An Analysis on the Concept of End of Life Decisions and Care

This is a research paper you will be writing on the concept of end of life decisions and care in the State of California. This research paper MUST be a minimum of 8 pages – not counting cover, references, and exhibits page.

——————Begin Writing Prompt————

End- of -life issues are one of the top ethical and legal issues that health professionals will face in the 21st century.

Write a research paper that will analyze the concept of end-of- life decisions and care. Your research paper needs to include the following: 1. Introduction on the current state of end of life decisions and care in California and how this will be the top ethical and legal issues that health professionals will face in the 21st century. Provide examples of current case studies.

2. Discuss laws in the State of California regarding end -of -life decisions and care. Describe the current laws in detail.

3. Discuss “consent” in end-of-life decisions and care. Provide examples for illustration purposes.

4. Discuss whether healthcare ethics or institutional review boards participate in end-of –life decision and care issues. Discuss examples. 5. Discuss the role of government including HIPAA in end-of- life decisions and care.

Discuss what is HIPAA and how it relates to end of life decisions and care.

Provide examples.

—————-End Writing Prompt—————

Additional Important Instructions:

-Your answers/responses must be based on the reading materials listed in the attached filed, titled, “reading materials.”

-You must use a minimum of 10 sources, at least 8 of the 10 minimum sources must come from the list of “reading materials” attached to this order.

-Your answer to this writing prompt MUST be based on the readings from the attached, “reading materials.”

-You are welcome to use your own sources, but at least 8 of your sources must be from the list, titled, “reading materials.”

-Additionally, you must use at least three peer reviewed journal articles in your paper.

-Make sure you are answering ALL parts of the question prompts.

-To make sure you are covering all the required materials, please use sub-headings in your paper. This will also help your paper “flow” better.

-Make sure you are citing your references appropriately, per APA guidelines, both in-text and on the reference page.

-You must use at least 3 exhibits in your paper

– this could be a chart or graph, or whatever you think would help the paper.

You must refer to these three exhibits in your paper and make sure these “exhibits” are displayed in your “exhibits” page (at the end of your paper, after the references page).

Writing expectations include competency in the following:

-Sentence Structure

-Verb Tense and Agreement

-Pronoun Use

-Possessive Use

-Punctuation

-Spelling

-Focus and Organization

-Thesis Statement & Conclusion

-Please do not forget to use sub-headings to make sure you are covering everything that is required!

Please be very, very detailed in your responses to make sure you cover each topic extensively!

Provide examples for each required topics/discussions.

-Please do not forget to use at least 3 exhibits in your paper to help you make your case/point.

“Exhibits/Artifacts” should be in the “exhibits page” and not part of the minimum 8 pages of text.

Although, you should refer to it in your paper.

-Must be double-spaced with 1-inch margins and typed in 12-point Times New Roman.

-Your Essay should have a Cover Page, References page, and Exhibits Page.

-Essays should be proofread for spelling and grammar mistakes.

-Essays should be in APA style.

-You must cite all texts used, including page numbers to avoid plagiarism.

-Your essay must have a thesis statement and conclusion that are both supported by research and analysis.

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Family Assessment

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health
Assessment assignment. Identify the social determinates of health (SDOH) contributing to the
family’s health status. In a 750-1,000 word paper, create a plan of action to incorporate health
promotion strategies for this family. Include the following:
Describe the SDOH that affect the family health status. What is the impact of these SDOH on the
family? Discuss why these factors are prevalent for this family.
Based on the information gathered through the family health assessment, recommend ageappropriate screenings for each family member. Provide support and rationale for your
suggestions.
Choose a health model to assist in creating a plan of action. Describe the model selected.
Discuss the reasons why this health model is the best choice for this family. Provide rationale for

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Family Health Assessment

Values/Health Perception
Nutrition
Sleep/Rest
Elimination
Activity/Exercise
Cognitive
Sensory-Perception
Self-Perception
Role Relationship
Sexuality
Coping
Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources
should be published within the last 5 years and appropriate for the assignment criteria.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the
Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to
become familiar with the expectations for successful completion.

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Adaptive Reuse

M3 Practitioner Application-Adaptive Reuse
Your M3 Practitioner Application will require devoted inquiry, assimilation, reflection, and
refinement in order to achieve the highest possible score. Specifically, you are to take the
scenario listed below, address it in full, and submit your work in accordance with the instructions
contained herein. Importantly, this is an independent assignment to be completed by you and
you alone.

