The Cornerstones of ethical decision making

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What are the facts in this situation. Autonomy, nonmal eficence, beneficence, and justice are the cornerstones of ethical decision making. What ethical dilemmas does this case illustrate?

  1. Have any principles of ethical decision making been violated in this case? What ones have been supported. How might out cultural upbringing, personal assumptions, and opinions influence our decisions as health care managers? Provide rationales
  2. Based on what you know from this short case, why do you think Mr. Warden’s daughter is so consistent on wanting “everything” done for her father?
  3. What is Mr. Warden was wealthy and had a large estate? Would that change your opinion of the son and his response. Provide a rational for your response
  4. If the son had no power of attorney, how could this issue be resolved? Can a physician decide to withdraw care without the consent of the family? Who has the final say in the care of the patient in his condition? Provide your reflection and personal opinions as well as your recommendations and rationale for your response.

Guide for Nurses and Midwives

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Care: A Guide for Nurses and Midwives (2nd ed.). Macmillan International; Red Globe Press Decision-making framework (Steps 1 -3) Identify issues & collect information Identify the problem Gather relevant facts Who is involved? Evaluate the issues Ethical Principles Legal Principles Which are relevant? What does the law say?

3. Action what to do in practice Identify options Make a decision & take responsibility Justify decision 2/5 For more information and examples of applying the framework, please see Chapter 2. _. — and ethical decision-making frameworks, in Mcdonald, F. J. & Then, S. H. 2019, Ethics, law and health care: a guide for nurses and midwives, United Kingdom: Red Globe Press Instructions:

Refer to the Student Learning Centre resource ‘writing an essay’ for detailed instructions about how to prepare, structure and write an academic essay.

Your essay must have an introduction, body and a conclusion, and it must be referenced using APA style (2020, 7th). It is a good idea to use headings based on Steps 1-3 of the decision-making framework (Mcdonald & Then, 2019) to help you create a clear and structured argument.

However, this is not mandatory as the main focus is ensuring the essay structure and ideas are clear and logical.

As with most academic papers you need to write in the Third person. Is expected that you use formal/professional language and writing style. Additional resources: The Student Learning Centre has many great resources to support your academic writing skills.

Some examples of especially relevant resources include ‘Introductions & conclusions’, ‘Paragraphs’ and ‘Case Studies’. You can also access the Learning Lounge or Studiosity for further individualised support.

If you have questions about this assessment, please post them on the ‘Assessment Forum and FAQs’ so that everyone can benefit from the answers. You may also find that somebody else has already asked and received an answer for your question.

If you continue to have difficulties with the assignment despite accessing the above resources, you should email your tutor for support. It is important to do this early, so you have time to implement your tutor’s advice.

Propose a Quality improvement initiative

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For this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:

  1. The purpose of the quality improvement initiative.
  2. The target population or audience.
  3. The benefits of the quality improvement initiative.
  4. The interprofessional collaboration that would be required to implement the quality improvement initiative.
  5. The cost or budget justification.
  6. The basis upon which the quality improvement initiative will be evaluated.

You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Planning for Coordination of person-centered care

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Incorporate evidence-based, decision-making models in planning for coordination of person-centered care. (POs 1 and 5)

  • CO 2: Determine competencies for planning, monitoring, and evaluating resources that ensure safe, quality, person-centered care. (PO 1)
  • CO 4: Analyze continuous improvement processes at the microsystem and mesosystem levels based on patient care outcomes and current evidence to ensure safe and quality nursing care. (PO 5)

Module Objectives

  • Distinguish models of patient care delivery and problem-solving strategies that optimize clinical outcomes. (COs 1 and 4)
  • Analyze competencies necessary to lead and manage nursing care in the clinical environment. (CO 2)

Based on your response to Reflection: Part 1, state one insight that you gained regarding the concepts in this module. Connect learning achieved to a minimum of one course outcome addressed during this module.

A Closed water drainage system with suction.

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A client had a chest tube connected to a closed water drainage system with suction. Which equipment should……. the nurse have at the client’s bedside?

a.Sterile gauze dressing

b.Suction catheter

c. Sterile piston syringe

d.Suture removal kit

 

38.The nurse is preparing to start an IV 1000mL of normal saline with 30meq potassium chloride for a client with DKA. Before implementing the prescription which assessment finding is most important for the nurse to obtain?

a.Breath sounds

b.Blood pressure

c. Skin turgor

d.Urinary output

 

39.A client with a right lateral chest tube needs to be transported to chest x ray which intervention is most important for the nurse to implement?

a.Send the client to radiology on a stretcher

b.Medicate for pain prior to moving the client

c. Mark drainage amount on the collection chamber

d.Keep the drainage system below insertion site

 

40.The nurse is caring for an older client with heart failure whose arterial blood gas results are pH7.38 pPaO2 90, PaCO2 24. Which action should the nurse implement?

a.Continue to monitor the clients condition

b.Encourage the client to cough and deep breathe

c. Instruct the client to breath into a paper bag

d.Administer oxygen per face mask per PRN protocol

 

