position paper

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Position Paper Written Assignment

A position paper is a document you could present to a legislator to seek support for an issue you endorse. Present your position on a current health-care issue in a one-page paper, following the assignment guidelines below. You can select your issue topic from newspapers, national news magazine articles, professional journals, or professional association literature; and this can be the topic you choose for your ethical issues debate. 

Your position paper should:

  • Be quickly and easily understood.
  • Be succinct and clear.
  • Appear very professional with the legislator’s name and title on top and your name and your credentials at the bottom.
  • Condense essential information in one, single-spaced page, excluding the title and reference list pages.
  • Be written using correct grammar, spelling, punctuation, syntax, and APA format.
  • Clearly describe the issue that you are addressing in the opening paragraph.
  • Include 3–4 bullet points regarding why you are seeking the legislator’s vote, support, or opposition. Bullet points should be clear and concise but not repetitive and should reflect current literature that substantiates your position.
  • Summarize the implications for the nursing profession and/or patients.
  • Conclude with two recommendations that you wish to see happen related to your issue, such as a vote for or against, a change in policy, or the introduction of new legislation.
  • Use APA format (6th ed.), correct grammar, and references as appropriate.

Using SBAR to communication to a Dr.(Nursing discussion)

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General Survey/Skin/Nutrition (graded)

Your home health agency has received an order from a local hospital to evaluate and treat an elderly woman being discharged from its medical surgical unit.

Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her husband Fred (87 years old) following a 9-day hospitalization for pneumonia, dehydration, and failure to thrive. She has a history of hypertension (HTN), Type II Diabetes, and cerebral vascular accident (CVA) with left-sided weakness. Patient is alert and oriented but does have periods of forgetfulness during the overnight hours. Patient has intermittent incontinence of bowel and bladder and requires assistance with all activities of daily living (ADLs).

Medications:

  • Lopressor
  • Lisinopril
  • Plavix
  • Metformin
  • Novolin R per sliding scale *NEW*
  • Multivitamin
  • Colace
  • Zithromax *NEW*

Upon arrival you are greeted by Champ, the couple’s rambunctious miniature Doberman pinscher dog. Millie is in her wheelchair staring blankly out the window, and Fred is busy in the kitchen preparing the couple’s lunch.

  • Based on the scenario above, please use the general survey process to describe the areas that you would be observing immediately upon entry to the home.
  • What, if any, concerns related to Millie’s skin and nutritional status do you have?
  • What nursing interventions will you include in the plan of care to address these concerns?
  • What teaching strategies will you use to educate Millie and Fred on the new medications?
  • Using the SBAR(situation, background, assessment, and recommendation) , please include the information that you will communicate to the physician’s office at the completion of the visit.
 

p1

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  • Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

  • Raksha Tiwari 

    3 posts

    Re:Topic 1 DQ 1

    Scientism is based on truth and evidence and accepted universally but religion is beliefs based on cultural backgrounds of any individual. People can be Christian, Muslim, Hindus or atheistic. Any issue can be right for one religion but same issue might consider wrong for other religion. For example marrying within families (cousin) is not acceptable in Hindus society while Muslim society marrying with cousins is acceptable.  There is still more issues that science is not still able to answer. The dilemmas between science and religion in health care setting is costly as it is related to life and death matter. Both aspects goes side by side.

     I believe having religious belief feed patient with healing power along with scientifically approved treatment. Respecting and acknowledging patient’s culture /religion help in maintaining their dignity.

    However people have their own point of view toward science and religion. Religion and science are often seen as opposite poles in our understanding of the world. And yet while religion and science are in some sense polar opposites, there is also much in common between them. Both are carefully crafted systems of thought, concerned with establishing the real truth behind the world we see in experience. (Lehar, S. (n.d.), A system of ethics based on reason without recourse to supernatural belief )

    Reference:

    Lehar, S. (n.d.). A system of ethics based on reason without recourse to supernatural belief. Retrieved May 22, 2017, from http://cns-alumni.bu.edu/~slehar/

     

p6

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Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

 

Lauren Martell 

 

2 posts

 

Re:Topic 2 DQ 2

 

From my understanding of the reading a child who is begotten is made from the love of a mother and father.  A child who is made is then made through artificial means.  I do not agree with this. I believe if this were true then parents in loving committed relationships who want children should be able to have them, because that is love.  This also leads to another point, if children are to be begotten by the love of a mother and father then why do people who have experienced rape get pregnant, this is not an example of love from a mother and father. 

