identify any risks. The evaluation should include obtaining a medical history, physical exam, appropriate tests, and assessing surgical and anesthesia risks through consultations if needed. This allows time to optimize patient preparation and determine if further testing or consultations are required to minimize risks and ensure the best surgical outcome.
Personalized medicine involves the prescription of specific therapeutics best suited for an individual based on their genetic or proteomic profile. This talk discusses current approaches in drug discovery/development, the role of genetics in drug metabolism, and lawful/ethical issues surrounding the deployment of new health technology. I highlight some bioinformatic roles in the drug discovery process, and discuss the use of semantic web technologies for data integration and knowledge discovery..
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...rightmanforbloodline
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
This document summarizes a seminar presentation on the role of pharmacogenetics and pharmacogenomics in drug development and regulatory review. It discusses how genetic differences can impact how individuals metabolize and respond to drugs in terms of pharmacokinetics and pharmacodynamics. Specific polymorphisms in enzymes, receptors, and transporters were highlighted as factors that can influence a drug's effects. The importance of considering pharmacogenomic data during drug trials and regulatory reviews was emphasized in order to optimize dosing and labeling recommendations to improve drug efficacy and safety.
TEST BANK For Basic and Clinical Pharmacology, 15th Edition by Bertram G. Kat...rightmanforbloodline
TEST BANK For Basic and Clinical Pharmacology, 15th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version
TEST BANK For Basic and Clinical Pharmacology, 15th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version
TEST BANK For Basic and Clinical Pharmacology, 15th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version
2. Framework Graphic Candidates will create a graphic that re.docxherminaprocter
2. Framework Graphic
Candidates will create a graphic that reflects an understanding of a conceptual/theoretical framework (preferably related to their dissertation topic). In a graphic, candidates’ creations should clearly represent their vision of the framework and include 1 – 2 paragraphs on how the dependent and independent variables are evidenced.
Dissertation topic that I submitted is in the attachment that has a file name as Survey -27
.
2. Research Article Review – Read one (1) research articles on T.docxherminaprocter
2. Research Article Review
–
Read one (1) research articles on Therapeutic Recreation in Long Term Center or a specific treatment
modality/facilitation technique appropriate for older population in a long term care setting (e.g., assisted living, nursing home, etc.) and write a reaction paper based on guide questions. Must be 3 pages minimum. No plagiarism. Must have knowledge in Therapeutic Recreation Major and modalities.
Attached is an
EXAMPLE
of what I am looking for.
.
More Related Content
Similar to 1Respond to 2 people. Heidi and Pearl, by suggesting additiona.docx
As an advanced practice nurse assisting physicians in the diagnosis BetseyCalderon89
As an advanced practice nurse assisting physicians in the diagnosis and treatment of disorders, it is important to not only understand the impact of disorders on the body, but also the impact of drug treatments on the body. The relationships between drugs and the body can be described by pharmacokinetics and pharmacodynamics.
Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas pharmacodynamics describes what the drug does to the body.
When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.
For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.
To Prepare
Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
Think about a personalized plan of care based on these influencing factors and patient history in your case study.
By Day 3 of Week 1
Post
a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples.
By Day 6 of Week 1
Read
a selection of your colleagues’ responses and
respond
to
at least two
of your colleagues on
two different days
by suggesting additional patient factors that might have interfered with the pharmacokinetic and pharmacodynamic processes of the patients they described. In addition, suggest how the personalized plan of care might change if the age of the patient were different and/or if the patient had a comorbid condition, such as renal failure, heart failure, or liver failure.
Note:
For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to compl ...
PERSONALIZED MEDICINE and customised drug delivery L-1.pptxSumant Saini
1. Personalized medicine aims to provide tailored treatment based on an individual's unique attributes by using diagnostic tools to identify biological markers, often genetic, to help assess which medical treatments will be most effective.
2. Pharmacogenomics plays a key role by studying how genetic variations affect individual responses to drugs to optimize efficacy and minimize adverse reactions. This allows for more targeted therapies and precise dosing.
3. The Human Genome Project mapped the entire human genetic code, opening up possibilities for diagnosing and treating diseases based on a person's genetic profile. Now, molecular testing guides treatment decisions and replaces some invasive procedures.
General prescribing guidelines for Pediatrics geriatrics pregnancy lactating...Koppala RVS Chaitanya
1. The document discusses physiological differences between pediatric and adult patients that are important to consider when selecting and dosing medications.
2. It outlines age classifications for pediatric patients from preterm neonates to adolescents and describes how drug absorption, distribution, metabolism, and excretion can vary significantly across age groups.
3. Selecting appropriate doses and accounting for changing pharmacokinetics is essential for safe and effective pharmacotherapy in pediatric patients.
Reporting and monitoring adverse events with cancer treatment [final]Rosalynn Pangan
This document discusses reporting and monitoring of adverse events from cancer treatment. It begins with objectives of understanding adverse drug events, their importance, common events from cancer treatment, and FDA reporting processes. It then presents a case study of a patient who developed erythema and burning sensations on her hands and heels after her fifth chemotherapy session. Various topics are covered like defining adverse events, reactions, and serious reactions. Common adverse effects of chemotherapy like alopecia, nausea, and peripheral neuropathy are discussed. The importance of monitoring and reporting adverse events is emphasized to improve patient safety.
This document discusses adverse drug reactions (ADRs), including:
1) Defining ADRs and distinguishing them from adverse drug events. ADRs are unintended effects caused directly by a drug, while adverse events can have other causes.
2) Around 5-10% of hospitalized patients experience an ADR, contributing to increased costs and length of stay. ADRs can reduce quality of life and rarely cause death.
3) Pharmacovigilance aims to detect, understand, and prevent ADRs through monitoring, reporting, and research on drug safety. Pharmacists play a key role in pharmacovigilance.
This document discusses methadone, an opioid analgesic narcotic used for moderate to severe pain. It is metabolized by the CYP3A4 and CYP-450 enzyme systems and the P-glycoprotein efflux protein. Methadone has the potential for interactions due to its metabolism and should be used cautiously in elderly cancer patients taking multiple medications. The goal for elderly cancer patients is to reduce pain and improve quality of life using appropriate assessment tools and monitoring for side effects and comorbidities.
This document provides an overview of medication administration and pharmacology terms. It defines key terms like drug, pharmacology, pharmacokinetics, and clinical pharmacology. It also outlines the ideal properties of drugs and factors that determine drug responses. The nursing process in relation to pharmacology is discussed, including assessing patients, planning treatment, evaluating responses, and educating patients. Regulations around drug names, sources of information, and the FDA are also summarized.
This document discusses key concepts in clinical pharmacology and therapeutics as they relate to a case study of a 67-year-old patient. It covers drug-drug, drug-disease, and drug-patient interactions to consider for the patient's medications. It proposes a therapeutic regimen for the patient and monitoring criteria. It also reviews principles of pharmacodynamics, how drugs act in the body, and pharmacokinetics, what the body does to drugs, including absorption, distribution, metabolism and excretion.
Pharmacogenomics uses genetic testing to determine the most effective drug and dosage for a patient based on how their genes metabolize medications. This can help minimize adverse drug reactions that kill over 100,000 people annually and improve outcomes by guiding physicians to prescribe the right drug and dose. The genetic test analyzes a patient's DNA to classify them into categories that predict their drug response. This "personalized medicine" approach is more effective than the traditional trial-and-error method of finding an appropriate treatment. While initially focused on blood thinners, this testing now guides treatment with neuroactive drugs, pain medications, and many other drugs.
ueda2011 guidelines why and how-d.mohammed.pptueda2015
This document provides guidelines for managing hyperglycemia in adults with type 2 diabetes. It aims to help healthcare providers choose appropriate treatment interventions for their patients. The guidelines consider factors like achieving glycemic goals, treatment safety and costs. Individualized treatment is important given the heterogeneous nature of type 2 diabetes.
The document discusses the importance of pharmacovigilance in health care. It defines pharmacovigilance as the science related to detecting, assessing, understanding, and preventing adverse effects of drugs. The main goals of pharmacovigilance are to improve patient safety, assess the risk-benefit profiles of medicines, and encourage their safe and effective use. Pharmacists can play important roles in pharmacovigilance by monitoring for and reporting adverse drug reactions. Pharmacovigilance programs in health systems should include ongoing surveillance, reporting, analysis, and education to prevent adverse drug events.
This document discusses the importance and benefits of pharmacogenomics in clinical practice. Pharmacogenomics is the study of how genes affect a person's response to medications. It combines pharmacology and genomics to develop safe and effective medication doses tailored to a person's genetic makeup. Integrating pharmacogenomic testing into practice can help reduce adverse drug reactions, enhance patient outcomes, and lower healthcare costs by avoiding trial-and-error prescribing. Certain populations, such as older adults taking multiple chronic medications, are most likely to benefit from this personalized approach to medication treatment and management. Successful integration requires a partnership approach to help navigate workflow requirements and provide expertise, education and support to providers.
The document discusses pharmacotherapy and adherence to Beers criteria in the elderly. It provides an overview of medication use challenges in older adults, including age-related changes to pharmacokinetics and pharmacodynamics. It also discusses tools to evaluate inappropriate medications like Beers criteria and STOPP/START criteria. Beers criteria lists potentially inappropriate medications or classes to avoid in older adults due to risks of adverse effects. STOPP/START criteria addresses medications that should be avoided as well as those that should be considered.
This document discusses the importance and benefits of pharmacogenetic testing for physicians and their patients. It notes that pharmacogenetic testing can help physicians determine the right drug, dose, and timing for each individual patient to reduce adverse drug reactions and improve outcomes. Not utilizing this testing could open physicians up to legal liability issues. The document provides several case studies demonstrating how pharmacogenetic testing could have helped identify the right treatment for patients and avoided negative health consequences or legal risks for physicians. It also addresses the ease of testing, billing, and reimbursement to make the case for integrating pharmacogenetics into medical practice.
The document discusses the importance of preoperative preparation and evaluation of patients undergoing surgical procedures. It outlines the goals of preoperative planning as evaluating the patient's medical condition and health to identify any risks. The evaluation should include obtaining a medical history, physical exam, appropriate tests, and assessing surgical and anesthesia risks through consultations if needed. This allows time to optimize patient preparation and determine if further testing or consultations are required to minimize risks and ensure the best surgical outcome.
Personalized medicine involves the prescription of specific therapeutics best suited for an individual based on their genetic or proteomic profile. This talk discusses current approaches in drug discovery/development, the role of genetics in drug metabolism, and lawful/ethical issues surrounding the deployment of new health technology. I highlight some bioinformatic roles in the drug discovery process, and discuss the use of semantic web technologies for data integration and knowledge discovery..
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...rightmanforbloodline
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
This document summarizes a seminar presentation on the role of pharmacogenetics and pharmacogenomics in drug development and regulatory review. It discusses how genetic differences can impact how individuals metabolize and respond to drugs in terms of pharmacokinetics and pharmacodynamics. Specific polymorphisms in enzymes, receptors, and transporters were highlighted as factors that can influence a drug's effects. The importance of considering pharmacogenomic data during drug trials and regulatory reviews was emphasized in order to optimize dosing and labeling recommendations to improve drug efficacy and safety.
TEST BANK For Basic and Clinical Pharmacology, 15th Edition by Bertram G. Kat...rightmanforbloodline
TEST BANK For Basic and Clinical Pharmacology, 15th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version
TEST BANK For Basic and Clinical Pharmacology, 15th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version
TEST BANK For Basic and Clinical Pharmacology, 15th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version
Similar to 1Respond to 2 people. Heidi and Pearl, by suggesting additiona.docx (20)
2. Framework Graphic Candidates will create a graphic that re.docxherminaprocter
2. Framework Graphic
Candidates will create a graphic that reflects an understanding of a conceptual/theoretical framework (preferably related to their dissertation topic). In a graphic, candidates’ creations should clearly represent their vision of the framework and include 1 – 2 paragraphs on how the dependent and independent variables are evidenced.
Dissertation topic that I submitted is in the attachment that has a file name as Survey -27
.
2. Research Article Review – Read one (1) research articles on T.docxherminaprocter
2. Research Article Review
–
Read one (1) research articles on Therapeutic Recreation in Long Term Center or a specific treatment
modality/facilitation technique appropriate for older population in a long term care setting (e.g., assisted living, nursing home, etc.) and write a reaction paper based on guide questions. Must be 3 pages minimum. No plagiarism. Must have knowledge in Therapeutic Recreation Major and modalities.
Attached is an
EXAMPLE
of what I am looking for.
.
2) In examining Document 4 and Document 6, how did the.docxherminaprocter
2)
In examining
Document 4
and
Document 6
, how did the onset of the Cold War redefine what it meant to be an American? What role do these documents suggest loyal citizens play in waging war against Communism? In examining the political cartoon (
Document 5
), how does the artist critique the “anti-subversive” efforts that took place during the Second Red Scare? In what ways does the McCarthy era continue to influence American society?
3)
The turbulent 1960s saw numerous attempts to identify the root problems within American society and the role of citizens in resolving them. In examining
Document 7
,
Document 8
, and
Document 9
, what common problems are identified within American society? What are some of the differences? What role did each of these documents suggest Americans should play in achieving social justice? Are their arguments persuasive? Why or why not?
4)
The last several decades of the Twentieth Century saw the emergence of new groups of Americans claiming rights as citizens. To what extent does the failure of the Equal Rights Amendment (
Document 10
) to be ratified, but the signing of Title IX (
Document 11
) into law, signal about the changing role and rights of women in modern America? After reading President George H.W. Bush’s remarks (
Document 12
), why do you believe it took so long for the country to acknowledge and protect the rights of the disabled?
5)
How does Maya Angelou’s inauguration poem (
Document 13
) reflect upon the identity of “hyphenated Americans” by the early 1990s? In reading
Document 14
, how does President-Elect Barack Obama define Americanism? Looking back over documents 1-13, did his election, as the first person of color to become President of the United States, resolve the questions and crises surrounding the definition of an American citizen? In a post-9/11 world, has America progressed in its inclusiveness? Why or why not?
