Assignment 3

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Assignment 3

1-which of the following behaviors may be (1) ethical but illegal, (2) legal but unethical, (3) illegal and unethical, and (4) legal and ethical.

A. Working in a clinic that performs abortions

b. Respecting the wishes of a client suffering from ALS that he be permitted to die with dignity and not placed on “breathing machines”

c. Respecting the health surrogate’s wishes regarding termination of life support of her friend

d. Observing a coworker take out two tablets of oxycodone as ordered for pain management for his patient but keeping one for himself, administering only one tablet to the patient.

2-differentiate among the following: deontological theories, utilitarianism, and principlism.

3-what do you think about health-care professionals disclosing information to clients about a poor prognosis, even though the information may cause severe distress.

4-What do they think about health-care professionals disclosing information to clients against family wishes?

5. You see a colleague use another nurse’s password to access the medication administration system and take out a narcotic. What would you do?

6.Your colleague’s child fell and was brought to the emergency department. She comes back up to the unit and tells you that they cleaned and debrided the wound, and she needs to change the dressings twice a day using a wet to dry method. You see her go into the supply system and remove the dressings and saline using a patient’s identification number. What would you do?

7. You are caring for a patient who has a terminal disease. He asks you if he is dying. Would you tell him? If yes, how? If no, what might you say? .

8-You are administering hydromorphone to a patient. The patient asks you what you are administering. Would you tell the patient about the medication?

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The role of the community health nurse

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The role of the community health nurse

Explain the role of the community health nurse in partnership with community stakeholders for population health promotion. Explain why it is important to appraise community resources (nonprofit, spiritual/religious, etc.) as part of a community assessment and why these resources are important in population health promotion

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Topic 1 DQ2

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Topic 1 DQ2

Discuss how geopolitical and phenomenological place influence the context of a population or community assessment and intervention. Describe how the nursing process is utilized to assist in identifying health issues (local or global in nature) and in creating an appropriate intervention, including screenings and referrals, for the community or population.

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Critical Thinking Questions

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Critical Thinking Questions

In this exercise, you will put in to practice what you have learned in the previous modules. Read the THREE scenarios on the next pages and write a ½-1 page description of what could be a solution in each situation. Provide rationales for each solution. Post your responses in the D2L Assignment box. This assignment will count towards your participation grade. Scenario #1: A 72 year-old woman is being cared for at home after a heart attack. She is able to get out of bed and use the bedside commode unaided, but she cannot do much more than that. Her husband and adult children care for her on a daily basis. In general, they do a satisfactory job, except for the fact that they will not empty the bucket on the commode. When the home health aide comes for a visit, the bucket is always full and the room has the stench of feces and urine. The home health nurse has been to the home and discussed this with the family on several occasions. The patient does not seem to object to the stench. The family is adamant that this is the job of the nurses. You are the new home health nurse assigned to the patient. You have decided that this is a problem with a solution. Approach the family with a new and fresh attitude toward the problem. Keep in mind your legal, ethical, and personal responsibilities and limitations. Scenario #2 A home care patient is experiencing pain secondary to surgery for right foot amputation. She takes a liquid narcotic in suspension form. Her doctor ordered 2 teaspoons q. 4 hrs, PRN for pain and gave orders to the home health nurse to titrate the dose to the patient’s pain level. The nurse is to report on the patient’s pain level and response to the analgesics every week. Given the patient’s condition and level of pain and previous response to analgesics, there is no fear of addiction in this patient. The nurse has explained the treatment plan to the patient, and she concurs with the analgesia plan. However, the patient will not measure the amount of medication she takes each time. Every time the nurse visits, the patient reports that she takes a “couple of swigs” and that it relieves the pain. She does not see the need to make a detailed record of her use of medication because the system she is using works. Design a program that will be agreeable to this patient and still meet the nursing need of documenting episodes of pain and how much medication was needed for relief of pain. You must consider your legal and ethical role as a nurse and the ideal of patient autonomy. Scenario #3 With the major emphasis in downsizing and restructuring health care to be financially successful, issues of quality nursing care come up frequently. One common issue related to quality nursing care is medication errors. In a downsized work environment, medication errors may increase due to limited staffing with licensed nursing personnel. Often staffing is just enough to be adequate or slightly below what is necessary for safe and quality patient care. You are a nursing supervisor, and you want to research a medication that was omitted during a change of shift period. What questions are you going to ask? Who will you look to for information? How will I know if a medication error is a result of a nursing colleague’s mistake or a result of an understaffed nursing unit?
Purchase answer to see full attachment
Tags: health nursing

