Category: Nursing

In this assignment, you will be creating a PowerPoint presentation based on the application of the functional health assessment of a movie character. To complete this assignment, choose a movie from the following list and identify a character from the movie on whom you would like to do a health assessment. If you wish to use a character from a movie not included on the following list, get the approval of your instructor.

Films:

Away From Her, Lorenzo’s Oil, Mask, My Sister’s Keeper, Philadelphia, Rain Man, Steel Magnolias, Stepmom, The Elephant Man, The Mighty, The Tic Code (Choose one film from list)

Directions: Create a PowerPoint presentation of 10-12 slides using the template “Movie Character Presentation.” Provide an introduction and background overview of the movie character (client). Assess the client using the “Functional Health Pattern Assessment.” Based on your “observations” and thoughts, document your assessment, providing examples from the movie. Describe any observed or potential cultural, geographic, religious, ethnic, or spiritual considerations of this client. Describe two normal health patterns of the client as well as two abnormal health patterns that you observe, and provide examples. Develop an appropriate nursing diagnosis for the client based on your assessment. Identify and describe three interventions for the client: health promotion, health prevention, and maintenance. Identify at least two possible resources or community services to which you would refer this client and provide rationale for your choices. In addition to submitting the presentation to the instructor, post your assignment to the Movie Character Health Assessment Presentation Main Forum as directed by instructor. Respond to other students’ posts in a manner that initiates or contributes to discussion. Each person should make at least three substantive comments.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

In this assignment, you will be completing a health assessment on an older adult. To complete this assignment, do the following:

Perform a health history on an older adult. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one. (If an older individual is not available, you may choose a younger individual). Complete a physical examination of the client using the “Health History and Examination” assignment resource. Use the “Functional Health Pattern Assessment” resource as a guideline to assist you in completing the template. Document findings of complete physical examination in Situation-Background-Assessment-Recommendation (SBAR) format. Refer to the sample SBAR Template located on the National Nurse Leadership Council website at 
https://www.ihs.gov/nnlc/includes/themes/newihstheme/display_objects/documents/resources/SBARTEMPLATE.pdf
 as a guide. Document the findings of the physical examination in the assessment worksheet. Using the “Health History and Examination” assignment resource, provide the physical examination findings summary with planned interventions for the client. Include any community services in the interventions. APA format is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

Stark Law and the Federal Anti-Kickback Statute

According to the text, physicians can be held professionally liable for issues surrounding their relationships with patients, staff, and other providers. Select two (2) areas of professional liability that you think pose the most serious legal threat for a physician in a medical practice. Provide a rationale for your selection. •Compare and contrast the main requirements of the Stark Law and the Federal Anti-Kickback Statute. Next, analyze the main reasons why it is important for practice administrators to understand how these laws affect the operations of the medical practice. Support your analysis with at least one (1) real-world example.

PRINCIPLES OF BENEFICENCE AND NONMALEFICENCE

The Principle of Proportionality: provided the action does not go directly against the dignity of the

individual person (the intrinsic good), there must be a proportionate good to justify permitting or risking an

evil effect.

Focus Question: Once a patient has requested a physician to control their pain as a priority, can that

physician increase a dose of morphine as needed to control pain even if that might cause the patient to stop

breathing?

INTRODUCTION

In its most general form, the principle of beneficence says no more than “do good.” Similarly, the principle of

nonmaleficence tells us to “avoid evil.” Unfortunately, these formulations are so general as to be useless. This

becomes painfully clear when we realize that we cannot do all good or avoid all evil. The tension between

autonomy and beneficence is a difficulty here as well. It is a very difficult experience for a physician or nurse

to be prevented from aiding a patient because the patient has refused consent to the very good that the health

care provider has spent his or her entire life learning to provide. These tragic conflicts show us why we need

more specific formulations to help us to sort out the possibilities and make ethical choices.

The Impossibility of Doing All Good

The impossibility of doing all good arises from the nature of time and space, which create the context for our

own limitations and the limits of the instruments available to us. There is just so much time in a day. Indeed,

there never seems to be enough time to do all that we want to do or plan to do. The limits of time restrict us no

matter how efficient we become. Space, too, hems us in. We cannot directly and immediately do good to those

who are far away. Indeed, because we can only be in one place at one time, most of the people in the world are

beyond our direct touch, and so we cannot help them personally.

