Introduction
Many healthcare providers in nursing homes were confounded when the Patient Protection and Affordable Care Act, (PPACA), was passed in March 2010. This act was later amended to include the Health Care and Education Reconciliation Act 2010. The passing of PPACA was a bittersweet occasion for health care providers for two reasons. It was bitter, since it was least expected by most health care providers. For several years, the National Association of Social Workers (NASW) had been advocating for a single-payer system. This desire was trampled by the congressional leaders and the president from the inception. At some moment the enactment of the…..

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Sometimes, during heated discussions and debates about social policy, the underlying reasons for the policy go unnoticed. Advocates and policymakers may become so committed to their perspectives and to winning the debates that they lose focus on the larger context surrounding an issue. The purpose of policy is to improve the lives and well-being of individuals and groups in our society. As you assume the role of a social work policymaker, consider the importance of keeping the needs and experiences of vulnerable populations at the forefront of your mind in your advocacy efforts. This can help to assure effective policy practice.

For this Assignment, you will analyze a state, federal, or global social welfare policy that affects an at-risk, marginalized, oppressed, underrepresented, or over looked group population. Finally, consider the impact of social policy from the perspective of the group you selected.

(5-7 double-spaced pages, APA format). In addition to a minimum of eight scholarly references, which may include electronic government documents and reputable websites, your paper should include:

A description of the current policy approach for addressing the social issue you selected (HOMELESS POPULATION-SOCIAL ISSUE)

A description of the current policy goals for addressing the social issue you selected

A description of the population the current policy approach covers

An explanation of the funding levels for the current policy approach and whether they are sufficient to address the issue

An explanation of how this policy may affect at-risk, marginalized, underrepresented, overlooked, or oppressed populations.

Identify a specific at-risk population.

An analysis of whether or not the policy meets the needs of the population groups most affected by the policy.

Recommendations for alternative policies that would address the gaps identified in the policy. Please be specific in recommendations.

Posted: 2 Months AgoDue: 27/02/2018Budget: $30
Report Issue
Write a 1,050- to 1,400-word paper in which you describe a project you have managed personally or professionally. Examples may include a trip you planned, a new product or service developed for your employer, a staff reorganization, and so on.

Develop a project overview that addresses the following questions.

What were the mission and objectives of the project?
What were the high-level tasks or scope of the project?
How was the need for the project identified?
What was the cost and how was it funded?
What was the timeline?
Who were the parties involved in the project and what were the roles of each party (team) member?
What steps did you establish to ensure the project was a success?
How did you measure the success of your project?
Overall, how did project management help to make this project a success?
Note: This overview should include the elements of a project charter.

Format your paper according to APA guidelines.

You will assume the role of a public administrator to complete this assignment. Choose an administrator role; some examples are below:

Police Chief
Finance Officer
Urban Planner
City Manager
FBI Director
As the public administrator, in the role you choose, in 750-1,000 words do the following:

Describe how social responsibility and public interest intersect.
Analyze your responsibility to stakeholder from an ethical standpoint. Describe how a code of ethics or oath of office for the position you choose informs your ethical responsibilities
Describe how you will make the decisions necessary to ethically execute your position as a public administrator in the role you choose.
Create a suggested code of ethics or add to an existing code of ethics for the administrative role chosen.
Explain why it is essential for you, in this role, to conduct yourself in a legal and ethical manner. How would your failure to conduct yourself in an ethical manner affect various stakeholders you are responsible for?
Use three to five scholarly resources to support your explanations.

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.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

This benchmark assignment assesses the following programmatic competencies: 1.1 Analyze why it is essential for public servants to conduct themselves in a legal and ethical manner with various stakeholders.
Assignment 3 Rubrics

Benchmark – Ethical Responsibility

1 Unsatisfactory 0.00%

2 Less than Satisfactory 74.00%

3 Satisfactory 79.00%

4 Good 87.00%

5 Excellent 100.00%

70.0 %Content

15.0 %Describe how social responsibility and public interest intersect.

Description of how social responsibility and public interest intersect is missing.

Description of how social responsibility and public interest intersect is vague and inconsistent.

Description of how social responsibility and public interest intersect is present and complete.

Description of how social responsibility and public interest intersect is complete and clear.

Description of how social responsibility and public interest intersect is clear, concise, and makes connections to current research.

15.0 %Analyze the responsibility to stakeholders from an ethical standpoint. Include how a code of ethics or oath of office for the position informs ethical responsibilities.

Analysis of the responsibility to stakeholders from an ethical standpoint. Include how a code of ethics or oath of office for the position informs ethical responsibilities is missing.