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The nursing sector paragraph

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The nursing sector paragraph

Please write a paragraph responding to the discussion bellow. Add citations and references in alphabetical order.

Good recommendations. In addition, since she is a diabetic, it is important for her to have good glycemic and proper caloric control to promote wound healing (Collins & Sloan, 2013). Antibiotic therapy to treat the infection along with NSAIDS to decrease fever and swelling. Consult with wound care physician to assess the tissue damage and possibly consider debridement of the affected tissue. Also, the wound care team can determine the type of treatment, dressings or possibly the application of a “wound vac” to promote wound healing from the inside out (Vacuum-assisted closure, n.d.). She needs to be under the care of a medical team either as an inpatient or out-patient home nursing care. A social worker consult is necessary prior to discharge to assess her home status to assure healthy outcomes. Having social worker involvement in her health care team will provide resources and education to her to assist her when she returns home with treatments, ADL’s, medications, transportation, and meals etc. (Medical social work n.d).

References

Medical Social Worker. (n.d.). Retrieved from http://www.homehealthcarern.com/medical-social-wor…

Vacuum-Assisted Closure. (n.d.). Retrieved from http://www.woundcarecenters.org/article/wound-ther…

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Central Parenteral Nutrition Assignment

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Central Parenteral Nutrition Assignment

NR341 Complex Adult Health

RUA Interdisciplinary Management of Healthcare Technology Guidelines 

Purpose

 

This purpose of this assignment is for the student to present a complete picture of interdisciplinary care using specific therapeutic modalities in the care of a complex adult health client. The student will demonstrate clinical reasoning skills and will discuss interdisciplinary care that had been incorporated and/or anticipated using a healthcare technology or therapeutic modality for the care of the complex health client. Central Parenteral Nutrition Assignment

Course outcomes: This assignment enables the student to meet the following course outcomes:

 

  1. Provide patient and family centered nursing care to adults with complex health needs using theories and principles of nursing and related (PO 1)

 

  1. Initiate the use of appropriate resources in direct care responsibilities within complex adult health (PO 2)

 

  1. Demonstrate effective therapeutic communication and relationship skills in family centered nursing care to adults with complex health (PO 3)

 

  1. Demonstrate effective clinical decision making based on critical thinking skills and legal, ethical, and professional standards and principles when caring for patients and families with complex adult health (POs 4 and 6)

 

  1. Implement a plan of care for continued personal, professional, and educational development related to nursing practice with complex adult health (PO 5)

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  1. Use evidence including research findings from nursing and related disciplines to answer clinical questions related to nursing care of patients with complex adult health (PO 8) Central Parenteral Nutrition Assignment

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 100 points

Preparing the assignment

 

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

  • Choose a therapeutic modality or healthcare
  • Examples of a therapeutic modality include Extracorporeal Membrane Oxygenation, Automatic rotating pronation beds, right and/or left ventricular assist devices, nontraditional ventilator modes.
  • Examples of healthcare technology can include regional O2 saturation monitoring (NIRS).
  • Refer to your faculty member if your selection requires prior
  • Write a 4-5 page paper (not including the title page or reference page) using APA
  • For APA, formatting, or grammar assistance visit the APA Citation and Writing page in the online
  • Include the following sections (detailed criteria listed below and in the Grading Rubric):
    1. Introduction – 5 points/5%
      • The chosen therapeutic modality or healthcare technology meets one of the following criteria:
        • Has been introduced recently at the bedside for care of the complex adult
        • Is a non-traditional modality for very ill patients in special
        • Is being used in a new way to treat a patient with complex
        • Requires specific training above and beyond general entry-level nursing
      • Introduce the therapeutic modality or healthcare. Central Parenteral Nutrition Assignment
      • NR341 Complex Adult Health