Your M3 reading assignments include an article on adaptive reuse (see “Adaptive Reuse in the
Healthcare Industry: Repurposing Abandoned Buildings to Serve Medical Missions”), a practice
which has vast implications for healthcare strategy. It also represents a very good opportunity for
you to leave your “desks” and get out into the field to explore possibilities. Here’s the scenario:
A dentist desires to establish a clinic in or around your given marketplace and he has reached
out to you for assistance. He will serve as the sole dentist within the given clinic and he will offer
the customary array of services available at most any general dentistry practice. The dentist
desires operational efficiency and also takes opportunities where possible to make
environmentally responsible decisions. Having learned of adaptive reuse, he enlists you to
search the local marketplace seeking abandoned and available commercial buildings which
might be able to be converted into a dental practice through adaptive reuse. Your mission is to
identify three potential adaptive reuse candidates in your area, identifying their physical address,
describing them in detail, and ranking their potential to be converted successfully. The
candidates must be actual commercial properties which currently are for sale, so best to consult
commercial real estate websites and conduct good old-fashioned, boots-on-the-ground
investigations to identify prospects. Feel free to supply links in your text to real estate listings, if
available, or other resources to identify your selected candidates. If no such properties exist in
the immediate market, expand its boundaries until you find accommodations meeting desired
specifications.
Note that in the real world, a project such as this would represent quite the undertaking, requiring
possession of an extensive array of information (e.g., spatial needs, financial resources
available, location preferences, etc.). Such rich detail (and the time needed to make use of it)

isn’t available due to obvious course parameters, but you certainly have sufficient time to perform
a cursory examination within your local marketplace for purposes of identifying a few potential
candidates. That’s exactly what you must do, and through this, you’ll have a better understanding
of adaptive reuse.
The Submission Requirement
Attachments of any kind are prohibited and will carry no points value. Your submission must be
supported by 4 (minimum) to 10 (maximum) references, with at least 3 being from scholarly
academic journals. References may be prepared using the style guide of your choice (APA,); just
be sure to consistently use the selected style.
In presenting your work, identify the title, your name and student ID number, and submission
date at the top of your submission and supply the following sections, exactly as they appear
below, placing each heading in bold text:
• Introduction
• Adaptive Reuse Candidates
o Candidate 1
o Candidate 2
o Candidate 3
• Conclusions (one paragraph; summarize your candidate rankings here)
• References

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Rhabdo or Methanol poisoning or Pneumonia

Assignment Instructions
The task: You are tasked with working on a small case study to extend your knowledge in the
anatomy and physiology related to the case study. The case study represents a disruption to
homeostasis. There are several case studies to choose from and you should choose one case
study that best fits your interests and career goals.
In your written assignment you must identify and discuss the anatomy and physiology associated
with your case study and how it varies from the “normal” anatomy and physiology. To do this you
MUST demonstrate an understanding of how the human body systems and organs normally
function to maintain homeostasis and subsequently describe what goes “wrong” with physiology
and/or anatomical structures. For example what is the role of the gall bladder in a healthy person (Bile storage and secretion), how does a disease such as gall stones affect its normal function
(blocks the bile duct) and how does this affect the person’s physiology (fat metabolism is
disrupted). In your essay you must have a multifaceted approach (eg multiple organs and
multiple organ systems) and discuss how they integrate (integrate = how does a disruption to
homeostasis in the CV system affect the respiratory system?). Inclusion of graphs, images and
flow charts does not contribute to word count.
Word Count: The maximum word count is 1,500 words (non-negotiable; NO +10%; maximum of
1,500 words excluding title page, headings, figures and captions, and reference list).
Due dates and weighting:

You do not need to include diagnosis, prognosis or treatments in your assignment. Anatomy and
physiology is the focus of the assignment.
DRAFT Submission (5%)
DRAFT TEMPLATE
CBL DRAFT Rubric
Prepare your report using Microsoft Word. Write your responses under the headings and subheadings from the draft document.
Submit your assessment as a PDF to the relevant assignment folder
Common feedback on the Case Based Learning assignment: CBL General Feedback
FINAL Submission (25%)
CBL final assignment template

