Ethical Considerations & Moral Distress – Coach Cary Brown

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Discussion 5: Ethical Considerations & Moral Distress – Coach Cary Brown

From Law & Ethics in Nursing – 11479 NUR4826 202101No unread replies.No replies.All initial (primary) posts are due on Wed 11:59. A 10% deduction per day will occur up to 72 hours after which the initial will not be accepted. Responses are due on Sunday 11:59 and will not be accepted late and will receive a zero.

The experience of moral distress can be distinguished from the experience of moral dilemmas.  In moral distress, a nurse knows the morally right course of action to take, but institutional structure and conflicts with colleagues create obstacles.  A nurse who fails to act in the face of obstacles also may have reactive distress in addition to the initial distress.  Both kinds of distress pose dilemmas about individual and collective moral responsibility.  Coping with these dilemmas effectively requires taking at least some successful actions to resolve distress.

distressing clinical experience

For this discussion you are to reflect on a morally distressing clinical experience:

Primary Post

1. Describe a distressing clinical experience you have had as a nurse when you either were involved in or witnessed care or behaviors that you would describe as unethical. Ensuring confidentiality in your description of the event, place, and persons, include in your description:

a. the setting in which the conflict occurred (e.g., ICU, hospital inpatient unit, LTC, OR)

b. disease or patient group (e.g., geriatric, cancer, NICU, dementia) or healthcare team (e.g., physician-nurse, nurse-nurse)

c. the type of conflict (e.g., withdrawal of life support, nutrition, hydration; HIPAA violation, pain management)

d. all those involved in the conflict (e.g., nurse, physician, patient, family member)

e. cultural factors identified as influencing the clinical experience (e.g., ethnicity, poverty)

2. How do you think this experience affected you as a nurse?

a. What emotions do you recall having in the aftermath of the situation (e.g., advocacy, anger, career change, guilt, betrayal, and so on)?

b. How do you feel about it now?

3. How do you think these experiences affect the profession of nursing?

4. When confronted with a similar situation what do you imagine doing differently?

5. What resource would you recommend to another nurse coping with a similar circumstance? (cite resource- can be a website, professional source or other source that supports coping with moral distress)

the limitations of the Punnett Square

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offspring developing hemophilia

**** Please Just do Respone 1, initial post was done already*****

To support your work, use your course and text readings as well as the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format. Patient or lay person medical information portals such as webMD, Medscape, Mayo Clinic, or any disease foundations, such as the arthritis foundation or the diabetic foundation, are not acceptable resources for your scholarly work.

Discussion Prompt

Describe the Punnett Square and what it used to predict. What are the limitations of the Punnett Square?

Mom is a carrier for hemophilia but does not have the disease.
Dad does not have hemophilia

Using the Punnett Square, answer the following questions, What is the probability of a;

  •  female offspring developing hemophilia?
  •  female offspring being a carrier for hemophilia?
  •  male offspring developing hemophilia?
  • a male offspring being a carrier developing hemophilia?
  •  of any offspring developing hemophilia?
  • Explain why only some offspring would develop the disease?

Response #1: If this were about Cystic Fibrosis, how would the responses be different to the questions in the Initial Post? Give a detailed explanation supporting your response.

nursing in managing the needs of humans as consumers of healthcare

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nursing in managing the needs of humans as consumers of healthcare

NR452 Capstone Course

RUA- Capstone Evidence-Based Practice Paper Guidelines

NR452_RUA- Capstone Evidence-Based Guidelines Revised: 03/2021 1

Purpose To analyze own performance on the integrated comprehensive assessments and reflect on areas of opportunity and strategies to promote NCLEX-RN success and transition into practice. The student will apply the priority concept (topic) to evidence-based professional practice upon which nurses have the ability to resolve or have a positive impact. There is a focus on the healthcare disparities of the individual, as well as ethical and legal implications to professional practice. The student will discuss how an interdisciplinary approach promotes quality improvement for the patient and evidence-based professional practice, driving positive outcomes.