41.On admission to the ICU for sepsis caused by a ruptured appendix the clients temperature 100F……. Other hemodynamic findings are cardiac output 10.7, systemic vascular resistance 480, WBC 28000, which classification medication prescribed should the nurse evaluate for clients stabilization?

a.ACE inhibitor

b.Negative inotrope

c. Diuretic

d.Vasoconstrictor

 

42. A client is admitted to the ICU after a colon resection with the formation of loop colostomy. The nurse determines the client’s abdominal dressing is clean and dry. Vital signs are temperature 100 F, heart rate 132 bpm, bp 88/65, urine output 10 ml/hr. Which intervention should the nurse implement?

a.Administer antipyretic agent

b.Give 500mL IV bolus challenge

c. Place a cooling blanket on the client

d.Titrate IV vasopressors for systolic less than 80

 

Steps 1 – 3 of The decision- making framework

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Task:  draws upon Steps 1 – 3 of the decision- making framework (McDonald & Then, 2019) to explore and analyse the legal and ethical implications of the case study outlined below. You will be writing from the perspective of an observer.

You will also need to access the chapter from the following book:

McDonald, F. J. & Then, S. H. 2019, Chapter 2: Ethics and ethical decision-making frameworks, in Ethics, law and health care: a guide for nurses and midwives, United Kingdom: Red Globe Press

This chapter is available from the library as:
• a physical book, or an electronic version via the eReadings link

Alternatively, you can also purchase a hard copy, or a digital copy from various sources, eg, Amazon, Google Play Books, iTunes.

Case Study:

Apply the decision-making framework (McDonald & Then 2019) to this case study (Steps 1-3 only).

Huang is a registered nurse and has recently commenced employment in a regional South Australian town in a large nursing home. During his shifts he is the only registered nurse in charge of 68 residents, 35 of whom have high care needs.

The majority of high care residents have been diagnosed with dementia or related disorders. Most of his shift involves completing medication rounds through various wards and documenting records.

The nursing home is constantly plagued with understaffing issues. Huang has little time to attend to the individual needs of residents. Assistants in Nursing provide most of the care to the residents in both the low care and high care wards.

During his first week at the nursing home Huang has witnessed the following incidents in the 12-bed high care dementia ward:

• At any given time up to eight ‘mobile’ residents in the ward are restrained in chairs (the other four are restricted to bed) for lengthy periods of time. Two of the more alert residents display signs of psychological distress as a result of the restraint. One of the patients continually asks to have the restraint removed. Huang has been told the restraints are necessary to prevent falls as there is not enough staff to watch the residents and ensure their safety.

• One aggressive and noisy resident is restrained at all times and is often moved to a secured room for long periods of time, particularly during peak visiting hours. Huang has been told that visitors have complained about the resident’s constant screaming and that his noise also upsets other residents in the ward and therefore the seclusion of this patient is necessary for the comfort of others.

Reference

Case is adapted from McDonald, F. & Then, S.-N. (2019). Ethics, Law & Health Care: A Guide for Nurses and Midwives (2nd ed.). Macmillan International; Red Globe Press

Decision-making framework (Steps 1 – 3)

For more information and examples of applying the framework, please see Chapter 2: Ethics and ethical decision-making frameworks, in McDonald, F. J. & Then, S. H. 2019, Ethics, law and health care: a guide for nurses and midwives, United Kingdom: Red Globe Press

 

can you please outline the way of writing this paper and main problem according to the case in Australian nursing standard. i am not going to submit tutor work as my work i just need it for reference. thanks

One Cardiovascular disease

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Mentioned One cardiovascular disease 2. Pathophysiology that causes the cardiovascular disease mentioned 3. Appropriate nursing interventions for the cardiovascular disease 4. Method of evaluation of the cardiovascular disease mentioned for the nursing interventions.

Areas of consideration of Risk management in disability support 

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The following are areas of consideration of risk management in disability support. Work Health and Safety legislation in Western Australia has been hharmonizedwith the rest of the country. This 40-minute video tells you everything you need to know.

considerations for risk management in disability support Ways of minimising risk
Environmental consideration
physical consideration
Physiological consideration

 

Coordinate care for patients

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The MSN-prepared nurse is uniquely positioned to coordinate care for patients as they transition through the healthcare continuum. Effective leadership across the continuum is essential for the delivery of safe, high quality, person-centered care. The purpose of this assignment is to write a case scenario that applies the principles of care coordination for a patient transitioning across different points of care delivery.

Implications for advanced nursing practice will be integrated throughout the scenario.

Complaints of passing dark, tarry, stools

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A 64-year-old male presents the clinic with complaints of passing dark, tarry, stools. He stated the first episode occurred last week, but it was only a small amount after he had eaten a dinner of beets and beef. The episode today was accompanied by nausea, sweating, and weakness. He states he has had some mid epigastric pain for several weeks and has been taking OTC antacids. The most likely diagnosis is upper GI bleed which won’t be confirmed until further endoscopic procedures are performed.

Question:

1.     What are the variables here that contribute to an upper GI bleed?