 

My sister and her husband were not able to conceive by natural means and had to resort to in vitro, they had longed to be parents and it was the only way possible.  They are in a loving committed relationship, married, and devout Christians. They are also great parents to the 2 children they have been able to have since in vitro.

 

In the reading one quote stuck out for me, “From eternity the father begets the son that is, gives all that he is and has to the son.”(Meilaender, 2013)  I believe this is powerful because if you have a child from whatever means and are able to raise and nurture that child then you should be able to do so.  However with that being said I do not believe that it is ok to have genetic testing done in order to have a specific child. I personally believe that is taking it too far.   I believe we are given the children we are supposed to teach and those we are supposed to learn from. Whether that be from natural means, adoption, or in vitro. 

 

 

 

 

POST#1

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Hello i need a good and positive comment related with this argument .A paragraph  with no more 100 words.

 

Tammy Wagner  

 

Re:Topic 4 DQ 1

 

Health is defined as the balance of the person, both within one’s being and in the outside world.    Among Chinese, no translation exists for “sadness”, yet it is a universal emotion.    Asian-Americans somaticize their symptoms into bodily symptoms.    Some Asians believe in the yin/yang theory where health exists when all aspects of the person are in perfect balance  (Jarvis, 2016, Chapter 2) .    To know Asian-American culture can help to appropriately assess your patient.  

 

Asian-Americans are an incredibly diverse population.    Asian-American women have some of the highest life expectancy of any group in the United States.    Cultural beliefs often collide with Western medicine.    Asian-Americans still face the same limitations to good health as other ethnic  groups (“Minority women’s health,” 2012) .    Asian-Americans tend to consult their family members on health care matters which can delay treatment.    Questions about traditional methods being used should be asked.    Avoid stereotyping, do not make assumptions when in doubt, ask questions  (Harrah, 2013) .

 

Violence can happen to all women of all races.    Asian-Americans are reluctant to seek help with abuse from the police.    In this culture seeking help is seen as shameful to the victim and victim’s family.    Many Asian men deal with the pressures of life by physically abusing their wives.    In a survey conducted by the Asian & Islander Institute on Domestic Violence, 41% to 60% of Asian-American and Pacific Islander respondents reported physical or sexual abuse during their lifetime.    Nurses can play an important role in addressing this.    Many women report that they were never asked about abuse in their assessment screening.    Establishing trust and projecting a non-judgmental attitude is essential.    Nurses have a duty to treat each person with respect and compassion, listening without judgment.    Assessing this 20-year old’s habits on substances also would be an avenue for education, living on college campuses with the high use of alcohol increases the chances of abuse  (“Minority women,” 2013) . Nurses should be familiar with the abuse hot lines that can protect the women and her children.    Providing these numbers can empower the women when she is ready.

 

 

 

 

 

comment nelly janua 23 12:07 Pm

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I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT. BETWEEN 250-300  WORDS

 

Each culture has their own beliefs and values. Health care professionals need to be sensitive to these beliefs and values when obtaining information from these different groups. Asian Americans view health as a balance between the physical, social, and mental aspects of the person as a whole. They view illness as a disharmony of these things leading to bad luck and diseases.