Rubric_T2_2020
Title page: Please include a title page that includes: Title, Name, Student ID, Referencing style
and word count.
NB: Submissions must be YOUR original work with appropriate paraphrasing. Any source
material used, must be appropriately referenced.
Academic Integrity: https://www.deakin.edu.au/students/studying/academic-integrity
What referencing style should I use? APA 6
Submit your assessment as a Microsoft Word document (*.docx) or PDF to the assignment
folder.
What layout should I use: 11pt font, Arial or Times New Roman, 1.5 line spaces, Do not embed
images around text (eg separate graphs between paragraphs)
Read through the following and chose one of the case studies
Case Study Option # 1: Pneumonia:
Samreet contracts a zoonotic disease which causes pneumonia. Unfortunately, Samreet
develops a mild fever and cough and in addition Samreet experiences acute pulmonary
hypertension during the illness. The doctor advises to stay in bed until the illness passes.
Systems in focus: Respiratory, immune, cardiovascular
Specific questions to consider:
What structural and functional aspects of the lungs are impacted by pneumonia?
How does the immune system identify and respond to the pathogens?
How and why does pneumonia affect pulmonary blood pressure?

Case Study Option #2: Methanol poisoning:
Unbeknownst to Mark, a small brewery had mislabeled their new 80% methanol hand sanitizer
product line as Gin. Mark consumed his purchase and becomes ill within 10 minutes. Mark is
admitted to hospital with metabolic acidosis, increased blood lactate, impaired kidney function
and respiratory distress. Luckily Mark’s case is mild, and he recovers within a day without
treatment.
Systems in focus: Renal, blood, respiratory
Specific questions to consider:
How will the body respond to the acute metabolic acidosis?
How is glomerular filtration rate affected by the illness?
Why is respiratory function impaired?
Case Study Option # 3: Rabdomyolysis:
Jamal wants to improve his fitness, and attends his first spin cycling class at a local gym. The
exercise intensity is very high, and Jamal’s legs feel very sore after the session. Over the next
two days, Jamal’s legs begin throbbing and his urine turns dark. Jamal’s has elevated venous
myoglobin and creatine kinase, and has a reduced glomerular filtration rate. Jamal is diagnosed
with a mild case of rabdomyolysis, though recovers in a few days with bed rest.
Systems in focus: Skeletal muscle, renal, cardiovascular
Specific questions to consider:
What structural/functional skeletal muscle abnormalities occur with Jamal’s condition? What role do ion channels play in this process?
How are renal processes impaired by the condition?
How can electrolyte balance be disturbed by the condition?

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Healthcare Operations Management

Competencies:
705.3.2: Resource Assessment – The graduate identifies and assesses external and internal
resources available to a healthcare organization.
705.3.5: Quality Improvement – The graduate designs quality improvement programs to enhance
the level of patient care in a healthcare organization.

705.3.8: Risk Management – The graduate develops risk management programs that result in
improved quality patient care.
705.3.9: Effective Interactions – The graduate can effectively interact with physicians, nurses,
and other healthcare providers.
Note: For this task you will use an attachment in Shockwave Flash Format. This format can be
opened with Adobe Flash. You may also download the free GOM Media Player online to open
this attachment.
Note: The attachments for this task are for informational purposes only. They do not need to be
submitted as work to be evaluated for this task.
Introduction:
The Joint Commission requires a root cause analysis for all sentinel events. These analyses can
be of enormous value. They capture both the big-picture perspective and the details. They
facilitate system evaluation, analysis of need for corrective action, and tracking and trending.
Managers will be able to determine how often a particular error occurs or how often a particular
floor or unit of the hospital is involved. This information may provide clues to the problem. A root
cause analysis is very useful and important especially in near-miss scenarios. The technique is
applicable not only to laboratory medicine but also to other healthcare-associated disciplines.

