Final Project I Submission: Malpractice

In this project, you will analyze a court case involving medical malpractice. Using your analysis of the case, you will address the facts

pertaining to the medical
standard of care, breach of care, and causation. Further, you will use the facts from the original case to identify an ethics issue,

determine an ethical theory that
would help provide a safe and quality healthcare experience for the patient, apply a clinician–patient shared decision-making model, and

augment or vary the
facts of the case to change the outcome.
You will use the following case to analyze for Final Project I:
 Surgery: Iturralde v. Hilo Medical Center USA
Specifically, your case study must address the following critical elements:
I. Introduction:
A. Summarize the selected case, including information on the stakeholders involved, the problem, and the time period the incidentoccurred.
II. Medical Malpractice Component: In this section, you will evaluate the case to address the legal components, the malpractice policies

similar to this
case, and the standard of care given to the patient and how it was breached. Then, you will draw connections to how this malpractice case

impacted
stakeholders and healthcare consumers outside of the case.
A. Explain the key legal components of the case, including the nature of the issue and the rules that applied.
B. Determine relevant malpractice policies in place for addressing the issues within the case.
C. Analyze the malpractice case for the standard of care provided to the victim. Be sure to apply what the law states about standard of

care to
support whether or not it was breached in the case.
D. Analyze how the malpractice case would impact healthcare consumers from different cultural backgrounds. For example, would this case

have a
similar impact on a person from a culture different from the one in the case? How could this incident change the views of these healthcare
consumers toward the healthcare system?
E. Assess the malpractice case for accountability based on its severity. To what extent was the healthcare provider held accountable?

III. Ethical Component: In this section, you will evaluate the case to identify the specific ethical issues and determine ethical theories

and shared decisionmaking
models that would help resolve the issue and provide a safe, quality healthcare experience. Then, you will propose and defend ethical

guidelines
for healthcare providers to follow in order to avoid future incidents.
A. Describe the ethical issues that led to the malpractice case and explain why the issues are credited with causing the incident. Support

your
response with research and relevant examples from the case.
B. Describe an ethical theory that would help resolve the issue and provide a safe, quality healthcare experience for the patient. Support

your
response with research and relevant examples from the case.
C. Select a physician–patient shared decision-making model and explain how it would provide a safe, quality healthcare experience for the

patient
D. Propose ethical guidelines that would have helped prevent the incident and would help the organization prevent future incidents.
E. Defend how your proposed ethical guidelines will hold healthcare providers accountable to themselves, their profession, their patients,

and the
public.
II. Recommendations: In this section, you will utilize the knowledge you gained from your malpractice and ethical analyses to recommend

and defend
strategies that would help improve medical practices and avoid future liability.
A. Recommend preventative strategies the healthcare provider could implement to avoid liability in the future.
B. Defend how your recommended preventative strategies would assist the healthcare provider in avoiding liability and provide a safe,

quality
healthcare experience for the patient.
Milestone One: Malpractice Case
Milestones
In Module Three, you will submit a 2- to 3-page paper. You will complete part of your analysis of the malpractice case. Using this

analysis of the case, you will
address the facts pertaining to the medical standard of care, breach of care, and causation. This milestone will be graded with the

Milestone One Rubric.
Milestone Two: Ethical Components of the Malpractice Case
In Module Five, you will submit 2- to 3-page paper. You will use the facts from the original case to identify an ethics issue, determine

an ethical theory that
would help provide a safe and quality healthcare experience for the patient, apply a clinician–patient shared decision-making model, and

augment or vary the
facts of the case to change the outcome This milestone will be graded with the Milestone Two Rubric
Final Submission: Malpractice Case Analysis
In Module Seven, you will submit your final project. It should be a complete, polished artifact containing all of the critical elements of

the final product.

http://caselaw.findlaw.com/hi-intermediate-court-of-appeals/1597588.html

Biology Chapter. 1

 

Biology Chapter. 1

Assignment:
Which “Characteristic of Life” (section 1.1 in the textbook) do you think is the most important AND why?

