On March 21, 2018, the United States House of Representatives passed a bill allowing patients the right to try experimental drugs prior to Food and Drug administration approval. Discuss the ethical principles of beneficence (doing good) and non-maleficence (avoiding causing harm), and issues of the morality of a legal system that delays research because of the legal rights of patent holders. Describe how you would handle this ethical issue with your patients.

I will competently perform a manual set of vital observations on a patient – this will include blood pressure, temperature, heart rate, oxygen saturation, respiratory rate, and and pain scale, (neuro or neurovascular obs if applicable). I will be able to interpret the trend and discuss with the the facilitator/RN using appropriate critical thinking skills and relate these back to the patient’s condition.

I will also accurately and precisely document these vital observations in a legally acceptable manner as per requirements of the facility.

This objective is linked to the following 2 sub-standards of the RN Standards of Practice: 1. 2. What 3 resources will I use to achieve this learning objective? 1. 2. 3. Reflect on your Learning Objective: What strategies will I use to improve my skills/performance?

Identify unhealthy aspects of a community /aggregate/population.  Include information on types of foods available, quality of housing and any other details that might decrease or challenge the health of this areas inhabitants.

Review Stacey Crider’s chart, what risk factors for the development of gestational diabetes mellitus are noted? 7. What does Stacey Crider’s physician suspect is the cause of her poorly controlled blood glucose levels? (Hint: See the physician’s impression in her medical record.)

8. Review Stacey Crider’s admission orders and list the orders that are related to her GDM. 9. Why are most oral hypoglycemic agents avoided during the prenatal period?

10. On admission, Stacey Crider was in preterm labor. This was treated with magnesium sulfate tocolysis. She was also given a course of betamethasone. What impact can betamethasone administration have on her gestational diabetes mellitus?

11. How does Stacey Crider’s physician plan to deal with these potential medication effects?

12. Stacey Crider’s other admission diagnosis is bacterial vaginosis (BV).

What is the relationship between the BV infection and her GDM? 13. Based on the Drug Handbook, complete the table below. Type of Insulin Onset of Action Peak Duration Lispro NPH

14. Consider lispro insulin’s rapid onset of action. What else should you check before giving Stacey Crider her injection? Stacey Crider regarding GDM.