Sandra, a 47-year-old divorced woman, received a diagnosis of stage 3 ovarian cancer 4 years
ago, for which she had a total hysterectomy, bilateral salpingo- oophorectomy, omentectomy,
lymphadenectomy, and tumor debulking followed by chemotherapy, consisting of cisplatin
(Platinol), paclitaxel (Taxol), and doxorubicin (Adriamycin). She did well for 2 years and then
moved back to her hometown near her family and underwent three more rounds of secondline chemotherapy. She accepted a less stressful job, bought a house, renewed old friendships,
and became more involved with her two sisters and their families.
Sandra developed several complications, including metastasis to the lungs. Then she could no
longer work, drive, or care for herself. She had been told by her oncologist that there was
nothing else that could be done and that she should consider entering a hospice. She met her
attorney and prepared an advance directive and completed her will. She decided to have
hospice care at home and, with the help of her family, set up her first floor as a living and
sleeping area. She was cared for by family members around the clock for approximately 3 days.
Sandra observed that she was tiring everyone out so much that they could not really enjoy each
other’s company. At this time, she contacted the Visiting Nurse Association (VNA) to seek
assistance. Her plan was to try to enjoy her family and friend’s visits. After assessment, the VNA
nurse prioritized her problems to include fatigue and caregiver role strain. Other potential
problem areas that may need to be incorporated into the care plan include anticipatory grieving
and impaired comfort.
Reflective Questions
1. What are some of the stresses on Sandra’s middle-aged sisters and their families?
2. What resources are available to manage these stresses and support the sisters while
caring for their dying sister Sandra?
3. Describe Sandra’s feelings about dependency and loss of autonomy because she is
unable to do her own activities of daily living any longer
Category: Essays
The role of lobbyist for an energy company.
QUESTION 1.
What do you mean when you say that you can prove something with certainty? Give a specific example of a proof from your everyday experience. Present the proof in both inductive and deductive form. Assess the validity and soundness of the arguments.
QUESTION 2
assume the role of lobbyist for an energy company.
Your organization has asked you to attend an energy conference in Washington D.C. There will be a number of U.S. Senators and Congressmen present and you realize that you will have an opportunity to influence energy policy. As such, you have reviewed several reputable sources and have gathered a number of key facts that support your organization’s position on both hydropower and nuclear generation.
Note: As an environmental activist you are seeking increased regulatory requirements, while as a lobbyist for an energy company, you are pushing for less restrictive regulation. Notably, this should not be interpreted to mean that all environmental activists want increased regulation or that all energy companies push for less regulation.
Applying your research results and indicating your assigned stance in your discussion thread’s title, post a discussion thread laying out the facts you have found. Your post should be no less than 350 words and no more than 500 words (not including the References list). Clearly convey the following:
• Two regulatory requirements, one pertaining to hydropower and one pertaining to nuclear power generation, that you wish to influence.
• How you believe these requirements should change.
• The facts that support your position, including how other countries have addressed these same issues.
• The long term benefits associated with your suggestions.
Case Study: Caregiver Role Strain: Ms. Sandra A
CASE STUDY: Caregiver Role Strain: Ms. Sandra A.
Sandra, a 47-year-old divorced woman, received a diagnosis of stage 3 ovarian cancer 4 years ago, for which she had a total hysterectomy, bilateral salpingo- oophorectomy, omentectomy, lymphadenectomy, and tumor debulking followed by chemotherapy, consisting of cisplatin (Platinol), paclitaxel (Taxol), and doxorubicin (Adriamycin). She did well for 2 years and then moved back to her hometown near her family and underwent three more rounds of secondline chemotherapy. She accepted a less stressful job, bought a house, renewed old friendships, and became more involved with her two sisters and their families.
Sandra developed several complications, including metastasis to the lungs. Then she could no longer work, drive, or care for herself. She had been told by her oncologist that there was nothing else that could be done and that she should consider entering a hospice. She met her attorney and prepared an advance directive and completed her will. She decided to have hospice care at home and, with the help of her family, set up her first floor as a living and sleeping area. She was cared for by family members around the clock for approximately 3 days.
Sandra observed that she was tiring everyone out so much that they could not really enjoy each other’s company. At this time, she contacted the Visiting Nurse Association (VNA) to seek assistance. Her plan was to try to enjoy her family and friend’s visits. After assessment, the VNA nurse prioritized her problems to include fatigue and caregiver role strain. Other potential problem areas that may need to be incorporated into the care plan include anticipatory grieving and impaired comfort.
