Five reasons why you should let me write your paper. 1. 100% original 2. In line with your instructions 3. Perfectly referenced 4. Delivered on time 5. Plagiarism report provided
Prof1990 | Mar 16, 2021, 19:42 PM

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please confirm if you got it.
User_34712 | Mar 16, 2021, 19:46 PM

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Please friend am saying the word document is not opening ask you friends to resend you the new document then upload it kindly don't repost it will cost you more money
Prof1990 | Mar 16, 2021, 19:48 PM

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It's only word document that is not opening it's giving me an error kindly look for new word document then upload here not posting it friend
Prof1990 | Mar 16, 2021, 19:49 PM

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The simplest way copy their work and write as instructions if word document is not opening
Prof1990 | Mar 16, 2021, 19:49 PM

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I tried it said it exceed the number of words I will send it twice then. Thanks
User_34712 | Mar 16, 2021, 20:02 PM

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Send it twice or even 4 times
Prof1990 | Mar 16, 2021, 20:03 PM

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am going to send you the first one i different sections please
User_34712 | Mar 16, 2021, 20:08 PM

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okay
Prof1990 | Mar 16, 2021, 20:08 PM

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So far, I have learned that most nursing theories are connected, and the results primarily improve patient outcomes and promote communications with the healthcare team. The one theory that sticked to me the most is Dorothy Orem’s SCDNT nursing systems. As a staff Registered Nurse working in a stroke unit, we get patients who are dependent on the treatment team (Admitting MD, Neurologist, Nursing, PT, OT, ST) on their recovery. After a couple of days at the Stroke Unit of being compliant with the medications and treatment plan, The patient has transitioned to the Acute Rehabilitation Unit, and the patient was able to recover their previous activity level but still needs nursing for monitoring of their vital signs, assistance in ADL’s and ambulation then after a couple of weeks of treatment at the
User_34712 | Mar 16, 2021, 20:09 PM

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Acute Rehabilitation Unit, and the patient was able to recover their previous activity level but still needs nursing for monitoring of their vital signs, assistance in ADL’s and ambulation then after a couple of weeks of treatment at the Acute Rehabilitation Unit, the patient was able to be discharged home having primary control of their health while health care providers assist with education and promoting safe health practices.
User_34712 | Mar 16, 2021, 20:10 PM

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The patient needs to have his cholesterol and blood pressure managed to prevent another episode of cerebrovascular accident therefore, he needs compliance with his diet, exercise regimen and medications. Dorothy Orem’s SCDNT Nursing System (Wholly Compensatory, Partially Compensatory, Supportive-Educative) was clearly shown in this example. As a practicing Registered Nurse and Family Nurse Practitioner student, Nursing theories are incorporated in my practice and education. I firmly believe in the phrase “learn to walk before you run.” Nursing Theories are the building blocks and the solid foundation of Nursing. A structure cannot be strong without a solid foundation. For example, The foundation of QSEN is Nursing Theory.
User_34712 | Mar 16, 2021, 20:11 PM

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Revisiting Nursing Theory made me solidifying the basics first before thinking outside the box. I started to think more about treating patients as a whole rather than just treating their current ailment. Nursing Theory promotes better patient outcomes. Recent Peer Reviewed Journals Improving Patient Outcomes using Nursing Theory: Orem: The Effect of Self Care Education based on SCDNT on Quality of life and self efficacy in patients with hypertension: A Quasi-Experimental Study. According to the findings of this study, designing and implementing Orem self-care educational program based on the needs of patients with hypertension along with follow-ups can be effective in improving the quality of life of these patients. The changes were significant after eight weeks of the intervention. (Khademian et al., 2020)
User_34712 | Mar 16, 2021, 20:12 PM

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Roy: Application of the Roy Adaptation Theory to a care program for nurses, Tea for the Soul is an anecdotally documented and understudied care model that addresses the bereavement and other emotional needs of nurses. This a unique in-hospital program that provides the healthcare team a venue whereby nurses express and explore their feelings and receive feedback from a trained professional about ways of coping effectively with patient death, and other stressful and traumatic experiences. Nurses receive emotional support, compassion, and gain a greater sense of resilience from the TFS facilitator, a Chaplain, Social Worker or Counselor. (Callis, 2020
User_34712 | Mar 16, 2021, 20:12 PM

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Nightingale: Florence Nightingale's Environmental Theory and its influence on contemporary infection control, Nightingale's concepts and reforms created the backbone of nursing as a profession and laid the foundations for contemporary nursing and infection control practices, which remain current today. She was a strong advocate for disease prevention and health promotion, bringing a fresh approach to clinical nursing, as evidenced in her many writings. (Gilbert, 2020) to it !!!!!!!please this is the first paper please response to it !!!!!!!instruction as follow
User_34712 | Mar 16, 2021, 20:14 PM

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!!!!! 2 discussion see attachment please review it and response to what they said. !!! 1/2 a page for each. !!!! Pick one idea they wrote about that you agree on and expound on it with examples and use a reference to back it up. Instruction 1/2 a page each references Don't repeat their work expound on an idea you like on their discussion and expound on it with example.. Please confirm you got it Thanks so I can send the second one
User_34712 | Mar 16, 2021, 20:16 PM

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Yes i got it
Prof1990 | Mar 16, 2021, 20:18 PM

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Yes send me
Prof1990 | Mar 16, 2021, 20:18 PM

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Send the second one
Prof1990 | Mar 16, 2021, 20:19 PM

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okay
User_34712 | Mar 16, 2021, 20:23 PM

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Second decision!!!!!! I have learned that Nursing theories are bodies of knowledge that helps the nursing profession have a definite meaning of what nursing is. It guides our actions as nurses regarding what we do and why we do them. Nursing theory is what makes our profession unique from other professions. In my theory class, I have learned that we have different theories in Nursing and the theories are interrelated. I have also learned that Nursing theories are based on four concepts which are the man, health, nursing, and the environment. The four concepts may now be defined or viewed differently by the theorist.
User_34712 | Mar 16, 2021, 20:24 PM

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Orem’s self-care deficit theory focuses on the individual ability to perform self-care to maintain their level of functioning prehospitalization to maintain life, health, and well-being. Self-care is when an individual initiates activity to maintain his own life, achieve an optimum level of health, and improve well-being. Self-care deficit is when a person is unable to perform the activities of self-care and nursing care is required (Irshad Ali, 2018). I used Orem’s theory on my unit when caring for the patients who come in disheveled, malodorous, and unable to care for themselves. After crisis stabilization and safety has been maintained, I established a rapport with the patient. I encourage them to shower and attend to their activities of daily living. Initially, the patient may not respond to redirections, however, with constant redirections and limit settings,
User_34712 | Mar 16, 2021, 20:25 PM

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, I am able to get my patient into the shower, develop a routine, and they will start taking care of their activities of daily living independently without a reminder from the nurse. Hildegard Peplau is referred to as the mother of Psychiatric Nursing. She defined nursing as a therapeutic collaboration between someone who is sick and a nurse who has been specially trained to recognize and act to assist the person (Gonzalo, n.d.). The therapeutic relationship that exists between the nurse and the patient forms the basis of nursing care and the most significant factor of that relationship is communication and must be based on trust (Arabaci & Tas, 2019). Peplau identified four phases of the nurse-patient relationships as the orientation phase, identification phase, exploitation phase, and resolution phase.
User_34712 | Mar 16, 2021, 20:26 PM

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The orientation phase is the initial phase when the patient feels he needs help, and the nurse understands his or her problem. The identification phase is when the patient start working with the nurse and it is during this phase that the patient starts developing trust in the nurse and expressing how they feel. The nurse in return listens to patients and shows empathy. In the exploitation phase, the client will make use of all resources that the nurse has provided for him or her to work towards gaining his or her independence. The nurse will project a new goal and the patient will work toward achieving those goals. The last phase is the resolution phase. In this phase, the patient is now totally independent and no longer needs the assistance of the nurse. The relationship has now ended, and the patient can now function independently.
User_34712 | Mar 16, 2021, 20:26 PM

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At work, I applied this theory when a patient comes in with any diagnosis of a psychiatric illness. For this discussion, I will be using my previous experience in caring for a patient with a diagnosis of generalized anxiety. On admission, the patient was very guarded and not releasing information about her collaterals to any of the treatment team. I allayed her anxiety and informed her that the treatment team is here to make sure that she is safe. I developed a therapeutic rapport with this patient and gave her the opportunity and time to reminisce over her admission. The patient was able to open up to me about the cause of her anxiety which was due to a rape a few years prior to admission and since then, she feels anxious and very uncomfortable around men that she does not know. We were able to formulate a plan for her to verbalize her feeling to the treating Psychiatrist so that she can be assisted.
User_34712 | Mar 16, 2021, 20:27 PM

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The patient agreed with the plan. Upon evaluation by the Psychiatrist, the patient verbalized the cause of her anxiety, she was placed on medication and referred to therapy. During discharge, the patient was appreciative of the care she received from the treatment team. The care was made possible because one of the treatment team members developed a rapport with the patient and the patient trusted the nurse. Peplau's theory has been applied in the practice of Psychiatric Nursing. The understanding that problems are identified and resolved based on the patient and nurse relationship serves as the basis of psychiatric nursing which is effective in providing care when applied in practice. Peplau stressed that many nursing problems can be resolved through strong interpersonal relationships (Arabaci & Tas, 2019).
User_34712 | Mar 16, 2021, 20:28 PM

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Nursing theory will influence my thinking from now on as a nurse by applying it to patient care in my clinical practice. I will apply therapeutic communication and establishing rapport with my patient so they can trust me to verbalize their feelings to me. As a PMHNP, I believe the most important thing for me is the ability to connect with my patient. How do I connect with them when I am unable to maintain a therapeutic communication/rapport with them? Therefore, what I do as a nurse that will make me unique in my practice as a PMHNP to improve the quality of care and patient outcome is what I strive for.
User_34712 | Mar 16, 2021, 20:28 PM

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!!!!! 2 discussion instruction please review it and response to what they said. !!! 1/2 a page for each. !!!! Pick one idea they wrote about that you agree on and expound on it with examples and use a reference to back it up. Instruction 1/2 a page each references Don't repeat their work expound on an idea you like on their discussion and expound on it with example.. Please confirm you got it Thanks so I can send the second one. You doing the some for both discussions.
User_34712 | Mar 16, 2021, 20:30 PM

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I got it
Prof1990 | Mar 16, 2021, 20:31 PM

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Received I will be done with it tomorrow
Prof1990 | Mar 16, 2021, 20:38 PM

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Thanks
User_34712 | Mar 16, 2021, 20:42 PM

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So I should send you two responses based on the two discussion each 1/2 page with a reference
Prof1990 | Mar 16, 2021, 20:44 PM

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Am going offline for few hours friend I will start your work and send you very early tomorrow or before midnight
Prof1990 | Mar 16, 2021, 20:56 PM

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Today midnight
Prof1990 | Mar 16, 2021, 20:56 PM

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Hello friend I have another assignment I will give bonus on this with the other ones pending. I will send the information twice. A 60-year-old woman presents with fatigue, anorexia, weight loss, and a low-grade fever with duration of approximately 3 weeks. Her spouse is with her, and they are concerned about the symptoms she is experiencing. In addition, the woman reports that she has pain in her hands and stiffness that is worse in the morning. In her health history, the patient notes that her mother and sister both have rheumatoid arthritis (RA). The practitioner initially suspects RA as the diagnosis. Case Questions 1. What are the three Healthy People 2020 objectives related to RA? 2. Using terms that the non–health-care professional could understand, describe the pathophysiology of RA.
User_34712 | Mar 17, 2021, 01:51 AM

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It's okay friend
Prof1990 | Mar 17, 2021, 01:51 AM

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Send the information friend and let me know when do you need it please
Prof1990 | Mar 17, 2021, 01:53 AM

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Cont. 3. What diagnostic tests should the practitioner perform for this patient? 4. What are the differential diagnoses for this patient? 5. What is the initial management of RA? 6. What drug therapies may be included in the management of RA? Instructions: 1. Initial Post must utilize 4 references not more than 5 years old. Reference from a peer reviewed journal or guidelines. Please confirm if you can complete. Due on 3/18/20 Thanks
User_34712 | Mar 17, 2021, 01:54 AM

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Okay thank you
Prof1990 | Mar 17, 2021, 01:55 AM

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Please friend you forgot to release the payment about the previous assignment on CDC and WHO reports on vaccines
Prof1990 | Mar 17, 2021, 01:57 AM

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Hello friend kindly confirm the discussion assignment I have uploaded working on the next assignment
Prof1990 | Mar 17, 2021, 17:40 PM

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Accepted. Thanks
User_34712 | Mar 18, 2021, 07:32 AM

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Thank you friend
Prof1990 | Mar 18, 2021, 07:34 AM

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Am doing the next assignment I will send you in less than 12 hours
Prof1990 | Mar 18, 2021, 07:34 AM

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How you doing with the case study. Any question
User_34712 | Mar 18, 2021, 07:36 AM

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Everything is still going on well
Prof1990 | Mar 18, 2021, 07:38 AM

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You had assigned me the discussion assignment twice but asking will you release the payment for the that you assigned me
Prof1990 | Mar 18, 2021, 07:39 AM

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I can do you want me to use for the bonus
User_34712 | Mar 18, 2021, 07:43 AM

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Yes friend
Prof1990 | Mar 18, 2021, 07:44 AM

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Do you have another assignment please so that when I finish this I start another one if you have
Prof1990 | Mar 18, 2021, 07:45 AM

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Yes 2 case studies I them very good please !!!!!! A case study on: 1. Urinary tract infection primary Diagnosis: # 2nd one will be Primary diagnosis is COPD a. Etiology/Pathophysiology; b. Differential Diagnosis: Will be: Renal Calculi, Urolithiasis, constipation and bacterial vaginosis (write a little about each ex. Define symptoms, how is the symptoms related to UTI what is the bacterial associated with disease subjective finding what the patient will complain about). Diagnostic: Labs and other radiology to be ordered if any. Treatment plan, and medications to orders, Pharmacologic Treatment: Non- pharmacologic treatment and Patient Education; Referral and Follow-Up: References 5 years APA 7 Need 2 case study with same format 2nd one is on COPD !!!!!! Differential Diagnosis: Community acquired pneumoniae, Acute Bronchitis, and Coronavirus (COVID-19) Do the same as above instructions Thanks. bonus on $80. Confirm
User_34712 | Mar 18, 2021, 08:34 AM

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Yes friend thank you
Prof1990 | Mar 18, 2021, 08:35 AM

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okay good night.
User_34712 | Mar 18, 2021, 08:46 AM

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Hello friend kindly confirm the yesterday's assignment I have uploaded am doing the next assignment
Prof1990 | Mar 18, 2021, 16:33 PM

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Good job like it
User_34712 | Mar 18, 2021, 22:10 PM

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Thank you I will send you the other one tomorrow
Prof1990 | Mar 18, 2021, 22:11 PM

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Hello friend kindly confirm the assignment I uploaded and please release the payment kindly please you promise to add me a bonus of 80 kindly don't forget
Prof1990 | Mar 19, 2021, 16:41 PM

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please release the payment kindly please you promise to add me a bonus of 80 kindly don't forget
Prof1990 | Mar 21, 2021, 03:54 AM

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Releasing now. I was reviewing all work. Are you avail to do another issue. but is due in 2 hours just a page and 1/2
User_34712 | Mar 21, 2021, 16:14 PM

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Yes post it
Prof1990 | Mar 21, 2021, 16:15 PM

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please remember to add bonus
Prof1990 | Mar 21, 2021, 16:16 PM

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due in two hours can be late Answer Case Study #2 Ethical & Legal Issues A nurse practitioner (NP) cared for a 21-year-old male at an outpatient clinic. The chief complaints of the 21-year-old with his girlfriend at the time of the visit included a lack of appetite, nausea and vomiting, and some abdominal pain. A urine test revealed hematuria, and the NP diagnosed the patient with viral gastroenteritis. One week later, the patient is transported to the emergency room with a ruptured appendix, requiring immediate surgery. The patient fully recovered from the emergency appendectomy. The patient file a lawsuit against the
User_34712 | Mar 21, 2021, 16:17 PM

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NP for malpractice and the outpatient clinic for inadequate supervision of the NP, claiming that a correct diagnosis would have prevented prolonged discomfort and emergency surgery, as well as loss of wages resulting from his presurgical and postsurgical care. You are an NP who has been hired as an expert witness and consultant by the insurance company representing the outpatient clinic. The attorney representing the NP has asked you to review the case and identify any concerns or further information that would help in resolving this case.
User_34712 | Mar 21, 2021, 16:18 PM

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okay
Prof1990 | Mar 21, 2021, 16:18 PM

