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Nursing

Module 1: – Go to: https://www.nhpco.org/membership-overview-and-benefits/palli

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Module 1:
– Go to: https://www.nhpco.org/membership-overview-and-benefits/palliative-care-membership/ which is the website of the National Hospice and Palliative Care Organization. This is the largest professional group of professionals (mostly nurses) in the U.S. Scroll down the page where you will see links that will describe the resources available to members, job opportunities, career and educational opportunities. Look around until you have a good idea about the size of this organization and the vast number of resources available.
Write a summary of the organization including any aspects you find to be interesting. Your paper should be one full page of double-spaced narrative, APA- style.
Module 3:
– Read through the EPEC – Module 3 Communicating Effectively PowerPoint.
Answer the questions as thoroughly and concisely as possible.
What do you summarize is the point of this PowerPoint?
Can you find three (3) communication errors that patients speak about when discussing their interaction with health care workers in their interviews?
Pick one ethical theory, and give an example of either a violation or exemplary behavior of that theory.
Your paper should be:
One (1) page
Typed according to APA style for margins, formating and spacing standards
Typed into a Microsoft Word document, save the file, and then upload the file
Upload your file by clicking “Browse My Computer” for Attach File.
Module 4:
– Effective treatment requires a clear understanding of the pharmacology, potential impact, and adverse effects associated with each of the analgesics prescribed, and how these may vary from patient to patient. A specialist who is knowledgeable about their specific indicatio ns and pharmacology, and who is skilled in their delivery, is usually required to administer them.
Instructions:
Review Chapter 4 and all the content in Module 7, then answer the questions below: (show your work)
The oral equianalgesic dose for 4mg of hydromorphone IV is approximately __________.
Convert hydromorphone 7.5 mg every 3 hours PO to sustained release morphine.
Convert morphine 10 mg SQ every 4 hours to the equianalgesic daily dose of oral long acting oxycodone ( morphine 10 mg equals 20 mg oxycodone) .
Mrs. Brown is currently receiving sustained release oxycodone 60 mg every 12 hours for metastatic breast carcinoma with metastasis to pelvix, spine and left femur. She has taken 4 doses of osycodone 20 mg over the past 24 hours for breakthrough pain. What is the new dose of sustained release oxycodone that should be initiated to relieve Mrs. Brown’s pain?
Mr. Smith has multiple sites of bone metastases from his primary prostate carcinoma. He reports that despite taking sustained release oxycodone 30 mg every 12 hours, his pain level remains at “8” when ambulating. You notice he does not have any breakthrough pain prescriptions. In addition to adding an NSAID ATC, what dose of immediate release oxycodone would you expect his physician to order for breakthrough?
Mr. H is being switched by his doctor from PO hydromorphone to PO oxycodone. The patient is on 4 mg of hydromorphone every 4 hours. What will the patient’s every 12 hour dose of oxycodone be? What should he have available for PRN?
What if you decided to schedule it every 8 hr instead?
Mrs. F has been on IV morphine, 4 mg/hour. She is now able to take oral meds and will be switched to oral morphine. What will her every 4 hourly dose be? What dose should she have for breakthrough pain?
What if the team decides to use transdermal fentanyl instead?
Mr. M is on oral meperidine 75 mg every 3 hours. He is having increased pain and it is anticipated he will not be able to tolerate side effects of increased meperidine. If he is switched to long-actine morphine, what would his 12 –hourly dose be? What should his breakthrough dose be?
Mrs. D has been receiving hydromorphone 15 mg PO every 4 hours. Dr. B wants her switched to transdermal fentanyl because of her difficulty swallowing. What would you recommend for breakthrough pain?
What if the plan changes and the patient is to receive IV or SW morphine instead? What would the hourly rate be?
A patient with significant, painful metastatic disease is being discharged from the hospital into hospice. He is currently receiving IV morphine 3 mg/hour plus has received 8 mg in additional boluses in the last 24 hours. What is the appropriate oral regimen that would provide equal analgesia?
A patient has been taking 8 mg of hydromorphone every 4 hr PO and is now being converted to the new long acting hydromorphone. What will the every 12 hr dose be?
A patient needs to take 250mg of long acting morphine every 12 hr PO. What brand name formulation of long acting morphine would be the easiest to dose?
Type your answers into a Microsoft Word document, save the file, and then upload the file
Upload your file by clicking “Browse My Computer” for Attach File.
Module 6:
– Diverse cultures and spiritual beliefs have different views on dying. From a global perspective, developed and undeveloped countries may experience death differently because of resources and communication. For example, Opioids for pain control may not be available in underdeveloped nations. Or some patients may not be able to express their needs.
What is your understanding of the relationship between cultural values, beliefs, and practices and the death expectations of members of different sub-cultural and ethnic groups?
Instructions:
Answer the question below:
What are your insights relating to death, dying, grief and loss?
Then, interview a classmate, friend or family member question. Ask the following questions:
What are your philosophical beliefs, cultural practices, and traditions about death and bereavement?
If they are immigrants, how are aspects of American culture and the family’s native culture represented?
Discuss both your answer and their responses together.
Write a summary of the discussion:
What were the similarities and differences between you and your classmate, friend or family member. (Include examples)
Which are characteristics of the individual family, and which reflect cultural values?
Your paper should be:
One (1) page
Typed according to APA style for margins, formating and spacing standards
Typed into a Microsoft Word document, save the file, and then upload the file
Upload your file by clicking “Browse My Computer” for Attach File.
Module 8:
– Registered professional nurses should be knowledgeable about unintended consequences and the use of many life-support interventions at the end of life, for patients, family members, and clinicians. The learning objective for this assignment is to describe common life-support interventions and their potential adverse effects for dying patients, summarize the ethical and legal issues involved in the use of life-support interventions at the end of life, and plan appropriate interventions for dying patients and their families.
Instructions:
Please read the article Life Support Intervention at the End of Life.
Answer the following question below:
Summarize what you read. Your paper should be:
One (1) page
Typed according to APA style for margins, formating and spacing standards
Typed into a Microsoft Word document, save the file, and then upload the file
Upload your file by clicking “Browse My Computer” for Attach File.
Module 9:
– Instructions:
Read the article, Dilemmas Encountered by Hospice Workers When Patient’s Wish to Hasten Death.
Answer the questions below:
What specifically did the “Oregon Death with Dignity Act” allow physicians to do to hasten the end of their patient’s life?
What elements are needed for the physician to engage in PAS? (eg. Specifically what on the patient’s part and then the physician side?)
Describe the two phases of this study:
Which demographic variables were included in phase I of the study?
Why did only 22% of the nurses respond to the survey? Is it valid when it is such a low percentage respond?
What is VRFF and how does it relate to PAS?
What kind of dilemmas were discovered during the study? (name five)
What kinds of discussions were initiated due to the presence of ODDA?
What type of dilemmas (name three) and discuss what problems it introduced?
What were the differences perceived between VRFF and PAS?
What kind of research in the future is available due to questions that were generated due to this study?
Your paper should be:
One (1) page
Typed according to APA style for margins, formating and spacing standards
Typed into a Microsoft Word document, save the file, and then upload the file
Upload your file by clicking “Browse My Computer” for Attach File.

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