What role does justice play during a time of local, national, or global crisis? What responsibility does the nurse leader play in following the ethical standards of justice?

 

Beneficence and deontological ethical theory

According to the Canadian Nurses Association, “nurses provide care to those in need, even when providing care puts their own health and life at risk” given that nurses face a number of transmissible diseases in everyday practice; should a nurse have the right to refuse patient care in the terms of a pandemic when safety conditions are unknown or not? Use beneficence and deontological ethical theory or principle to support your answer.

Prevention interventions to the health issue

Identify a current health issue of interest to you e.g diabetes, HIV/AIDS, heart disease, etc. On the basis of current epidemiologic evidence, explain the factors that have contributed to the following: the observed trend in mortality rates for this disease, the changes in survival; the changes in incidence. A key concept in epidemiology is that of the levels of prevention.  As a community health nurse, describe primary, secondary, and tertiary prevention interventions related to this health issue.  Are there modifiable factors, such as health behaviors that lend themselves to better prevention efforts?

1. What are the differences between quantitative and qualitative research?
2. Which do you think is more important for nursing?

Topic: Tissue integrity 

Provide the expected outcomes for each of the following Nursing interventions:

 

Diagnosis: Risk of pressure ulcer related to incontinence

Nursing Intervention, rationale

1. Intervention: Toilet patient every 2 hours

Rationale: To reduce episodes of wetting

Expected outcome:

 

2. Intervention: Reposition patient every 2hours.

Rationale:  Helps keep blood flow and skin to stay healthy to prevent bed sores

Expected outcome:

 

3. Intervention: Offer frequent fluids and diet to patient

Rationale:  To maintain adequate nutrition and hydration

Expected outcome:

 

4.Intervention: Administer breeze boost supplement as prescribed.

Rationale: To fill nutritional gaps and to prevent skin breakdown.

Expected outcome:

 

 

Diagnosis:Impaired tissue integrity related to bruising on lower right abdomen

 

Nursing Intervention, rationale

 

5. Intervention: Monitor bruise at least once daily for color changes, redness, swelling, warmth, pain, or other signs of infection

Rationale:  Systematic inspection can identify impending problems early.

Expected outcome:

 

6. Intervention: Administer Certavite-Antioxidant as prescribed

Rationale: This will help fill nutritional gaps in the body to help nourish the skin.

Expected outcome:

 

7.Intervention: Assess patient’s nutritional status; refer for a nutritional consultation.

Rationale:  Inadequate nutritional intake places the patient at risk for skin breakdown and compromises healing, causing impaired tissue integrity.

Expected outcome:

 

8.Intervention: Monitor patient’s skincare practices, noting the type of soap or other cleansing agents used, the temperature of the water, and frequency of skin cleansing.

Rationale:  Individualize plan is necessary according to the patient’s skin condition, needs, and preferences.

Expected outcome: