Best Writer

The purpose of this assignment is to examine the foundational principles of medical ethics and the role of patient autonomy and wants in the delivery of health care.
Read “The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research,” “The Nuremberg Code 70 Years Later,” and “WMA Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Subjects,” all located in the Study Materials.
Create a 10–15 digital slide presentation that could be shared with other health care professionals. The presentation should address the significance of human dignity, autonomy, patient advocacy, professional responsibility, and informed consent, and address the following:
Describe the concepts of human dignity, autonomy, patient advocacy, professional responsibility, and informed consent.
Discuss the Nuremberg Code and the Declaration of Helsinki and summarize the events that led up to the development of ethical guidelines for conducting human clinical trials, including Institutional Review Boards (IRB).
Describe three examples of ways “The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research” works to protect special populations (e.g., minors, prisoners, persons with mental illness).
Explain the importance of preserving the integrity and human dignity in the care of all patients.
Discuss ethical and professional standards as they relate to legal, regulatory, and accreditation compliance within one’s scope of practice.
Explain the rights of the individual while practicing ethical behavior and moral decision-making when resolving ethical dilemmas.
Title slide, reference slide, and presenter’s notes.

Discussion Post 4-Urinary and Reproductive
Case Study 1
Acute kidney injury (AKI) is an abrupt onset of renal dysfunction affecting kidney structure and function, which results in the minor loss of function of the kidneys. Approximately two-thirds of all acute kidney injury cases occur before hospitalization characterizing it as a community-acquired condition. It is associated with acute illness, chronic diseases, aging, and medications (Vicary et al., 2020). Other causes of AKI include volume deficits, sepsis, and nephrotoxic drugs (Dlugasch & Story, p. 322, 2020).
Types of acute kidney injury and clinical manifestations
There are three types of AKI: prerenal, intrarenal, and postrenal. The most common cause of AKI is prerenal disorders and acute tubular necrosis. The mortality rate of AKI is 10-60% determinate of the underlying etiology (Dlugasch & Story, p. 323, 2020). Prerenal AKI occurs because of inadequate renal perfusion associated with volume depletion. Diarrheal illnesses, insufficient fluid intake, heart failure, and decompensated liver disease contribute to volume depletion (Gaut & Liapis, 2020). It is generally reversible, not causing permanent damage unless the depleted profusion is prolonged and severe, as this can cause urine output of less than 500mL per day (Malkina, 2022). Manifestations in Mr. J.R.’s case associated with prerenal AKI include continued frequent diarrhea, vomiting, fever, and intolerance of solid foods and liquids.
Intrarenal AKI may be caused by a number of different diseases, some of which are vascular, glomerular, and tubulointerstitial, causing intrinsic kidney disease or damage. The most common causes included acute tubular necrosis, glomerulonephritis, and nephrotoxins (Malkina, 2022). Postrenal AKI occurs when there is urinary flow obstruction that is either unilateral or bilateral such as hydronephrosis, calculi, or kidney inflammation, also known as pyelonephritis (Gaut & Liapis, 2020). The most common cause of urinary flow obstruction is bladder outlet obstruction due to an enlarged prostate (Malkina, 2022).
Risk factors
In the case study of Mr. J.R., he is likely experiencing prerenal acute kidney injury related to the acute illness and volume depletion caused by the vomiting and diarrhea in the last forty-eight hours. Possible risk factors include ischemia, volume depletion, sepsis, hypotension, absence of enteric oxalate-degrading bacteria (Oxalobacter formigenes), and aspergillosis and drugs such as Orlistat and Praxilene (Gaut & Liapis, 2020). Risk factors associated with Mr. J.R. include vomiting, nausea, diarrhea, and fever as it creates fluid and electrolyte depletion from the gastrointestinal system. Dehydration and low blood pressure may occur due to the loss of fluids experienced. Chronic kidney disease (CKD) occurs gradually and is the irreversible loss of kidney function. As renal function declines, associated complications worsen.
Complications on the hematologic system & pathophysiology
Some complications that may occur are problems with coagulopathy, where there is a prolonged bleeding time related to abnormal aggregation and platelet dysfunction. Decreased platelet counts are seen in patients with CKD. There is an increased risk of thrombosis, and petechiae may be present (Dlugasch & Story, p. 326, 2020). Iron deficiency anemia is common in CKD patients with bone marrow suppression and red blood cell destruction.
Intravenous treatment for iron deficiency is best as oral iron absorption is hindered (Dlugasch & Story, p. 326, 2020). In CKD, the patient is experiencing intraglomerular pressure inside the kidney, which destroys the nephrons inside the kidney. Thus, resulting in progressive damage and reduced function of the kidneys. CKD can progress to ESRD (end-stage renal disease), which is fatal without dialysis or a kidney transplant (Akchurin, 2019).
Case Study 2- probable diagnosis, microorganism, & why
The most probable diagnosis for Ms. P.C. is gonorrhea with associated pelvic inflammatory disease (PID). Gonorrhea is caused by an aerobic bacterium called Neisseria gonorrhoeae and is gram-negative. It is the second most prevalent bacterial sexually transmitted infection (STI), with eighty-seven million new gonorrhea infections globally (Oree et al., 2021). Approximately ten to twenty percent of women with gonorrhea have PID, with Neisseria gonorrhoeae being the causative organism in 40% of PID cases (Goje, 2021). Although gonorrhea is often asymptomatic, symptoms may appear within 2-10 days after exposure to the infection. These symptoms can vary by gender and the anatomical site of infection (Alturki et al., 2020).
Some symptoms may include vaginal discharge, abdominal/pelvic pain, cervicitis, and heavy intermenstrual bleeding. It is important to note that the absence of symptoms does not necessarily mean there is no infection; however, it could mean the presence of a constant infection (Alturki et al., 2020). Ms. P.C.’s possible exposure was eight days ago, with symptoms present the last two days. She complains of foul smelly, purulent, greenish-yellow vaginal discharge that is heavy, lower abdominal pain, nausea, and vomiting. Given the onset of symptoms and patient complaints, it is supportive of a diagnosis of gonorrhea and PID.
If gonococci are seen on a microscopic examination using gram stain, culture, or a nucleic acid-based test, then a diagnosis of gonorrhea is made. The exam consists of evaluating genital fluids, blood, or joint fluids. Nucleic acid amplification tests (NAATs) are the gold standard for testing and can be used for each anatomical site with the ability to detect gonorrhea and chlamydia. This is important because many cases are usually positive for both (Morris, 2020). The recommended treatment of uncomplicated gonorrhea in the United States is a single dose of ceftriaxone 500mg intramuscular (IM) and doxycycline 100 mg orally two times a day for seven days for chlamydial infections that have not been excluded (CDC, 2021).
Hospitalization criteria
Hospitalization is indicated for complicated gonorrhea, which is identified by the presence of disseminated gonococcal infection (DGI) or gonococcal arthritis (CDC, 2021). DGI is confirmed with the aspiration and testing of joint fluid for synovial fluid testing is more accurate than blood cultures. Risk factors for DGI are female sex, pregnancy, menstruation, and terminal complement deficiency. Initial treatment should include hospitalization and consultation with an infectious disease specialist, especially for those who may not adhere to treatment, have an uncertain diagnosis, or have purulent synovial effusions or other complications. A clinical examination for endocarditis and meningitis should be carried out (CDC, 2021).
The recommended treatment is ceftriaxone 1 gram IM or intravenously (IV) every twenty-four hours, ceftizoxime 1 gram IV every eight hours, or cefotaxime 1 g IV every 8 hours (Morris, 2020). This treatment is to be continued for 24-48 hours until symptoms begin to resolve, then oral therapy should be initiated for a minimum of seven days. The oral antibiotic given will be based on the results of antimicrobial susceptibility testing (Morris, 2020). All gonorrhea cases, uncomplicated and complicated, should be complemented with treatment for a chlamydial infection if it has not been ruled out. Treat chlamydia with doxycycline 100 mg orally two times a day for seven days (CDC, 2021). Abstaining from sexual activity until treatment is complete to avoid transmission to partners or reinfection.
References
Akchurin, O. M. (2019). Chronic kidney disease and dietary measures to improve outcomes. Pediatric Clinics of North America, 66(1), 247–267. https://doi.org/10.1016/j.pcl.2018.09.007
Alturki, Y. D., Albalawi, S. M. S., Alyami, B. A., Alahmari, S. A. M., Al Hashim, A. A., Jokhaideb Alalyani, N. S., Alqahtani, D. S. F., Saeedi, S. S., Aljehani, S. M., & Ali Hakami, K. A. (2020). An overview on gonorrhea diagnosis and management in primary health care centre. International Journal of Pharmaceutical Research & Allied Sciences, 9(4), 77–80.
CDC. (2021). Gonococcal infections among adolescents and adults – STI treatment guidelines. Centers for Disease Control and Prevention. Retrieved January 30, 2022, from https://www.cdc.gov/std/treatment-guidelines/gonorrhea-adults.htm
Dlugasch, L., & Story, L. (2020). Applied pathophysiology for the advanced practice nurse (1st ed.). Jones & Bartlett Learning.
Gaut, J. P., & Liapis, H. (2020). Acute kidney injury pathology and pathophysiology: A retrospective review. Clinical Kidney Journal, 14(2), 526–536. https://doi.org/10.1093/ckj/sfaa142
Goje, O. (2021, April). Pelvic inflammatory disease (PID). Merck Manuals Professional Edition. Retrieved January 30, 2022, from https://www.merckmanuals.com/professional/gynecology-and-obstetrics/vaginitis,-cervicitis,-and-pelvic-inflammatory-disease-pid/pelvic-inflammatory-disease-pid
Malkina, A. (2022, January). Acute kidney injury (AKI). Merck Manuals Professional Edition. Retrieved January 30, 2022, from https://www.merckmanuals.com/professional/genitourinary-disorders/acute-kidney-injury/acute-kidney-injury-aki
Morris, S. R. (2020, December). Gonorrhea. Merck Manuals Professional Edition. Retrieved January 30, 2022, from https://www.merckmanuals.com/professional/infectious-diseases/sexually-transmitted-diseases-stds/gonorrhea
Oree, G., Naicker, M., Maise, H. C., Tinarwo, P., & Abbai, N. S. (2021). Antimicrobial susceptibility patterns in neisseria gonorrhoeae isolated from south African pregnant women. Infectious Diseases in Obstetrics and Gynecology, 2021, 1–6. https://doi.org/10.1155/2021/6684680
Vicary, D., Hutchison, C., & Aspden, T. (2020). Avoiding acute kidney injury in primary care: attitudes and behaviours of general practitioners and community pharmacists in Hawke’s Bay. Journal of Primary Health Care, 12(3), 244. https://doi.org/10.1071/hc19106

To prepare you for the Community Engagement Project (see assignment description under Week 3 or here: Community Engagement Project Description), find at least two online sources to research the culture you’ve decided study. For example, if you’re attending a festival, it might be interesting to learn about the history of the festival. Or if you’re visiting a museum, you may want to look into its purpose statement, or main theme of the exhibits.
In 200-300 words, draw from your research and describe the cultural history, background, traditions, beliefs, and/or values associated with your chosen culture. You may also reflect on your expectations, assumptions, thoughts, and feelings as you prepare to attend the event. This research and background information will be needed for the Community Engagement Project report due at the end of Week 5.
Provide links to the online sources you use. You will need to integrate one outside source when you write the final report and include the source’s APA citation on the reference page.

Assignment Description:
For this assignment, you will create a PowerPoint presentation based on the details below.
Select two (2) nursing cultural theories or models and one (1) non-nursing theory or model. One of the nursing theories/models must include Madeleine Leininger’s Sunrise Model or Culture Care Diversity and Universality theory. The other theory/model should be a self-assessment model, and the third one should be a model that focuses on enhancing communication in building cultural competence.
Create a PowerPoint presentation that discusses the theories or models, including how you can utilize each model to improve your cultural competence skills.
Your presentation should be at least 15 slides (not including title, objectives, and references slides) with detailed notes for each slide that addresses each of the points/questions. Audio recording is required. Be sure to handle all the points thoroughly. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Include at least three (3) graphics. Support your content with citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end.

Start by reading and following these instructions:
Study the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.
Consider the discussion and the any insights you gained from it.
Review the Assignment Rubric and the specifications below to ensure that your response aligns with all assignment expectations.
Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling, and review the rubric.
The following specifications are required for this assignment:
Length: at least 15 slides; slide content must thoroughly address the theory/model in a clear, concise manner. Audio is required.
Structure:
Title slide and reference slides in APA style.
First theory/model: 5 slides
Second theory/model: 5 slides
Third theory/model: 5 slides
References: Use the appropriate APA style in-text citations and references for all resources to answer the questions. Include at least three (3) scholarly sources to support your claims.
Format: Save your assignment as a Microsoft PowerPoint document
File Name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module1.pptx”)

Utilizing one of the internet search engines, find an organization that has recently been forced to increase or decrease capacity dramatically to align with customer demand. Discuss specifically the key drivers for the change in demand along with the steps that were taken and the expected impact. Be sure to provide any URLs you used as a reference source for your answer. The selected article must provide well-rounded information and address the topic. You must post the annotation in the reference section.

aThe purpose of this paper assignment is to have students will apply their knowledge of Jansson (2018) and CDC (2016) policy analysis and evaluation frameworks against their selected social issue, target population and applicable social policies. The student will also discuss the use of social media to promote awareness about the social issue and social policy for a vulnerable population. The students will use recent research evidence, facts, and relevant statistics to support the information presented in the paper.

Write a 2500 word minimum/10-page minimum (count does not include reference page) paper that evaluates applicable federal policies for a specific social issue. The paper should consist of the following content:

1.Selection of one contemporary social issue of national magnitude.
2.The introduction should include the identification of the target population affected by the social issue. Use of recent research evidence, facts, and relevant statistics to demonstrate the severity of the social issue and its impact on the target population.
3.Identification of two federal policies that attempt to address the social issue for the target population. Provide a comprehensive overview of the two policies. This overview should include critical background information such as the year the policy was enacted, how the policy is funded, identification of the politicians, legislatures, and stakeholders that developed the policy. Also, provide information related to individuals and groups that actively oppose the policy, including the reasons for the opposition.
4. Use Jansson (2018) and CDC (2016) policy frameworks to analyze, interpret, and summarize the benefits and limitations associated with each of the three social policies. Discuss the need to address policy gaps and deficiencies. Use recent research evidence, facts, and statistics to support your analysis and interpretation of the two policies.
Use the CDC (2016) evaluation framework to assess each policy and compare and contrast the two federal policies. Use a table to create a visual depiction of the compare and contrast of the two policies.
5. Determine and discuss which policy presents the best legislative solution to help the target population. Likewise, discuss the policy that is least likely to support the needs of the target population in the long run. The CDC policy analysis table can be used as a tool to complete this section of the paper.
6.Discuss the role of social media in providing information, advocacy, or opposition for the selected social issue and each of the social policies. Provide a recommendation to improve future social media campaigns to promote the social issue and social policy.
Include a conclusion statement recapping the key elements of the paper (items 1-7).

Some patients get better despite nursing care, not as a result of it. However, the quality of nursing care can affect patient outcomes tremendously. Do you believe that quality nursing care makes a difference in patient’s lives? Identify five (5) criteria that you would use to define quality nursing care. These criteria should reflect what you believe nurses do (nursing sensitive) that makes the difference in patient outcomes. Are the criteria that you listed measurable?

If a firm has created value, is it also always able to capture that value? How does a firm create value and then what must it be able to do to capture that value? In your answer, provide an example of a firm that has been able to create value. Then discuss whether or not you believe it has captured that value and if so how it was captured and if not why it was not able to do so.

Brickley, J., Smith, C., &
Zimmerman J. (2015). Managerial Economics
and Organizational Architecture (7th ed.). McGraw Hill;

https://www.cdc.gov/tuskegee/timeline.htm

For this assignment, you will write a one- to two-page paper in APA Style format with at least two references outlining the role of an ethically sound Institutional Review Board (IRB) at Anywhere Medical Clinic. How would an ethical IRB and researchers who followed IRB protocols protect ill-informed and nonconsenting participants like those who were part of the Tuskegee Experiment? Refer to this week’s additional resources and explore the CDC’s Tuskegee Timeline for information on the Tuskegee Experiment.

Please use terms and concepts from the course textbook as references in APA Style format to add additional context to your claims.

