Did the World Bank and other international donors act responsibly and ethically in constraining their humanitarian assistance? Who has the responsibility for the health care of the Latin American people?

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Did the World Bank and other international donors act responsibly and ethically in constraining their humanitarian assistance? Who has the responsibility for the health care of the Latin American people?

Did the World Bank and other international donors act responsibly and ethically in constraining their humanitarian assistance? Who has the responsibility for the health care of the Latin American people? Is it a reasonable and socially responsible practice to offer international assistance in exchange for an opportunity to shape a country’s political and/or social system? Why or why not?
Ethical Issues and Foreign Investments

There are multifaceted ethical issues relating to international investments. One aspect relates to human rights. Most Latin American governments have constitutions that mandate health care as a human right, yet some of these countries provide poor health care for the majority of their population.

During the 1980s, the general populace of these countries deteriorated, even though several Latin American countries developed strategies to preposition medical personnel and services to rural areas. Throughout this time, many international donors provided assistance; however they did so with imposed conditions. An example of this constrained assistance was the World Bank, which imposed restrictions that included privatization of health care, as well as required limitations on universal access.

Did the World Bank and other international donors act responsibly and ethically in constraining their humanitarian assistance? Who has the responsibility for the health care of the Latin American people? Is it a reasonable and socially responsible practice to offer international assistance in exchange for an opportunity to shape a country’s political and/or social system? Why or why not?

 

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There is a line between helping folks in need and practicing law when illegally prohibited from doing so.

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There is a line between helping folks in need and practicing law when illegally prohibited from doing so. Where is that line when estate planning is involved? The matters below should help you assess this ethical question.

HW2

There are different reasons people have wills drafted. Here, we look at different scenarios and see how a will would benefit each in these specific situations.
Examine the need for a will in the following scenarios, and then indicate who from this group is most in need of a will.

Elderly widow living in a nursing home –

Wealthy, married couple with grown children
Widower in his 30s with two small children
Couple in their second marriage, each having grown children from his/her prior marriage, and the two having a minor child together
24 year old unmarried, childless college student
Disabled adult
Justify your ideas and responses by using appropriate examples and references from Westlaw (including primary sources such as cases, statutes, rules, regulations, etc.), government Web sites, peer-reviewed legal periodicals (not lawyer blogs), which can be supplemented by law dictionaries or the textbook. This means you need to use more than just your text and legal dictionaries.

There is a line between helping folks in need and practicing law when illegally prohibited from doing so. Where is that line when estate planning is involved? The matters below should help you assess this ethical question.

 

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Identify nursing care models utilized in today’s various health care settings.Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings.

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Identify nursing care models utilized in today’s various health care settings.Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings.

Guidelines
Purpose
The purpose of this assignment is to identify nursing care models utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction.
Course Outcomes
Completion of this assignment enables the student to meet the following course outcomes.
CO#1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO #2)
CO#2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO #3)
CO#3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO #7)
CO#6: Develop a personal awareness of complex organizational systems and integrate values and beliefs with organizational mission. (PO #7)
CO#7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and/or system-wide practice improvements that will improve the quality of healthcare delivery. (PO #2, and #3)
CO#8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO#8)
Due Dates
This assignment is to be submitted to the Dropbox by Sunday, 11:59 p.m. MT, end of Week 5.
Points
This assignment is worth 200 points.
Directions
Read your text, Finkelman (2016), pp- 111-116.
Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.
Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.
Write a 5-7 page paper that includes the following:
Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.
Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.
Discuss your observations about how the current nursing care model is being implemented. Be specific.
Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.
Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.
Write your paper using APA format. Submit to the Dropbox.

 

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Analyze pathophysiologic mechanisms associated with selected disease states. Differentiate the epidemiology, etiology, developmental characteristics, pathogenesis and clinical and laboratory manifestations of specific disease processes.

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Analyze pathophysiologic mechanisms associated with selected disease states. Differentiate the epidemiology, etiology, developmental characteristics, pathogenesis and clinical and laboratory manifestations of specific disease processes.

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Week 5 Summary
Hello Class, Congratulations on completing Week 5! The course outcomes for this week were:
Course Outcomes Program Outcomes
1 Analyze pathophysiologic mechanisms associated with selected disease states. (PO 1)
2 Differentiate the epidemiology, etiology, developmental characteristics, pathogenesis and clinical and laboratory manifestations of specific disease processes. (PO 1)
3 Examine the way in which homeostatic, adaptive, and compensatory physiological mechanisms can be supported and/or altered through specific therapeutic interventions. (PO 1,7)
4 Distinguish risk factors associated with selected disease states. (PO 1)
5 Describe outcomes of disruptive or alterations in specific physiologic processes. (PO 1)
6 Distinguish risk factors associated with selected disease states. (PO 1)
7 Explore age-specific and developmental alterations in physiologic and disease states. (PO 1, 4)
Case Study Summary
Discussion Part 1 (graded)
Ms. Blake is an older adult with diabetes and has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. She has a history of Type I diabetes. On admission her laboratory values show:
Sodium (Na+) 156 mEq/L
Potassium (K+) 4.0 mEq/L
Chloride (Cl–) 115 mEq/L
Arterial blood gases (ABGs) pH- 7.30; Pco2-40; Po2-70; HCO3-20
Normal values
Sodium (Na+) 136-146 mEq/L
Potassium (K+) 3.5-5.1 mEq/L
Chloride (Cl–) 98-106 mEq/L
Arterial blood gases (ABGs) pH- 7.35-7.45 Pco2- 35-45 mmHg Po2-80-100 mmHg HCO3–22-28 mEq/L
List five (3) reasons on why she may have become bed ridden?
Based on these reasons what tests would you order?
Describe the molecular mechanism of the development of ketoacidosis.
What is the general differential?
1. Diabetic Ketoacidosis
2. Hyperglycemic hyperosmolarity
3. Dehydration
4. Sepsis
5. Acute kidney damage
Assuming that DKA is likely, what could have caused her sudden decline?
1. Respiratory infection
2. Dehydration
3. Medication non-compliance
4. Stroke
5. Sepsis
What tests are appropriate? Blood glucose every 1-2hrs until stable, every 4-6 after that. Electrolytes q1-2hr, q4-6 once stable.
Calculate anion gap (likely very high in a DKA patient). Repeat ABG Initial BUN to assess renal function and possible acute kidney injury.
What symptoms would you expect to find in Ms. Blake?
Those of ketoacidosis: tachypnea, confusion, lethargy, decreased level of consciousness, cardiac arrhythmias, and fruity acetone breathe (a break down ketone product acetone from either acetoacetate or alpha hydroxybutyrate). What would be the treatment? Insulin (short and long acting), ringers lactate or 0.45 saline, oxygen, and monitor K and Na. Be sure to anticipate the drop in K that will come when you correct the acidosis with fluids and insulin and begin preemptively replacing K. Molecular mechanism of ketoacidosis: In uncontrolled diabetes hepatic gluconeogenesis and serum glycogenolysis increase and exacerbate hyperglycemia. Lipolysis leads to metabolism of free fatty acids which produces ketones and ketoacids. Ketone bodies are produced when oxaloacetate enters the glugoneogenesis process rather than the citric acid cycle when insulin deficiency produces high levels of acetyl co-A. Ketones, such as beta-hydroxybutyrate, acetone, and acetoacetate then build up in the blood.
Discussion Part Two

 

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