The Characteristics of Life
LEARNING OUTCOMES
Upon completion of this section, you should be able to
1. Identify the basic characteristics of life.
2. Distinguish between the levels of biological organization.
3. Recognize the importance of adaptation and evolution to life.
Life. Everywhere we look, from the deepest trenches of the oceans to the geysers of Yellowstone, we find that planet Earth is teeming with life. Without

life, our planet would be nothing but a barren rock hurtling through space. The variety of life on Earth is staggering, recent estimates suggest that

there are around 8.7 million species on the planet, and humans are a part of it. The variety of living organisms ranges in size from bacteria, much too

small to be seen by the naked eye, all the way up to giant sequoia trees that can reach heights of 100 meters (m) or more (Fig. 1.1).
[D]Figure1.1Life on planet Earth.If aliens ever visit our corner of the universe, they will be amazed at the diversity of life on our planet. Yet

despite its diversity, all life shares some common characteristics.
The diversity of life seems overwhelming, and yet all living organisms have certain characteristics in common. Taken together, these characteristics

give us insight into the nature of life and help us distinguish living organisms from nonliving things. All life generally shares the following

characteristics (1) is organized, (2) requires materials and energy, (3) has the ability to reproduce and develop, (4) responds to stimuli, (5) is

homeostatic, and (6) has the capacity to adapt to their environment. In the next sections we explore each of these characteristics in more detail.
Life is Organized
Life can be organized in a hierarchy of levels (Fig. 1.2). In trees, humans, and all other organisms, atoms join together to form molecules, such as DNA

molecules that occur within cells. A cell is Page 4the smallest unit of life, and some organisms are single-celled. In multicellular organisms, a cell

is the smallest structural and functional unit. For example, a human nerve cell is responsible for conducting electrical impulses to other nerve cells.

A tissue is a group of similar cells that perform a particular function. Nervous tissue is composed of millions of nerve cells that transmit signals to

all parts of the body. Several tissues then join together to form an organ. The main organ that receives signals from nerves is the brain. Organs then

work together to form an organ system. In the nervous system, the brain sends messages to the spinal cord, which in turn sends them to body parts

through spinal nerves. Complex organisms such as trees and humans are a collection of organ systems.
The levels of biological organization extend beyond the individual. All the members of one species (a group of interbreeding organisms) in a particular

area belong to a population. A tropical grassland may have a population of zebras, acacia trees, and humans, for example. The interacting populations of

the grasslands make up a community. The community of populations interacts with the physical environment to form an ecosystem. Finally, all the Earth’s

ecosystems collectively make up the biosphere.
Figure1.2Levels of biological organization.Life is connected from the atomic level to the biosphere. While the cell is the basic unit of life, it

comprises molecules and atoms. The sum of all life on the planet is called the biosphere.
Life Requires Materials and Energy
Living organisms need an outside source of materials and energy to maintain their organization and carry on life’s other activities. Plants, such as

trees, use carbon dioxide, water, and solar energy to make their own food. Humans and other animals acquire materials and energy by eating food.
The food we eat provides nutrients, which cells use as building blocks or for energy—the capacity to do work. Cells use energy from nutrients to carry

out everyday activities. Some nutrients are broken down completely by chemical reactions to provide the necessary energy to carry out other reactions,

such as building proteins. The term metabolism is used to describe all of the chemical reactions that occur in a cell. Cells need energy to perform

their metabolic functions, and it takes work to maintain the organization of a cell as well as an organism.
The ultimate source of energy for nearly all life on Earth is the sun. Plants and certain other organisms are able to capture solar energy and carry on

photosynthesis, a process that transforms solar energy into the chemical energy of organic nutrient molecules. All life on Earth acquires energy by

metabolizing nutrient molecules made by photosynthesizers. This applies even to plants themselves.
The energy and chemical flow between organisms also defines how an ecosystem functions (Fig. 1.3). Within an ecosystem, chemical cycling and energy flow

begin when producers, such as grasses, take in solar energy and inorganic nutrients to produce food (organic nutrients) by photosynthesis. Chemical

cycling (aqua arrows in Fig. 1.3) occurs as chemicals move from one population to another in a food chain, until death and decomposition allow inorganic

nutrients to be returned to the producers once again. Energy (red arrows), on the other hand, flows from the sun through plants and the other members of

the food chain as they feed on one another. The energy gradually dissipates and returns to the atmosphere as heat. Because energy does not cycle,