RUA Interdisciplinary Management of Healthcare Technology Guidelines

  • Name the therapeutic modality or healthcare
  • A brief fictional case is used to illustrate the therapeutic modality or healthcare
  1. Explanation and Background– 15 points/15%
    • Include a clear description of the therapeutic modality or healthcare
    • Discuss how the therapeutic modality or healthcare technology
    • Describe the patient population it is used
    • Include medication, safety, and cost considerations as
  2. Risks and Benefits– 15 points/15%
    • Describe how the therapeutic modality or healthcare technology can benefit the
    • Discuss ways to promote positive
    • Explain the complications that may
    • Discuss considerations for preventing
  3. Interdisciplinary team’s Roles and Responsibilities– 20 points/20%
    • Identify all interdisciplinary team members caring for the patient, such as respiratory therapy, assistive personnel, providers, case managers, clinical nurse specialists, and researchers.
    • Describe the roles and responsibilities of each member of the healthcare team that is involved in the use of the therapeutic modality or healthcare
    • Discuss the roles and responsibilities of the nurse as a member of the interdisciplinary team caring for the
  4. Nursing Scope of Practice – 15 points/15%
    • Discuss the knowledge needed for the Registered Nurse to provide care for the patient using the therapeutic modality or healthcare technology.
    • Describe skills needed for the Registered Nurse to provide care for the patient using therapeutic modality or healthcare technology.
    • Discuss attitudes needed for the Registered Nurse to provide care for the patient using therapeutic modality or healthcare technology. Central Parenteral Nutrition Assignment
  5. Patient Education – 20 points/20%
    • Describe the information to be taught to the patient and/or
    • Discuss how information will be
    • Explain how the effectiveness of the teaching will be
  6. Conclusion – 5 points/5%
    • Provide a summary of the
    • No new information is
    • Include additional resources for further
  7. APA Style and Organization – 5 points/5%
    • References are submitted with
    • Uses current APA format and is free of
    • Grammar and mechanics are free of
    • At least three (3), nursing, scholarly, peer reviewed, primary sources from the last 5 years, excluding the textbook, are provided. Central Parenteral Nutrition Assignment

Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned.

Grading Rubric

Criteria are met when the student’s application of knowledge within the paper demonstrates achievement of the outcomes for this assignment.

Assignment Section and Required Criteria

(Points possible/% of total points available)

 Highest Level of Performance High Level of Performance Satisfactory Level of Performance Unsatisfactory Level of Performance Section not present in paper
Introduction

(5 points/5%)

 5 points 4 points 3 points 2 points 0 points
Required criteria

1.       The chosen therapeutic modality or healthcare technology meets one of the following criteria:

·         Has been introduced recently at the bedside for care of the complex adult patient.

·         Is a non-traditional modality for very ill patients in special circumstances.

·         Is being used in a new way to treat a patient with complex needs.

·         Requires specific training above and beyond general entry-level nursing education.

2.       Introduce the therapeutic modality or healthcare technology.

3.       Name the therapeutic modality or healthcare technology.

4.       A brief fictional case is used to illustrate the therapeutic modality or healthcare technology.

 Includes no fewer than 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no less than 2 requirements for section. Includes no less than 1 requirement for section. No requirements for this section presented.
Explanation and Background

(15 points/15%)

 15 points 13 points 11 points 6 points 0 points
Required criteria

1.       Include a clear description of the therapeutic modality or healthcare technology.

2.       Discuss how the therapeutic modality or healthcare technology works.

3.       Describe the patient population it is used for.

4.       Include medication, safety, and cost considerations as applicable.

 Includes no fewer than 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no fewer than 2 requirements for section. Includes no less than 1 requirement for section. No requirements for this section presented.

