Order Description
answer each question using a minimum of 300 words.
D7. Various exclusionary rules have been developed in the United States. Discuss these rules and their impact on the criminal justice process. Do these rules tend to
favor the defendant?
D8. in chapters 8 and 9 of the textbook, evaluate America's criminal procedure. Which aspects of criminal procedure do you believe work well and which should be
eliminated or modified? Below are a list of the procedures.
Crime, Arrest, Initial appearance, Bail, Preliminary hearing, Charging, Grand Jury, Arraignment.
Plea bargaining, Charge bargaining, Count bargaining, Sentence bargaining, Sentencing Prison, Probation, Fines, and Capital punishment.
2:chronic congestive heart failure
Order Description
Case Study One
A.J., an 82 year-old female, was admitted three weeks ago with acute on chronic congestive heart failure (CHF) after presenting to the emergency department (ED) with
c/o progressive worsening SOB, leg edema, and fatigue. She has a history of severe CHF, atrial fibrillation, myocardial infarction (MI), renal insufficiency, and
hypothyroidism. Since admission, A.J. has needed intubation and ventilation for acute decompensated heart failure due to a massive MI. She is alert when not sedated
but has been too unstable for a cardiac catheterization and has needed vasoactive medications to support her blood pressure. Her renal function has declined and plans
are being made for hemodialysis. Today when speaking with A.J.’s husband, he conveys to you her nurse that “she would not have wanted all of this”.
1. Discuss the pros and cons of continued therapy and what role nursing can play in helping the patient and family.
2. What are the considerations that must be discussed before responding to the husband’s request to stop aggressive treatment?
3. What are advance directives and what are the implications for nursing care?
4. What resources should be considered for this patient and family?
5. Following a palliative care model rewrite this scenario to reflect the philosophy and goals of palliation.
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