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1. Because the NP is being accused of malpractice, you are asked to review the case to determine whether malpractice has occurred based on the required conditions. What are the three conditions that must exist to establish malpractice? 2. While reviewing the case file, you note that the insurance company is representing the clinic. If the clinic is determined to be “not guilty” of failing to provide adequate supervision of the NP, how could this affect the NP?
User_34712 | Mar 21, 2021, 16:18 PM

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3. What should you seek to determine whether a breach of, or deviation from, the standard of care occurred, given the patient scenario of misdiagnosed appendicitis? Do you need additional information? 4. You have been asked to provide a written report of your review to be shared with the insurance company and the clinic as to whether you believe the NP has acted reasonably and if, in the same situation, you would have responded the same way. 5. What are some tips you could give the NP to avoid or reduce the possibility of legal issues? Please in two hour Will give 40 for this will release all fund right WAY
User_34712 | Mar 21, 2021, 16:20 PM

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This can help Ethics principle Just as we use principles of physics, biochemistry, psychology, and body mechanics in our everyday functioning as clinicians, we must incorporate principles of ethics in our everyday reasoning . However, it is important to recognize that the nature of the principles of physics govern the motion or properties of physical reality in such a way that explains why some object acts as it does. Conversely, the principles in ethics usually contain or imply the moral term ought. This distinction is important, because unlike the principles of physics, the principles in ethics can be broken. We cannot violate the principle of gravity, but we can violate the principle of autonomy. In other words, when one thinks about the principles of ethics, these principles not only set a standard of behavior but also identify and explain why some actions fail to uphold the
User_34712 | Mar 21, 2021, 16:23 PM

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principle. These bioethical principles (relating to health care) help us respond to specific dilemmas despite the diversity of the moral traditions from which they are derived. Each ethical conflict that a clinician faces may call for the application of different principles. A dilemma may occur that requires one principle to be sacrificed in favor of another, depending on the situation. Just because the clinician may be clinically competent does not necessarily mean that he or she has expertise in dealing with ethical dilemmas. Reasoning at a principled level is a skill that each individual must practice to become morally competent.
User_34712 | Mar 21, 2021, 16:24 PM

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Ethics is a branch of philosophy that considers what is right and what one ought to do when confronted with moral choices. It is termed bioethics when those moral choices involve health care. Personal and professional values influence our daily professional lives. Many of these values are known and explicit; others are hidden and unknown. When involved in a professional practice, providers cannot escape the need to clarify their own values. Many excellent books on values clarification are available that can assist health-care providers in exploring their own values and in deciding what is meaningful or valued to them to facilitate self-understanding. Ethics is integrally related to nursing because nursing is a practice with an inherent moral sense. Nursing ethics attempts to articulate that moral sense, to assess its fulfilment, to explore new
User_34712 | Mar 21, 2021, 16:25 PM

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sense. Nursing ethics attempts to articulate that moral sense, to assess its fulfilment, to explore new possibilities for its fulfilment, and to appraise its adequacy. A classic saying is, “A patient doesn’t care what a nurse knows until he knows a nurse cares.” This could not be truer than in any situation with a health-care provider and a patient involving life and death choices. The patient wants to know that the provider is an advocate, a friend, and a trusted expert, not someone who is consumed with billing practices or always watching the clock. In addition, professional nursing is both valued within U.S. society as documented by the Gallup Poll and is uniquely accountable to that society.
User_34712 | Mar 21, 2021, 16:26 PM

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Ethical Dilemmas Ethical dilemmas may stem from conflicts regarding what is “right” and other duties and obligations. These conflicts may be between two ethical principles one holds, between two possible actions that both seem right in some way, between the demand for action and the need for reflection, and between two unsatisfactory alternatives. Socrates said that we “must let reason determine our ethical decisions rather than emotion.” This is why nursing students are taught to use ethical dilemma resolution guidelines to assist them in the process. Before we can resolve a dilemma, however, we must explore different theoretical approaches and discuss ethical principles.
User_34712 | Mar 21, 2021, 16:26 PM