 

Asians are known to believe in the Ying and Yang. They have been using eastern medicines for many years. These medicines are either in pill form, tinctures, raw herbs or balms. These medications are used to restore harmony. They also use treatments such as coining and cupping to cure some illnesses and diseases. They are open to some western medicine. Health care providers must establish role and assume authority. It is important to remember that Asians are family oriented. Asians decisions are made as a family. When communicating to Asian families one needs to be sensitive to gestures and other nonverbal cues. Asians are known to smile and nod their heads symbolizing respect and not necessarily understanding. Therefore, one needs to assess understanding frequently (Carteret, 2011). 

 

When performing abuse assessment, one needs to be aware of the nonverbal cues and physical cues, keeping in mind their use of coining and cupping. When one suspect patient abuse, it is important to ask the individual specific question when alone. Any suspected abuse should be reported to supervisor as well as authorities (Carteret, 2011). It is known that Asians are reluctant to seek help or report abuse. They fear to ashame their family’s. It’s believed that many don’t seek help due to language barrier as well as the lack of knowledge of resources available (Cho & Henion, 2012). Nurses need to establish trust with their patients and make them aware of the services available.

 

Every culture has their own beliefs and values. One needs to keep these things in mind when dealing with different cultural groups. Being sensitive to these things will create better understanding, better implementation, and better outcomes. If abuse is suspected one needs to report it immediately, nurses have the duty to save lives.

 

References

 

Carteret, M. 2011, Cultural Values of Asian Patients and Families. Retrieved from http://www.dimensionsofculture.com/2010/10/traditional-asian-health-beliefs-healing-practices/

Cho, H., Henion, A. 2012. Asian Reluctant To Seek Help For Domestic Violence. Retreived from http://www.msutoday.msu.edu/news/2012/asians-reluctant-to-seek-help-for-domestic-violence/

 

 

 
               

 

COMMENT KARAN

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 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

 

 

 The bible reveals that the Image of God and “Imago Dei means that all of God’s creatures (mankind) was created in the image of God. The bible references Imago Dei in several bible passages. Reasons to believe states that there are three qualifications that must be made prior to analyzing the term further. First, “Scripture contains an implicit rather than explicit explanation of the image of God. A definition for imago Dei must come from drawing proper inferences from the biblical text, buttressed by careful reflection about the state of the human condition” (Reasons To Believe, 2011). Secondly it’s not possible to simply understand the meaning of imago Dei because it would require an extensive understanding of “God’s nature”. Man is limited to infinite nature of God and must deal with the mystery and decreased knowledge. The third understanding is that different Christian traditions have taken different meaning of what is the divine image. The Eastern Orthodox, Roman Catholic, and Protestant branches have different aspects of the image (Reasons to Believe, 2011).

            Shelly & Miller states that the image of God represents the dignity and honor that has been granted to mankind regardless of their mental capabilities, social status, or physical status. The image of God has been part of our Western society but now confronts challenges from modernism and postmodernism. Postmodernism believes earth is a “living organism” and that man only is part of what is in the living organism (Shelly & Miller, 2006). It has been through the image of God that we have been able to have people like Mother Teresa that dedicated her life to serving the sick and poor.

Grace Communion International suggests the following for concepts relating to the image of God (Grace Communion International, 2015).

1. Thomas Aquinas located the image in the human ability to think and reason, to use language and art, far surpassing the abilities of any animals.

2. Leonard Verduin says that the image consists in our dominion over animals and plants, which continues despite our sinfulness.5

3. A “widely accepted interpretation” is that the “image” is our ability to make moral decisions, which involve self-awareness and social awareness.6

4. Emil Brunner says that it is our ability to have a relationship with God, reflected in the tendency of all societies to have forms of worship.

The image of God is relevant in healthcare and everywhere else. Being made in the image of God provides us with the foundation of our calling. Knowing that we are made in the image of God provides us with the gifts and talents that can be used in nursing. Understanding what the image of God means knowing that we all have a purpose to fulfill and that purpose will glorify God.

According to Indiana Wesleyan University a Christian nurse values are based on Biblical scripture. But most importantly being a Christian nurse is to respect all others regardless of their beliefs and culture but with the Christian ideals that God has ordered us to fulfill (Indian Wesleyan University, 2015).