Our own limited talents further limit our ability to do good. Not everyone has the intelligence to be an atomic

physicist or a designer of supercomputers. Some have better health than others, some greater strength, and

some better coordination. The relative strength of intellect, body, and coordination thus puts limits on what a

person can do. It should be noted, however, that even those who have enough intelligence to master any given

task do not have enough time to master all tasks. The person who is both physician and lawyer is rare; the

person who is physician, lawyer, electrical engineer, mechanical engineer, nuclear physicist, biophysicist,

anthropologist, chemist, paleontologist, carpenter, plumber, bricklayer, and agronomist seems as real as a

winged horse. Even if such a person did exist, time and space would still limit the good he or she could do

since one cannot do all these activities at once.

Finally, our ability to do good is limited by the state-of-the-art in a given area, as well as by the availability of

state-of-the-art tools. Not every health care facility can afford to have all the up-to-date technology, and often

Health Care Ethics https://jigsaw.vitalsource.com/api/v0/books/9781323092408/print?from…

1 of 21 3/1/2017 10:46 PM

PRINTED BY: marilyng0875@email.phoenix.edu. Printing is for personal, private use only. No part of

this book may be reproduced or transmitted without publisher’s prior permission. Violators will be

prosecuted.

decisions have to be made regarding what can be afforded and what will be let go. Some treatments are easily

done by nurses or general practitioners, while others require highly trained specialists. Not every facility can

have highly trained specialists in all the specialties. Often health care providers are also limited in the good

they can do by the inability of the patient, or the refusal of the insurer, to pay for the care. That could be as

complex as a heart transplant or as simple as a medication to lower blood pressure.

Our obligation to do good is also limited by our obligation to avoid evil. In other words, the principle of

nonmaleficence limits the principle of beneficence. The sight of a child drowning in a raging stream filled with

floating ice urges one to attempt a rescue. But one stops after realizing that a rescue attempt would threaten

one’s own life, and one would probably not be able to save the child in any event. The evil involved is a price

to be paid for attempting a rescue, but in these circumstances the evil is too great and too likely to warrant the

rescue. Although we might praise the rescuer as a hero, we would not say she or he had a duty to jump in.

Indeed, we call such people heroes because they do not have a duty, but do more than could be normally

demanded. In health care ethics, this is the basis for the distinction between ordinary and extraordinary care,

where ordinary care does not present excessive risks or burdens for the patient, while extraordinary care might

help the patient, but the odds are poor or the risks and burdens are very high (see discussion later in this

chapter).

Clearly, more specific formulations of the principle of beneficence are needed to help us decide what we

should do. It should be clear, too, that doing good and avoiding evil will not simply be a question of principles,

but of practical wisdom weighing the relevant aspects of the factual and social situation, as well as the concrete

meaning of human dignity in a particular time and place.

The Impossibility of Avoiding All Evil

Nearly everything we do has some undesirable side effect or at least the risk of some evil. When you cross the

street, you run the risk of being hit by a car. When you take aspirin, you risk stomach problems or possibly

Reye’s syndrome. When you undergo major surgery, you risk your life. Life is inherently risky. If we tried to

avoid all risk of harm, we would have time for nothing else. Indeed, if we tried to avoid all risks by staying in

bed, we would risk bed sores, muscle deterioration, and stationary pneumonia. There is no escape from all risk,

and so there is no escape from all evil.

Quite aside from the inherent riskiness of human life, we must also face the fact that, because life is social, we

are involved in actual evils to a greater or lesser extent. We are members of a society that, despite considerable

progress, still oppresses minorities and women. Many people work for companies that are destroying the

environment. Some teach in schools where at least some professors are grossly unfair to students. A few are

employed in hospitals that tolerate incompetent physicians or nurses. By continuing to cooperate with groups

that cause or permit evil, we are to some extent tainted by evil. Yet we cannot avoid all this evil. If we isolate

ourselves as hermits, we cut ourselves off from the benefits of social life and increase the risk to our lives and

even our sanity. Worse yet, our flight from evil often leaves the villains in charge and the victims in worse

shape than before. There is no easy way out. We need specifications of the principle of nonmaleficence that

will enable us to make at least rough judgments about what evils to avoid

Examples of ethical dilemmas in nursing essays

Scenario 1: Medical coding in a physician’s practice

Imagine you work in a high-pressure cardiology physician’s office and you are one of two medical coders. Your supervisor is very focused on the greatest reimbursement to satisfy revenue projections for the practice. As a result, you are asked to “up-code” billing. How can the pressure of acquiring the maximum repayment for services lead to manipulating or falsifying documentation?

