Workplace Environment Assessment

How healthy is your workplace?

You may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes.

There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility.

To Prepare:

Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
Review and complete the Work Environment Assessment Template in the Resources.

Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.

3 to 4 references with 5 years

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December 6, 2019December 7, 2020

Complications of asthma

Complications of asthma can be sudden. Consider the case of Bradley Wilson, a young boy who had several medical conditions. He appeared in good health when he went to school, returned home, and ate dinner. However, when he later went outside to play, he came back inside wheezing. An ambulance took him to the hospital where he was pronounced dead (Briscoe, 2012). In another case, 10-year-old Dynasty Reese, who had mild asthma, woke up in the middle of the night and ran to her grandfather’s bedroom to tell him she couldn’t breathe. By the time paramedics arrived, she had passed out and was pronounced dead at the hospital (Glissman, 2012). These situations continue to outline the importance of recognizing symptoms of asthma and providing immediate treatment, as well as distinguishing minor symptoms from serious, life-threatening symptoms. Since these symptoms and attacks are often induced by a trigger, as an advanced practice nurse, you must be able to help patients identify their triggers and recommend appropriate treatment options. For this reason, you need to understand the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation.

To Prepare

Review “Asthma” in chapter 27 of Huether and McCance text. Identify the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Consider how these disorders are similar and different.
Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of both disorders. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Consider the epidemiology and clinical presentation of both chronic asthma and acute asthma exacerbation.

To Complete

Write a 2- to 3-page paper that addresses the following:

Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation.
Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected.
Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.
3 to 4 references within 5 years

Your patient is a 52-year-old male with a history of smoking and alcohol abuse. He presents to the ED with complaints of “my skin looks yellow, my stomach hurts, and I feel nauseous”. He is taken to CT and a tumor near the pancreas is observed. It appears to be blocking the common bile duct. Develop a plan of care for the patient. Use the attached concept map.

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December 6, 2019December 7, 2020

Laboratory Notebook (virus, infection, microbe, DNA)

BIO205 Laboratory Notebook

In this course, students will build a laboratory notebook. In Week 1 Lesson 2, students will begin the workbook. Students will continue to build on this notebook every week using terms provided below. For each entry, students will enter the following information:

· Name

· Date

· Term

· Term defined in students own words

· Notes about term from class, readings, and outside research if necessary

· Sketch if applicable

A new page will be used for each term.

Week 1 Lesson 2 Terms

· Virus

· Inoculation

Incubation

Isolation

· Inspection

Identification

Week 2 Lesson 2 Terms

Catabolic Pathways

· Photosynthesis

· Anabolic Pathways

Week 3 Lesson 2 Terms

· Chromosome

· DNA

· Microbe

· Infection

Week 4 Lesson 2 Terms

· Antimicrobial Agents

· Physical Microbial Control Methods

· Chemical Microbial Control Methods

Week 5 Lesson 1 Terms

· Adaptive Immunity

· Humeral Immune Responses

· Acquired Immunity

· Immunization

· Micro Biota

· Hypersensitivities

Weekly Deliverable Grading Rubric

Metrics	1 Poor	2 Needs significant improvement	3 Needs some improvement	4 Excellent
Appropriateness of Response	Student’s notebook does not address all items stipulated in the directions.	Student’s notebook begins to address all items stipulated in the directions.	Student’s notebook addresses most items stipulated in the directions.	Student’s notebook fully address all items stipulated in the directions.
Accurate Information	Student’s notebook contains inaccurate information	Student’s notebook contains information that is inaccurate in many places.	Student’s notebook contains information that is inaccurate in few places.	Student’s notebook contains accurate information.
Proper Spelling/grammar	Student’s notebook contains many spellings and grammar issues.	Student’s notebook contains some misspellings and or grammar issues.	Student’s notebook contains few misspellings or grammar issues.	Student’s notebook contains no misspellings or grammar issues.

