case study on Stem Cells 

Read the following case study on Stem Cells and answer the posted questions. Think about and describe your point of view on this bioethical topic and identify any biblical reference that helped shape your perspective.

Embryonic Stem Cells

Standing in the voting booth, Raina hesitated. It was November 2, 2004, and she had to make her final decision on how to vote for California Proposition 71, the California Stem Cell Research and Cures Initiative. Proposition 71, a $3 billion bond measure, would fund embryonic stem (ES) cell research at facilities across the state for the next ten years. Raina knew that Proposition 71 had widespread support, including that of Governor Arnold Schwarzenegger and several Nobel Prize-winning scientists, but she was also well aware of the controversy surrounding ES cell research.

Well before Election Day, Raina had taken the time to inform herself about the ongoing ES cell debate. She learned that ES cell lines are obtained by removing a group of cells, called the inner cell mass, from an embryo that is about five days old (also known as a blastocyst), and growing the cells in a Petri dish. The cells are prized by researchers because they are pluripotent, meaning that they have the potential to differentiate into a wide range of different types of cells if properly stimulated. Proponents of ES cell research say that such cells could be used to cure conditions such as Parkinson’s disease, diabetes, heart disease, Alzheimer’s disease, cystic fibrosis, and spinal cord injuries. In addition, ES cells could be studied to help scientists understand the basic processes of human development, and used to test new drugs.

ES cell research opponents say that it should be restricted because it requires the destruction of human life. Raina found this issue to be one of great concern. She learned that the ES cell lines currently used for research are obtained from embryos left over from in vitro fertilization (IVF). These embryos are voluntarily donated, and otherwise would be discarded. Raina wondered if embryos, even those so early in development, should be considered human beings. If so, then producing an excess of them for IVF and then discarding them would be wrong. Might it also be wrong to benefit from their sacrifice?

Raina had read about stem cells from other sources besides embryos. Some, known as embryonic germ cells, may be obtained from aborted or miscarried fetuses, but this source is subject to the same sort of controversy as ES cells. Some very promising results have come from research using stem cells taken from the umbilical cord and placenta, and adult tissues such as bone marrow and parts of the brain. In fact, some of these non-embryonic cells have already been used to treat medical conditions, including blood disorders, spinal cord injury and heart attack damage. Such stem cells are obtained without harming embryos or fetuses, and for this reason their use meets with few ethical objections. However, they appear to be more limited in their ability to differentiate than ES cells.

Finally, after weighing the arguments one last time, Raina cast her ballot. The next day, she learned that Proposition 71 had passed with 59% of the vote. Now it is possible that similar initiatives may appear on the ballots of other states.

Questions

  1. How do you think Raina voted on Proposition 71? How would you have voted? Why?
  2. Do you think that a five-day-old embryo should be accorded the status of a human person? If not, why not? If so, do the potential benefits of ES cell research outweigh the ethical objections? Explain.
  3. Should ES cell research prove fruitful, it raises the issue of a particular type of cloning known as therapeutic cloning. Therapeutic cloning would not result in the production of a new human being, but it would mean creating an embryo from which ES cells could be removed that would match the cells of a person’s own body. This would prevent the rejection of transplanted cells by the immune system of the recipient. Would you support the use of therapeutic cloning in order to produce ES cells for treatment of disease or injury? Why or why not?

 

policy issue related to barriers to accessing psychiatric and mental healthcare

policy issue related to barriers to accessing psychiatric and mental healthcare

INSTRUCTIONS

 

· Identify one policy issue related to barriers to accessing psychiatric and mental healthcare that is currently being addressed by your national professional organization and discuss how Nurse Practitioners can become policy-aware, as well as act as patient advocates.

· Attach a policy white-paper to support your statement.

 

Your response should include evidence-based research to support your statements using proper citations and APA format! Minimum 700 words.

 

For this assignment to be considered complete, you must attach “a policy white-paper” to support your statement.

 

See attached discussion rubric.

