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Answer these two questions- 1. Identify ways that (a) the delivery of psychiatric/mental health nursing and (b) roles, functions, activities, and settings have changed. 2. What issues or trends do you anticipate in psychiatric/mental health in the future?

Please make an initial post answering the following question and respond to at least two of your classmates. In your response be meaningful and polite, no profanity.  Write more than one sentence.  Use Netiquette in the discussion board posts, do not use all caps, no personal attacks, be understanding.   Please Identify and discuss adaptive and maladaptive coping mechanisms and write about the impact on health each one has.

Please choose one of the following theorists to discuss. What are the basic tenets or models of your chosen theorist. • Sigmund Freud • Erik Erikson • Jean Piaget • Lawrence Kohlberg • Karen Horney • Ivan Pavlov • B. F. Skinner • Abraham Maslow • Carl Rogers • Carl Jung • Elisabeth Kübler-Ross

Discussion board- Review the following Safe Dosage Resources and write a paragraph on how these resources support patient safety.   https://www.jointcommission.org/resources/patient-safety-topics/patient-safety/  https://www.ismp.org/recommen

Please answer the following questions as a discussion board post. You do not need to reply to your peers.

1. Discuss the New York Times Magazine’s ethics columnists statement, “Why weren’t there plans to cope with these patients when you knew a storm was coming? Sometimes the ethical—the most important ethical question sometimes is the one you ask not at the moment of crisis, but the duty you have to anticipate certain kinds of crises and avoid them” (375).
2. Describe John Thiele’s perspective of the storm and their circumstances at Memorial. How was he able to ultimately feel it was right to smother a man?
3. Discuss the various interpretations and nuances of end-of –life preferences in the book that take into account religion, consent and medical conditions

Please answer the following questions as a discussion board post. You do not need to reply to your peers.

1. Read an excerpt from the 60 Minutes show referenced in the book. Square this narrative with the book you are reading. Was it fair? Why or why not? http://www.cbsnews.com/news/was-it-murder/
2. Why is it important that Fink includes information about high-profile murders and the murder rate in New Orleans?
3. View the episode of Boston Legal and its possible impact on Dr. Pou and her case. http://www.tvland.com/episodes/mxacxe/boston-legal-angel-ofdeath-ep-055
4. How do the historical perspectives offered on pages 396-405 impact your view on mercy killing? What factors seem to sway thinkers from one side to the other? Are any perspectives missing from this short historical lesson?
5. Why did Dr. Pou’s attorney have such a difficult time finding useful guidelines from the AMA on comfort in care during disasters? What is Arthur Caplan’s opinion of what happened at Memorial? What did the AMA decide following Hurricane Katrina?

Please answer the following questions as a discussion board post. You do not need to reply to your peers.

1. What did Dr. Evans learn from Hurricane Katrina to help her navigate the dilemma of the six power outlets? What questions remain?
2. Put yourself in the shoes of Sheri Fink in NYC as Hurricane Sandy draws near. What changes did take place in disaster planning post Hurricane Katrina? What remains unaddressed? Why? How does this story impact your feelings about the AMA?
3. Analyze the strengths and weaknesses of Maryland’s approach to disaster planning. What does Fink mean when she says that, “Sometimes individual medical choices, like triage choices, are less a question of science than they are of values” (481)
4. How does this story impact your feelings about the AMA? The justice system?
5. Do you agree with the statement by Roger Bernier, “I’m not sure we believe in democracy in America” (481)? Why or why not?
6. It seems that no policy can replace swift thinking and a steady stream of hope in a crisis. To quote Fink, “Life and death in the immediate aftermath of a crisis most depends on the preparedness, performance and decision making of the individuals on the scene” (486). How can your education prepare you for making the right decisions in such a situation? What wisdom does this book offer? What will you do with it?

Please answer the following questions as a discussion board post. You do not need to reply to your peers.

1. Sheri Fink conducted over 500 interviews to construct this work of narrative journalism. What challenges must she have faced in order to craft this book? What dilemmas of her own do you think she wrestled with while researching and writing?
2. The prologue opens with the crux of the life or death issues doctors faced at Memorial Hospital. What questions does the prologue raise for you about Hurricane Katrina? Why do you think doctors like Dr. Pou were ultimately placed in the predicament to prematurely extinguish the lives of their patients? What would you have done given the circumstances? Note: We will engage this “Big Question” again after reading the book.
3. Who was given exemptions from the mandatory evacuation? Why? What other orders given were significant? What “old knowledge” and customs were presented in the book as Hurricane Katrina drew closer?

Please answer the following questions as a discussion board post. You do not need to reply to your peers.

1. Rescue efforts intensify when the generators fail, as nurses must ventilate patients by hand. The death count rises and so does the heat. What key decisions kept people alive in this chapter? Which decisions resulted in death?
2. Who was the man with the boats calling for rescue in the middle of the night? Why were pets brought to the hospital? How is the Cloverleaf an important part of this story?
3. When Mark LeBlanc enters the hospital to save his mother he is taken aback by the tone of resignation among the staff. Is he just viewing the situation from an outsider perspective, as someone who did not spend the past 48 hours lifting patients to the helipad for rescue, or does he have a point?
4. Did the priority system for evacuating patients fit within accepted triage practices? Why or why not? Is a utilitarian approach the best? If not, which approach do you think is superior? Discuss the difficulties inherent to practicing triage medicine. Which approach is best for Organ Sharing?

Please answer the following questions as a discussion board post. You do not need to reply to your peers.

1. Why did the small group of doctors decide to meet? What decisions were made at this gathering? At the official gathering in the morning?
2. Finally, the open conversation about euthanasia comes out. What side does Dr. Deichmann take? Can you tell that Susan Mulderink thinks? Dr. Pou? Dr. Cook? What are your thoughts?
3. What tensions arise between caring for pets and caring for people? Do you think that somehow euthanizing pets made it easier for some of the medical staff to accept euthanizing patients? Later boats allowed the evacuation of pets, making the earlier deaths senseless.
4. How are you feeling as the last of the patients who will leave Memorial alive load onto the helicopters?

Please make an initial post answering the following questions and respond to at least two of your classmates. In your response be meaningful and polite, no profanity. Write more than one sentence. Use Netiquette in the discussion board posts, do not use all caps, no personal attacks, be understanding. What are your plans when you finish the Program? What kind of facility do you want to work in?

List five beliefs that have been handed down to you through your family's culture.