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December 6, 2019December 7, 2020

low birth weight babies

First comment 150 words no plagio
DQ 1

The effects that low birth weight babies can be short term or long term, these effects may include health and developmental problems, according to The National Academic Press, n.d. They further continued that these babies are prone to developing complications such as acute respiration, gastrointestinal, immunological, central nervous system, hearing and vision problems. The vision and hearing problems may go on to be long term, in addition they may have cognitive, behavioral, social, emotional, disabilities, health and growth problems.

This can prove to be stressful on the family, mentally, emotionally and financially. It may also have implications on the community as it relates to the insurance companies. The hospital cost for a baby born with low birth weight is more expensive than for a baby who was not a low birth weight baby. According to the American Public Health Association, 2016, low birth babies are at a risk of dying within the first year of life. Hence parents tend to be overprotective and tends to get anxious when the become ill. Children who ends up with disability may cause additional expense as they will require special treatments example special schooling.

The number of low birth weight babies is influenced by racial, social and ethnic disparities. According to the National Academic Press, n.d., the highest rates are is found among the Hispanic-African American and the lowest among the Asian and Pacific Islanders women. They further went on to say that there are some factors such as environmental exposures, medical conditions, infertility treatment, some of which are present among women of lower socioeconomic or minority status, are more prone to having low birth weight babies.

Some comorbidities associated with low birth weight babies include cardiovascular disease, type 2 diabetes and hypertension, National Academic Press, n.d.

A support group is the Parent Partnered for Preemies. This group involve parents of premature babies who have transitioned from the hospital to home, these parents’ partners with other parent whose babies were recently admitted to the hospital. They offer the new parents emotional support and share their experiences with them with the hope of alleviating some of their anxieties.

http://www.northside.com/medical_services/maternity_support_ppp.aspx

Reference

American Public Health Association, (2016). Reducing Racial/Ethnic and Socioeconomic Disparities in Preterm and Low Birthweight Babies. Retrieved from https://www.apha.org/policies-and-advocacy/public-health-policy-statements/policy

National Academic Press, (n.d.), Preterm Birth: Causes, Consequences and Prevention. Retrieved from https://www.nap.edu/read/11622/chapter/2

SECOND COMMENT 150 WORDS NO PLAGIO

DQ 1

With the current technological evolution, there is an expressive increase of survival rate among very low birth weight newborns with birth weights less than 1500g. This later brings up the long-term neuropsychomotor development issues especially during school integration period. Compared with the normal birth weight babies, very low birth weight babies face a 2-3-fold greater risk for visual and hearing impairment, speech delays and attention disorders. They may have poor feeding and growth, respiratory complications, and face neurocognitive difficulties.

In the US, nearly 500,000 infants, or 11.7%of all live births, are born preterm (<37 weeks gestation) each year. Preterm usually have prolonged hospital stay and this eventually leads to family stress financially and in terms of time wastage.

Parents to the low birth weight babies must take more unpaid hours at work to take care of the infant. This in turn affects the family’s source of income which also reflects later in family upkeep, which keeps dwindling with time. When parents are unable to meet their financial requirements, they end up borrowing heavily to take care of the family and the more expenses that come up with the low birth weight babies who have extra needs.

Increased debt brings about unsafe home environment and social isolation. This is because parents stay away from the peers, other family members and even friends to avoid stigmatization and transfer of own burdens to other people. The involved parents end up in constant depression which affects their health eventually.

Extremely low birth weight babies usually associated with many comorbidities. Almost 40,000 infants in the United States are affected by respiratory distress syndrome (RDS). Common complications associated with RDS and its therapy include air leak syndromes, chronic lung disease or bronchopulmonary dysplasia (BPD) and retinopathy of prematurity (ROP). Necrotizing syndrome, hypoglycemia, hypothermia, prone to infections.

SSI Benefits for infants, disability benefits for premature babies or low birth weight called “presumptive disability”. Payments are based on the severity of the condition and the evidence available; this is not based on one’s financial need. Parents with very low birth weight babies need great financial support because of their huge financial needs and the costs involved. Grahams foundation support program helps families meet their unique needs while in Nicu and transitioning at their homes once discharged, they also have trained preemie parent mentors available 24/7 via phone and email.