.
2. Sandra is a parent who believes that play is just entertainment f.docxherminaprocter
2. Sandra is a parent who believes that play is just entertainment for children, whereas Petra is a parent who believes that play is developmentally beneficial for children. Which is likely to be true about Sandra and Petra?
Group of answer choices
A. Sandra’s children are more likely to have richer imaginations than Petra’s children.
B. Sandra is less likely than Petra to encourage pretend play.
C. Petra is more likely than Sandra to encourage associative play.
D. Petra is less likely than Sandra to provide props for her children to play with.
3. Three-year-old Aiko is pretending that her teddy bear is going to the beach and places a paper plate on the teddy bear’s head as a “hat.” Aiko is demonstrating...
Group of answer choices
A. dual representation
B. egocentrism
C. centration
D. animistic thinking
5.
Nikki and Anna are both running for class president. When Anna wins the election, Nikki is jealous and spreads rumors about Anna. Nikki is displaying .. (pick below.......) aggression
A. verbal
B."reactive",
C"physical",
D"proactive"]
6. Kris has a preschool-age daughter named Leila. When Kris gives Leila three cookies and asks her to count them, Leila points to each cookie, one-by-one, and says, “One, two, three.” When Kris asks Leila, “How many cookies do you have?” Leila proudly answers, “Three!” Leila is demonstrating an understanding of...
Group of answer choices
A. Cardinality
B.arithmetic
C. quantity comparisons
D. Ordinality
.
2.2 Discussion What Is LeadershipGetting StartedR.docxherminaprocter
This document provides instructions and background information for an assignment on ethics and values in leadership. It discusses how leaders face ethical dilemmas that require balancing competing priorities and values. Students are asked to read about ethical reasoning and creating an ethical organizational culture from their textbook. They are also instructed to read two articles on virtuous leadership and business. The assignment requires students to describe a personal ethical dilemma, discuss how an ethical culture can influence such dilemmas, and cite the provided sources in a 400-500 word paper.
2. You are a member of the Human Resource Department of a medium-si.docxherminaprocter
2. You are a member of the Human Resource Department of a medium-sized organization that is implementing a new interorganizational system that will impact employees, customers, and suppliers. Your manager has requested that you work with the system development team to create a communications plan for the project. He would like to meet with you in two hours to review your thoughts on the KEY OBJECTIVES OF THE COMMUNICATIONS PLAN. What should those objectives be?
.
2.1. What is Strategic Human Resource Management Differentiate bet.docxherminaprocter
Strategic human resource management involves using HR tools and metrics to align human resource strategies with overall business strategies. Managers can improve employee engagement through job analysis, which collects data on jobs using methods like surveys, interviews, and observations to understand job requirements. Job analysis also identifies the competencies needed for roles, which are written descriptions of knowledge, skills, and abilities required for success.
2,___Use of no less than six slides and no more than seven .docxherminaprocter
2,___Use of no less than six slides and no more than seven:
a. An introductory slide with the title or research question and your name and student number.
b. The remaining 4-5 pieces of information will be responsible for answering the information question:
What was the impact of ________en the history of _________?
c. An APA-style bibliography slide.
3.__one or more than another image in the power point related to the theme. One of these images may be the image of the neighbor being investigated.
4.__Bibliografía (no less than 4 references: Two from the Internet, one from one book and one from an interview- APA style)
7. ___write in your own words. No copy paste.
8. __ (Correct spelling and punctuation and note that the writing is yours and not a copy paste from the Internet or a book). Check the work before delivering it with this same check list.
V. Depth
9.__Desarrollo of the research question. Answer it through the power point presentation.
10. __ Depth in the study. Copy paste is not accepted. Any plagiarism (may be: copy a concept, even a sentence, whose intellectual author is not you, invalidates this research- see the university's politics regarding plagiarism). Each criterion is worth ten points.
¿Cómo impacta la novela a la historia de Puerto Rico?
Yeralis M. Rivera Arguinzoni
B00569846
Dra. Vilma Pizarro
Historia de Puerto rico
Universidad Interamericana Recinto de Barranquitas
Comienzos de la novela en Puerto Rico
La literatura en Puerto Rico comienza a finales del siglo XIX.
Movimiento del romanticismo( Europa: Alemania, Inglaterra y España)
Géneros literarios: Poesía, teatro, ensayo y narrativa( novela, cuentos, leyendas, etc.).
La novela es el último género en llegar a Puerto Rico y a América.
En estas novelas trataban los temas de: el amor a la patria, el destino, la muerte, Dios y el progreso, entre otros.
La primera novela puertorriqueña
Hay dos teorías sobre la primer novela puertorriqueña:
Luz y Sombra(1893) = Escrita por Ana Roque de Duprey, primera novela escrita en Puerto Rico.
“La Peregrinación de Bayoán”(1863) = Escrita por Eugenio María de Hostos, primera novela escrita por un puertorriqueño pero es escrita en España. Esta es la mas aceptada como la primera novela puertorriqueña. Su tema principal era la lucha por la identidad del puertorriqueño. Ideas políticas y sociales de Hostos luego del grito de Lares y el grito de Yara(Cuba), fueron expresadas en esta novela.
Otros escritores importantes de la época
Manuel Zeno Gandía = Considerado como el más grande novelista de Puerto Rico. Sus obras: “La Charca”, “Garduña” y “El Negocio”, conocidas como “Crónicas de un mundo enfermo”, se escriben ya bajo el naturalismo. Presentan a un Puerto Rico enfermo y la situación crítica de un Puerto Rico abandonado por España.
Enrique A. Laguerre = Sus obras más importantes: “La Resaca” y “La llamarada”. Sus obras presentan la pésima situación de vida del campesinado a finales del siglo XIX.
.
2. Multicultural Interview Paper Students may begin this.docxherminaprocter
2.
Multicultural Interview Paper
Students may begin this assignment by selecting an individual from a culture differing from their own. This may be any culture or subgroup covered in the course content, such as adolescents, elderly adults, and persons with disabilities.
Students are not limited to these groups.
Students will create a series of interview questions focused on issues and concerns pertinent to the culture or subgroup
. Interview questions are to be specific and designed to help the student learn more about the culture or subgroup as it relates to Addictions & course studies. Students may use their text book and other course resources as guidelines for developing questions. Students should develop a minimum of eight-10 interview questions.
Students
must
submit interview questions to the course instructor and receive approval of the questions before proceeding with the assignment.
Students will then use these approved questions during the interview with the consenting individual and write a two page summarization of the questions with the answers received by the individual. The paper must be in question/answer format.
.
2-4A summary of your findings regarding sexual orientation and.docxherminaprocter
2-4
A summary of your findings regarding sexual orientation and its impact on life-span development, including findings from the resources and from the journal article(s) you selected during your research
An explanation of how you might apply your findings to social work practice
.
