nursing
According to your worldview, what value does a human person have? How does your position affect your stance on controversial bioethical issues, such as abortion, designer babies, and stem cell research?
According to your worldview, what value does a human person have? How does your position affect your stance on controversial bioethical issues, such as abortion, designer babies, and stem cell research?
The four principles, especially in the context of bioethics in the United States, has often been critiqued for raising the principle of autonomy to the highest place, such that it trumps all other principles or values. How would you rank the importance of each of the four principles? How do you believe they would be ordered in the context of the Christian biblical narrative? Refer to the topic Resources in your response.
HPI: This is a 14yo male, no PMH, who presents to the PCP for evaluation of right-sided chest pain, which began 1 day ago after he sustained an injury playing football.
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Essential to performing as leaders and advocates of holistic, safe, and quality care My concept.
Reflection: write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you for the week.
What were the most important concepts you learned in week 1?
Why were these concepts important?
How will they prepare you for your future role as a master’s prepared nurse?
Due today 09/28/23 2000 EST
Respond by making recommendations for how they might strengthen the leadership behaviors profiled in their StrengthsFinder assessment, or by commenting on lessons to be learned from the results that can be applied to personal leadership philosophies and behaviors.
2 scholarly references
The strength finder assessment I took is an eye opener to my strengths and weaknesses. It also showed me where to exert some effort and how to do it. The findings followed this order.
1. Achieving Person: Achiever means someone who is always looking to do better. This theme helps me understand what my drive is. I am always looking to get things done better and more manageable.
2. Consistency: I care about balance. It is essential to treat everyone the same, no matter their situation, not wanting the scales to tip too far in favor of one person because that sends wrong signals to the team.
3. Gathering Information: I think critically and make out opinions of things and people. I might be trying to solve a problem, develop an idea, or understand how someone else feels.
4. Harmony/ Teamwork: I want people to have a common ground for achieving goals. There is little to gain from disagreement and chaos. When I know that the people around me have different ideas, finding common ground always breaks the ice and ensures we achieve common goals.
5. Relator/Relationship: The Relator theme makes me want to be with people I already know. Meeting new people might be challenging, but it is worth trying to achieve a common goal.
The two central values that I would strengthen are optimism and creativity. There are times when I need more confidence concerning some situations. As for creativity, I do have various concepts that I can implement. Nurses are known for their emotional intelligence and critical thinking, which might affect their effectiveness. These attributes may affect clinical decision-making, reasoning, evidence-based practice, and practice-based knowledge in nursing. (Kaya et al. 2018)
The two strengths that I would make sturdier is self-confidence because, many times, self-doubt places a trick on me, especially when I am not sure about an issue. I will also work on building relationships because making new associates has advantages.
Two qualities must be improved upon: patience with my associates when handling issues. And delegating. Being a perfectionist makes me want to do everything myself to get the desired outcome. I need to harmonize these findings to achieve the best out of my strengths and weaknesses.
Reference
Kaya, H., Şenyuva, E., & Bodur, G. (2018). The relationship between critical thinking and emotional intelligence in nursing students: A longitudinal study. Nurse Education Today, 68(68), 26–32. https://doi.org/10.1016/j.nedt.2018.05.024
Rath, T. (2007). Strengthsfinder 2.0. Gallup Press.
Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer. (pp. 182–211)
Assistance please with formatting
Name: Cara Jett
Age: 34 years
Provider: R. Mcbride NP
Allergies: NKA
Admit weight: 102 Ibs (46.3kg)
BMI: 17.5
Code status: full code
I just can’t eat. Every time I do, I have horrible pain in my stomach. My family keeps
accusing me of having an eating disorder. It’s not that I don't want to eat. It's that I can’t
without pain and diarrhea!
4/12
1345
Nursing Note: Client presents for ongoing stomach pain after eating. Current BMI of
17.5. Last recorded BMI from 3 years ago was 22.2. States pain has been ongoing for
several years, more severe as of late yesterday. Client skipped lunch today. Current
abdominal pain is 2/10. States that she has tried using over-the-counter pain relievers to
help with the abdominal pain, but this has not been successful. Rates 2/10 RLQ
abdominal pain.
4/12
1355
Neuro/Cognitive: Alert and oriented x4.
Cardiovascular: Regular heartbeat with S1 and S2 heard. No edema present. Capillary
refill <3 seconds. Bilateral pedal and radial pulses +3.
Respiratory: Lungs clear bilaterally.
Gastrointestinal: Abdomen flat, firm, hyperactive bowel sounds x 4 quadrants. Tender
in RLQ. Denies nausea. Last bowel movement was 1045 today. Loose, brown, mucous
looking – per client. Three loose stools today so far.
Genitourinary: Continent. No pain or burning when urinating
Musculoskeletal: Muscle atrophy present. +5 strengths for all extremities. Tenting
present on arm and collarbone.
Psychosocial: Anxious. Becomes tearful several times during visit. States her family is
accusing her of having an eating disorder.
5/7
1435
Nursing Note: Follow-Up Appointment with Gastrointestinal Specialist
Diagnosis: New Crohn’s disease.
Follow-up appointment after colonoscopy and upper GI procedure. Had a CT scan of the
abdomen completed after the procedure. Rates 4/10 abdominal pain. Client is taking
prednisone and metronidazole as prescribed by primary care provider for Crohn's
disease.
Date Temp HR RR BP SpO2 O2
4/12 1345 96.8 °F
(36.0 °C)
78 18 102/54 100% RA
5/1 0945 97.2 °F
(36.2 °C)
64 12 94/45 89% RA
5/1 1000 97.2 °F
(36.2 °C)
69 12 104/50 92% RA
5/1 1015 97.2 °F
(36.2 °C)
72 14 110/52 94% RA
5/7 1430 98.6 °F
(37.0 °C)
88 18 138/78 99% RA
Date Diagnostic Test Findings
5/1
1015
Upper GI
Colonoscopy
No abnormal findings.
Small ulcer found in the transverse portion of the large intestine with
evidence of more in the small intestine. Further testing, including an
MRI, is highly suggested.
5/5
1500
CT Scan of
Abdomen
Impression: Thickening of the wall of the small intestine present.
Three small abscesses noted by entrance to the colon correlating with
recent gastric studies. No fistula apparent.
5/1
0945
Endoscopy Center Nursing Note:
Client has completed an upper GI study and a colonoscopy with no noticeable
complications. Vitals stable. Drowsy but easily woken. Oriented x4.
5/1
1000
Endoscopy Center Nursing Note:
Vitals remain stable. Client drank 60mL of clear soda and two bites of graham cracker.
Swallow and gag reflex present. Mild 2/10 throat discomfort present. Driver present and
atbedside.
5/1
1015
Endoscopy Center Nursing Note:
Client discharged to home in care of mother, Nancy. Follow-up appointment made.
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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.
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.
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 Studies
media 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 APA
section 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 Model
media 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.
3. 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 Guide
will 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
resource.
· Assess the credibility of the information source.
· Assess the relevance of the information source.
4. 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.
5. 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.
6. 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.
7. 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.
8. 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:
·
Assessment 3 Example [PDF]
Download Assessment 3 Example [PDF]
.
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.
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