References

Green, s. (2018) Health Assessment: Foundations for Effective Practice retrieved from

https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/health-assessment_foundations-for-effective-practice_1e.php

Graham’s Foundation: Supporting Parents of Preemies retrieved from

https://grahamsfoundation.org

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December 6, 2019December 7, 2020

Primary Prevention/Health Promotion (Heart Disease)

The benchmark assesses the following competency:

4.2 Communicate therapeutically with patients.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note: The teaching plan proposal developed in this assignment will be used to develop your Community Teaching Plan: Community Presentation due in Topic 5. You are strongly encouraged to begin working on your presentation once you have received and submitted this proposal.

Select one of the following as the focus for the teaching plan:

Primary Prevention/Health Promotion (Heart Disease)

Use the “Community Teaching Work Plan Proposal” resource to complete this assignment. This will help you organize your plan and create an outline for the written assignment.

After completing the teaching proposal, review the teaching plan proposal with a community health and public health provider in your local community.
Request feedback (strengths and opportunities for improvement) from the provider.
Complete the “Community Teaching Experience” form with the provider. You will submit this form in Topic 5.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Community Teaching Work Plan Proposal

Planning and Topic

Directions: Develop an educational series proposal for your community using one of the following four topics:

1. Bioterrorism/Disaster

2. Environmental Issues

3. Primary Prevention/Health Promotion

4. Secondary Prevention/Screenings for a Vulnerable Population

Planning Before Teaching:

Name and Credentials of Teacher:
Estimated Time Teaching Will Last:	Location of Teaching:
Supplies, Material, Equipment Needed:	Estimated Cost:
Community and Target Aggregate:
Topic:

Identification of Focus for Community Teaching (Topic Selection):

Epidemiological Rationale for Topic (Statistics Related to Topic):

Teaching Plan Criteria

Your teaching plan will be graded based on its effectiveness and relevance to the population selected. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Nursing Diagnosis:

Readiness for Learning: Identify the factors that would indicate the readiness to learn for the target aggregate. Include emotional and experiential readiness to learn.

Learning Theory to Be Utilized: Explain how the theory will be applied.

Goal: Healthy People 2020 (HP2020) objective(s) utilized as the goal for the teaching. Include the appropriate objective number and rationale for using the selected HP2020 objective (use at least one objective from one of the 24 focus areas). If an HP2020 objective does not support your teaching, explain how your teaching applies to one of the two overarching HP2020 goals.

How Does This HP2020 Objective Relate to Alma Ata’s Health for All Global Initiatives

Develop Behavioral Objectives (Including Domains), Content, and Strategies/Methods:

Behavioral Objective and Domain Example – Third-grade students will name one healthy food choice in each of the five food groups by the end of the presentation. (Cognitive Domain)	Content (be specific) Example – The Food Pyramid has five food groups which are…. Healthy foods from each group are…. Unhealthy foods containing a lot of sugar or fat are….	Strategies/Methods (label and describe) Example – Interactive poster presentation of the Food Pyramid. After an explanation of the poster and each food category, allow students to place pictures of foods on the correct spot on the pyramid. Also, have the class analyze what a child had for lunch by putting names of foods on the poster and discussing what food group still needs to be eaten throughout day.
1.	1.	1.
2.	2.	2.
3.	3.	3.
4.	4.	4.

Creativity: How was creativity applied in the teaching methods/strategies?

Planned Evaluation of Objectives (Outcome Evaluation): Describe what you will measure for each objective and how.

Planned Evaluation of Goal: Describe how and when you could evaluate the overall effectiveness of your teaching plan.

Planned Evaluation of Lesson and Teacher (Process Evaluation):

Barriers: What are potential barriers that may arise during teaching and how will those be handled?

Therapeutic Communication

4.2 Communicate therapeutically with patients.

How will you begin your presentation and capture the interest of your audience? Describe the type of activity will you use with your audience to exhibit active listening? Describe how you applied active listening in tailoring your presentation to your audience? How will you conclude your presentation? What nonverbal communication techniques will you employ?