ecosystems could not stay in existence without solar energy and the ability of photosynthetic organisms to absorb it.
Figure 1.3Chemical Cycling and Energy Flow in an Ecosystem. In an ecosystem, chemical cycling (aqua arrows) and energy flow (red arrows) begin when

plants use solar energy and inorganic nutrients to produce their own food. Chemicals and energy are passed from one population to another in a food

chain. Eventually, energy dissipates as heat. With the death and decomposition of organisms, chemicals are returned to living plants once more.
Energy flow and nutrient cycling in an ecosystem climate largely determine not only where different ecosystems are found in the biosphere but also what

communities are found in the ecosystem. For example, deserts exist in areas of minimal rain, while forests require much rain. The two most biologically

diverse ecosystems—tropical rain forests and coral reefs—occur where solar energy is most abundant. One example of an ecosystem in North America is the

grasslands, which are inhabited by populations of rabbits, hawks, and various types of grasses, among many others. These populations interact with each

other by forming food chains in which one population feeds on another. For example, rabbits feed on grasses, while hawks feed on rabbits and other

organisms.
Living Organisms Reproduce and Develop
Life comes only from life. All forms of life have the capability of reproduction, or to make another organism like itself. Bacteria, protists, and other

single-celled organisms simply split in two. In most multicellular organisms, the reproductive process begins with the pairing of a sperm from one

partner and an egg from the other partner. The union of sperm and egg (Fig 1.4), followed by Page 5many cell divisions, results in an immature stage,

which proceeds through stages of development, or change, to become an adult.
Figure 1.4Growth and development define life. Following the (a) fertilization of an egg cell by a sperm cell (b) humans grow and develop. All life

exhibits the characteristics of growth and development.
When living organisms reproduce, their genes, or genetic instructions, are passed on to the next generation. Random combinations of sperm and egg, each

of which contains a unique collection of genes, ensure that the offspring has new and different characteristics. An embryo develops into a whale, a

yellow daffodil, or a human because of the specific set of genes it inherits from its parents. In all organisms, the genes are made of longDNA

(deoxyribonucleic acid) molecules. DNA provides the blueprint, or instructions, for the organization and metabolism of the particular organism. All

cells in a multicellular organism contain the same set of genes, but only certain genes are turned on in each type of specialized cell. You may notice

that not all members of a species, including humans, are exactly the same, and that there are obvious differences between species. These differences are

the result of mutations, or inheritable changes in the genetic information. Mutation provides an important source of variation in the genetic

information. However, not all mutations are bad—the observable differences in eye and hair color are examples of mutations.
Living Organisms Respond to Stimuli
Organisms respond to external stimuli, often by moving toward or away from a stimulus, such as the smell of food. Right now, your eyes and ears are

receiving stimuli from the external environment. Movement in animals, including humans, is dependent upon their nervous and musculoskeletal systems.

Other living organisms use a variety of mechanisms in order to move. The leaves of plants track the passage of the sun during the day, and when a

houseplant is placed near a window, hormones help its stem bend to face the sun.
The movement of an organism, whether self-directed or in response to a stimulus, constitutes a large part of its behavior. Behavior is largely directed

toward minimizing injury, acquiring food, and reproducing.
Living Organisms Are Homeostatic
Homeostasis means “staying the same.” Actually, the internal environment of an organism stays relatively constant. For example, human body temperature

will show only a slight fluctuation throughout the day. Also, the body’s ability to maintain a normal internal temperature is somewhat dependent on the

external temperature—we will die if the external temperature becomes too hot or cold.
Organisms have intricate feedback and control mechanisms that do not require any conscious activity. These mechanisms may be controlled by one or more

tissues themselves or by the nervous system. When you are studying and forget to eat lunch, your liver releases stored sugar to keep blood sugar levels

within normal limits. Many organisms depend on behavior to regulate their internal environment. In animals, these behaviors are controlled by the

nervous system and are usually not consciously controlled. For example, a lizard may raise its internal temperature by basking in the sun, or cool down

by moving into the shade.
Organisms Have the Capacity to Adapt
Throughout the nearly 4 billion years that life has been on Earth, the environment has constantly been changing. For example, glaciers that once covered

much of the world’s surface 10,000–15,000 years ago have since receded, and many areas that were once covered by ice are now habitable. On a smaller