 

About me: I am currently enrolled in the Psychiatric Mental Health Nurse Practitioner Program (PMHNP), I am a Psych Registered Nurse, I work in a Psychiatric Hospital as a Nursing Supervisor (Crisis and stabilization).

Define the concept of reasonableness

Step 1 Consider the case study.

After graduating from college with a degree in nursing, Andy finds a solid job, gets married, and has two sons. Twelve years later, he moves to a position at another hospital promising him steady advancement within its managerial ranks. A devoted family man, Andy admires his wife’s dedication to raising their boys. But he also observes that his sons, approaching their teen years, benefit greatly from his fatherly friendship and counsel- especially as they approach what he and his wife realize could prove to be a difficult transitional period in their upbringing. So he has made a commitment to spend plenty of time with them, playing baseball and helping with their schoolwork. But he also loves his work, and does well at it. It has become apparent that to advance rapidly up the managerial ranks at this hospital, he should obtain a graduate degree. A nearby university offers the degree in an evening-and-weekend program that would allow him to continue full-time employment, but would soak up his free time for the next several years and throw most of the family activities into his wife’s hands.

Step 2 In your original post, address the following questions relating to the dialogue.

Assume the perspective of Andy within this scenario. In keeping with Andy’s point of view, address the following:

Global Healthcare and Nursing

In this written assignment, identify one specific contemporary issue or trend that you are interested in learning more about. Choose from the categories below. For example you might want to learn more about why it is more difficult for some groups to receive care than others, which would fall under Client Access to Care. Or, you might want to compare nursing practice in the U.S. with how nurses practice in Japan, which would fall under the category of Global Healthcare and Nursing.

  • Global Healthcare and Nursing
  • Healthcare Reform
  • U.S. Healthcare Financing
  • Nursing’s Role in the U.S. Healthcare System
  • Integrative Healthcare
  • Nursing Leadership and Management
  • Nursing Education
  • Nursing Practice
  • Nursing Professionalism
  • Advancing Nursing as a Profession
  • Client Access to Care
  • Delivering Client Care
  • Interdisciplinary Teamwork and Collaboration
  • Ethical Practices in Healthcare
  • Quality and Safety in Healthcare Delivery
  • Health/Nursing Informatics

Once the issue or trend is identified, find five important/significant facts about it, substantiated by an evidence-based article or reference. Include the article or references in your submission.

In Vitro Fertilization

The purpose of this individual assignment (8-10 pgs exclusive of references and title page, double spaced, APA-7 formatting) is to assist students to develop meaningful opinions on nursing and related issues with support from the current scholarly/professional literature. Do NOT use websites or writings meant for the general public such as Mayo Clinic, WebMD, etc. Select one topic below (or choose a different one with faculty assistance).  Provide the “pros and cons” of the issues involved. Do not simply write about the issue—you need to reflect on your opinions and conclusions. All topics must be submitted to approval by course faculty as per course outline. Topics are accepted on a first-come, first-served basis. No more than two students may choose the same topic.

Musculoskeletal Care Modalities

Musculoskeletal Care Modalities

Case Study, 

1. June Frankel, a 23-year-old patient, presents to the emergency department with a sports-related fracture injury to her right arm and receives a long-arm fiberglass cast. (Learning Objective 2)

  1. What nursing assessment should the nurse provide after the cast has been applied?
  2. What nursing interventions should the nurse provide?

2. Sue Newhart, a 55-year-old patient, is admitted to the medical-surgical unit after a total hip arthroplasty due to osteoarthritis. (Learning Objective 7)

  1. What considerations should the nurse follow when positioning the patient in bed after hip surgery?
  2. What nursing interventions should the nurse provide the patient?