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December 6, 2019December 6, 2020

final treatment plan and Analysis ( Pathophysiology and Pharmacology)

Requirements:

Part 2- Turning in your final treatment plan and Analysis

The final treatment plan will include the primary diagnosis, diagnostic testing recommended by National Guidelines. Medications, interventions, education, labs, follow up, referrals. After completing the treatment plan include the following sections in a large area called ANALYSIS:

1. Pathophysiology and Pharmacology: For the primary diagnoses in the case, write a brief summary of the underlying pathophysiology and tie pharmacological treatment chosen in the reversal or control of that pathology.

2. .Additional analysis of the case: This includes national guidelines that were or should have been used to make diagnosis or treatment and review how they applied or how care was unique but based in guidelines.

3. Follow-up/Referrals: This means how the patient was doing when seen a second time if this applies. This would be their response to your plan of care. OR when Follow up will occur and what actions will be taken on the follow up visit. Referrals if indicated.

4. Quality: Include anything that should have been considered in hindsight or changes you would make in seeing similar patients in the future with the same complaint, history, exam, or diagnosis. Add anything you learned from discussion in the class that shed new light on this patient.

5. Coding and Billing. Any or all CPT and ICD-10 codes that should have been used (List them and name them only.

Written in a word document and submitted in the Week 6 case study summary submission box.

NR603 Week 6 Mental Health Flipped Classroom Assignment Part 2_Sept19

NR603 Week 6 Mental Health Flipped Classroom Assignment Part 2_Sept19

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeDiscussion Content Possible Points = 35 Points

Application of Course Knowledge: Thorough treatment plan and analysis of the following for summary: guidelines that should have been used, what further should have been added to care or follow up, lessons learned from this and class discussion. The final analysis section must also contain: *Pathophysiology and Pharmacology analysis *Additional analysis of the case as noted above *Follow-up *Quality Analysis *Coding and Billing using original dialogue i.e., no direct quotes. Diagnostic testing recommended follows National Guidelines. Clinical insights are supported by rationale and student addresses all assignment criterion.

25.0 pts

Excellent

Thorough treatment plan and analysis of the following for summary: guidelines that should have been used, what further should have been added to care or follow up, lessons learned from this and class discussion. The final analysis section must also contain: *Pathophysiology and Pharmacology analysis *Additional analysis of the case as noted above *Follow-up *Quality Analysis *Coding and Billing using original dialogue i.e., no direct quotes. Diagnostic testing recommended follows National Guidelines. Clinical insights are supported by rationale and student addresses all assignment criterion.

23.0 pts

V. Good

Some accurate clinical application of treatment plan and analysis of the following for summary: guidelines that should have been used, what further should have been added to care or follow up, lessons learned from this and class discussion. The final analysis section must also contain: *Pathophysiology and Pharmacology analysis *Additional analysis of the case as noted above *Follow-up *Quality Analysis *Coding and Billing using original dialogue i.e., no direct quotes. Diagnostic testing recommended follows National Guidelines. Clinical insights are supported by rationale and student addresses all assignment criterion.

21.0 pts

Satisfactory

Some accurate clinical application of treatment plan and analysis of the following for summary: however guidelines only generally discussed without reflection on actual treatment decisions that should have been made. The final analysis section missing at least one: *Pathophysiology and Pharmacology analysis *Additional analysis of the case as noted above *Follow-up *Quality Analysis *Coding and Billing using original dialogue i.e., no direct quotes. Diagnostic testing recommended follows National Guidelines. Clinical insights are supported by rationale and student addresses all assignment criterion.

13.0 pts

Needs Improvement

Little to no clinical application treatment plan and analysis of the following for summary: however guidelines only generally discussed without reflection on actual treatment decisions that should have been made. The final analysis section missing at least one: *Pathophysiology and Pharmacology analysis *Additional analysis of the case as noted above *Follow-up *Quality Analysis *Coding and Billing using original dialogue i.e., no direct quotes. Diagnostic testing recommendedoes not follow National Guidelines. Student missing more than one portion of analysis.

