DETAILS

Write a 1,200-1,500-word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:

1. Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?

2. Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?

3. According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?

4. According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?

Prepare this assignment according to the guidelines found in the APA Style Guide, MINIMUM OF 3 REFERENCES PLEASE.

Case Study: Healing and Autonomy

Mike and Joanne are the parents of James and Samuel, identical twins born eight years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’ condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own, or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve.

The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then.

Two days later the family returned, and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. Had he not enough faith? Was God punishing him or James? To make matters worse, James kidneys had deteriorated such that his dialysis was now not a temporary matter, and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors. Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches.

James’ nephrologist called to schedule a private appointment with Mike and Joanne. James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’ brother Samuel.

Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney, or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? “This time around, it is a matter of life and death, what could require greater faith than that?” Mike reasons.

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1: Most of the long-term care in the U.S. is provided by

A: informal caregivers
B: certified nursing assistants
C: skilled nursing facilities
D: home health agencies
2: The elderly are the primary clients of long-term care.

A: TRUE
B: FALSE
3: Most elderly need long-term care.

A: TRUE
B: FALSE
4: Generally, all LTC patients require services that are very similar.

A: TRUE
B: FALSE
5: The primary goal of preventive long-term care services is to

A: help patients cope with their disabilities
B: make people well
C: prevent diseases such as pneumonia or flu
D: prevent or delay institutionalization
6: The need for long-term care is most closely associated with

A: inability to function independently
B: chronic conditions
C: comorbidity
D: aging
7: Generally, as a person ages, a decline in ADLs sets in later than a decline in IADLs.

A: TRUE
B: FALSE
8: In relation to a patient’s functional limitations, the main goal of LTC is to

A: Restore function
B: Provide assistance
C: Promote independence
D: Adapt to change
9: Palliation

A: Nausea
B: Safety
C: Relief
D: Comfort
10: Which of the following is not a goal of community-based long-term care services?

A: Respite care
B: Establish an administrative network of LTC
C: Prevent of delay institutionalization
D: Supplement informal care
11: These programs may specialize in delivering medical, nursing, and rehabilitation services for patients who may be recovering from some acute episode.

A: Adult foster care
B: Senior centers
C: Respite care
D: Adult day care
12: What common purpose is served by senior centers?

A: Respite care
B: Socializing
C: Congregate meals
D: Health education
13: Retirement facilities are best characterized as

A: home health oriented
B: fitness oriented
C: upscale
D: physically supportive
14: Clinical services offered by personal care homes are best characterized as

A: Custodial
B: Maintenance
C: Group
D: Light
15: The main distinction between personal care homes and assisted living is that the latter provide

A: Custodial care
B: Medications
C: Nursing care
D: Advanced rehabilitation
16: Paraprofessional

A: Certified nursing assistant
B: Licensed therapist
C: Physician’s assistant
D: Dietician
17: Subacute care is mainly characterized by

A: Individualizing treatment plans
B: Active monitoring and treatment
C: Involvement of paraprofessionals
D: Maximizing quality of life
18: It is illegal to operate a nursing facility without

A: physicians
B: certification
C: license
D: accreditation
19: The Life Safety Code deals with

A: building and fire safety rules
B: state nursing home standards
C: standards enforced by the department of human services
D: standards of nursing care
20: SNF certification allows a facility to admit both Medicare and Medicaid patients.

A: TRUE
B: FALSE
21: Medicare allows a maximum of ____ days of care in a skilled nursing facility.

A: 23
B: 60
C: 100
D: 120
22: Which facility provides special programming and care modules for patients suffering from mental retardation and associated disabilities?

A: SNF
B: ICF/MR
C: Subacute care
D: NF
23: To be certified, a nursing home must comply with federal rather than state standards.

A: TRUE
B: FALSE
24: Unless a facility is certified, it cannot legally admit any patients.

A: TRUE
B: FALSE
25: In nursing facilities, private pay patients are often placed alongside those who have Medicare or Medicaid coverage.

A: TRUE
B: FALSE
26: Services that relieve caregiving stress and burnout.

A: Hospice
B: Restorative
C: Complementary
D: Respite
27: Most nursing homes in the U.S. are private, for-profit.

A: TRUE
B: FALSE
28: Nationally, the main source of payment for nursing home care is

A: Medicare
B: Private out-of-pocket payment
C: Private insurance
D: Medicaid

In this week, you will focus on the opportunities in the clinical versus management tracts
research the clinical and management tracts for nursing advancement.
Based on your research, complete the following tasks as a 2- to 3-page report in a Microsoft Word document:
•Discuss at least three advancement opportunities you have as a professional nurse with a BSN.
•Compare the opportunities in the clinical versus management tracts.
•Describe the track that you will choose to pursue and provide reasons for your choice.
Course Project Part 2—Setting Up Personal Goals
Continuing with the course project you started in Week 1, this week, you will interview a professional nurse with a Bachelor of Science in Nursing (BSN) who

