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Essay Instructions: I need help coming up with an intervention from my focus group flyer and summary from last weeks assignment to propose to my superiors. Remember, my problem is that "living wills, advance directives" are not being completed on admission to hospitals, doctors offices, etc. especially for the elderly and chronic or terminally ill patients. From the focus group, I learned from the attendees, elderly, patients and families that the doctors, nurses, secretaries, case management or admissions clerks, ER triage nurses do not take the time to complete or teach about the importance of living wills. Nurses do not have the time. I was thinking about proposing an intervention to somehow come up with hospitals appointing someone other than the nurse to speak with patients who do not have living wills during their hospital stay or implement this teaching somehow. The question for us ER triage nurses and any nurse doing an admission is, "do you have a living will?" 9 times out of 10, the patient replies, " what it that?". The next question from the nurse is, "do you want to receive more information on living wills?". The patient usually declines, maybe because they just want to focus on the here and now of the hospital or ER visit or they feel intimidated not knowing what questions to ask because of being unfamiliar with living wills.

That being said, I need to propose this intervention somehow and then evaluate it with qualitative and quantitative method for evaluating this intervention.... Please help. Last time between the two of us, I came up with pretty good ideas. This is to be power point but I know you don't do power point so I am going to write it out and take key points from the paper and convert to power point. Hopefully I can figure this all out. I have never done power point.

Here are the guideline to follow. We have to include these guidelines in the paper or power point which I know you don't do...

Here goes::
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SCENARIO

You are a Community Health Nurse. You have identified a community health problem and have analyzed the data collected from your community outreach focus group. You have decided on a nursing intervention and need your organization?s approval for funding of this intervention. Your superiors have agreed to listen to your proposal.

(my community health problem was the lack of living wills in the elderly and chronically ill,
COPD, the data collected from my focus group was the complaint that no one was really helping these people, spending the time to explain or fill out the living wills)


Intervention would be to make sure living wills are presented to these people and made out through either the community or hospital or doctors offices, etc. What are your thoughts?
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Essay Instructions: Discuss the legal and ethical basis for advance directives; briefly describe a situation where a living will might apply. Draft a sample living will, indicating the type of content that might be found in such a document

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Part A. Pretend that this question answered two (2) different students:

"Review each of the ethical concepts and theories address in Chapter 5 (faxed). Decide which concept or theory best fits with your personal point of view. Examine how you have used that concept or theory in the past and decide how you will use it in the future."

1) First student - 200 words and must include 2 online reference. Response should adhere to APA guidelines, including the citation of secondary sources.

2) Second student - 175 words.

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Part B. Pretend that this question answered two (2) different students:

"Explain the use of the following documents- advance directives, living will and durable power of attorney for health care. Refer to appendix E in the textbook (faxed) which includes document examples. Explain the differences and similarities between these documents and how these documents work together when discussing end of life planning with a patient."

1) First student - 200 words and must include 2 online reference. Response should adhere to APA guidelines, including the citation of secondary sources.

2) Second student - 175 words.

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Part C. Reflect on those two questions (your opinion) including your thoughts on how ethics have influenced the law. (150 words). Include 1 online reference. Response should adhere to APA guidelines, including the citation of secondary sources.

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ATTN: Please, identify each student answer. Try not to make answers to look alike. Answer in paragraphs, not in essay type format.
Use only online sources (!) and free accessible web sites. Do not use any payable libraries or websites, where you need to log in to view the articles, since I need to read and review the articles! Please include the link in the references.

Thank you.

There are faxes for this order.

Essay Instructions: A Response essay on one article. I will email the article "Living Will" and I also will email one of my old response essays and a picture on how it's graded. it should be between 500-650 words. You can follow exactly what I did with my old response essay, it's the same nothing new.