2- to 4A description of the services in your local communi.docxherminaprocter
2- to 4
A description of the services in your local community that support individuals in later adulthood
An evaluation of the effectiveness of the services you identified
A description of service gaps you identified
An explanation of how to improve existing services
A description of services that should be added, and why
.
2 or more paragraphAs previously noted, the Brocks have some of.docxherminaprocter
2 or more paragraph
As previously noted, the Brocks have some of their investment portfolio in conservative stocks. These equities have had very slow growth while regularly paying a small dividend.
Pam and Josh have received several emails recently with suggestions about various biotechnology, retailing, and environmental companies. The investment advisers believe that these industries would provide an opportunity for strong long-term financial gains.
In recent years, the Brocks have made extensive use of mutual funds in their investment portfolio. However, they are concerned that their selection of the funds may not be coordinated. With over 9,200 different mutual funds available, this financial marketplace is confusing.
The Brocks start the evaluation process by connecting various types of mutual funds to their investments goals. Next, they assess the past performance and management of the funds. Finally, they talk with various financial advisers and other investors to gather additional information.
Life Situation
Pam, 43
Josh, 45
3 Children, ages 16, 14 and 11
Financial Data
Monthly income$4,900 / Living expenses$4,450/ Assets$262,700/ Liabilities$84,600/ Emergency Fund$5,000
Q1. According to Pam, "We both know we should have started our investment program sooner, but we always seemed to have 'emergencies' that took what extra money we had." To what extent should the Brocks invest in stocks as a major portion of their investment portfolio?
.
2-1 IntroductionUber Technologies Inc. (Uber) is a tech startu.docxherminaprocter
2-1 Introduction
Uber Technologies Inc. (Uber) is a tech startup that provides ride-sharing services by
facilitating a connection between independent contractors (drivers) and riders with the use
of an app. Uber has expanded its operations to 425 cities in 72 countries around the world
and is valued at around $70 billion, making it the world’s most valuable startup.
Approximately 30 million users use Uber’s services monthly. Uber has become a key player
in the sharing economy, a new economic model in which independent contractors rent out
their underutilized resources such as vehicles or lodging to other consumers. The sharing
economy is quickly becoming an alternative to owning resources outright. Because its
services cost less than taking a traditional taxi, Uber and similar ride-sharing services have
upended the taxi industry. The company has experienced resounding success and is
looking toward expansion both internationally and within the United States.
However, Uber’s rapid success is creating challenges in the form of legal and regulatory,
social, and technical obstacles. The taxi industry, for instance, is arguing that Uber has an
unfair advantage because it does not face the same licensing requirements as they do.
Others accuse Uber of not vetting their drivers, creating potentially unsafe situations. Some
major cities are banning ride-sharing services like Uber because of these various concerns.
Additionally, Uber has faced various lawsuits, including a lawsuit filed by its independent
contractors. Its presence in the market has influenced lawmakers to draft new regulations to
govern this “app-driven” ride-sharing system. Legislation can often hinder a company’s
expansion opportunities because of the resources it must expend to comply with regulatory
requirements. Uber has been highly praised for giving independent contractors an opportunity to earn money as long as they have a car, while also offering convenient ways for consumers to get around at lower costs. Although its “Surge Pricing” technique has been criticized for charging higher fares during popular times, it is also becoming a model for other companies such as Zappos in how it compensates its call center employees. The biggest issues Uber faces include legal action because drivers are not licensed, rider and driver safety,protection and security of customer and driver information, and a lack of adequate insurance coverage. To be successful, Uber must address these issues in its marketing strategy so it can reduce resistance as it expands into other cities.
2-2 Background
In 2009 Travis Kalanick and Garrett Camp developed a smartphone application to connect
drivers-for-hire with people needing rides to a destination in their city. Earlier in the year the
founders had attended the inaugural address in Washington, D.C. and could not hail a taxi.
They recognized the need for a convenient, low-cost transportation service. This innovative
service was originally founded.
2 postsRe Topic 2 DQ 1Social determinants of health are fac.docxherminaprocter
2 posts
Re: Topic 2 DQ 1
Social determinants of health are factors affecting peoples’ health, functioning and well-being, such as environmental conditions, social, and economic variables. Socioeconomic environmental factors contributing to infectious disease occurrence include crowding, unsanitary, unavailability of uncontaminated foods and water. These conditions provide an environment required for continuous chain of infection; the process required for transmission of disease. There are 6 components in the chain, or a cycle, of infection: organisms, reservoir, portal of exit, transmission, portal of entry, and a suspectable host (Green, 2018). To stop spreading of a communicable disease, the process has to interrupted or the chain of infection has to be broken at any point. Nurses, working in communities can decrease of the infectious diseases spreading. Promoting vaccination to lowering susceptible hosts number; and educating on sign and symptoms for early self-isolation to protect one’s family members from getting sick, breaking the transmission link. Educating on thorough hand hygiene and reducing face touching may protect one from getting sick eliminate portal of entry link. Proper respiratory hygiene, such as using disposable tissues and covering the mouth when sneezing, may stop the transmission on the stage of the pathogen leaving the reservoir via portal of exit (CDC.gov).
Noncommunicable chronic diseases, such as type 2 diabetes, have grown in endemic and epidemic proportions, are developing from a combination of determinants including environmental, physiological, and behavioral factors, additionally to genetic disposition (Green, 2018). Lack of knowledge and motivation, unavailability of healthcare services and financial resources contribute to developing of such diseases.q
.
2 peer responses due in 4 hoursMALEETAS POSTWorld War .docxherminaprocter
2 peer responses due in 4 hours
MALEETA'S POST:
World War II film
Saving Private Ryan (1998), directed by one of my favorites,
Steven Spielberg, is what I the topic my topic of week five’s discussion. This film is like no other World War II film that I have seen because of the realistic combat. I found myself getting overwhelmed, covering my eyes, and getting sick to my stomach from time to time through the movie. From the very beginning of the film on Omaha Beach, the D-Day landing scene gave me a glimpse of how the stress of combat experience could have felt.
Movie-watchers do not think about how the color scheme plays a significant part and sets different tones. The muddy browns, dark greens, and greys are the predominant colors throughout the movie. This movie does not have many vibrant, happy colors, and for a good reason. For instance, in
Saving Private Ryan
, the Normandy landing scene opens slowly to a beach. The setting is solemn, and the continuous color scheme of bland greys is an excellent cinematography piece. I felt like it made the red blood colors and the explosion colors stand out even more. Also, almost every shot was dreary and had vintage-like colors that gave the feeling of war and hopelessness. There was a part in this scene when the soldiers were near water that contrasted the typically dreary colors with a calming blue hue. The change of color gave me some hope that it may be safer under the surface, and then those hopes were instantly shattered when shots were fired, and red clouds pierced through the calming blue colors punishing me for even thinking there was any hope approaching the soldiers. This is an excellent mise-en-scene because it represented my change of emotions.
Another color paly example is in the scene where “Duty” is talking and joking as the crew marches toward their mission. Throughout this scene, the conversation is more cheerful, but the lighting and colors of grey and green continue to give a gloomy narrative, so my mood does not change much.
