Matt W, age 10 years, has just returned from a camping trip with his scout troop. He has a runny nose and itchy eyes and is irritable. The tent was set up in a grassy field, and the boys played several games on the field. Matt’s dad takes him to the local health care center, where a diagnosis of allergy to pollen is made.
Michael is a 40-year-old mathematician who lives in Brisbane. He has a full-time job, a partner, Kelly, and two daughters. Michael was diagnosed with schizophrenia as a 21-year-old university student, but has, with the care of his loving parents and partner, consistently managed his condition with the assistance of a regular medication regime under the ongoing care of a psychiatrist, Dr John Nash. Michael has not been hospitalised as a result of his condition for 19 years.
Kelly and Michael were at a Laserforce game venue two days ago, playing with their daughters, when Kelly noticed that Michael was acting very anxious and agitated. Michael told Kelly that the employees of the Laserforce venue were foreign intelligence agents who were trying to control his thoughts by playing music in the venue at exceedingly high volume.
Michael had been working on a very politically sensitive coding project for the government and told Kelly that the employees were trying to steal the coding algorithm which Michael had developed and memorised as part of his work.
Michael abruptly exited the venue and ran across a busy highway where he started to flag down cars to help him leave the area urgently. After searching for Michael for a few hours, and alerting Michael’s parents, Kelly returned home with their daughters and checked Michael’s pill organizer.
It appeared that Michael had not taken his medication for the previous three days. Kelly has not seen Michael since he left the Laserforce venue. Earlier today, Michael arrived at his psychiatrist’s office unannounced. Dr Nash had been alerted to Michael’s behaviour by Kelly.
Michael appears very unkempt and is carrying a baseball bat underneath his hoodie. He tells Dr Nash that he is being followed and asks Dr Nash if he too is trying to steal the coding algorithm from Michael’s brain. Dr Nash’s consulting rooms are based at the Royal Brisbane Hospital, and he discreetly asks his receptionist to alert security while he escorts Michael into his office. Dr Nash asks Michael about his medication and Michael explains it is poisoning his mind, so he has stopped it.
Michael pulls the baseball bat from under his hoodie and starts brandishing it at Dr Nash. Security arrive and forcibly restrain Michael. Dr Nash authorises a treatment authority for Michael under Section 12 of the Mental Health Act 2016 (Qld).
The treatment authority permits the chemical restraint of Michael through the prescribing of Clozapine (a strong anti-psychotic medication with sedative effects) and his seclusion in a locked room for four hours until the medication has taken effect.
Michael screams at Dr Nash and the registered nurse in charge of the mental health facility that he does not consent to this treatment. Raj is the registered nurse in charge of the mental health facility.
Michael tells Raj that he is being held against his will. Kelly arrives at the mental health facility 45 minutes later and is distressed to hear that her partner has been locked up and sedated. Kelly demands to see Michael and for his immediate release from the facility into her care at home. Apply the ethical and legal decision-making framework to this scenario
[discuss what each ethical principle is AND your application of them to the facts]
[insert elements from the ICN Code of Ethics AND your application of them to the facts]
[set out the law AND apply it to your facts here]
[insert principles from the Code of Conduct AND your application of them to the facts]
Compare two leadership theories. Provide an overview of each and discuss the strengths and weaknesses in relation to nursing practice.
Provide reference
Laura, a 20-year-old college student, went to health department for oral contraceptives. Laura asks the nurse how to take the medication and wants to know the adverse effects of oral contraceptives.
One month later, she started on oral antibiotics for acute bronchitis. She has taken her antibiotics for one week and she now has a vaginal yeast infection. She continues to take the oral contraceptives as scheduled.
Using the CDC’s Policy Analytical Framework, answer the questions below: Economic and budgetary impacts of Telehealth policy: Comparison of the costs to enact, implement, and enforce the policy with the value of the
Benefits
Budget
• What are the costs and benefits associated with the policy, from a budgetary perspective?