scale, a hurricane or fire could drastically change the landscape in an area quite rapidly.
As the environment changes, some individuals of a species (a group of organisms that can successfully interbreed and produce fertile offspring) may

possess certain features that make them better suited to the new environment. We call such features adaptations. For example, consider a hawk, which can

catch and eat a rabbit. A hawk, like other birds, can fly because it has hollow bones, which is an adaptation. Similarly, its strong feet can take the

shock of a landing after a hunting dive, and its sharp claws can grab and hold onto prey. As is presented in the Scientific Inquiry feature, “Adapting

to Life at High Elevations,” humans also exhibit adaptations to their environment.
Individuals of a species that are better adapted to their environment tend to live longer and produce more offspring than other individuals. This

differential reproductive success, called natural selection, results in changes in the characteristics of a population (all the members of a species

within a particular area) through time. That is, adaptations that result in higher reproductive success tend to increase in frequency in a population

from one generation to the next. This change in the frequency of traits in populations and species is called evolution.
Evolution explains both the unity and diversity of life. As stated at the beginning of this chapter, all organisms share the same basic characteristics

of life because we all share a common ancestor—the first cell or cells—that arose nearly 4 billion years ago. During the past 4 billion years, the

Earth’s environment has changed drastically, and the diversity of life has been shaped by the evolutionary responses of organisms to these changes.
Page 6

 

 

 

 

SCIENCE IN YOUR LIFE SCIENTIFIC INQUIRY
Adapting to Life at High Elevations
Humans, like all other organisms, have an evolutionary history. This means not only that we share common ancestors with other animals but also that over

time we demonstrate adaptations to changing environmental conditions. One study of populations living in the high-elevation mountains of Tibet (Fig. 1A)

demonstrates how the processes of evolution and adaptation influence humans.
Figure 1AHumans’ adaptations to their environments.Humans have adaptations that allow them to live at high altitudes, such as these individuals in

Tibet.
Normally, if a person moves to a higher altitude, his or her body responds by making more hemoglobin, the component of blood that carries oxygen, which

thickens the blood. For minor elevation changes, this does not present much of a problem. But for people who live at extreme elevations (some people in

the Himalayas can live at elevations of over 13,000 ft, or close to 4,000 m), this can present a number of health problems, including chronic mountain

sickness, a disease that affects people who live at high altitudes for extended periods of time. The problem is that, as the amount of hemoglobin

increases, the blood thickens and becomes more viscous. This can cause elevated blood pressure, or hypertension, and an increase in the formation of

blood clots, both of which have negative physiological effects.
Because high hemoglobin levels would be a detriment to people at high elevations, it makes sense that natural selection would favor individuals who

produced less hemoglobin at high elevations. Such is the case with the Tibetans in this study. Researchers have identified an allele of a gene that

reduces hemoglobin production at high elevations. Comparisons between Tibetans at both high and low elevations strongly suggest that selection has

played a role in the prevalence of the high-elevation allele.
The gene is EPSA1, located on chromosome 2 of humans. EPSA1 produces a transcription factor, which basically regulates which genes are turned on and off

in the body, a process called gene expression. The transcription factor produced by EPSA1 has a number of functions in the body. For example, in

addition to controlling the amount of hemoglobin in the blood, this transcription factor also regulates other genes that direct how the body uses

oxygen.
When the researchers examined the variations in EPSA1 in the Tibetan population, they discovered that their version greatly reduces the production of

hemoglobin. Therefore, the Tibetan population has lower hemoglobin levels than people living at lower altitudes, allowing these individuals to escape

the consequences of thick blood.
How long did it take for the original population to adapt to living at higher elevations? Initially, the comparison of variations in these genes between

high-elevation and low-elevation Tibetan populations suggested that the event may have occurred over a 3,000-year period. But researchers were skeptical

of that data since it represented a relatively rapid rate of evolutionary change. Additional studies of genetic databases yielded an interesting

finding—the EPSA1 gene in Tibetans was identical to a similar gene found in an ancient group of humans called the Denisovans (see Chapter 32).