Saving Private Ryan has the same dull, dreary colors and low-key lighting, which looks dark and intensifies the shadows as the other War films in Week Five’s content. The desaturation of color is often used in war films.
Saving Private Ryan’s narrative, editing, camera movement, and color scheme throughout the movie jumped out of the screen and attacked me as a viewer. Every part of its cinematography placed the watcher in the combat experience, and I loved it in a good but bad way.
COLIN'S POST:
The war film I watched for this week was
1917 (2019)
directed by Sam Mendes. This film takes place during World War I and follows two British soldiers throughout most of the movie. This film is unique because it is shot as a "one shot film" where the director uses lighting and different angles with very few cuts to give a continuous feeling throughout the entire film. It gives audiences a more connected feeling as it seems like the scenes never end.
2 Pages for 4 questions below1) Some say that analytics in gener.docxherminaprocter
2 Pages for 4 questions below
1) Some say that analytics in general dehumanize managerial activities, and other say they do not. Discuss arguments for both point of view.
2) What are some of the major privacy concerns in employing intelligent systems on mobile data?
3) Identify some cases of violations of user privacy from current literature and their impact on data science as a profession.
4) Search the internet to find examples of how intelligent systems can facilitate activities such as empowerment, mass customization, and team work.
Reflection paper 3 Pages
What has been significant about this course that will help you perform data science tasks in the future.
Please refer to at least
2 items
in the course content that really stood out to either positive or negative.
.
2 Ethics Session 1.pptxEthics in Engineering Pra.docxherminaprocter
2 Ethics Session 1.pptx
Ethics in Engineering Practice
MET 2711
1
This Photo by Unknown Author is licensed under CC BY-NC-ND
What is Engineering?
Engineers concern themselves with:
“the art of the practical application of scientific and empirical knowledge to the design and production or accomplishment of various sorts of constructive projects, machines and materials of use or value to man.”
“Value is not necessarily measured by an economic yardstick; the ancient pyramids and not a few structures since are of slight economic worth, while their value in terms of faith and beauty has often been considerable.”
2
Socrates on Ethics
Ethics are the norms by which acceptable and unacceptable behavior are measured.
According to Socrates, one develops ethics through maturity, wisdom and love.
Introduced the concept of teaching ethics and acceptable standards of conduct in 400 B.C.
Believed virtue was found primarily in human relationships, love and friendship, not through material gains.
3
https://classroom.synonym.com/what-were-socrates-beliefs-on-ethics-12084753.html
This Photo by Unknown Author is licensed under CC BY-NC-ND
A Brief Look at Engineering Projects Through the Ages
4
Roman Aquaducts
Contributed to the health and welfare of the society
Provided 200 million gallons of clean running water and plumbing to individual structures daily (200 gallons per person)
Supported economic activity
Allowed city of Rome to grow to approximately 1 million people
312 BCE to 500 AD
5
This Photo by Unknown Author is licensed under CC BY-SA
Santa Maria del Fiori (Florence Basilica)
Earliest and largest free-standing dome
Built as Europe recovered from the Black Plague, which killed approximately 1/3 of the population
An example of a project that reflected optimism for the future (faith and beauty)
Design competition in 1423
Brunelleschi proposes unique design, but contract requires him to share project responsibilities with Ghiberti
Brunelleschi had lost prior design competition to Ghiberti
6
This Photo by Unknown Author is licensed under CC BY-NC-ND
https://www.khanacademy.org/humanities/renaissance-reformation/early-renaissance1/sculpture-architecture-florence/v/brunelleschi-dome-of-the-cathedral-of-florence-1420-36
Santa Maria del Fiori (Florence Basilica)
Designs unique dome requiring no scaffolding. Uses brick in herringbone pattern to distribute weight out and down.
Includes a series of horizontal chains to keep structure from expanding outward
When time to install chains, Brunelleschi claims to be ill, so Ghiberti starts chain installation (without full details from Brunelleschi)
Brunelleschi “recovers” and criticizes the work, saying it will all have to be re-done
Setting up his fellow architect to fail (dishonorable conduct)
7
This Photo by Unknown Author is licensed under CC BY-NC-ND
https://www.khanacademy.org/humanities/renaissance-reformation/early-renaissance1/sculpture-ar.
2 1 5L e a r n I n g o b j e c t I v e sC H A P T E R.docxherminaprocter
2 1 5
L e a r n I n g o b j e c t I v e s
C H A P T E R 8
H U M A N R E S O U R C E S
M A N A G E M E N T
They’re not employees, they’re people.
—Peter Drucker
➤ Describe the range of human resource functions in the medical practice.
➤ Appreciate the range of professionals that are found in medical practices.
➤ Articulate the steps in the hiring function.
➤ Understand regulations that are specific to the employment process.
➤ Illustrate the steps in managing change.
➤ Describe why leading change is important to medical practice management.
In t r o d u c t I o n
Healthcare employment constitutes about 9 percent of the American workforce, with about
3 percent being professionals (KFF 2016). Hiring and sustaining a high-caliber staff are
two of the most important functions of managing a physician practice. Without a prop-
erly trained and motivated staff, providing high-quality services to the practice’s patients
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EBSCO Publishing : eBook Collection (EBSCOhost) - printed on 4/7/2020 7:56 PM via SUNY CANTON
AN: 1839064 ; Wagner, Stephen L..; Fundamentals of Medical Practice Management
Account: s8846236.main.eds
F u n d a m e n t a l s o f M e d i c a l P r a c t i c e M a n a g e m e n t2 1 6
is difficult. An old saying in human resources management, “Hire for attitude, and train
for skill,” is particularly applicable today, when in the highly competitive medical practice
environment, patients have increasingly high expectations of their providers. Simply having
technical skills is not adequate to build and maintain a successful practice. Staff must be
able to engage patients in a positive and constructive way to earn their trust and satisfac-
tion. Although data seem to conflict on this point, many researchers believe engaged and
satisfied patients are more likely to comply with the instructions of their providers than are
disengaged, unsatisfied patients, leading to better outcomes (e.g., Kane, Maciejewski, and
Finch 1997). More recently, a study by Fenton, Jerant, and Bertaski (2012) found little
connection between satisfaction and clinical outcome; in fact, the researchers found that
mortality was higher, as were expenditures and utilization, among more satisfied groups.
Other authors have observed this tenuous connection as well (Kennedy, Tevis, and Kent
2014). The controversy has intensified as more physician payment is tied to patient satis-
faction. Some issues that complicate this concept are the lack of common definitions and
measures of satisfaction and the complexity inherent in defining.
2 Requirements Elicitation A Survey of Techniques, Ap.docxherminaprocter
2 Requirements Elicitation: A Survey of Techniques,
Approaches, and Tools
Didar Zowghi and Chad Coulin
Abstract: Requirements elicitation is the process of seeking, uncovering, acquir-
ing, and elaborating requirements for computer based systems. It is generally un-
derstood that requirements are elicited rather than just captured or collected. This
implies there are discovery, emergence, and development elements to the elicita-
tion process. Requirements elicitation is a complex process involving many ac-
tivities with a variety of available techniques, approaches, and tools for perform-
ing them. The relative strengths and weaknesses of these determine when each is
appropriate depending on the context and situation. The objectives of this chapter
are to present a comprehensive survey of important aspects of the techniques, ap-
proaches, and tools for requirements elicitation, and examine the current issues,
trends, and challenges faced by researchers and practitioners in this field.