Reflective Questions
1. What are some of the stresses on Sandra’s middle-aged sisters and their families?
2. What resources are available to manage these stresses and support the sisters while caring for their dying sister Sandra?
3. Describe Sandra’s feelings about dependency and loss of autonomy because she is unable to do her own activities of daily living any longer
Cost controls, regardless of nonprofit or for-profit status.
All healthcare organizations must be aware of cost controls, regardless of nonprofit or for-profit status. Managing costs at all levels of the organization affects the bottom line, which has a direct effect on all aspects of the organization. This assessment is designed to help you analyze why organizational policies are put in place. In addition, it will help you understand the role of operations in a healthcare setting, which is to ensure a high quality of care is maintained across all departments.
Find a policy at a healthcare organization related to cost controls. Include the following in your paper/presentation.
Summarize the details of the policy:
o When was the policy put in place?
o Was it adopted system-wide, in one department, or multiple departments?
o What does the policy address?
o What is the potential impact of not following the policy at the organizational level? Unit level? Individual level?
Explain how the policy impacts fiscal aspects of the organization:
o How does the policy act as a cost control?
Describe how the policy impacts the quality of patient care:
o Does the policy improve efficiency?
o Are the goals to improve care and reduce costs?
Explore the unintended consequences:
o What secondary impacts does the policy have on the organization? Unit? Staff? Patient?
o Does the policy need revision?
Suggest alternatives to the policy:
o In your opinion, is the policy the best way to address the issue? Support your position by explaining why or why not.
Specific ethical dilemma
Describe a specific ethical dilemma based on one of the options above.
Describe the ethical issues in the option chosen.
Identify specific values or ethical standards that apply.
Identify who is likely to be affected by the ethical dilemma.
Describe potential courses of action.
Examine reasons in favor of or opposed to the course of action.
Customer service
Thinking about the field in which you work, is it culture bound? If so, what are the culturally learned definitions of reality, space and or time that imposes limits on your field? Does a paradigm limit the way in which people in your field see reality and the possibilities of the future? As an applied sociologist, how might you use qualitative or community based research to create the sort of future you would like to see for the field in which you work?
Southern Native American
reading attach
a.Describe some of the hunting/gathering behaviors of Native Americans in the South (give at least two specific examples).
b.Describe at least two of the ways Southern Native Americans used and processed corn.
c.Describe at least two native cooking methods used by Southern Native Americans.
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Burt Wolf
a. What are the “three loving sisters” and how do they work in tandem with one another?
b. How is corn especially important in America today? Give at least 3 examples.
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Makah Whaling
https://www.fisheries.noaa.gov/west-coast/makah-tribal-whale-hunt-frequently-asked-questions
a. Do you think that Makah whaling is an important cultural tradition that the Makah should be allowed to continue? Why or why not?
b.What is your reaction (what caused an emotional response in you) regarding Makah whaling based on the video and article?
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bread a complicated
https://www.smithsonianmag.com/arts-culture/frybread-79191/
a. Why is fry bread a complicated symbol for the Navajo?
Increased abilities across developmental realms
Despite increased abilities across developmental realms, including the maturation of pain systems involving self-regulation and the coordination of affect and cognition, the transition to young adulthood is accompanied by higher rates of mortality, greater engagement in health-damaging behaviors, and an increase in chronic conditions. Rates of motor vehicle fatality and homicide peak during young adulthood, as do mental health problems, substance abuse, unintentional pregnancies, and sexually transmitted infections.
Describe how the advanced practice nurse can play a role in improving the health of young adults through preventive screening and intervention.
Potential impact for public health nursing,
1. Introduce the topic for analysis and the potential impact for public health nursing, include
background for the issue and the purpose of the paper
• Topic: Public health approach to substance abuse.
2. Conclusion
This section should include how the team perceives a potential resolution for the
Problem (Topic) addressed and how that resolution might contribute to the advancement of primary care nursing practice.
NEWS BRIEFING
Choose and analyze a U.S. political news article found on the website RealClearPolitics.
1st Paragraph: Summarize the most important information from the article in your own words. As noted in the syllabus, TurnItIn will be used on all
assignments to detect plagiarism. (See Academic Honesty policy in the syllabus.) For assistance on how to summarize appropriately, visit Purdue OWL:
Quoting, Paraphrasing, and Summarizing.
2nd Paragraph: Relate the article to the topic and readings of the level you are currently completing. In this assignment, you should connect your article and
discuss the content related to Level 13 (The Judiciary) or Level 14 (State & Local Government).
3rd Paragraph: Present your own informed opinion about the political issue and include the link to the article you selected.
Pick a news article on a U.S. political issue not older than seven days from the day you complete this assignment.…