• e.g., for public (federal, state, local) and private entities to enact, implement, and enforce the policy?
Economic
• How do costs compare to benefits (e.g., cost-savings, costs averted, return on investments, cost-effectiveness, cost-benefit
analysis, etc.)?
• How are costs and benefits distributed (e.g., for individuals, businesses, government)?
• What is the timeline for costs and benefits?
• Where are there gaps in the data/evidence-base
NOTE: Please, answer the above questions with references
Thanks
Where did the first anti covid vaccine occur? 2) problems with the covid vaccines 3) why are people afraid of getting the vaccine 4) example of a famous person who died from the covid vaccine. need a deep explanation for all these. 18 points each
The beginning nurse is managing a team alone for the first time. Several ethical situations have occurred throughout the day that have caused the nurse to question being in the nursing profession. What actions can the nurse take to improve an ability to be resilient? Select all that apply.
A client who has a leg cast tells the nurse that he has pain inside his cast. Which type of stimulus is most likely causing this pain? thermal. Chemical. Electrical. Or mechanical.
Sebastian, a slightly built 12-year-old child, presents to the emergency department of a major Brisbane hospital with his mother, Amy. Sebastian presents with limited mobility in the right arm, swelling, and an exposed, six centimetre long cut on his right forearm that looks to be a number of days old. Amy informs staff that the injury was sustained while Sebastian was playing a few days ago and states she’s been too busy to come in with Sebastian any earlier.
Manuela is the registered nurse assigned to Sebastian, and she recognises Sebastian as a patient whom she had previously cared for on the paediatric oncology ward of the last hospital that she worked at. Manuela greets Sebastian and mentions that she remembers him from his many stays in the cancer ward where she had previously worked.
She asks Sebastian if his cancer is in remission and he shyly tells her ‘Yes, for the last two years’. Manuela notes that Sebastian seems very withdrawn and anxious compared to her previous memory of him. Manuela proceeds to clean and dress Sebastian’s cut and check his general health.
While taking Sebastian’s blood pressure, Manuela observes some faint bruises on his upper arms and shoulders. Manuela also observes that Sebastian’s temperature is raised, and his skin is pale. The treating team recommend an x-ray to check if there are any broken bones in Sebastian’s arm.
Amy agrees to this. While waiting for the results, Manuela overhears Amy speaking to Sebastian in a stern voice saying, ‘Don’t you dare tell your father or anyone else what happened to you, or you will be very sorry, do you understand?’
The x-ray shows no fractured bones. However, the treating team determine that the cut on Sebastian’s arm is severely infected and advise Amy that Sebastian should begin a course of antibiotics immediately to ensure the infection is controlled.
It is unclear whether his infected cut is the single cause of Sebastian’s raised temperature or whether there is another underlying condition, so the treating team recommend that Sebastian be admitted to the short stay section of the hospital so that further tests can be carried out to determine the reason for his high temperature and the swelling and limited mobility in his right arm.
Amy refuses to consent to the admission for further tests saying that her son is just being a ‘big cry baby’ and that he will be fine in the morning.
Amy also refuses to consent to Sebastian receiving antibiotics for his infected cut stating, “You doctors are always trying to shove drugs down my son’s throat.” Sebastian remains silent throughout the consultation with treating team members, but Manuela notes that his expression changes to a slight smile when the option of hospital admission is raised. Manuela is worried that Sebastian’s health will suffer significantly if Amy does not consent to one or both, of the antibiotics and hospital admission.
[discuss what each ethical principle is AND your application of them to the facts]
[insert elements from the ICN Code of Ethics AND your application of them to the facts]
[set out the law AND apply it to your facts here]
[insert principles from the Code of Conduct AND your application of them to the facts]
Scott, Britton and McLemore (2019) discuss structural racism and the ethics of care related to black mothers. Explain the concept of “mother blame” narratives and how they can affect nursing care. Explain the strategies to optimize health equity in birth outcomes. What is reproductive justice, and can the concept of ethical care for this population be applied to other vulnerable populations?
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