Diversity And Health Assessments

May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities. And cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be”

Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the healthcare field: different populations, cultures. And groups have diverse beliefs and practices that impact their health. Nurses and healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity

Nursing Trend And Issue

1. Students will choose from one of the following topics:

a. Nursing during an epidemic, pandemic or natural disaster across the country or around the globe

b. Social media influences on health or health care delivery

c. The effect of the media on nursing image. How can nurses educate the public and help portray the true image of nursing?

d. The prevalence and impact of substance abuse among nurses (impaired nursing)

e. Impact of collective bargaining on the nursing profession

f. Impact of workplace harassment and violence on the nursing profession

g. You may select from ONE of the following technological advances and discuss its impact on patient outcomes:

i. Telehealth technology

ii. Health applications

iii. Health-related/electronic wearables

2. PPT Presentation will have 8-10 slides, NOT including the title and reference slides. You will also need to include graphics to make your slides interesting.

3. You are to create bullet points for each slide, not including the title and reference slides. Include speaker notes for each slide by including 4-5 sentences to address the bulleted items on each slide. Please follow APA style and include citations in your speaker notes.

4. Including a minimum of 4-5 peer research articles as references in the presentation. All research articles needs to be within 5 years from today’s date. No blog, chat, other university or Wikipedia information allowed in presentation.  The PowerPoint presentation must follow APA style.

5. Describe in detail your plan for how you would lobby your legislators or local government for funding and support for your chosen current issue or trend.

6. Include the following elements in your presentation:

a. How will the topic impact your role as a nurse in nursing workforce or clinical setting?

b. Current relevance of the topic

c. How your topic is integrated and used in clinical practice

You will need to follow these steps below for saving your PowerPoint so that your speaker notes are visible:  

1. Open your PPT and go to “file” in top left corner.

2. Click “print” option. Make sure “print all slides” and “print slides with notes” is selected.

3. Go to “Save As” on the left hand side and be sure you save as a PDF.

4. Under your save as selection, click “more options”. Select the “Options” button and click the “Publish What” pull-down and then select “Notes Pages.” (If you click slides it will not show the speaker notes)

5. Click “OK.”

6. Complete your selection process by checking “Open file after publishing” and selecting the “Optimize for: ‘Standard’ and ‘Minimum Size’” choices.

7. Click on “Save” next to the “Tools” button at the bottom of the box.

Identification Of Issue Significant To Nursing Practice

During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing.

Topic 2 DQ 1

Nurses are advocates and front lines between physician orders and patient care. Physician rely on nurses to notify them on the patient status. Nurses take initiative. And have to be knowledgable to recognize positive and negative changes in the patient. The nursing profession is a leadership role that requires them to be proactive. Many nurses face may obstacles daily.

Shortage of staff:Organization having a poor recruitment process where the adequate number of staffs are not met,this leads to heavy work load,stress, unintentional negligence due to over time to a nurse. Wages:Low wages than the hard work given by a nurse,poor compensation, perks. And incentives by the organization may lead to stress and poor quality of work. Work place violence or harassment are still widely present ,which makes a nurse get detoriated from the respect and autonomy they deserve in the healthcare sector. “Nurses’ understanding of the Knowledge, Attitudes and Practices in the performance of EBP and the barriers they face is essential to enable the effective implementation of this approach in care settings. So that the recognition of the most common competences and barriers among nurses becomes strategic for the strengthening of EBP in the hospital” (Camargo et al., 2018).

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years. There should be a mix between research and your reflections. Add critical thinking in the posts along with research. Apply the material in a substantial way.

History Of Reimbursement Issues

Purpose

The purpose of this discussion is to explore the DNP-prepared nurse’s role, as a member of the interprofessional team, to design systems that optimize reimbursement with a goal to improve the quality of patient care. We will examine the influence of healthcare reimbursement on nursing practice, clinical outcomes, and cost issues.

Instructions

Reflect upon your readings and professional experience regarding reimbursement issues and address the following.

  1. Analyze how healthcare reimbursement influences your nursing practice.
  2. Examine how the value-based insurance design (VBID) influences clinical outcomes and cost issues.

Please answer each question separated and use 3 sources no later than 5 years