In the clinic where I work we treat patients of all religious faiths and beliefs, we take this into account when coming up with a treatment plan and protocol for them. We may not always agree with their way of thinking, however we must respect it.

Recently a doctor that I work with revealed to me that he does not believe in God, this really troubles me. I feel if we do not believe in something greater then ourselves, then we live our life with no repercussions. This is a perfect example of respecting another person’s beliefs even if we do not agree with them.

 

References:

 

Grace Communion International. (2015). Humans in the image of God. Retrieved from  https://www.gci.org/humans/image

 

Indain Wesleyan Univerisity. (2015). The role of Christianity in nursing. Retrieved from.http://www.iwuadultandgrad.com/the-role-of-christianity-in-nursing/

 

Reasons To Believe. (2011). Imago Dei: What does it mean. Retrieved from http://www.reasons.org/articles/imago-dei-what-does-it-mean

 

Shelly, J. A., & Miller, A. B. (2006). Called to care: A Christian worldview for nursing (2nd  ed.).Downers Grove, IL

 

COMMET HOLLY

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 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

 

The experimental research design is a framework system constructed to evaluate the interrelation of actions and reactions among absolute and conditional variables. (Grove, Gray, & Burns, 2015, p. 212).

A strong element of control is prevalent in experimental research design.  Researchers can maneuver and influence variables to coerce the desired effect. Pre-test post-test experiment design is one of the most common design studies used in medicine and nursing. This research design exhibits increased control over key elements to solidify the validity of the study. This design is where a selected group of subjects receive proposed treatment or therapy, and another group of subjects perceives they are also receiving treatment when they are receiving a placebo or conventional care.The researcher is examining the degree of impact the treatment/therapy has to the group of test subjects as apposed to the no treatment/therapy subjects. 

Non-experimental research (also known as descriptive and correlational) design is a framework system constructed to evaluate naturally occurring variables not manipulated by a researcher and purposed to analyze and interpret the relationship between these variables. Non-experimental research does not include manipulation of the framework or variables. Observation of the interrelationship of variables with no manipulation, or control is evident in a non-experimental research. 

Non-experimental research (descriptive or correlational) are used to observe and investigate a group of subjects with similar characteristics to understand, research and study commonality for possible future experimental research.

According to Grove, Gray, and Burns 2015, “descriptive design may be used to develop theories, identify problems with current practice, make judgments about practice, or identify trends of illnesses, illness prevention, and health promotion in selected groups” (Grove, Gray, & Burns, 2015, p. 213).

Experimental research design exhibits strict control and manipulation over variables and environment whereas non-experimental research design lacks control and manipulation of variables and is strictly observing variables in their natural occurrence. 

References

 

Grove, S. K., Gray, J., & Burns, N. (2015). Understanding nursing research: building an evidence-based practice (6th ed.). Retrieved from https://pageburstls.elsevier.com/#/books/9781455770601/cfi/8!/4/2/2@0:0

 

COMMENT SARAH TURNBULL

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 I NEED A POSITIVE COMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

 