0.0 pts

Unsatisfactory

Post contributes no clinically accurate perspectives/insights applicable to clinical content area/identified chief complaint presentation in original dialogue (no direct quotes) related to assigned Mental Health Diagnosis: OR **Analysis is missing

25.0 pts

This criterion is linked to a Learning OutcomeEvidence Based Resources

Discussion post fully supported by evidence from appropriate sources published within the last five years including National Guidelines. Content of journal articles represents a logical link between the article content and the assigned topics/case study information. In-text citations and complete references are provided.

10.0 pts

Excellent

9.0 pts

V. Good

Discussion post is partially supported by evidence from appropriate sources published within the last five years. In-text citations and complete references are provided. Evidence-based reference(s) used but may not fully demonstrate National guidelines or fully support treatment recommendations.

8.0 pts

Satisfactory

Discussion post is supported by evidence from appropriate resources however National Guidelines are not referenced in regard to diagnostic testing and treatment planning OR Journal articles do not represent logical link between the article content and assigned topics/ case study.

5.0 pts

Needs Improvement

Discussion post not fully supported by evidence from appropriate sources published within the last five years OR does not include National Guidelines AND Content of journal articles does not represents a logical link between the article content and the assigned topics/case study information. In-text citations and complete references are provided.

0.0 pts

Unsatisfactory

Discussion post is not supported by evidence from appropriate sources published within the last five years. National Guidelines are not used to support post. References and in-text citations may be incomplete.

10.0 pts

This criterion is linked to a Learning OutcomeDiscussion Format Possible Points = 5 Points

Organization & APA Discussion post presented in a logical, meaningful, and understandable sequence. Headings reflect separation of criterion outlined in assignment guidelines AND there are minimal spelling or grammatical errors. (*) APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.

5.0 pts

Excellent

Discussion post presented in a logical, meaningful, and understandable sequence. Organization of topics and transitions among ideas lends clarity to the discussion. Headings and paragraph spacing are used logically and contribute to evidence of the assigned disease. Zero errors in grammar/spelling. Strong ability to communicate thoughts and ideas concisely.

4.0 pts

V. Good

Discussion post presented in a logical, meaningful, and understandable sequence, However minimal transitions, headings and spacing used to organize thoughts. Zero to 2 errors in grammar/spelling but no effect on ability to communicate thoughts and ideas.

3.0 pts

Satisfactory

May be unclear or difficult to follow in places. Headings, paragraphs and spacing. 3-6 errors in grammar/spelling with no effect on ability to communicate thoughts and ideas.

2.0 pts

Needs Improvement

May be unclear or difficult to follow in places. Weak linkage to assigned mental health topic. >6 errors in grammar/spelling which contributes somewhat to effectiveness of ability to communicate thoughts and ideas.

0.0 pts

Unsatisfactory

Discussion topics not linked through organization of thoughts, paragraph, spacing or headings. Lack of organization contributes to lack of understanding of thought process. Errors in grammar contribute to a fundamental lack of understanding of information presented.

5.0 pts

This criterion is linked to a Learning OutcomeParticipation

Discussion late penalty deductions A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday 1159PM MT of Week 6, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0)

0.0 pts

Minus Points

0.0 pts

Minus Points

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December 6, 2019December 6, 2020

What is the Nurse Practice Act

Write 5 sentences about each topic.

1. Value vs Morals

2. Negligence

3. Critical Thinking

4. Two Bioethical Issues

5. What are the goals of nursing?

6. Florence Nightingale

7. What is the Nurse Practice Act?

8. Telehealth

9. Isabel Hampton Robb

10. Medicare vs. Medicaid

11. Diversity

12. Delegation vs. Assignment

13. Eye Contact

14. Three styles of communication

15. Three barriers to research in practice

future medicine

Genetic engineering has become a part of our culture and it is difficult to tell the difference between unmodified and genetically modified food sources such as plants and animals. After reading this module’s material regarding vectors in biotechnology, consider the potential for nanotechnology and gene therapy.