 

 

Risks and Benefits

(15 points/15%)

 15 points 13 points 11 points 6 points 0 points
Required criteria

1.       Describe how the therapeutic modality or healthcare technology can benefit the patient.

2.       Discuss ways to promote positive outcomes.

3.       Explain the complications that may arise.

4.       Discuss considerations for preventing complications.

 Includes no fewer than 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no less than 2 requirements for section. Includes no less than 1 requirement for section. No requirements for this section presented.
Interdisciplinary Team’s Roles and Responsibilities (20 points/20%) Central Parenteral Nutrition Assignment  

20 points

  

18 points

  

16 points

  

8 points

  

0 points
Required criteria

1.       Identify all interdisciplinary team members caring for the patient, such as respiratory therapy, assistive personnel, providers, case managers, clinical nurse specialists, and researchers.

2.       Describe the roles and responsibilities of each member of the healthcare team that is involved in the use of the therapeutic modality or healthcare technology.

3.       Discuss the roles and responsibilities of the nurse as a member of the interdisciplinary team caring for the patient.

4.       Discuss one challenge in working with an interdisciplinary team.

 Includes no fewer than 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no less than 2 requirements for section. Includes no less than 1 requirement for section. No requirements for this section presented.
Nursing Scope of Practice

(15 points/15%)

 15 points 13 points 6 points 0 points
Required criteria

1.       Discuss the knowledge needed for the Registered Nurse to provide care for the patient using the therapeutic modality or healthcare technology.

2.       Describe skills needed for the Registered Nurse to provide care for the patient using therapeutic modality or healthcare technology.

3.       Discuss attitudes needed for the Registered Nurse to

 Includes no fewer than 3 requirements for section. Includes no fewer than 2 requirements for section. Includes no less than 1 requirement for section. No requirements for this section presented.

 

 

provide care for the patient using therapeutic modality or healthcare technology.        
Patient Education

(20 points/20%)

 20 points 18 points 16 points 8 points 0 points
Required criteria

1.       Describe the information to be taught to the patient and/or family.

2.       Discuss how information will be taught.

3.       Discuss potential cultural considerations to teaching

4.       Explain how the effectiveness of the teaching will be evaluated.

 Includes no fewer than 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no less than 2 requirements for section. Includes no less than 1 requirement for section. No requirements were met for this section.
Conclusion

(5 points/5%) Central Parenteral Nutrition Assignment

 5 points 3 points 2 points 0 points
Required criteria

1.       Provide a summary of the paper.

2.       No new information is introduced.

3.       Include additional resources for further learning.

 Includes no fewer than 3 requirements for section. Includes no fewer than 2 requirements for section. Includes no less than 1 requirement for section. No requirements for this section presented.
APA Style and Organization

(5 points/5%)

 5 points 4 points 3 points 2 points 0 points
Required criteria

1.       References are submitted with paper.

2.       Uses current APA format and is free of errors.

3.       Grammar and mechanics are free of errors.

4.       At least three (3), nursing, scholarly, peer reviewed, primary sources from the last 5 years, excluding the textbook, are provided. Central Parenteral Nutrition Assignment

 Includes no fewer than 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no less than 2 requirements for section. Includes no less than 1 requirement for section. No requirements for this section presented.
Total Points Possible = 100 points

 

Infection Discussion Assignment

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Infection Discussion Assignment

Post with a minimum of 250 words, post must contain at least (2) professional references, cited correctly in the current APA format. Ask 2 provocative questions to prompt online discussion using bold print at the end of your initial discussion.

Review the Centers for Disease Control & Prevention (CDC) (2014) report about incidence and trends of foodborne illnesses website @ http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6315a3.htm?s_cid=mm6315a3_w (Links to an external site.).