Analysis of the responsibility to stakeholders from an ethical standpoint. Include how a code of ethics or oath of office for the position informs ethical responsibilities is vague and inconsistent.

Analysis of the responsibility to stakeholders from an ethical standpoint. Include how a code of ethics or oath of office for the position informs ethical responsibilities is present and complete.

Analysis of the responsibility to stakeholders from an ethical standpoint. Include how a code of ethics or oath of office for the position informs ethical responsibilities is complete and clear.

Analysis of the responsibility to stakeholders from an ethical standpoint. Include how a code of ethics or oath of office for the position informs ethical responsibilities is clear, concise, and makes connections to current research.

15.0 %Describe how you will make the decisions necessary to ethically execute your position as a public administrative role chosen.

Description of how you will make the decisions necessary to ethically execute your position as a public administrative role chosen is missing.

Description of how you will make the decisions necessary to ethically execute your position as a public administrative role chosen is vague and inconsistent.

Description of how you will make the decisions necessary to ethically execute your position as a public administrative role chosen is present and complete.

Description of how you will make the decisions necessary to ethically execute your position as a public administrative role chosen is complete and clear.

Description of how you will make the decisions necessary to ethically execute your position as a public administrative role chosen is clear, concise, and makes connections to current research.

10.0 %Create a suggested code of ethics or add to an existing code of ethics for the administrative role chosen.

Creation of a suggested code of ethics or add to an existing code of ethics for the administrative role chosen is missing.

Creation of a suggested code of ethics or add to an existing code of ethics for the administrative role chosen is vague and inconsistent.

Creation of a suggested code of ethics or add to an existing code of ethics for the administrative role chosen is present and complete.

Creation of a suggested code of ethics or add to an existing code of ethics for the administrative role chosen is complete and clear.

Creation of a suggested code of ethics or add to an existing code of ethics for the administrative role chosen is clear, concise, and makes connections to current research.

15.0 %Explain why it is essential for you, in this role, to conduct yourself in a legal and ethical manner, including how failure to conduct yourself in an ethical manner affects various stakeholders. (Comp 1.1)

Explanation of why it is essential for the student, in this role, to conduct yourself in a legal and ethical manner; including how failure to conduct self in an ethical manner affects various stakeholders is missing.

Explanation of why it is essential for the student, in this role, to conduct yourself in a legal and ethical manner; including how failure to conduct self in an ethical manner affects various stakeholders is vague and inconsistent.

Explanation of why it is essential for the student, in this role, to conduct yourself in a legal and ethical manner; including how failure to conduct self in an ethical manner affects various stakeholders is present and complete.

Explanation of why it is essential for the student, in this role, to conduct yourself in a legal and ethical manner; including how failure to conduct self in an ethical manner affects various stakeholders is complete and clear.

Explanation of why it is essential for the student, in this role, to conduct yourself in a legal and ethical manner; including how failure to conduct self in an ethical manner affects various stakeholders is clear, concise, and makes connections to current research.

20.0 %Organization and Effectiveness

7.0 %Thesis Development and Purpose

Paper lacks any discernible overall purpose or organizing claim.

Thesis is insufficiently developed or vague. Purpose is not clear.

Thesis is apparent and appropriate to purpose.

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

8.0 %Argument Logic and Construction

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

Writer is clearly in command of standard, written, academic English.

10.0 %Format

5.0 %Paper Format (use of appropriate style for the major and assignment)

Template is not used appropriately or documentation format is rarely followed correctly.

Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.

Appropriate template is used. Formatting is correct, although some minor errors may be present.

Appropriate template is fully used. There are virtually no errors in formatting style.

All format elements are correct.

5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are not documented.

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

100 %Total Weightage

Nursing management of a patient requiring hospitalisation

Length: 2500 words

The aim and purpose of Assessment 1 is to provide students the opportunity to demonstrate they:

• Are developing their ability to locate, interpret, integrate, synthesize and apply nursing knowledge from NUR243, other units they have comleted and a range of current, reliable sources to a patient or scenario they may meet in day to day nursing practice in medical/surgical settings
• Are developing appropriate critical thinking, clinical reasoning and sound clinical decision making processes and strategies essential for safe, evidence-based and competent nursing practice in medical/surgical settings
• Are able to focus their attention to the needs of the individual patient as the key concern of nursing practice in health care settings
• Have a developing understanding of the role and scope of practice of the registered nurse in the Australian health care context
• Are progressing towards the level of professional written communication required for nursing practice in Australia
• Are demonstrating ethical and professional practice by adhering to the University’s academic integrity standards and plagiarism policy