Scientists now believe that the EPSA1 gene entered the Tibetan population around 40,000 years ago, either through interbreeding between early Tibetans

and Denisovans, or from one of the immediate ancestors of this lost group of early humans.
Questions to Consider
1. What other environments do you think could be studied to look for examples of human adaptation?
2. In addition to hemoglobin levels, do you think that people at high elevations may exhibit other adaptations?

CHECK YOUR PROGRESS 1.1
1. List the common characteristics of all living organisms.
2. Trace the organization of life from the cell to the biosphere.
3. Explain how adaptations relate to evolutionary change.

Legal and Ethical Considerations in Marketing, Product Safety, and Intellectual Property

You are a new associate at the law firm of Dewey, Chetum, and Howe. John, a former researcher at PharmaCARE, comes to your office. He has concerns about PharmaCARE’s use of AD23, one of the company’s top-selling diabetes drugs. Two (2) years ago, after PharmaCARE’s research indicated that AD23 might also slow the progression of Alzheimer’s disease, John and his team of pharmacists began reformulating the drug to maximize that effect. In order to avoid the Food and Drug Administration’s (FDA) scrutiny, PharmaCARE established a wholly-owned subsidiary, CompCARE, to operate as a compounding pharmacy to sell the new formulation to individuals on a prescription basis. CompCARE established itself in a suburban office park near its parent’s headquarters. To conserve money and time, CompCARE did a quick, low-cost renovation.

CompCARE benefited from PharmaCARE’s reputation, databases, networks, and sales and marketing expertise, and within six (6) months had the medical community buzzing about AD23. Demand soared, particularly among Medicare, Medicaid, and Veterans Affairs patients. Seeing the opportunity to realize even more profit, CompCARE began advertising AD23 directly to consumers and marketing the drug directly to hospitals, clinics, and physician offices, even though compounding pharmacies are not permitted to sell drugs in bulk for general use. To circumvent this technicality, CompCARE encouraged doctors to fax lists of fictitious patient names to CompCARE. PharmaCARE sold CompCARE to WellCo, a large drugstore chain, just weeks before AD23 was publicly linked to over 200 cardiac deaths.

As CompCARE and its new parent company enjoyed record profits and PharmaCARE’s stock price approached $300 per share, reports started surfacing that people who received AD23 seemed to be suffering heart attacks at an alarming rate. The company ignored this data and continued filling large orders and paying huge bonuses to all the executives and managers, including John, whose wife recently died from a heart attack after using AD23.

John has come to you with an internal company memo describing the potential problems with AD23, and information describing the company’s willingness “roll the dice” and continue to market the drug.

Your senior partner has asked you to write a memo outlining the following issues for review by the senior partners.

In preparation for this assignment, use the Internet or Strayer Library to research examples of intellectual property theft that occurred within the past two (2) years.

Write a paper in which you:

1.Research three to five (3-5) ethical issues relating to marketing and advertising, intellectual property, and regulation of product safety and examine whether PharmaCARE violated any of the issues in question..

2.Argue for or against Direct-to-Consumer (DTC) marketing by drug companies. Provide support for your response..

3.Determine the parties responsible for regulating compounding pharmacies under the current regulatory scheme, the actions that either these parties or the FDA could / should have taken in this scenario, and whether PharmaCARE could face legal exposure surrounding its practices. Support your response..

4.Analyze the manner in which PharmaCARE used U.S. law to protect its own intellectual property and if John has any claim to being the true “inventor” of AD23. Suggest at least three (3) ways the company could compensate John for the use of his intellectual property..

5.Summarize at least one (1) current example (within the past two [2] years) of intellectual property theft, and examine the effect on that company’s brand..

6.Analyze the potential issue surrounding the death of John’s wife and other potential litigants against PharmaCARE as a result of AD23..

7.Specify both the major arguments that John can make to claim that he is a whistleblower and the type of protections that he should be afforded. Justify your response..

8.Use at least three (3) quality resources in this assignment.

History

Question 1
“The 1920s were a decade of conflict and tension,” argues American Yawp. While this is true of any decade, “The New Era” of the 1920s witnessed particularly divisive conflicts over issues relating to race, religion, gender and immigration. In your essay, explain how immigration, the rise of fundamentalist Christianity, and the rise of the second Ku Klux Klan are interrelated. What do the relationships between them reveal about the conflicts and tensions of the 1920s? Again, be sure to explain how each is interrelated and do not simply explain each one separately.

