What in your view is the most moral thing for that person to do in that dilemma? Why is that the most moral thing? Use moral values and logical reasoning to justify your answerNext, apply the following:Aristotle’s Golden Mean to the dilemmaUtilitarianism to the dilemmaNatural Law ethics to the dilemmaWhich of those three theories works best ethically speaking? Why that one?Why do the other two not work or not work as well?Is it the same as what you said is the most moral thing earlier? Why or why not?

reply 1hir Baccus posted Dec 7, 2021 7:32 PMSubscribeInitial Post: Summarize the pathophysiology of Peptic Ulcer Disease as compared to GERD and explain which one his symptoms most closely represent. Support with evidence.Peptic ulcer disease (PUD) is a “break or ulceration, in the protective mucosal lining of the lower esophagus, stomach or duodenum” (McCance & Huether, 2018). The hydrochloric acid build up causes erosions, which damages the superficial layer of the mucosa. Overtime through continuous erosion, ulcers will extend through the muscularis mucosae and damage blood vessels, causing hemorrhage or perforating the gastrointestinal wall. According to McCance & Huether (2018), “risk factors for peptic ulcer disease include genetic predisposition, H. pylori infection of the gastric mucosa, and habitual use of aspirin and NSAIDs.”In contrast, Gastroesophageal Reflux Disease (GERD) is identified by the backflow of acid and pepsin or bile salts from the stomach to the esophagus. The esophagus then becomes inflamed which is known as esophagitis. This movement of acid, pepsin, and bile salts from the stomach to the esophagus is facilitated by way of irregularities in the functioning of the lower esophageal sphincter (LES). The weakness or loosening of the LES allows reflux of stomach contents into the esophagus (McCance and Huether, 2018). According to Cheng et al. (2021), “risk factors in GERD include obesity, pregnancy, smoking, hiatal hernia and specific drugs, including antihistamines, calcium channel blockers, antidepressants, and sedatives that medicine help sleep.”I believe this patient has symptoms of GERD but overall has more symptoms pertaining to PUD. It does state that the patient has an occasional dry cough at night and according to Cheng et al. (2021), “recent reviews on the epidemiology examines that GERD have different levels of causality about asthma, chronic dry cough, sleep apnea, non-cardiac chest pain, chest tightness, and chronic bronchitis.” The patient described in the case study takes aspirin daily and drinks beer daily, which are major risks factors and can lead to the development of peptic ulcers. In addition, he complains of epigastric burning weight loss, which are all symptoms of PUD. H. Pylori is a gram negative bacteria which is common in the development of PUD. H. Pylori causes increase in gastrin that promotes acid secretion and disturbs gastrointestinal motility. According to Salsabila et al. (2021), “patients with positive H. pylori complained of fullness, early satiety, epigastric pain or burning, nausea, persistent or occasional vomiting, loss of appetite, and frequent burping.”ReferencesCheng, Y.-H., Tung, T.-H., Chen, P.-E., & Tsai, C.-Y. (2021). Risk of incident gastroesophageal reflux disease (GERD) in patients with sleep disorders: a population-based cohort study. Sleep & Biological Rhythms, 19(1), 5–11. https://doi-org.su.idm.oclc.org/10.1007/s41105-020-00282-wMcCance K., L., & Huether, S., E. (2018). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). Elsevier.Salsabila Budiman, G. T., Begawan Bestari, M., & Suryanti, S. (2021). Clinical and endoscopic features in helicobacter pylori infection: Literature review. Indonesian Journal of Gastroenterology, Hepatology & Digestive Endoscopy, 22(1), 66–72. https://doi-org.su.idm.oclc.org/10.24871/221202166-72reply 2Peptic ulcer disease is a condition that affects the lining of the stomach. The condition occurs as a result of the imbalance between gastric mucosal protective agents and destructive factors such as increased levels of acidic content in the abdomen. When the condition, occurs, it is usually a sign of the defect of the mucosal lining, especially within the digestive system that extends to the muscularis mucosa. According to Lanas & Chan (2017), the most common cause of this condition is Helicobacter pylori (H. pylori), which is known to colonize abdominal walls thereby causing inflammation. The condition may also be exacerbated by the inability of mucosal cells to secret enough bicarbonates needed to neutralize the high acidic content. On the other hand, Gastroesophageal Reflux Disease (GERD) is a condition that is characterized by the backflow of gastric juices from the stomach into the esophagus (Clarrett & Hachem, 2018). It generally occurs as a result of changes in reflux exposure, epithelial resistance, and visceral sensitivity. This exposure causes injury of the esophagus thereby causing symptoms of the condition (Clarrett & Hachem, 2018). Known symptoms of the disease include sore throat, heartburn, belching, regurgitation and lower back pain in the upper abdomen (Clarrett & Hachem, 2018). Therefore, while the main underlying issue between the two conditions is acid, peptic ulcer disease is caused by inflammation of the mucosal lining by H. pylori, while GERD generally occurs due to changes in exposure to reflux within the esophagus (Clarrett & Hachem, 2018). Based on the patients daily behaviors and symptoms, I believe the Patient has Peptic Ulcer Disease.Clarrett, D. M., & Hachem, C. (2018). Gastroesophageal reflux disease (GERD). Missouri Medicine, 115(3), 214.Lanas, A., & Chan, F. K. (2017). Peptic ulcer disease. The Lancet, 390(10094), 613-624.

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.Define negotiation as it applies to patient education.Explain how the change in the patient’s status through the years has affected patient education.List the pros and cons of negotiation.Describe the general conditions that would be included in a patient contract.Discuss old age and the baby boomer.List several generational, religious, and cultural differences between the 30-year-old health care professional and the elderly patient.Explain some of the barriers to patient education of the elderly and discuss their special needs.List ways to best approach patient education of the elderly.Discuss some cultural and religious beliefs about death that you have encountered.Explain why it is important to discuss death and dying with the elderly patient and what the impact is on all involved.Explain how to teach a patient with a life-threatening illness.

Based on the required topic study materials, write a reflection about worldview and respond to following:In 250-300      words, explain the Christian perspective of the nature of spirituality and      ethics in contrast to the perspective of postmodern relativism within      health care.In 250-300      words, explain what scientism is and describe two of the main arguments      against it.In 750-1,000      words, answer each of the worldview questions according to your own      personal perspective and worldview: (a) What is ultimate reality? (b) What      is the nature of the universe? (c) What is a human being? (d) What is      knowledge? (e) What is your basis of ethics? (f) What is the purpose of      your existence?Remember to support your reflection with the topic study materials. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines.Rubric· Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is clear, detailed, and demonstrates a deep understanding of the subject. Explanation is supported by topic study materials.· Explanation of scientism is clear and accurate. Explanations of two main arguments against scientism are clear and insightful. Details are clearly supported by topic study materials.· Each of the worldview questions is answered clearly and with deep personal insight.· Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.· Writer is clearly in command of standard, written, academic English.· Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.· All format elements are correct.· Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.