The format for Assessment 1 is objective, academic writing style in proper sentences and topic paragraphs under the headings below.
Note: An introduction and conclusion are not required in this assignment.
• Item 1: Clinical presentation
• Item 2: Nursing management – Adequate oxygenation
• Item 3: Nursing management – Medication management.
• Item 4: Nursing management – Rationale for prescribed treatments and nursing interventions.
• Item 5: Safe, effective nursing care
• Item 6: Health promotion
• Item 7: Culturally responsive nursing care
• References
Assessment 1 is to be presented:
• As a computer generated document in Word format. PDF documents will not be accepted
• 1.5 or double-spaced in either Arial, Times New Roman or Calibri font, size 11 or 12
• In clear, coherent Australian English that demonstrates progression towards the standard for written communication for professional nursing practice in Australia
• Using appropriate professional terminology and formal academic language and style
• With no acronyms and abbreviations
• With no dot points, lists, diagrams or tables
• No more that 10% over or under that stated word count
• The word counts for each items are a guide for the amount of content for each item
• Use of trade names is not acceptable. Only generic terms or names are to be used when referring to specific medications or other prescribed treatments or resources that may be used in nursing practice

Your lecturer and assignment markers will check your sources where they have concerns as to the originality of your work.
Academic Integrity: Use of current, reliable evidence for practice
Markers must be able to access ALL your sources. All resources must be accessible via CDU databases or freely available by internet search.
• All resources for NUR243 assignments must be from quality, reliable and reputable sources and must be relevant to nursing. Carefully evaluate the material you locate in nursing, medical and allied health journals or texts as it may not always address or be related to, the nursing management issue you are asked to address and/or the Australian context.

• All resources must be dated no earlier than 2006

• There must be at least 12 peer-reviewed journal articles reporting original research or formal systematic or literature reviews cited in your assignment and all must have complete and correct referencing details. Note: This includes the 3 articles for Item 2 of the assignment

• Only one textbook can be cited as a reference in the assignment and it must be a current edition.
• Relevant documents from reputable, reliable, professional websites may be used where it is appropriate to do so.
Resources that are NOT appropriate
The following are NOT appropriate resources as they cannot be considered reliable sources of information:
• Dictionaries
• Journal abstracts
• Journal articles that are not in English
• Journal articles that cannot be accessed via CDU databases or search engines
• Websites such as Wikipedia, myDr, Nurse.com, Scribd, and other nursing/health/medical blog sites
• Information from organisational intranet sites or other sites that require registration or log in to access material. This is not publicly available information.
• Consumer websites such as the Better Health Channel or consumer information from government departments or agencies
• Preview copies of books from online retailers

Topic
Brian’s story
Brian is 65 years old and lives with his dog ‘Spider’ in a town flat on the first floor of a block of units in a government housing estate.
About a year ago Brian had to move to town from his home community because his increasing health needs could not be readily met in his community. He misses his community, the close bonds with family and friends back home and is worried about his family’s welfare in his absence.
Brian has been a smoker for 30 years. He smokes 20 cigarettes per day and has a history of recurrent chest infections, hypertension, sleep apnoea and gout. He has a persistent cough that he calls a ‘smoker’s cough’. Recently he has noticed his cough is getting worse and producing greenish coloured sputum.
Over the last few days he has been finding it increasingly difficult to walk up stairs and to look after himself. He now has to stop every few minutes to catch his breath and decided it was time to come to the Emergency Department at the hospital where you are practicing.

On your shift today, the Emergency Nurse gives you the following handover as part of Brian’s admission to the setting where you are practicing today as a registered nurse:
Brian presented to the Emergency Department because his respiratory function has been deteriorating over the last few days. After medical review, his provisional medical diagnosis is an acute chest infection exacerbating suspected chronic obstructive pulmonary disease. He is being admitted for treatment and further investigation of his respiratory function.

Brian’s current medications include allopurinol, cilazipril and metoprolol and in the emergency department he has had first doses of ampicillin and a combination bronchodilator by metered dose inhaler which are to continue until review. The doctor also ordered low flow oxygen via nasal prongs, chest physio after the bronchodilator therapy and a high energy, high protein diet.
The Emergency nurse also tells you that Brian has reported he hasn’t had a shower for two days because he gets too puffed out’ and that he is very worried about his dog ‘Spider’ who has been left locked up alone in his flat. He also is concerned that his family back in the community doesn’t know that he’s not well and had come to hospital.
Your task in Assessment 1 is to critically discuss some of the key nursing issues related to Brian’s care on your shift. Details of the specific nursing issues to address are identified on the following pages.