Task:
A. Provide a summary of the following aspects of a root cause analysis related to the sentinel
event found in the attached Accreditation Audit Case Study – Task 2 Specific artifacts by doing
the following:
1. Describe the sentinel event.
2. Explain the roles (i.e. responsibilities, etc.) of the personnel present during the sentinel event.
3. Discuss the barriers that may impede effective interaction among the personnel present during
the sentinel event.
a. Propose ways to improve interactions among the personnel present.
4. Discuss a quality improvement tool to be used to conduct the root cause analysis.
B. Outline a corrective action plan to ensure that the sentinel event does not recur by doing the
following:

1. Recommend a risk management program or process change to ensure that the sentinel event
does not recur.
a. Discuss resources available to support these changes.
C. When you use sources, include all in-text citations and references in APA format.
Note: When bulleted points are present in the task prompt, the level of detail or support called for
in the rubric refers to those bulleted points.
Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link
included in the Evaluation Procedures section.
Note: When using sources to support ideas and elements in a paper or project, the submission
MUST include APA formatted in-text citations with a corresponding reference list for any direct
quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not
been quoted or paraphrased in the text of the paper or project.
Note: No more than a combined total of 30% of a submission can be directly quoted or closely
paraphrased from sources, even if cited correctly. For tips on using APA style, please refer to the APA Handout web link included in the APA Guidelines section.
File Attachments:
Accreditation Audit Case Study – General Artifacts link opens in new window
Web Links:
1. Accreditation Audit Case Study – Task 2 Artifacts link opens in new window
Evaluation Method

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Understanding the Health Care Professional

As a healthcare professional, you will be working closely with other health care professionals.
The best way to create a positive patient experience is to be able to understand the role that
each healthcare professional plays in the care of a patient. For this assignment, select two of the
following allied health professions (physician, dentist, pharmacist, nurses, advance practice
nurse, or health services administrator) and take a deeper look into their specific functions and
contributions to health care.
In a paper of 750-1,000 words please discuss the following:

What is their function/medical training?
In what type of setting can each profession be found traditionally? Is this changing today?
Discuss how the expanding roles of allied health in health care delivery have affected each
profession.
How has the health care workforce shortage affected each profession?
Provide a minimum of two references.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located
in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Review the rubric prior to beginning the assignment to become
familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the  Technical
Support articles for assistance.

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Benchmark – Planning Better Health for the Future

Being prepared for the future is critical in ensuring we, as health care professionals, can continue
to have improved patient outcomes. The goal of this assignment is to look at what the
infrastructure of health care will look like in the future and how that will affect health care
professionals.
For this assignment, write a 1,000-1,250 word paper that focuses on the following:
Why is population health such a strong focus for the future? What needs to happen for this to truly expand?

Why have we struggled with this in the past? What are some opportunities available today?
Patient activation takes patient education and responsibility to the next level. Patients are given
the tools and then they apply them and become responsible for their ongoing care. Why is this
critical as we look to the future of health care?
Create one goal that would help with the current shortage of health care professionals. Develop
a vision to inform, inspire, and motivate individuals to choose a career within the allied health
professions.
Provide a minimum of three references for this assignment.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located
on the Student Success Center. An abstract is not required.
This assignment uses a rubric. Review the rubric prior to beginning the assignment to become
familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical
Support articles for assistance.
Benchmark Information

This benchmark assignment assesses the following programmatic competency:
BS Health Sciences

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Understanding the Health Care Professional

As a healthcare professional, you will be working closely with other health care professionals.
The best way to create a positive patient experience is to be able to understand the role that
each healthcare professional plays in the care of a patient. For this assignment, select two of the
following allied health professions (physician, dentist, pharmacist, nurses, advance practice
nurse, or health services administrator) and take a deeper look into their specific functions and
contributions to health care.
In a paper of 750-1,000 words please discuss the following:

What is their function/medical training?
In what type of setting can each profession be found traditionally? Is this changing today?
Discuss how the expanding roles of allied health in health care delivery have affected each
profession.
How has the health care workforce shortage affected each profession?
Provide a minimum of two references.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located
in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Review the rubric prior to beginning the assignment to become
familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical
Support articles for assistance

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Cost Containment Paper

Understanding the role that finance plays in health care is critical for all health care professions.
For this assignment, look at the effect of cost and how finances in health care are affected.
Write a 1,250-1,500 word essay addressing the following questions:
What is cost containment and how has it affected health care?
What cost containment practices do we see from private health insurance versus public health  insurance?
How do national expenditures affect an organization? What trends are we seeing with national
expenditures? What does the future look like?
What role does cost shifting play?
What are the various methods of reimbursement and what trends do we see with these?
Provide at least 3-5 academic sources in writing this paper.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located
in the Student Success Center. An abstract is required.
This assignment uses a rubric. Review the rubric prior to beginning the assignment to become
familiar with the expectations for successful completion.

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