For your initial discussion post, research nanotechnology and its potential use in biotechnology. Explain the potential advantages and disadvantages of nanotechnology in health care and discuss whether you would or would not support further research.

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December 6, 2019December 6, 2020

Using the Epidemiologic Triangle concept, consider the relationship among causal agents, susceptible persons, and environmental factors

An Epidemic in the Community

To prepare for this Discussion, visit the CDC Wonder site in this week’s resources. Investigate the incidence and prevalence of TB in your community (Travis County in Austin, TX). What information did you find? Analyze how your community compares to county (Travis), state (Texas), or national (United States) data for the same topic. Was the incidence and prevalence of each higher or lower than you expected?

Consider the following scenario: This is Debbie’s first year working as a nurse at the local health department in a rural county. Most of her days are spent in the clinic seeing clients who often do not have health insurance.

Over the past month, Debbie has noticed that several young Hispanic men have come to the health department, each diagnosed with tuberculosis. Debbie is concerned about what the outbreak of tuberculosis among the migrant workers could mean for the community. Through a community health profile, Debbie identifies the group of migrant farm workers as being at highest risk for contracting tuberculosis.

Using the Epidemiologic Triangle concept, consider the relationship among causal agents, susceptible persons, and environmental factors. Then, respond to the following:

As a BSN-prepared community health nurse, what steps should Debbie take next?
Considering economic and social considerations within the community, what are the primary, secondary, and tertiary interventions that Debbie might use in managing this outbreak?
Can similar interventions be applied to your community and its TB prevalence?
What considerations need to be addressed within your community that are different form Debbie’s community?

This should be a 3-paragraph (at least 250–350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).

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December 6, 2019December 6, 2020

Patient With Benign prostatic hyperplasia Is Going To Surgery For A Transurethral resection of the prostate (TURP)

Please i need help with this question: Patient With BPH Is Going To Surgery For A TURP

Mr. Smith with BPH is going to surgery for a TURP. Discuss the pathophysiology of this disease process, assessment of the patient, lab work and diagnostic tests appropriate for this patient to diagnose BPH and prior to going to surgery, discuss the pharmacology especially the medical management of BPH, , and the nurses role in caring for this patient before and after the surgery including the CBI.

Consider your learning in the course. How have you met the course objectives listed in the syllabus? Has the material in the course changed your professional practice? How might nursing theory influence your professional practice?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

Learning Materials

Smith, M. C., & Parker, M. E. (2015). Nursing theories and nursing practice (4th ed.). Philadelphia, PA: F.A. Davis. Chapters 19 – 22

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December 6, 2019December 6, 2020

Healing and Autonomy

In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
In 400-450 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses 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, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. You are required to submit this assignment to LopesWrite.

Rubric:

1. Decisions that need to be made by the physician and the father are analyzed from both perspectives with a deep understanding of the complexity of the principle of autonomy. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. 20%

2. Decisions that need to be made by the physician and the father are analyzed with deep understanding of the complexity of the Christian perspective, as well as with the principles of beneficence and nonmaleficence. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. 20%

3. How a spiritual needs assessment would help the physician assist the father determine appropriate interventions for his son, his family, or others involved in the care of his son is clearly analyzed with a deep understanding of the connection between a spiritual needs assessment and providing appropriate interventions. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. 30%

4. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 7%

5. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 8%

6. Writer is clearly in command of standard, written, academic English. 5%

7. All format elements are correct. 5%

8. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 5%

There are three different parts to this paper:

· Part one deals with Mike’s decision-making capabilities.

· Part two deals with how to think issues related to sickness and health.

· Part three deals with a spiritual assessment.