Tasks
Based on Brian’s case and the information you have available, address the following seven (7) items.
Do not make up or assume information in relation to Brian’s case. Only use what you know from the case study information on the previous page.
Note: In most items Assessment 1, textbooks are not appropriate resources.
Item 1: Clinical presentation No Textbooks are to be used in this section
Brian is part of your patient allocation for your shift today. You haven’t met or seen him as yet. An important first step in the clinical reasoning process is to anticipate what you might see, hear and feel when you first meet Brian.
Using current, reliable journal articles to support your thoughts and ideas (Textbooks are not appropriate sources in this section)
• Describe what you might expect to see, hear and/or feel when you do your initial assessment of Brian AND
• Explain why you might expect to see, hear or feel these findings

(150 words)

Item 2: Nursing management – Adequate oxygenation
No Textbooks are to be used in this section
Brian is likely to be prescribed continuous or intermittent oxygen saturation or pulse oximetry monitoring, especially while he has oxygen therapy in situ.
A new nursing student you are working with today reports to you that Brian’s saturation monitor is continually alarming and saturation reading is 86%. You review Brian to assess his respiratory function to determine if you need to seek medical review and find that aside from the saturation reading on the monitor, Brian is in no respiratory distress and is not cyanotic.
Using only the CDU Library databases and search engines, locate three (3) current journal articles that report original research or formal systematic or literature reviews relating to oxygen saturation monitoring or pulse oximetry.
Using only these 3 articles (Textbooks are not appropriate resources in this section),
• Identify what you need to ensure the nursing student knows and understands about how pulse oximetry works and the factors that might impact on accurate, reliable oxygen saturation monitoring or pulse oximetry readings

• Explain why it is important the nursing student knows and understands this information AND

• Explain why oxygen saturation monitoring on Brian may not always give you an accurate picture his current level of oxygenation

(500 words)

Item 3: Nursing management – Medication management
Two important aspects of medication management by registered nurses is for the nurse to understand why a patient has been prescribed specific medications and to monitor the patient to ensure they are responding to prescribed medications as they should.
• Briefly explain why Brian has been prescribed ampicillin and a combination bronchodilator by metered dose inhaler on this admission

• Explain how you will monitor Brian to ensure he is responding to these medications as he should

(250 words)
Item 4: Nursing management – Rationale for prescribed treatments and nursing interventions
No Textbooks are to be used in this section.
Brian has been prescribed several treatment interventions to stabilise his current health problems and improve his overall health status. From your assessments so far, you recognise that Brian should be nursed in an upright or tripod position and to ensure that he has supplemental oxygen, supervision and assistance when showering, toileting and mobilising around the ward.
Using current, reliable journal articles to support your thoughts and ideas (Textbooks are not appropriate sources in this section)
• Explain why Brian has been prescribed:
o Chest physio (postural drainage, percussion and vibration, effective coughing) after administration of the prescribed bronchodilator therapy
o A high energy, high protein diet

• Explain why you have decided that today Brian needs
o To be nursed in an upright position
o Supplemental oxygen, supervision and assistance when showering, toileting and mobilising around the ward

(500 words)

Item 5: Safe, effective nursing care
No Textbooks are to be used in this section.
Nurses have a professional responsibility to ensure that patients in their care remain safe and well in health care settings.
Using current, reliable journal articles to support your thoughts and ideas (Textbooks are not appropriate sources in this section)
• Explain the strategies you will implement to keep Brian safe and well in the hospital environment during your shift today

AND
• Strategies you will implement to monitor Brian to ensure you can identify if Brian is not responding to prescribed treatments and/or your nursing care as he should (500 words)

Item 6: Health promotion
Brian requires a chronic obstructive pulmonary disease management plan to be put in place before he can be discharged home. Part of any management plan is patient teaching and strategies to promote health and minimise exacerbation of his health problems.
• Identify two (2) health promotion topics you will address with Brian during your shift today that are part of Brian’s chronic obstructive pulmonary disease management plan.

AND
• Explain why these 2 topics are appropriate for Brian as part of a chronic obstructive pulmonary disease management plan.

(300 words)

Item 7: Culturally responsive nursing care
An important part of nursing practice is to be responsive and sensitive to the cultural practices, beliefs and values of patients in your care.
• Explain why Brian’s cultural background might impact on how he interprets, understands and complies with prescribed treatments and health promotion information that is given to him this admission.

Note: The case study information does not identify Brian’s cultural heritage. Do not make any assumptions about what it might be.
This section requires a discussion of general principles and concepts. The cultural background of the patient is not necessary information for you to address this item.
You are, however, encouraged to provide examples of cultural practices, beliefs and values to support your statements. There are many examples in the relevant literature.
(300 words)

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