Question 2
“Before World War I, the American national state, though powerful, had been a ‘government out of sight,'” argues American Yawp. How did the Great Depression and New Deal of the 1930s transform the power and visibility of the federal government in the lives of Americans and why? What do you think were the two most important ways the New Deal transformed American’s relationship to their federal government?

Question 3
How did issues related to the youth of America transform the Civil Rights Movement of the 1950s? Pick two examples and analyze them in your essay.

Question 4
According to Chapter 28, “The Unraveling,” in American Yawp, by the late 1960s and 1970s, it seemed as though America “was ready to unravel.” In your essay, first explain what is meant by “unraveling.” What exactly was unraveling in America during this time? Second, provide two examples of how America “unraveled” during this time period and explain why they happened. Last, how did these examples of “unraveling” transform America?

Composition

Using the Comprehensive Exam Rubric (attached) , review the essay attached to this order and give feedback. Review the attached essay in the discussion and offer feedback to help him or her improve their writing. Create headings using the grading rubric and describe specific evidence you find in your peer’s post that supports your feedback.
Headings
• Introduction (paragraph stating what you will cover).
• Content and Focus.
• Analysis and Critical thinking.
• Logic and Flow.
• Structure and Organization.
• Writing Style.
• APA Format, Grammar, Usage, and Mechanics.
• Conclusion (paragraph stating what you covered).

Lisa Assignment 6

Lisa Assignment 6
CIT 609: Special Topics in Curriculum Design I

Assignment 6 (25% of course grade) (objectives 1-5)

You are continuing to work on your Chart – Plan of Action and the courses you have selected.
Make sure to add Periodicals and Journals that you plan to read.
Add conferences you wish to attend
Republish your chart – HIGHLIGHT what you have added

• Complete and publish yourContinuous Professional Improvement for the Purpose of Improving Teaching to Meet the Needs of Students.
• As you develop this assignment, make sure you review the following rubric for guidance on elements to include and the criteria that will be used to assess your assignment.

Plan a Public Awareness Event

 

Email Assignment (10%)
Choose what organization you work for: medical office, hospital, command centre, fire station, pharmacy, or healthcare clinic.
Your choice of organization will be hosting a public awareness event. {For example, an event that educates about a particular disease or sickness.}

You need to create a mass email which includes:
• an overview / summary of the event,

• the date, time, and location of the event,

• a description of what attendees will benefit from the event,

• a list of items that email recipients should bring to the event,
{In this list of items, include that recipients may bring the set of directions in this email [the next bullet point] to guide them around road closure.

Here, briefly explain the road closure.}

• a set of directions to the event facility
Your directions must include at least 6 steps. Attached is the map you will use for your list of directions. Pick a random point on the map to be your

organization’s location. You must include at least two landmarks found on the attached map, and you must direct readers around road closure – the road

closure that was explained under “list of items to bring” – at another point in the map.
Introduce your directions as such: “Driving east/south/west/north on (name of a main road on map below), …”. Final step should be a turn that arrives at

your organization’s building.

 

 

Business Entity Implications for Contracts

 

For this assessment, complete the following:

Research each of the following types of business entities:

Sole proprietorship.
Partnership.
Corporation.
Limited liability company (LLC).

Consider potential factors and issues associated with each of these types of business entities in the context of contract law. Write a paper analyzing

the following for each of the above four types of business entities:

Who in the business entity would typically create and negotiate a contract?
Who in the business entity would typically approve and sign a contract?
Who in the business entity would have liability associated with the contract?
What are the effects of the type of business entity on the ability to contract for the sale of the business?

 

When writing the paper, the following criteria should be answered/completed:
-Analyzes contract creation and negotiation for the most common types of business entities and explains why one entity might be considered optimal in

this context.
-Analyzes contract approval for the most common types of business entities and explains why one entity might be considered optimal in this context.
-Analyzes contract liability for the most common types of business entities and explains why one entity might be considered optimal in this context.
-Analyzes how choosing among the most common types of business entities affects the ability to sell a business, and explains why one entity might be

considered optimal in this context.