This is a strategic management case study. It forces the students to do a complete written strategic case and its related analysis as in the comprehensive report based on the following requirement:
The project assignment is about:
Developing A Case Study: Comprehensive Strategic Management Case of UAE-based or Regional-based (GCC) Company
A Case Study
A case study is a description of an actual administrative situation involving a decision to be made or a problem to be solved. It can be a real situation that actually happened just as described, or portions have been disguised for reasons of privacy. Most case studies are written in such a way that the reader takes the place of the manager whose responsibility is to make decisions to help solve the problem. In almost all case studies, a decision must be made, although that decision might be to leave the situation as it is and do nothing.
Proposed Assignment Strategy:
Phase I: Choose ONE case company
Identify one company that is operating in the industry you have studied. The company MUST be UAE- based or Regional-based (GCC) company. Each team should identify the current issues faced and strategy employed by the firm and appraises its internal resources and capabilities. Identify strategy applied to the company. How is the current strategy incorporating these competencies and helping the firm compete within the industry?
Evaluate the current performance of the firm. How successful has the strategy been in generating an above average financial performance for the firm over time and relation to the industry and competitors?
Phase II: Defining the Issue(s)/Problem Statement
The problem statement or issues highlights should be a clear, concise statement of exactly what needs to be addressed. This is not easy to write! The work that you did in the short cycle process answered the basic questions. Now it is time to decide what the main issues to be addressed are going to be in much more detail. Asking your team the following questions may help:
What appears to be the problem(s) here?
How do I know that this is a problem? Note that by asking this question, you will be helping to differentiate the symptoms of the problem from the problem itself. Example: while declining sales or unhappy employees are a problem to most companies, they are in fact, symptoms of underlying problems which need to address.
What are the immediate issues that need to be addressed? This helps to differentiate between issues that can be resolved within the context of the case, and those that are bigger issues that needed to addressed at a another time (preferably by someone else!).
Differentiate between importance and urgency for the issues identified. Some issues may appear to be urgent, but upon closer examination are relatively unimportant, while others may be far more important (relative to solving our problem) than urgent. You want to deal with important issues in order of urgency to keep focused on your objective. Important issues are those that have a significant effect on:
profitability,
strategic direction of the company,
source of competitive advantage,
morale of the company’s employees, and/or
customer satisfaction.
The problem statement may be framed as a question, e.g.: What should Mr. Adel do? or How can Mr. Kamal improve market share? Usually the problem statement has to be re-written several times during the analysis of a case, as you peel back the layers of symptoms or causation.
Phase III: Analysing Information
In analyzing the case data, you are trying to answer the following:
Why or how did these issues arise? You are trying to determine cause and effect for the problems identified. You cannot solve a problem that you cannot determine the cause of! It may be helpful to think of the organization in question as consisting of the following components:
resources, such as materials, equipment, or supplies, and
people who transform these resources using
processes, which creates something of greater value.
Now, where are the problems being caused within this framework, and why?
Who is affected most by this issues? You are trying to identify who are the relevant stakeholders to the situation, and who will be affected by the decisions to be made.
What are the constraints and opportunities implicit to this situation? It is very rare that resources are not a constraint, and allocations must be made on the assumption that not enough will be available to please everyone.
What do the numbers tell you? You need to take a look at the numbers given in the case study and make a judgment as to their relevance to the problem identified. Not all numbers will be immediately useful or relevant, but you need to be careful not to overlook anything. When deciding to analyze numbers, keep in mind why you are doing it, and what you intend to do with the result. Use common sense and comparisons to industry standards when making judgments as to the meaning of your answers to avoid jumping to conclusions.
Phase IV: Generating Alternatives

This section deals with different ways in which the problem can be resolved. Typically, there are many (the joke is at least three), and being creative at this stage helps. Things to remember at this stage are:
Be realistic! While you might be able to find a dozen alternatives, keep in mind that they should be realistic and fit within the constraints of the situation.
The alternatives should be mutually exclusive, that is, they cannot happen at the same time.
Not making a decision pending further investigation is not an acceptable decision for any case study that you will analyze. A manager can always delay making a decision to gather more information, which is not managing at all! The whole point to this exercise is to learn how to make good decisions, and having imperfect information is normal for most business decisions, not the exception.
Doing nothing as in not changing your strategy can be a viable alternative, provided it is being recommended for the correct reasons, as will be discussed below.
Avoid the meat sandwich method of providing only two other clearly undesirable alternatives to make one reasonable alternative look better by comparison. This will be painfully obvious to the reader, and just shows laziness on your part in not being able to come up with more than one decent alternative.
Keep in mind that any alternative chosen will need to be implemented at some point, and if serious obstacles exist to successfully doing this, then you are the one who will look bad for suggesting it.
Once the alternatives have been identified, a method of evaluating them and selecting the most appropriate one needs to be used to arrive at a decision.
Phase V: Key Decision Criteria
A very important concept to understand, they answer the question of how you are going to decide which alternative is the best one to choose. Other than choosing randomly, we will always employ some criteria in making any decision.
Phase VI: Recommendations and Conclusion
What are your recommendations for these firms? How would you change their strategies? What recommendations do you have for implementation?