could be a mentor to you.
Tasks
Interview a professional nurse with a BSN who could be a mentor to you and who exemplifies the type of nurse you want to become.
Write a 1- to 2-page interview report. In your report, include the following:
•Identify and describe the attributes that make this nurse a role model for you.
•Explain the beliefs, values, attitudes, and philosophies this nurse demonstrates and relate it to your long-term goals.
Course Project Part 3—Studying a Professional Organization
Task
Identify a professional organization and then complete the following tasks:
•Analyze and discuss the selected organization’s aim and activities.
•Explain how the organization meets, supports, or advocates the EBP standards and concepts of professional nursing.
In addition, explain the concepts of professional nursing—caring, communication, critical thinking, professionalism, and wholism
Course Project Part 4—Role of Nursing in Healthcare Delivery
In this week, you will study the role nursing plays in healthcare delivery.
Tasks
Complete the following tasks:
•Interview a nurse manager and discuss the nursing role in the healthcare delivery system.
•Include questions in the interview that address the responsibilities of a nurse manager and the role’s accountability.
•Include the interviewee’s thoughts on cost containment.
Cite all sources in APA format
Course Project Part 5—Creating your Resume
Continuing with the course project from the previous four weeks, in this week, you will be asked to submit your professional resume` outlining your skills and

expertise.
Tasks
Each week you have completed part of a professional development plan. This week, you will compile the papers to make one final document. You need to

include a resume` in this paper. The final paper should include:
•Advancement opportunities
•A Bachelor of Science in Nursing (BSN) nurse interview
•A Professional organization
•A Nurse Manager interview
•A Resume`

MSE 611 guidance for term projects: Key Points: ? Pick a single topic (chapter section of text book, 1-2 papers or similar idea) ? Presentation – 20-30 minutes ?Document Preview:

MSE 611 guidance for term projects: Key Points: ? Pick a single topic (chapter section of text book, 1-2 papers or similar idea) ? Presentation – 20-30 minutes ? Worked “Homework” assignment based on this topic. How do we take a topic and create a simple example that shows the heart of the problem? Possible ideas: ? Demonstrate applications of minimal energy surfaces (possibly using software “jcrystal” http://www.jcrystal.com/jcrystal.html or similar programs.) A wider list of related software for crystallography is available at http://www.iucr.org/resources/other-directories/software . ? Demonstrate use of phase-field modeling in microstructure development / solidification (possibly using FiPy python package available from NIST at http://www.ctcms.nist.gov/fipy/) ? MC simulation of smooth?rough transitions in surfaces ? Discussion of Rice-Wang arguments concerning grain boundary segregation & effects on ductility ? Discussion of pre-melting phenomena on crystal surfaces and/or grain boundaries ? Effects of interfacial stress & dislocations on growth of heterophase interfaces ? Potts model of grain boundary growth

PDR-242476 Philosphical perspective with the DNP role Objective: The purpose of the next 2-weeks is to develop a personal nursing philosophy from the perspective as a DNP. Written Assignment: Personal Philosophy Paper: Develop a short (4-6 page) paper excluding a title page and references. The aim of this paper is to develop your nursing philosophical perspective with the DNP role. The first part of your paper will define your nursing philosophy using the concepts of the nursing metaparadigm. The last part of the paper demonstrates how attainment of the DNP reflects your nursing philosophy related to a theorist/theory. A stellar paper (an A paper) clearly demonstrates that a nursing philosophical framework provides the framework for attaining the DNP. Incorporating a nursing theorist is not required unless your philosophy of nursing includes one and you believe it adds or is essential to completing the DNP. A clear connection to nursing science and nursing’s major philosophical concepts (person, environment, caring, health, nursing, transitions, other) is required. The paper should demonstrate a level of comfort or fluency with the subject matter. A stellar paper is well organized, fluid, a joy to read, without spelling or grammatical errors and within the page range (title page, references do not count). Be careful with overuse of first person as well as “this author”. This is a paper that is about your personal perspective, but stellar papers will convey a sense of personal perspective and will avoid the use of “I or me” (first person and “this author”). Accurate use of APA 6th ed. format is expected. Criteria for Personal Philosophy of Nursing Paper: •Introduction- identifies purpose of the paper 5% •Brief description of the factors influencing the development of the personal nursing philosophy 5% •Define, describe and explain your personal thoughts, feelings and beliefs about the concepts of the nursing metaparadigm: 25% ?a.) Person/client ?b.) Environment ?c.) Health ?d.) Nursing ?e.)Summarize the interrelationship of the concepts •Identify and briefly describe the nursing theory or other theorist found to be the most compatible with your personal nursing philosophy 25% •Provide explanation with documentation that demonstrates compatibility of your personal philosophy with the theorist/theory identified in Week 4 & 5 above according to: 25% ?a.) Person/client ?b.) Environment ?c.) Health ?d.) Nursing ?e.) Summarize the interrelationship of the concepts •Summary and Conclusion 5% •APA Format (Organization, grammar, references etc.) 10% •Total 100% See grading rubric for details. Faculty input will be provided after submission of this paper. Submit paper: Session coursework # item type item name calendar/due date start date – end date Actions edit 1. Assignment DNP 634 Written Assignment: Personal Philosophy Paper 5 pages, 6 APA