 

Business

· Introduction – could be better … include proper references for each of the topics included;
· Lit review – the topics should be introduced broader including proper references for each of them;
· Research work – use more of the SPC tool we have discussed during our classes, use Fishbone to search for the causes;
· Discussion – has to be rewritten, as it is now is rather presentation and analysis of the results; you have to discuss your results in the light

of other results found by other authors;
· Recommendations are missing Conclusion – short overview of the whole project.

Mark all new text in a different colour.
Deadline to send the revised version by email to me and to upload it to the Turnitin system is Tuesday, 6 pm.

Introduction
The introduction leads the reader from a general subject area to a particular field of research. It establishes the context and significance of the

research being conducted by summarizing current understanding and background information about the topic, stating the purpose of the work in the

form of the research problem supported by a hypothesis or a set of questions, briefly explaining the methodological approach used to examine the

research problem, highlighting the potential outcomes your study can reveal, and outlining the remaining structure of the paper.
A well-written introduction is important because, quite simply, you never get a second chance to make a good first impression. The opening

paragraphs of your paper will provide your readers with their initial impressions about the logic of your argument, your writing style, the overall

quality of your research, and, ultimately, the validity of your findings and conclusions. A vague, disorganized, or error-filled introduction will

create a negative impression, whereas, a concise, engaging, and well-written introduction will lead your readers to think highly of your analytical

skills, your writing style, and your research approach.

Literature review:
A literature review surveys books, scholarly articles, and any other sources relevant to a particular issue, area of research, or theory, and by so

doing, provides a description, summary, and critical evaluation of these works in relation to the research problem being investigated. Literature

reviews are designed to provide an overview of sources you have explored while researching a particular topic and to demonstrate to your readers how

your research fits within a larger field of study.
A literature review may consist of simply a summary of key sources, but in the social sciences, a literature review usually has an organizational

pattern and combines both summary and synthesis, often within specific conceptual categories.
A summary is a recap of the important information of the source, but a synthesis is a re-organization, or a reshuffling, of that information in a

way that informs how you are planning to investigate a research problem. The analytical features of a literature review might:
• Give a new interpretation of old material or combine new with old interpretations,
• Trace the intellectual progression of the field, including major debates,
• Depending on the situation, evaluate the sources and advise the reader on the most pertinent or relevant research, or
• Usually in the conclusion of a literature review, identify where gaps exist in how a problem has been researched to date.
The purpose of a literature review is to:
• Place each work in the context of its contribution to understanding the research problem being studied.
• Describe the relationship of each work to the others under consideration.
• Identify new ways to interpret prior research.
• Reveal any gaps that exist in the literature.
• Resolve conflicts amongst seemingly contradictory previous studies.
• Identify areas of prior scholarship to prevent duplication of effort.
• Point the way in fulfilling a need for additional research.
• Locate your own research within the context of existing literature [very important].

Discussion
The purpose of the discussion is to interpret and describe the significance of your findings in light of what was already known about the research

problem being investigated, and to explain any new understanding or fresh insights about the problem after you’ve taken the findings into

consideration. The discussion will always connect to the introduction by way of the research questions or hypotheses you posed and the literature

you reviewed, but it does not simply repeat or rearrange the introduction; the discussion should always explain how your study has moved the

reader’s understanding of the research problem forward from where you left them at the end of the introduction.
This section is often considered the most important part of your research paper because this is where you:
Most effectively demonstrates your ability as a researcher to think critically about an issue, to develop creative solutions to problems based upon

a logical synthesis of the findings, and to formulate a deeper, more profound understanding of the research problem under investigation.
Present the underlying meaning of your research, note possible implications in other areas of study, and explore possible improvements that can be

made in order to further develop the concerns of your research.
Highlight the importance of your study and how it may be able to contribute to and/or fill existing gaps in the field. If appropriate, the

discussion section is also where you state how the findings from your study revealed new gaps in the literature that had not been previously exposed

or adequately described.
Engage the reader in thinking critically about issues based upon an evidence-based interpretation of findings; it is not governed strictly by

objective reporting of information.