Read “Doing a Culturally Sensitive Spiritual Assessment: Recognizing Spiritual Themes and Using the HOPE Questions,” by Anandarajah, from AMA Journal of Ethics(2005).

https://journalofethics.ama-assn.org/article/doing-culturally-sensitive-spiritual-assessment-recognizing-spiritual-themes-and-using-hope/2005-05

Read “End of Life and Sanctity of Life,” by Reichman, from American Medical Association Journal of Ethics, formerly Virtual Mentor

Applying the Four Principles: Case Study

Part 1: Chart (60 points)

Based on the “Healing and Autonomy” case study, fill out all the relevant boxes below. Provide the information by means of bullet points or a well-structured paragraph in the box. Gather as much data as possible.

Medical Indications Beneficence and Nonmaleficence	Patient Preferences Autonomy
Medical indications are the clinical data that is required to diagnose a patient and the extent of severity relating the medical problem thus determining the treatment options. Beneficence indicates acting with the best intentions in mind while non-beneficence emphasizes on do not harm. The parents of James were acting in his best interests despite the medical indications that James’s conditions would get worse if not treated. They had no intention of harming him and came back when his condition did not improve.	Patient preferences refer to the expressed choice of the patient or the substitute decision maker. Autonomy emphasizes on the right of a person to make his/her own decision (Beever, 2016). James is an underage kid that is 8 years old thus cannot exercise autonomy rights. However, the parents should have consulted James before making their decision despite his age to know whether he was comfortable with their decision. The physician could hardly impact this decision but could have at least talked to the parents.
Quality of Life Beneficence, Nonmaleficence, Autonomy	Contextual Features Justice and Fairness
Quality of life refers to the relevant medical features of the life of a patient before and after the treatment. James condition before treatment was worse but after constantly undergoing dialysis his condition improved. However, he needs a kidney transplant to effectively address his condition and his father is thinking his brother should give him the kidney or they should rely on faith. Based on the previous encounter, the parents should first consult James and listen to his views regarding the issue. The last time they depended on their faith, the condition of James got worse, thus they should act with his best interests in mind and allow him to get a kidney transplant from his brother.	Contextual features determine the legal, social and familial setting that influences one’s medical decisions (Gillon, 2018). The faith of James’s parents that he can be healed through prayers influenced their medical decisions. They are also considering on depending on their faith instead of allowing James to have a kidney transplant from his brother. Justice and fairness emphasizes on equality. The conflict of interest came up when the ideal tissue match was identified as that of his brother. The parents therefore were willing to allow other people including themselves to donate a kidney for James but are not willing for his brother to do so.

Part 2: Evaluation

Answer each of the following questions about how principlism would be applied:

1. In 200-250 words answer the following: According to the Christian worldview, which of the four principles is most pressing in this case? Explain why. (45 points)

According to the Christian worldview, beneficence is the principle that is most pressing. This is because the parents are acting with the best of intentions in mind about their son. They have faith that their son will be healed through intensive prayers. They therefore prefer prayers more compared to treatment because of the faith. We cannot put a blame on them because of the deteriorating health of their son because they acted in good faith and as soon as they noticed his condition was getting worse they brought him back to the hospital.

2. In 200-250 words answer the following: According to the Christian worldview, how might a Christian rank the priority of the four principles? Explain why. (45 points)

A Christian can rank the priority of the four principles in such a manner that beneficence comes first then non-maleficence followed by justice and fairness and lastly autonomy. This is because according to Christians, parents should show love to their children by acting in their best interests which is associated to the principle of autonomy. Parents should also ensure that no matter what, they should not harm their children which relates to the principle of non-maleficence (Carr, 2017). Christians are supposed to practice justice and fairness in all their encounters and experiences. Lastly, Christians should also give one another a chance to indicate they thought regarding a certain decision which is associated with the principle of autonomy.

References:

Beever, J., & Brightman, A. O. (2016). Reflexive principlism as an effective approach for developing ethical reasoning in engineering. Science and engineering ethics, 22(1), 275-291.

Gillon, R. (2018). Principlism, virtuism, and the spirit of oneness. In Healthcare Ethics, Law and Professionalism (pp. 45-59). Routledge.

Carr, M. F., & Winslow, G. R. (2017). From conceptual to concrete. In World Religions for Healthcare Professionals (pp. 31-45). Routledge.