Scenario 2: Administration of patient medications in the hospital setting

Imagine you are a new graduate nurse working nights on a busy medical unit. You just received a new patient who needs to be admitted to your unit and you just finished medicating a patient with a narcotic injection with a dose greater than ordered. Clearly understanding medication errors may lead to patient injury and even death, explain why a clinician may choose not to report the incident.

Scenario 3: Not hiring a qualified individual because of discrimination

Imagine you are a new human resources director in a nonprofit organization and have been pressured not to hire Middle Eastern candidates by the organization’s CEO. In the United States, discrimination against people based on their ethnicity, race, or cultural orientation is strictly forbidden under federal and state laws. Ethical discrimination may result in the breeding of ill feelings at work, as well as reduced productivity. To eliminate these ramifications, organizations need to put forth increased effort in curbing ethical discrimination in the employment sector. What are some interventions organizations can put in place to prevent discrimination?

Write a 150- to 350-word response for each ethical scenario. Include a title page with your name and your responses.

Format your assignment according to APA guidelines. Include a title page, an introduction, headings, in text citations, a conclusion and a separate reference page.

Motivation Strategies to Develop Effective Groups and Teams Essay Assignment

Imagine you are working for a successful company that has spent a lot of time focusing strategically on its organizational behavior. Your company has started to gain recognition from similar companies regarding its effective groups and teams. Recently, your company has been approached by other companies to develop and present some of your best practices and lessons learned.

Write a Motivation Strategies to Develop Effective Groups and Teams Essay Assignment handout (brochure, chart, PowerPoint®) that discusses your company’s best practices and lessons learned for developing effective groups and teams.

Address the following in your Motivation Strategies to Develop Effective Groups and Teams Essay Assignment handout:

Determine strategies that can be used to develop effective groups and teams. Describe methods that can be used to facilitate phases of team development. Consider the company you selected and used in Week One and Week Two. Describe strategies and methods you think the company uses to create effective groups and teams. Explain why.

Format your Motivation Strategies to Develop Effective Groups and Teams Essay Assignment handout according to APA guidelines.

Cite 3 peer-reviewed, scholarly, or similar references to support your handout.

Global Operations Management Challenges – Toyota Case Study Assignment

 

Overview

Write a 2–3-page report about the organizational problem and the process that will be at the center of your OIP for Toyota.

Note:
You must complete Assessment 1 before you can begin any of the other assessments in the course.

By successfully completing this assessment, you will demonstrate proficiency in the following course competencies and assessment criteria:

Competency 1: Develop innovative and sustainable solutions to strategic and global operations management challenges.

Explain the history and environment of a selected process for improvement.

Competency 2: Apply theories, models, and practices of global operations management to address business problems.

Develop a problem statement for a process improvement plan.

Competency 3: Integrate operations management analyses into general business management planning and decision making.

Analyze the impact of an existing process on an organization.

Predict the potential outcomes of improving a process.

Competency 4: Communicate in a manner that is professional and consistent with expectations for members of the business professions.

Communicate in a manner that is professional and consistent with expectations for members of the business professions.

Context

According to a 2011 case study, Southwest Airlines is uniquely positioned to weather uncertain economic circumstances (Inkpen, 2011). Why has Southwest Airlines been more successful in its industry than other airlines? The same question can be asked in other industries. Why can Wal-Mart outperform Kmart and survive successfully, when the two cater to similar customers? Why has Amazon.com managed to outpace and outperform Barnes & Noble?

To answer these questions, it is important to understand the process strategy and operating philosophy of an organization. Framing the problem and identifying its causes can be a challenging and complex endeavor. Companies have to identify the problem that needs changing, understand their own processes for making change, provide data that supports the need for change, and establish how to best correct the problem and implement a new and improved process.

Process Engineering and Improvement

Organizations use process engineering and improvement to investigate processes and analyze the activities and flows associated with inputs, transformation, and delivery of a product or service to customers. This could include a simple decision such as which operations an organization chooses to perform internally and which to outsource.