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  1. Identify examples of the epidemiological triad and transmission cycle.
  2. Discuss and examine principles of distribution.
  3. Locate examples of epidemiologic measures (count data, ratio, proportion, rate, incidence, and prevalence).
  4. Locate examples of descriptive epidemiology (person, place, time) and frequency.
  5. Discuss the purpose of this report. Name at least three ways that nurses can use these epidemiologic investigations and report findings. Infection Discussion Assignment

Nursing homework help

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Jianeya Manzano Suarez – Sunday, July 17, 2022, 10:25 PM

Number of replies: 0

Advantages and Disadvantages of Collaborating With Physician Organizations When Pursuing FPA Legislation

Full Practice Authority (FPA) legislation entails diagnosing and evaluating patients by nurses in practice to find patients’ problems solutions. As they diagnose patients’ conditions, they need to collaborate with physician organizations to support them. Physician organizations can be various groups with different members like medicine faculties, medical clinics, and educational institutions. Collaborating with physician organizations is essential to nurses when pursuing FPA legislation. For example, the organizations provide proper guidance for nurse practitioners to be perfect. When nurses consult medical clinics or other medical faculties, they learn new and easy ways of patient diagnosis, boosting their knowledge. According to Moore et al. (2020), the healthcare industries are multiplying and need good professionals to diagnose patients.

Consequently, nurses collaborating with physician organizations learn good observation, procedural, and investigative skills, which are vital for good health. Moreover, patients trust fully trained nurses and perceive nurses who collaborate with physician organizations as perfect. Therefore, such nurses get confidence in treating their patients and improving their health.

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Although collaborating with physician organizations aims to attain quality care, it is disadvantageous to some nurses. Robeznieks (2020) says that collaborating with physicians can be costly sometimes. For instance, some organizations may require that nurses obtain licenses before working with them, making it difficult for some nurses to benefit from them. Collaboration also becomes expensive if people need to travel from rural areas to urban centers. Therefore, the method does not favor rural residents. On the other hand, some nurses may not be interested in collaborating with physician organizations. In this case, the unwilling nurses do not cooperate as they are told, which lowers their healthcare delivery services.  Nursing homework help

 

References

Moore, C., Kabbe, A., Gibson, T. S., & Letvak, S. (2020). The pursuit of nurse practitioner practice legislation: a case study. Policy, Politics, & Nursing Practice, 21(4), 222-232.

Robeznieks, A. (202, October 30). Why expanding the APRN scope of practice is a bad idea. AMA. https://www.ama-assn.org/practice-management/scope-practice/why-expanding-aprn-scope-practice-bad-idea

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Mariana Gonzalez – Friday, July 15, 2022, 10:09 AM

Number of replies: 1

Various studies have shown the effectiveness of nurse practitioners in resolving the issue of the lack of sufficient healthcare staff and practitioners in the healthcare industry today. Over recent time, the operation of nurse practitioners has improved patient outcomes. Even though this is the case, the struggle for nurse practitioners to have full practice authority (FPA) has been an uphill and strenuous undertaking (Brom et al., 2018). Luckily, recent developments have ushered in significant progress in this area. While this is some great news for nurse practitioners and patients alike, there is still a long way to go. Further, there is a need to understand that FPA legislation comes with new professional responsibilities and the lasting need for nurses to protect themselves from potential liabilities. Because of this, a nurse practitioner seeking to have FPA must closely work in close collaboration with physician organizations.

One major advantage that a nurse practitioner pursuing FPA can gain through collaborating with physician organizations is gaining an understanding of the responsibilities, rules, and regulations that they need to heed as they practice autonomously. Physicians clearly understand what a nurse practicing fully autonomously without supervision or observation from a practitioner is required to do at every stage of care provision (Brom et al., 2018). They can, therefore, provide such information to nurses who seek FPA to provide adequate and appropriate care to their patients, whether a physician is available or not. Nursing homework help

By collaborating with physician organizations, nurse practitioners who seek FPA can learn the right procedures when evaluating, assessing, diagnosing, ordering and even when interpreting the diagnostic results, they receive. The nurse practitioners can gain insights on how best they can initiate and manage treatments so that the expected patient outcomes are achieved every time (Reiner, 2022). It can also help ensure that adverse impacts that may arise due to the application of some medication, issues that may lead to court cases, fines, or charges are kept at bay.