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The scope of practice defines the rules, regulations, and boundaries within which the APRN, with appropriate education and experience, can practice. The scope of APRN practice, which is regulated to ensure public safety, is evolving just as health care is evolving. As more supportive evidence for safe, effective APRN practice accumulates, the scope of practice is likely to broaden (National Council of State Boards of Nursing, 2012). In 2010, the Institute of Medicine (IOM) recommended scope of practice reform to allow APRNs to practice to the full extent of their education and training in all states. The importance of removing barriers to full practice authority was reinforced in 2017 in a report from the Robert Wood Johnson Foundation (2017). The legislative agenda of major
User_34712 | Mar 21, 2021, 16:27 PM

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APRN organizations is to ensure full practice authority in all states to improve access to high quality care for all persons in the United States. Bringing uniformity to and removing barriers from state laws regarding scope of practice are two key goals of the National Council of State Boards of Nursing. Twenty-three states allow full practice authority as recommended by the IOM and national consensus statement. In 16 states, APRNs have reduced practice authority due to imposed barriers. In 12 states, even greater barriers are in place, including requirements for supervision, delegation, or team-management of practice. All states have prescriptive authority for controlled substances, with Florida the last state (in 2016) to gain that authority. A model for future APRN practice was developed with the collaborative work of the APRN Consensus Work Group and the National Council of State Boards of Nursing APRN Committee (2008).
User_34712 | Mar 21, 2021, 16:28 PM

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Hello all the information I sent is to help you answer the questions and you can also look up other material too add. Thanks
User_34712 | Mar 21, 2021, 16:30 PM

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$40 need the paper in 2 hours please. Thanks.
User_34712 | Mar 21, 2021, 16:31 PM

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Thank you
Prof1990 | Mar 21, 2021, 16:31 PM

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Yes please remember the other bonus of $80
Prof1990 | Mar 21, 2021, 16:36 PM

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Hello friend kindly confirm the assignment I have uploaded please I hope know you will give a bonus of$120 the $80 and the one of today $40
Prof1990 | Mar 21, 2021, 17:40 PM

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Yes I will. please answer them by question asked and they also want a court report. There is a total of 4 question. please have answers for each 4 answers below questions thanks
User_34712 | Mar 21, 2021, 18:03 PM

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Okay
Prof1990 | Mar 21, 2021, 18:06 PM

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Thanks
User_34712 | Mar 21, 2021, 18:07 PM

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Please add more information to what u sent before please
User_34712 | Mar 21, 2021, 18:20 PM

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okay Give me 20_30 minutes
Prof1990 | Mar 21, 2021, 18:32 PM

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Hello friend kindly confirm the assignment file 6 I have added Information and questions
Prof1990 | Mar 21, 2021, 18:55 PM

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Thanks releasing 120
User_34712 | Mar 21, 2021, 19:15 PM

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Thank you so you will give me a bonus of 120
Prof1990 | Mar 21, 2021, 19:16 PM

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total including bonus I promise from before is total $120 correct. please confirm
User_34712 | Mar 21, 2021, 19:24 PM

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Yes friend
Prof1990 | Mar 21, 2021, 19:25 PM

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Kindly do you have another assignment please
Prof1990 | Mar 21, 2021, 19:26 PM

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yes let me close this I will send Thanks
User_34712 | Mar 21, 2021, 19:43 PM

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I will inform you when I will be back I will be leaving in an hour to go and see my friend in hospital he was involved in road accident last night
Prof1990 | Mar 21, 2021, 19:46 PM

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Sorry to hear that. I will close this and respond when you get back then I can post.
User_34712 | Mar 21, 2021, 22:17 PM

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Please confirm you got it
User_34712 | Mar 21, 2021, 22:21 PM

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Please am looking at what I did the bonus didn't go thru. Please text me so I know how do correctly. Sorry about that.
User_34712 | Mar 21, 2021, 22:25 PM

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Hello friend sorry am back now please yes I didn't receive any bonus kindly post s question I bid then you release the payment please
Prof1990 | Mar 22, 2021, 02:27 AM

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Hello friend kindly you will post got me a bonus of $95 do that it makes it $120
Prof1990 | Mar 22, 2021, 02:43 AM

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ok will do it now
User_34712 | Mar 22, 2021, 05:15 AM

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Okay friend when post let me know
Prof1990 | Mar 22, 2021, 06:02 AM

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I posted
User_34712 | Mar 22, 2021, 06:08 AM

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Hello friend kindly I have bid please the balance was $95
Prof1990 | Mar 22, 2021, 06:13 AM

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