An organization’s operating strategies and decisions can affect its ability to exploit the competitive priorities of time, quality, flexibility, and cost. Due to increased global competitiveness, financial challenges, and rising costs, most organizations have had to revise their traditional way of doing things in order to maintain profitability and market share. An organization can choose from one or several processes or activities to assess its potential for improvement. Successfully selecting candidate processes and using optimization techniques can increase performance yields, reduce defects, increase employee and customer satisfaction, and enhance shareholder and public wealth. By identifying the process improvement subject, you begin this process.

References

Inkpen, A. C. (2011).
Southwest Airlines 2011
[Case No. A10-11-0003]. Glendale, AZ: Thunderbird School of Global Management.

Ross, J. E. (1999).
Total quality management
(3rd ed.). Boca Raton, FL: CRC Press, LLC

Questions to Consider

To deepen your Global Operations Management Challenges – Toyota Case Study Assignment understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.

Consider the following in relation to the Toyota recall crisis:

What are the four basic types of production processes? What are the advantages and disadvantages of each? When should each be used?

Did Toyota successfully enact the principles espoused by “the Toyota Way” during the recall crisis? What did the company do well, and where was there room for improvement?

In pursuing its aggressive global expansion, what tradeoffs did Toyota make? How effectively did the company manage the tension between global standardization and local responsiveness? Were the company’s value chain activities managed effectively?

Had Toyota sacrificed quality and customer focus at the expense of extreme cost reductions?

What role did Toyota’s supply chain and keiretsu structure played in the recall?

What lessons can other companies take from Toyota’s crisis?

In this Global Operations Management Challenges – Toyota Case Study Assignment, you will develop a problem statement for your OIP. An important step in this development is to clearly identify the problem that will be your focus. In preparation for this work, consider the following:

What components of a problem would you consider important when identifying its real causes?

How would you describe the problem in a way that is clear to the management team?

Resources

Suggested Resources

The resources provided here are optional and support the assessment. You may use other resources of your choice to prepare for this assessment; However, you will need to ensure that they are appropriate, credible, and valid. They provide helpful information about the topics in this unit. The MBA-FP6022 – Strategic Operations Management Library Guide can help direct your research. The Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you.

Toyota Specific Resources

Gerondeau (2015).
How Toyota Recovered from a Huge Crisis. What can be learned from it
. Retrieved from: https://thethirdroad.com/?p=280

Khan, Riz (2010).
The Toyota Crisis
. Al Jazeera English. Retrieved from https://www.youtube.com/watch?v=EDRFamLGATk

Toyota Motor Corporation. (n.d.).
The origin of the Toyota production system.
Retrieved from http://www.toyota-global.com/company/vision_philosophy/toyota_production_system/origin_of_the_toyota_production_system.html

Trudell, Craig and Yuki Hagiwara (2014).
Toyota Recalls More Than 6 Million Vehicles Worldwide
. Bloomberg. Retrieved from: http://www.bloomberg.com/news/articles/2014-04-09/toyota-recalls-6-76-million-vehicles-worldwide-including-rav4

Additional Resources for Further Exploration

You may use the following optional resources to further explore the Questions to Consider and assessment topics.

Operations Management

The following resources offer a foundational broad view of operations management.

Deming, W. E. (1987, December).
Transformation of today’s management
. Executive Excellence, 4(12), 8.

Foster, S. T., Wallin, C., & Ogden, J. (2011). Towards a better understanding of supply chain quality management practices. International Journal of Production Research, 49(8), 2285–2300.

You may want to search this blog for the following terms: automotive recalls, operations improvement, and strategic planning.

Harvard Business Publishing. (n.d.).
HBR blog network
. Retrieved from https://hbrblogs.wordpress.com/

Russell, R. S., & Taylor, B. W. (2014). Operations and supply chain management (8th ed.). Hoboken, NJ: Wiley.

Value Creation Partners. (n.d.).
Analyzing and improving operations.
Retrieved from http://www.valuecreationpartners.com/training/analyzing-and-improving-operations/

van der Aalst, W. M. P. (2011). Process mining: Discovery, conformance and enhancement of business processes. New York, NY: Springer.

Case Studies

The following case studies are recommended for further examination of the topics addressed in this Global Operations Management Challenges – Toyota Case Study Assignment assessment.

You may wish to purchase this resource from Thunderbird School of Global Management.

Greto, M., Schotter, A., & Teagarden, M. (2010). Toyota: The accelerator crisis [Case No. A09-10-0011]. Glendale, AZ: Thunderbird School of Global Management.