Course outcomes: This assignment enables the student to meet the following course outcomes: CO # 1: Synthesize knowledge from sciences, humanities, and nursing in managing the needs of humans as

consumers of healthcare in a patient-centered environment. (PO#1) CO # 2: Integrate communication and relationship skills in teamwork and collaboration functioning effectively with

health team members and consumers of care

health team members and consumers of care. (PO#3) CO # 3: Utilize information technology to manage knowledge, mitigate error, and support decision making with health

team members and consumers of care. (PO# 8) CO # 4 Integrate critical thinking, clinical reasoning skills, best current evidence, clinical expertise, and patient/family

preferences/values in the implementation of the nursing process. (PO# 4) CO # 5: Explore the impact of professional standards, legislative issues, ethical principles, and values on professional

nursing, using data to monitor outcomes and improve quality and safety. (PO# 5, 6)

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

Total points possible: 250 points

Preparing the assignment Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions. 1) Track performance on the comprehensive assessments by logging NCLEX-RN Client Need Category performance on

nursing in managing the needs of humans as consumers of healthcare

the Individual Student ATI Assessment Trends: Longitudinal Performance tool. 2) Based on individual performance on the comprehensive assessments, prioritize the top concept (topic) of greatest

opportunity. 3) Include the following criteria for each identified concept (topic): The NCSBN NCLEX-RN Test Plan will support this

process (detailed criteria listed below and in the Grading Rubric must match exactly). a. Priority Concept (Topic)- 20 points/8%

• Identify the priority concept (topic) of opportunity. • Provide a description of how this aligns with the NCLEX-RN Test Plan as indicated by performance in the

Individual Student ATI Assessment Trends Table. • Identify a minimum of two learning strategies that you plan to implement to address your learning need. • Identify a minimum of two resources that you will integrate into your NCLEX-RN Readiness plan to assist you

with improving the identified learning need.

 

 

 

NR452 Capstone Course Capstone Evidence-Based Practice Paper Guidelines

 

NR452_RUA- Capstone Evidence-Based Guidelines Revised: 03/2021 2

Individual Student ATI Assessment Trends: Longitudinal Performance Table

ATI Assessment Title

NCLEX-RN Client Need Categories: Students will log their individual assessment performance in each category below

and highlight the scores below 60% or lowest three scores for each assessment Course Manage-

the nursing body of knowledge

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the nursing body of knowledge

Architect Daniel Libeskind is credited with saying “To provide meaningful architecture is not to parody history, but to articulate it.” The suggestion is that his work does not copy the efforts of others but relies on it.

Understanding the work of others is critically important to new work. Contributions to the nursing body of knowledge can happen when you are able to analyze and articulate the efforts of previous research. Research analysis skills are therefore critical tools for your toolbox.

In this Assignment, you will locate relevant existing research. You also will analyze this research using a tool helpful for analysis.

To Prepare:

  • Reflect on the strategies presented in the Resources this Module’s Learning Resources in support of locating and analyzing research.
  • Use the school Library to identify and read one peer-reviewed research article focused on a topic in your specialty field that interests you.
  • Review the article you selected and reflect on the professional practice use of theories/concepts described by the article.

The Assignment:

Using the “Module 4 | Part 4” section of your Academic Success and Professional Development Plan Template presented in the Resources, conduct an analysis of the elements of the research article you identified. Be sure to include the following:

  • Your topic of interest.
  • A correctly formatted APA citation of the article you selected, along with link or search details.
  • Identify a professional practice use of the theories/concepts presented in the article.
  • Analysis of the article using the “Research Analysis      Matrix” section of the template
  • Write a 1-paragraph justification stating whether you would recommend this article to inform professional practice.
  • Write a 2- to 3-paragraph summary that you will add to your Academic Success and Professional Development Plan that includes the following:
    • Describe your approach to identifying and analyzing peer-reviewed research.
    • Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research.
    • Identify at least one resource you intend to use in the future to find peer-reviewed research.

Treatment Of Anxiety Disorders

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please follow the instructions below

4 references

zero plagiarism

Anxiety disorders are common in both primary care and psychiatric practice. Clients with anxiety disorders including generalized anxiety disorders, agoraphobia, and other specific phobias will present to the PMHNP’s office with a significant level of distress. Successful recognition and treatment of anxiety disorders includes an accurate diagnostic assessment with a treatment plan that includes a combination of psychopharmacology and psychotherapy. Although psychoanalytic theories are based on the concept of anxiety, the more recent standard of care is with the cognitive-behavioral therapies.