Keywords: requirements, elicitation, techniques, approaches, tools, issues, chal-
lenges, trends, survey.
2.1 Introduction
The importance of requirements engineering (RE) within software systems deve l-
opment has long been established and recognized by researchers and practitioners
alike (Chapter 1). The elicitation of requirements represents an early but continu-
ous and critical stage in the development of software systems. The requirements
for a software system may be spread across many sources. These include the prob-
lem owners, the stakeholders, documentation, and other existing systems. Because
of the communication rich nature of requirements elicitation activities, many of
the effective techniques do not originate from the traditional areas of software en-
gineering or computer science research. Techniques for requirements elicitation
are derived mostly from the social sciences, organizational theory, group dynam-
ics, knowledge engineering, and very often from practical experience.
The process of requirements elicitation is generally accepted as one of the criti-
cal activities in the RE process. Getting the right requirements is considered as a
vital but difficult part of software development projects [36]. A recent field study
of fifteen RE teams carried out by Hofmann and Lehner [31] identified key RE
practices that should lead to project success. Effective elicitation of requirements
was arguably among the most important of the resulting recommended good RE
practices.
Requirements elicitation itself is a very complex process involving many activi-
ties, with multiple techniques available to perform these activities. The multi-
disciplinary nature of requirements elicitation only adds to this complexity. Elici-
tation is subject to a large degree of error, influenced by key factors ingrained in
communication problems. Despite the importance of requirements elicitation
within software development, insufficient.
Beyond Degrees - Empowering the Workforce in the Context of Skills-First.pptxEduSkills OECD
Iván Bornacelly, Policy Analyst at the OECD Centre for Skills, OECD, presents at the webinar 'Tackling job market gaps with a skills-first approach' on 12 June 2024
How to Make a Field Mandatory in Odoo 17Celine George
In Odoo, making a field required can be done through both Python code and XML views. When you set the required attribute to True in Python code, it makes the field required across all views where it's used. Conversely, when you set the required attribute in XML views, it makes the field required only in the context of that particular view.
Leveraging Generative AI to Drive Nonprofit InnovationTechSoup
In this webinar, participants learned how to utilize Generative AI to streamline operations and elevate member engagement. Amazon Web Service experts provided a customer specific use cases and dived into low/no-code tools that are quick and easy to deploy through Amazon Web Service (AWS.)
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) CurriculumMJDuyan
(𝐓𝐋𝐄 𝟏𝟎𝟎) (𝐋𝐞𝐬𝐬𝐨𝐧 𝟏)-𝐏𝐫𝐞𝐥𝐢𝐦𝐬
𝐃𝐢𝐬𝐜𝐮𝐬𝐬 𝐭𝐡𝐞 𝐄𝐏𝐏 𝐂𝐮𝐫𝐫𝐢𝐜𝐮𝐥𝐮𝐦 𝐢𝐧 𝐭𝐡𝐞 𝐏𝐡𝐢𝐥𝐢𝐩𝐩𝐢𝐧𝐞𝐬:
- Understand the goals and objectives of the Edukasyong Pantahanan at Pangkabuhayan (EPP) curriculum, recognizing its importance in fostering practical life skills and values among students. Students will also be able to identify the key components and subjects covered, such as agriculture, home economics, industrial arts, and information and communication technology.
𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐍𝐚𝐭𝐮𝐫𝐞 𝐚𝐧𝐝 𝐒𝐜𝐨𝐩𝐞 𝐨𝐟 𝐚𝐧 𝐄𝐧𝐭𝐫𝐞𝐩𝐫𝐞𝐧𝐞𝐮𝐫:
-Define entrepreneurship, distinguishing it from general business activities by emphasizing its focus on innovation, risk-taking, and value creation. Students will describe the characteristics and traits of successful entrepreneurs, including their roles and responsibilities, and discuss the broader economic and social impacts of entrepreneurial activities on both local and global scales.
This presentation was provided by Rebecca Benner, Ph.D., of the American Society of Anesthesiologists, for the second session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session Two: 'Expanding Pathways to Publishing Careers,' was held June 13, 2024.
SWOT analysis in the project Keeping the Memory @live.pptx
1Respond to 2 people. Heidi and Pearl, by suggesting additiona.docx
1. 1
Respond to 2 people. Heidi and Pearl, by suggesting additional
patient factors that might have interfered with the
pharmacokinetic and pharmacodynamic processes of the patients
they described. In addition, suggest how the personalized plan
of care might change if the age of the patient were different
and/or if the patient had a comorbid condition, such as renal
failure, heart failure, or liver failure.
Heidi
Week 1 Discussion
Top of Form
It is important when prescribing medication to consider a
patient’s medical history and current medication regimen. The
way that a patient responds depends on numerous factors that
all need considered to provide safe care.
Patient Case
At a previous job I worked in the surgical department of a rural,
critical access hospital. We had an orthopedic surgeon who
performed numerous joint replacements each week. As with
almost any surgery, patients need to stop anticoagulation
therapy at least five days prior to the procedure unless
otherwise indicated by the cardiologist. We had a female
patient with a history of atrial fibrillation and pulmonary
embolism, taking coumadin, scheduled for a knee replacement.
Our protocol in surgery was to have patients hold anticoagulants
five days prior to surgery after consulting the cardiologist,
getting cardiac clearance, and orders for holding anticoagulants
if permitted to do so.
Pharmacokinetic/Pharmacodynamic Processes
Coumadin is quick to be absorbed and has a half life of
1.5-2 days (Rosenthal & Burchum, 2018, p. 460). The way that
2. coumadin works in the body is by blocking the vitamin k
dependent clotting factors (RxList, n.d.). The patient described
needed to be on anticoagulant therapy for prevention of blood
clots, but for surgical purposes could be dangerous to continue.
The patient was relatively healthy with no comorbidities other
than the atrial fibrillation and history of a prior pulmonary
embolism. The patient’s kidney function was good, her PT/INR
were in therapeutic range, and she was in her mid 50’s. This
patient did have decreased mobility, which is why she was
undergoing a total knee replacement, which put her at risk
postoperatively for a DVT or embolism.
Personalized Plan of Care
The first plan of care that I would address is to obtain
cardiac consultation and clearance by the patient’s cardiologist.
I would plan care based on their recommendations on how long
to hold anticoagulant therapy. One option would be to dose the
patient with a Lovebox bridge, that is short acting, so that they
can still have some type of anticoagulant in their system and it
won’t affect the surgical procedure. Atrial fibrillation is a
major factor that increases the risk for a blood clot (Douketis &
Lip, 2019). Interruption of anticoagulant therapy could be
dangerous for a person with atrial fibrillation. Collaboration
with anesthesiologist, cardiologists, and surgeons is needed for
best practice consideration for holding anticoagulants. A
decrease in mobility is another consideration. Patients who
undergo joint replacement are less mobile than others.