As stated by Moreland and Craig (2003), “Scientism is the belief that the best or only way to have any knowledge of reality is by means of the sciences.”  Having such a strict view on what can give individuals knowledge is a close-minded understanding of the deeper spiritual sides of human beings.  My personal perception of this tension between science and religion is that it is very real.  I work in the NICU and we are too often faced with situations that science no longer has an answer for.  Babies born too early that science has only come so far to support.  When there are sick and dying babies, the science minded individuals in the unit look at the numbers and follow the evidence that tells us there is nothing more we can do, and identify that this baby will not make it.  My experience is that you can never write a baby off.  They are capable of so much and there is so much more at play that affects the baby’s outcome that we truly do not understand in scientific means.  An example I can think of is a baby I was caring for that we were all waiting to die.  The numbers were telling us that was going to happen, we had exhasted all of our efforts for keeping the infant stable, and he continued to decline.  But, the family never gave up hope.  His parents or grandparents were at his bedside praying 24/7.  He was never alone.  All the doctors and many of the nurses were even a little frustrated with the family, thinking they were prolonging the inevitable, that we were doing all of these interventions for nothing.  One night I was caring for him and he took a turn for the worse.  We called the parents to the bedside and gave the mother the option to hold her baby for the first time.  We would keep all the machines and drips running, but let him pass in his mother’s arms.  All of this happened at the very end of my shift.  I stayed late to be with the family as he passed, but after a few hours, the baby was still fighting.  We had called funeral homes, had paper at the bedside to do footprints, and a photographer on standby to take pictures of him after he passed away.  I went home and when I woke up, called the nurse caring for him that day to see when he passed.  To my surprise, he was still alive, in fact, his vitals looked better than they ever had.  The only thing we did was have his mom hold him.  There were no new interventions, just the love of his mom.  That little boy is now 6 years old, alive and well, no neurologic deficits, sings, dances, a true miracle.  The point of my story being that there was definitely a tension between science, religion, and hope.  If the family did not have strong faith, and we had given up on him, he would not be here today.  Science definitely does not have all the answers.

 

Reference:

Moreland, J.P., & Craig, W.L. (2003). Philosophial foundations for a Christian worldview. Downers Grove, IL: IVP Academic.

COMMENT DANILO

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 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

 

The Bible reveals that of all God’s creatures, only man (humankind) was created in the expressed in the image of God (Samples, 2011).In the Christian religion, the imago dei, which is Latin for “the image of God” – refers to the unique imprint God placed upon humanity, identifying people as a special creation. (Imago Dei, 2017). The Christian concept regards all people as created by God in his image to live in loving relationship with God, self and others (Shelly & Miller, 2006).  

I remember when I was a little boy, my mother wants me to understand that we are all created by God and all people are offspring of God and God is the father of all people. As I little boy I was curious to asked her “if we are come from image of god, why we are different from each other, why people have assorted color? She jokingly answered me, that when God created us out of dirt, he was so busy that when we cooked us in a big oven, some came out, uncooked, and other overcooked, that is why some people are black and some are white.    

God created man in his own liking but not identical which means man is mortal but have independence and responsibility over all other things like his health, environment, and their life. God created man not only to his image but gave us a body which is like perfect machine that the ability to reproduce and fix itself. God also gave man knowledge to find cure to the disease that people also created like pollution and stress. Each individual has a responsibility to the environment as God ‘s gift to humanity. God also gave man everything to survive and cares for his wellbeing like the food, air and knowledge to know what is right and what is wrong.

 It is important to healthcare because man created by God to be responsible to live a healthy lifestyle and to promote health (Shelly & Miller, 2006). This is relevant because nursing and healthcare have the same goal as God which aimed to provide and foster optimal health and bring comfort in suffering and in death. At first, spiritual care was left out because goal of nursing is to maintain optimal biological functioning, often with little regard for emotional and spiritual concerns because they view health as simply as the absence of disease (Shelly & Miller, 2006). A new paradigm of nursing attempts to deal with the human factor and take into account the emotional and spiritual variables that make each individual unique (Shelly & Miller, 2006). Healthcare and nursing must follow God commands “to go and do likewise” which means providing compassionate and holistic care to any one in need regardless of ethnicity, identity, race, age, gender, status, diagnosis and ability to pay (Shelly & Miller, 2006).

 

References:

Imago Dei. (2017), March 22). Retrieved May 29, 2017, from http://www.religionfacts.com/imago-dei

Samples, K. R. (2011), August 01). Imago Dei: What Does It Mean? Retrieved May 29, 2017, from www.reasons.org/articles/imago-dei-what-does-it-me

Shelly, J. A., & Miller, A. B. (2006). Called to Care a Christian Worldview of Nursing (2 ed.). Retrieved from http://gcumedia.com/digital-resources/intervarsity-press/2006/called-to-care_a-christian-worldview-for-nursing_ebook_2e.php