In this Discussion, you will analyze evidence-based treatment plans for clients with anxiety disorders.

Learning Objectives

Students will:
  • Analyze differences between adjustments disorders and anxiety disorders
  • Explain diagnostic criteria for anxiety disorders
  • Analyze evidence-based psychotherapy and psychopharmacologic treatment for anxiety disorders
  • Compare differential diagnostic features of anxiety disorders

Post:

  • Explain the difference between an adjustment disorder and anxiety disorder. Provide examples to illustrate your rationale.
  • Explain the diagnostic criteria for your assigned anxiety disorder.
  • Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned anxiety disorder.
  • Support your rationale with references to the Learning Resources or other academic resource.

cerebrovascular accident

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Mrs. Saunders Is A 70-Year-Old Retired Secretary

diagnosis of stroke (cerebrovascular accident or CVA). She has history of hypertension and atherosclerosis, and she had a carotid endarterectomy 6 years ago. She is 40% over her ideal body weight and has a 20-pack-year smoking history. Her daughter says her mother has been having short episodes of confusion and memory loss for the past few weeks. This morning, she found her mother slumped to the right in her recliner unable to speak.

1.      Explain the pathophysiology of a CVA. Which type of a stroke is most likely the cause of Mrs. Saunders symptoms?

2.      List three risk factors for stroke evident in Mrs. Saunders history?

a.

b.

c.

3.      List two medications that the physician may order and state why might they be used?

a.

b.

4.      List 3 interventions for Mrs. Saunders

a.

b.

C.

5.      Mrs. Saunders has some difficulty swallowing and pockets food in her right cheek. List three interventions that you could try.

a.

b.

Grover Starling Managing the Public Sector

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Grover Starling Managing the Public Sector

Please revisit Grover Starling. Managing the Public Sector (Book chapter synopsis handout 1) in the modules and study case 3.1: The Katrina Breakdown pages 149-156.

Discussion Question:

Between the COVID-19 pandemic response in the US and the winter electricity blackouts in Texas, how do the focusing events compare to Katrina Breakdown in the Book Handouts 1 that you have revisited? How do these events inform the failure or success of intergovernmental relations workings regarding responses from federal, state, and local governments? Who are major intergovernmental actors, and what are the issues in the debates about governments’ response?

principle rule of economic efficiency

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marginal benefit equal marginal cost

Please read and summarize the handouts. After reading the handouts, please answer the following questions:
1. The principle rule of economic efficiency requires that the marginal benefit equal marginal cost. For services that primarily benefit the direct consumer such the use of public facilities, license taxes or fees or property taxes paid by direct consumers, the price charged should equal marginal cost. Why do you think this makes economic sense? In your response make sure you mention the types and use of user charges?

2. What are the economic effects of intergovernmental grants?

Attachments

different forms of privatization

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different forms of privatization

Discuss the different forms of privatization.  Provide examples.

Based on your own experience or research of the Victoria Gardens, what do you think this project has done right or wrong? What are the benefits or costs to the local community? What aspects of the project do you think is “entrepreneurial”?  Can other cities follow the example of Rancho Cucamonga? What will be the potentials or problems of other cities in developing similar project?

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Law And Labor

Please use the Model Penal Code.

Michelle and Stacey were roommates. Michelle had a boyfriend named Steve. Stacey did not like Steve very much. She found him to be ignorant and thought he drank too much. Stacey also did not like the way Steve treated Michelle. One night Stacey came back to the apartment and found Steve stabbing Michelle in her chest over and over yelling, “how could you do this to me Michelle, I love you with all my heart, how could you.

” Steve was visibly drunk. Stacey walked over to her desk drawer and pulled out a gun and stated, “I have had enough of you Steve.” Stacey shot Steve straight in the heart and he died. Moments later Michelle got to her feet and took the knife Steve was stabbing her with and stabbed Stacey in the  chest several times yelling, “I loved him, how dare you.” Both Michelle and Stacey survived their wounds.

Discuss the crime(s) Stacey and Michelle would be guilty of using the model penal code.

Part 2

(1) As a police officer, describe how important is it to support community problem-solving. and broken windows policing by applying problem-solving techniques?

(2) Explain and discuss leadership in problem-oriented policing.