Anticoagulants should be started as soon as they can be safely
administered after the procedure to reduce the risk of clot
formation. Other non-pharmacological interventions are SCD
sleeves during surgery and starting physical therapy quickly
after surgery.
References
Douketis, J. D., & Lip, G. Y. (2019, May 21). UpToDate.
Retrieved from
https://www.uptodate.com/contents/perioperative-management-
of-patients-receiving-anticoagulants
3. Rosenthal, L. D., & Burchum, J. R. (2018). Lehne's
Pharmacotherapeutics for advanced practice providers. St.
Louis, MO: Elsevier.
RxList. (n.d.). Coumadin (Warfarin sodium): Uses, dosage, side
effects, interactions, warning. Retrieved from
https://www.rxlist.com/coumadin-drug.htm#clinpharm
1 day ago
PEARL E
Discussion 1
COLLAPSE
Top of Form
Pharmacodynamics and
Pharmacokinetics
Healthcare providers need to know pharmacokinetics and
pharmacodynamics of medications and the effects they have on
patients. Drugs can have many effects reaction to the body. The
relationship between the drug and the body is that the body
affects the drugs and the drug affects the body.
Pharmacodynamics is how the drug initiates its therapeutic or
toxic effects at the cellular and systemic levels and
pharmacokinetic is the process through which the drug is
absorbed, distributed and eliminated from the body (Arcangelo,
Peterson, Wilburg, & Reinhold, 2017).
Scenario of selected patient
Mrs. Fisher, an 80-year-old patient was admitted to the hospital
for a fall. Prior to the fall, she has been having diarrhea from a
course of antibiotics for urinary tract infection treatment. Pt
was unable to rest at night due to her frequent diarrhea. Her
caregiver stated that Mrs. Fisher took one tablet of Benadryl to
help her sleep at night and requested for more sleeping
medication be given to her at night. Ambien 5mg one tablet by
mouth, at bedtime was prescribed by the provider. Patient was
also given hydrocodone 5/325 mg to help with her pain from
fall. Ambien was given the first night it was ordered. On the
4. second night of taking the medication, patient started showing
some side effects which may be from the medicine. Mrs. Fisher
became agitated, confused and combative. The provider was
notified of the patient’s confusion and agitation and all
medication patient took while in the hospital. The provider
ordered Ativan 0.5mg to be given intravenously to help with
agitation. Mrs. Fisher after getting the Ativan 0.5mg ordered
seems like it made her agitation worse.
Factors influencing pharmacokinetics and pharmacodynamics
Healthcare providers need to apply the knowledge of
pharmacokinetics to drug therapy which will help to maximize
beneficial effects while minimizing harm (Rosenthal &
Burcham, 2018). Many factors influence the pharmacodynamics
and pharmacokinetics of medications, including the patients
age, gender, and actions. The Food and Drug Administration
recommends the dose of Ambien for geriatric women to be 5mg
for immediate release and 6.25mg for Ambien CR extended
release (Ulrich, 2009). Side effects from Ambien can present as
sleepwalking, sleep driving, increased falls, disorientation,
anxiety, and delirium which is most common with elderly
(Rosenthal & Burcham, 2018). Mrs. Fisher took both
hydrocodone, Ativan and Ambien. The interaction between
these medications could have easily caused her increased
confusion and agitation. According to Markota, Rummans,
Bostwick, and Lapid (2016), the American Geriatrics Society
has placed all benzodiazepines in the list of drugs that should
be discouraged in patients over the age of 65. This is due to
older adults have increased sensitivity to benzodiazepines and
reduced metabolism of long acting agents, resulting in an
enhanced danger of cognitive impairment, delirium, falls,
fractures and car accidents. American Geriatric society also
recommends long acting benzodiazepines such as Xanax instead
of short acting such as Ativan if they must be prescribed
(Markota et al., 2016).
Plan of care. Nonpharmacological techniques such as removing
background noise should be encouraged to relieve anxiety and
5. encourage sleep in the elderly. Pain management should be
adequately treated to reduce discomfort. Arcangelo et al.
(2017), recommends Haldol over any benzodiazepines due to
drugs such as valium could have a half-life of about 70 hours in
the elderly. It is recommended to give psychoactive medications
for the behavioral disturbance resulting from the somatic
conditions, such as aggressiveness only for a limited time.
Home medications also needs to be considered in other to
address polypharmacy which is very common with the older
population.
Conclusion
When caring for the elderly, the providers needs to understand
the physiological changes that occur in the body. It is important
to review medications that are prescribed to the patient before
prescribing anything new. Patient education is key to providing
care. The patient and family must understand the need to
bringing all their medications or list of all patient’s medications
to all medical appointments. Teaching must also be provided
for the patient to report any changes, signs or symptoms that
can be seen in new medications.
References
Arcangelo, V. P., Peterson, A. M., Wilburg, V., & Reinhold, J.
A. (2017). Pharmacotherapeutics
For Advanced Practice: A Practical Approach. (4th Ed.).
Wolters Kluwer Lippincott
Williams & Wilkins.
Markota, M., Rummans, T. A., Bostwick, J. M., & Lapid, M. I.
(2016). Benzodiazepine use in
Older adults: Dangers, management, and alternative
therapies. Mayo Clinic Proceedings,
91(11), 1632-1639.
Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s
pharmacotherapeutics for advanced practice
Providers. St. Louis, MO: Elsevier.
Ulrich, K. (2009). Pharmacokinetics and drug metabolism in the
elderly. Drug Metabolism
6. Reviews, 41(2), 67-76.
Bottom of Form
NR328 Pediatric Nursing
RUA: Ethical Dilemma Assignment Guidelines
1
Purpose
For this assignment, you will examine an ethical dilemma that
exists in pediatric settings. You will examine the ethical
dilemma from two opposing positions and consider ethical
principles, conflict between the principles and the
relationship of the ANA Code of Ethics in relation to both
positions. You will also discuss potential resources,
possible outcomes of both positions and develop a plan for
resolving the issue (for patient, family and the nurse).
Your team will then present this information in class with a
PowerPoint grounded in scholarly sources. You will also
submit individual speaker notes describing your assigned part
and reflection on your values.
Course outcomes: This assignment enables the student to meet
the following course outcomes:
1. Provides individualized comprehensive care for children and
their families with multiple health problems in
institutions and community care settings from birth through
adolescence. (PO 1)
4. Utilizes critical thinking skills in clinical decision making in
7. the care of pediatric clients. (PO 4)
6. Utilizes legal, ethical, and professional standards and
principles, including those related to child abuse recognition
and intervention, as a basis for pediatric clinical
decision‐making. (PO 6)
8. Utilize research findings as a basis for nursing interventions
in pediatric healthcare settings and the development of
professional nursing papers. (PO 8)
Preparing the assignment
Follow these guidelines when completing this assignment.
1) An ethical dilemma with opposing positions of Organ
Donation. (You are presenting both sides of the dilemma.
Then tell in the final slide about what your resolution would
be.)