Conclusions
The conclusion is intended to help the reader understand why your research should matter to them after they have finished reading the paper. A

conclusion is not merely a summary of the main topics covered or a re-statement of your research problem but a synthesis of key points and, if

applicable, where you recommend new areas for future research. For most essays, one well-developed paragraph is sufficient for a conclusion,

although in some cases, a two or three paragraph conclusion may be required.
Importance of a Good Conclusion
A well-written conclusion provides you with important opportunities to demonstrate to the reader your overall understanding of the research problem.

These include:
Presenting the last word on the issues you raised in your paper. Just as the introduction gives a first impression to your reader, the conclusion

offers a chance to leave a lasting impression. Do this, for example, by highlighting key points in your analysis or results or by noting important

or unexpected implications applied to practice.
Summarizing your thoughts and conveying the larger significance of your study. The conclusion is an opportunity to succinctly answer the “So What?”

question by placing the study within the context of past research about the topic you’ve investigated.
Demonstrating the importance of your ideas. Don’t be shy. The conclusion offers you the opportunity to elaborate on the impact of your findings.
Introducing possible new or expanded ways of thinking about the research problem. This does not refer to introducing new information [which should

be avoided], but to offer new insight and creative approaches for framing/contextualizing the research problem based on the results of your study.

Decision Making in Paramedic Practice

 

Choose a case that you have attended which involves either:
• End-of-life / Palliative care
OR
• Low acuity / Treat – non-transport Decisions
Answer the following questions in relation to the case that you have chosen
SHORT ANSWER QUESTIONS
1. Briefly outline the case that you have chosen.
o Outline the key features of the case in the introduction.
(5 marks) (250 words)
Answer the following questions:
o The following questions target the legal and ethical issues of the case you have outlined and your critical reflection on how the case was managed.
o Support with reference to literature and evidence.
IMPORTANT!!CONFIDENTIALITY IS OF UTMOST IMPORTANCE: STRICTLY NO REFERENCE TO CREW, PATIENT OR HOSPITAL IDENTIFIERS, DATES, LOCATION OR PLACE NAMES.

2. Identify and discuss at least two legal considerations in the case.
o Provide reference to legal documents, guidelines or other articles/texts that discuss legal issues in regards to non-transport or end-of-life decisions.
(10 Marks) (250 words)

3. Identify and discuss at least two ethical considerations in the case
o Provide reference to peer reviewed articles that discuss ethical issues in regards to non-transport, palliative care and end-of-life decisions.
o Refer to the ethical principles of justice, autonomy, beneficence and non-maleficence
(15 Marks) (350 words)

4. Reflect on the case and how it was managed. Consider one positive and one negative aspect of the case and provide rationale for why you considered it either a positive or negative experience.
Think about:
o how you felt about what occurred,
o was it managed well and why,
o how could it have been improved,
o was the communication between the paramedics and those involved adequate,
o what resources were available,
o who could have been contacted – included in the decision making
(20 marks) (400 words)
Case Description
1. Briefly outline the case that you have chosen. o Outline the key features of the case in the introduction. o The case is de-identified
Maximum mark
5 / 5
Legal Considerations
Describe two legal aspects of the case. In your description make sure you define the legal aspects that you are going to discuss and support your discussion with literature (legal documents, guidelines or other articles/texts that discuss legal issues in regards to non-transport or end-of-life decisions). Link your discussion to the case you have outlined above.
Maximum mark
10 / 10
Ethical Considerations
Describe two ethical issues of the case. In your description make sure you define the ethical issues that you are going to discuss and support your discussion with literature (textbook, codes of conduct or other articles/texts that discuss ethical issues in regards to non-transport or end-of-life decisions). Link your discussion to the case you have outlined above. o Provide reference to peer reviewed articles that discuss ethical issues in regards to non-transport, palliative care and end-of-life decisions. o Refer to the ethical principles of justice, autonomy, beneficence (benefit) and non-maleficence (concept of do no harm).
Maximum mark
10 / 10
Reflection
4. Reflect on the case and how it was managed. Consider one positive and one negative aspect of the case and provide rationale for why you considered it either a positive or negative experience. Think about: how you felt about what occurred, was it managed well and why, how could it have been improved, was the communication between the paramedics and those involved adequate, what resources were available, who could have been contacted – included in the decision making
Maximum mark
15

Useful websites forsource:

Home

http://www.health.gov.au/palliativecare

http://www.caresearch.com.au/Caresearch/Default.aspx