You may wish to purchase this resource from Harvard Business School Publishing.

Gray, A. E., & Leonard, J. (2009). Process fundamentals [Case No. 969-023]. Boston, MA: Harvard Business School Publishing.

Assessment Instructions

Write a Global Operations Management Challenges – Toyota Case Study Assignment that explores an existing process in need of improvement at Toyota at the time of the 2010 accelerator crisis. This process will be at the center of your operations improvement plan (OIP). This assessment should build on the work you did in Assessment 1, looking more closely at key details.

Your Global Operations Management Challenges – Toyota Case Study Assignment should outline your process improvement idea and include the following elements:

Problem statement:
What exactly needs to be improved? Use problem framing and cause-and-effect analysis to develop a brief, preliminary problem statement.
Note:
You will expand your problem statement in Assessment 3.

Background of the issue:
Detail relevant historical data, including how long the problem has been occurring and what it is costing the organization.
Note:
You are not expected to provide specific data results at this early stage of your investigation.

Impact:
What could happen if the problem continues as it is? What could happen if the process is improved? Outline both tangible and intangible pros and cons for improving the issue or ignoring it. Identify some potential general business results and impacts on business relationships.

Desired outcome:
How will your new process be different from the old? What competitive advantages will it yield? How will it impact stakeholders? Consider the cost-benefits of the process improvement, estimating how much will it cost the organization and outlining how costs will be offset by the benefits derived.

The work you do for this assessment will inform your work in future assessments. You will also draw on it for the final, comprehensive OIP that you will submit in Assessment 6.

Additional Global Operations Management Challenges – Toyota Case Study Assignment Requirements

Length of assessment:
3–5 typed, double-spaced pages.

APA formatting:
Format resources and citations according to APA style and formatting.

Font and font size:
Times New Roman, 12 point.

Training Plan for Entry Level Position in Nursing

Pick an entry level position that you are familiar with and create a detailed training plan of approximately 1,200-1,500 words,

Include a complete discussion of:

needs assessment (what is a needs assessment, how will you do it and what will you train on);

development and conduct of the training (details on the training that will be conducted);

how you will evaluate the training, and

the key competencies (using the concepts from chapter 7) that you believe are essential for success in the position.

Include a minimum of two references.

Format your paper consistent with APA guidelines.

Grading Rubric Week 4

Points

Introduction and overview of the position to be trained

1

Needs Assessment

2

Development and Conduct of Training

3

Evaluation of the training

3

Key Competencies for success

2

Appropriate research – minimum of 2 – and use throughout the paper

3

Adherence to UOP standards for written work

APA format

Major points are organized in a logical fashion.  Each paragraph is clear and contains one major idea.

Rules of grammar and punctuation are followed.

No spelling errors

Word count approximately1,200-1,500 words.

2

Write a paper of approximately 350-700 words in which you identify human resource management’s role in the health care industry. Describe the functional roles of the human resource department (as outlined in the rubric below) based on your textbook and Electronic Reserve Readings.

Include a minimum of two references. Format your paper consistent with APA guidelines. Introduction and development of paper including conclusion

Logical development of the following: Overview of HR management’s role in the healthcare industry:

Staffing, Recruitment and Retention Training and Development Employee Relations/Performance Management/Regulatory Compliance Safety and Health Compensation and Benefits

Appropriate research – minimum of 2 and adequate supporting documentation (references cited throughout body of paper)

Word count approximately 350-700 words.

Human resource management’s role in the health care industry Research paper

Pick an entry level position that you are familiar with and create a detailed training plan of approximately 1,200-1,500 words,

Include a complete discussion of:

needs assessment (what is a needs assessment, how will you do it and what will you train on);

development and conduct of the training (details on the training that will be conducted);

how you will evaluate the training, and

the key competencies (using the concepts from chapter 7) that you believe are essential for success in the position.

Include a minimum of two references.

Format your paper consistent with APA guidelines.

Grading Rubric Week 4

Points

Introduction and overview of the position to be trained

1

Needs Assessment

2

Development and Conduct of Training

3

Evaluation of the training

3

Key Competencies for success

2

Appropriate research – minimum of 2 – and use throughout the paper

3

Adherence to UOP standards for written work

APA format

Major points are organized in a logical fashion.  Each paragraph is clear and contains one major idea.

Rules of grammar and punctuation are followed.

No spelling errors

Word count approximately1,200-1,500 words.

2