2) A PowerPoint will be created with rule of 7 (No more than 7
words per line and no more than 7 lines per slides).
And then write a little speech to go along with each slide in the
note section.
3) Although you may not agree with one of the positions, reflect
on your views, respect other perspectives, and
examine scholarly literature on both positions.
a. Description of the dilemma
• Performs preliminary research on the assigned ethical dilemma
and describes the dilemma. Clearly
identifies both positions grounded in scholarly literature.
b. Ethical Principles and ANA Code of Ethics Provisions
• Determines the ethical principles that apply to each position,
possible conflicts in principles, and
8. components of the ANA Code of Ethics that apply using three
(3) Provisions. Supports ideas with scholarly
literature.
c. Resources to resolve the dilemma
• Describes resources to resolve the dilemma and describes how
each resource could help to resolve the
dilemma. Supports ideas with scholarly literature.
d. Possible outcomes and plan for resolving the issue
• Discusses possible outcomes of both positions. Presents a plan
for resolving the issue (for patient, family
and the nurse). Supports ideas with scholarly literature.
4) Include citations and references. Make sure to put citations
on your slides as well.
5) Complete and submit speaker notes and a reflection of own
values and morals as it relates to the ethical dilemma.
6) Use this link to take you directly to the ANA website to
access the Code of Ethics. When prompted, choose “No I
do not wish to register at this time. Take me to the Code now.”
https://www.nursingworld.org/practice-
policy/nursing-excellence/ethics/code-of-ethics-for-nurses/
7) For APA, formatting, or grammar assistance visit the APA
Citation and Writing page in the online library.
8) Adhere to the time limit of 15 minutes.
Instructions:
_Topic for this group project is Organ Donation.
_There are 9 required criteria for the team presentation. but
please work on 5 and 9 only (Please see the
Required Criteria on page 4, under the Grading Rubric for more
9. details). Do not forget to incorporate
references for each section.
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2
• Description of the dilemma is clear and includes statistical
significance to Pediatric nursing.
• Both positions of the dilemma are presented crediting
supporting scholarly sources.
• Appropriate ethical principle(s) to support each position are
used.
• Consideration of which, if any, ethical principles are in
conflict with the opposing positions.
• Three (3) provisions of the ANA Code of Ethics that apply to
the ethical dilemma are used.
• Present all pertinent resources available to resolve the
dilemma.
• Explain how resources could help in resolving the dilemma.
• Discuss possible outcomes of each position.
• Present a plan for resolving the issue.
• APA citations throughout.
a. References are submitted with assignment.
b. Uses current APA format and is free of errors.
c. At least three (3) scholarly, nursing, peer reviewed, primary
sources from the last 5 years, excluding the
textbook, are provided
10. d. One (1) scholarly source must be the ANA Code of Ethics
Provisions and each position must be supported by a
scholarly source.
https://www.nursingworld.org/practice-policy/nursing-
excellence/ethics/code-of-ethics-for-nurses/
https://www.nursingworld.org/practice-policy/nursing-
excellence/ethics/code-of-ethics-for-nurses/
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NR328 Pediatric Nursing
RUA: Ethical Dilemma Assignment Guidelines
4
Grading Rubric
11. Criteria are met when the student’s application of knowledge
demonstrates achievement of the outcomes for this assignment.
Assignment Section and Required
Criteria
(Points possible/% of total points available)
Highest Level
of
Performance
High Level of
Performance
Satisfactory
Level of
Performanc
Unsatisfacto
ry Level of
Performanc
Section
not
present
Professionalism
(5 points/5%)
12. 5 points 4 points 3 points 2 points 0 points
Required criteria
1. Team members are professionally dressed.
2. Team is introduced and assigned roles are identified prior
to starting the presentation.
3. Full group participation.
4. Respectful and professional language is used throughout
the presentation.
5. Adhere to the time limit of 15 minutes.
Includes no fewer
than 5
requirements for
section.
Includes no fewer
than 4
requirements for
section.
Includes no less
than 3 requirement
for section.
Includes no
less than 2
requirement
for section.
Includes 1 or no
requirements
for section.
13. Team Presentation
(50 points/50%)
50 points 40 points 30 points 20 points 0 points
Required criteria
1. Description of the dilemma is clear and includes statistical
significance to Pediatric nursing.
2. Both positions of the dilemma are presented crediting
supporting scholarly sources.
3. Appropriate ethical principle(s) to support each position
are used.
4. Consideration of which, if any, ethical principles are in
conflict with the opposing positions.
5. Three (3) provisions of the ANA Code of Ethics that apply
to the ethical dilemma are used.
6. Present all pertinent resources available to resolve the
dilemma.
7. Explain how resources could help in resolving the dilemma.
8. Discuss possible outcomes of each position.
9. Present a plan for resolving the issue.
Includes no fewer
than 9
requirements for
section.
Includes no fewer
than 8
requirements for
14. section.
Includes no fewer
than 7 requirements
for section.
Includes no
fewer than 6
requirements for
section.
Includes 5 or
fewer
requirements
for section.
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NR328 Pediatric Nursing
RUA: Ethical Dilemma Assignment Guidelines
5
Team Presentation (15 points/15%) 15 points 10 points 7 points
5 points 0 points
Required criteria
1. Full names of all team members included and team
15. member initials are present in the assigned sections.
2. Content is presented clearly and scholarly.
3. Citations included for each section.
4. PowerPoint includes sections for title, dilemma
description, Statistical significance, Ethical principles,
Applicable ANA Code of Ethics Provisions, Resources
to resolve dilemma, Potential outcomes of the
dilemma, Plan for resolving the dilemma, Key Points,
and References.
Includes no fewer
than 4
requirements for
section.
Includes no fewer
than 3
requirements for
section.
Includes no fewer
than 2 requirements
for section.
Includes no less
than 1
requirements for
section.
No
requirements
for this section
presented.
Speaker Notes and Reflection
16. (20 points/20%)
20 points 15 points 10 points 5 points 0 points
Required criteria
1. Title page with assigned individual part identified.
2. Citations throughout.
3. Ideas presented clearly.
4. At least two (2) sources used to support work.
5. Reference page.
6. Reflection of own values and morals.
Includes no fewer
than 6
requirements for
section.
Includes no fewer
than 5
requirements for
section.
Includes no fewer
than 4 requirements
for section.
Includes no fewer
than 3
requirements for
section.
Includes 2 or
fewer
requirements
for section.
17. Poster APA Style and Organization
(10 points/10%)
10 points 8 points 6 points 4 points 0 points
1. References are submitted with assignment.
2. Uses current APA format and is free of errors.
3. Grammar and mechanics are free of errors.
4. At least three (3) scholarly, peer reviewed, primary
sources from the last 5 years, excluding the textbook,
are provided
5. One (1) scholarly source must be the ANA Code of Ethics
and each position must be supported by a scholarly
source.
Includes no fewer
than 5
requirements for
section.
Includes no fewer
than 4
requirements for
section.
Includes no fewer
than 3 requirements
for section.
Includes 1‐2
requirements for
section.
No