One major disadvantage of active collaboration with physician organizations for nurse practitioners who seek FPA is that it makes reflects their lack of capacity to operate as autonomous entities. The fact that these professionals continue to seek advice and guidelines from the physicians means that they are not independent and have to work alongside physicians. Such a thing discredits their professional, educational and practical knowledge rather than promoting it (Reiner, 2022). Such only makes them take longer to be recognized as independent entities that can operate successfully without other medical professionals’ supervision, assistance, and intervention.

References

Brom, H. M., Salsberry, P. J., & Graham, M. C. (2018). Leveraging health care reform to accelerate nurse practitioner full practice authority. Journal of the American Association of Nurse Practitioners, 30(3), 120–130. https://doi.org/10.1097/JXX.0000000000000023

Reiner, G. (2022, March 15). Full practice authority: What it means for NPs. NACNS :: National Association of Clinical Nurse Specialists |; NACNS :: National Association of Clinical Nurse Specialists. https://nacns.org/nursing-news/full-practice-authority-what-it-means-for-nps/ Nursing homework help

 

 

 

 

 

 

 

 

 

Ethical Dilemma Faced by a health Care Professional

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Ethical Dilemma Faced by a health Care Professional

Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solution in a 3-5 page paper.

Introduction

Whether you are a nurse, a public health professional, a health care administrator, or in another role in the health care field, you must base your decisions on a set of ethical principles and values. Your decisions must be fair, equitable, and defensible. Each discipline has established a professional code of ethics to guide ethical behavior. In this assessment, you will practice working through an ethical dilemma as described in a case study. Your practice will help you develop a method for formulating ethical decisions.

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Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed. Ethical Dilemma Faced by a health Care Professional

For this assessment, develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:

  1. Access the Ethical Case Studiesmedia piece to review the case studies you will be using for this assessment.
    • Select the case most closely related to your area of interest and use it to complete the assessment.
      • Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.
    • Include the selected case study in your reference list, using proper APA style and format. Refer to the Evidence and APAsection of the Writing Center for guidance.
  2. Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
    • Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.
    • Identify who is involved or affected by the ethical problem or issue.
    • Access the Ethical Decision-Making Modelmedia piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
      • Apply the three components outlined in the Ethical Decision-Making Model media.
    • Analyze the factors that contributed to the ethical problem or issue identified in the case study.
      • Describe the factors that contributed to the problem or issue and explain how they contributed.
  1. Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
    • In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guidewill help you locate appropriate references.
      • Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.
      • Review the Think Critically About Source Quality
        • Assess the credibility of the information source.
        • Assess the relevance of the information source. Ethical Dilemma Faced by a health Care Professional
  1. Discuss the effectiveness of the communication approaches present in a case study.
    • Describe how the health care professional in the case study communicated with others.
    • Assess instances where the professional communicated effectively or ineffectively.
    • Explain which communication approaches should be used and which ones should be avoided.
    • Describe the consequences of using effective and non-effective communication approaches.
  2. Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
    • Describe the actions taken in response to the ethical dilemma or issue presented in the case study.
    • Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
    • Discuss the key lessons this case provides for health care professionals.
  3. Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
    • Describe the proposed solution.
    • Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
    • Discuss how likely it is the proposed solution will foster professional collaboration.
  4. Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
    • Apply the principles of effective composition.
    • Determine the proper application of the rules of grammar and mechanics.
  5. Write using APA style for in-text citations, quotes, and references.
    • Determine the proper application of APA formatting requirements and scholarly writing standards.
    • Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

Additional Requirements

Your assessment should also meet the following requirements:

  • Length: 3-5 typed, double-spaced pages, not including the title page and reference page.
  • Font and font size: Times New Roman, 12 point.
  • APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
  • Written communication: Use correct spelling, grammar, and punctuation.
  • References: Integrate information from outside sources to include at least two references (the case study and an academic peer-reviewed journal article) and three in-text citations within the paper.
  • APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page. Ethical Dilemma Faced by a health Care Professional

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

  • Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
    • Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
  • Competency 3: Apply ethical principles and academic standards to the study of health care.
    • Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
    • Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
    • Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
  • Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.
    • Discuss the effectiveness of the communication approaches present in a case study.
    • Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
    • Write following APA style for in-text citations, quotes, and references. Ethical Dilemma Faced by a health Care Professional

 

Paragraph 2

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Paragraph 2

Please write a paragraph responding to the discussion bellow. Add citations and references in alphabetical order.

These manifestations are positive for SIRS and meets Sepsis criteria. This requires immediate intervention. Sepsis is “an overwhelming infection that may lead to shock, multiple organ failure, and death” (Copstead & Banasik, 2010). The patient must meet minimum of two of the Sepsis criteria which include:

1.Temp >38°C (100.4°F) or < 36°C (96.8°F)

2. Heart rate > 90

3. WBC > 12,000/mm³, < 4,000/mm³, or > 10% bands

4.Respiratory rate > 20 or PaCO₂ < 32 mm Hg

5. Suspected or present source of infection

6. Lactic acidosis, SBP <90 or SBP drop ≥ 40 mm Hg of normal (MDCalc, 2016)

Also, the presence of immature neutrophils (bands) in the circulating blood is often used as a clinical indicator of sepsis (Cavallazzi, Bennin, Hirani, Gilbert & Marik, 2010). A band count greater than 10% is one of the American College of Chest Physicians/Society of Critical Care Medicine’s systemic inflammatory response syndrome (SIRS) criteria used to diagnose sepsis and Mrs. G’s band count is 12%

ii.) To manage the Sepsis diagnosis, I would begin immediate treatment.

  1. Measure lactate level which will determine the presence and severity of sepsis
  2. Obtain blood cultures prior to administration of antibiotics
  3. Administer broad spectrum antibiotics like Vancomycin and piperacillin tazobactam
  4. Administer 30 ml/kg crystalloid for hypotension or lactate ≥4mmol/L (Critical Care Medicine, 2015)
  5. Reassess Lactate Level after fluid administration

b.) For the obvious open wound infection on the leg I would order a wound consult. I would anticipate a debridement and possibly a wound vac application depending on how deep they had to go.

c.) Next, I would have the hospitalist order a consult with infectious disease to manage the positive Staphylococcus aureus infection.

d.) Lastly, glucose testing and a consult to endocrinology to help manage the diabetes.

2. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”

  1. The muscle groups affected by the wound on Ms. G’s lower left leg are the gastrocnemius (large calf muscle forming the bulge visible beneath the skin) medial and lateral head, fibularis longus, extensor and flexor digitorium longus, tibialis anterior, soleus, and the extensor hullucis longus .(at the ankle) (ARC, Media). These are primarily superficial muscles from the knee to the ankle

3. What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.

The subjective data allows us to understand how Ms. G is feeling and what she is experiencing (DuPont, 2017). Ms. G informed the health care provider that she is unable to care for herself and that her wound is too painful and swollen for her to manage.

She also admitted that she is not eating. Here she is demonstrating that she cannot make rational decisions regarding her diabetes and she states that she has no one to help her at home. I would recommend a consult to social work to provide options for her after discharge such as home health nursing for wound care and PT/OT for muscle strengthening. She might also need a home health aide to assist with ADL’s and meal preparation. Along with these recommendations, is providing education for Ms. G such as diabetic education including ADA diet (Collins & Sloan, 2013), wound care, medications and disease process.

I would recommend follow-up lab work along with routine assessments of the wound, noting color, temperature, edema, and presence of drainage. She will also need social work follow-up visits and counseling sessions to assess Ms. G’s home life, diabetes, access to medications as ordered, and any other issues, questions or concerns that that she may have about her situation (Medical social worker, n.d.).

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