NURS_6512 LAB ASSIGNMENT: ETHICAL CONCERNS ESSAY

NURS_6512 LAB ASSIGNMENT: ETHICAL CONCERNS ESSAY

LAB ASSIGNMENT: ETHICAL CONCERNS ESSAY

LAB ASSIGNMENT: ETHICAL CONCERNS SAMPLE ESSAY

Ethics inform the care that nurses provide in their practice. The aim is to ensure safety and quality in addressing the patients’ care needs. Therefore, this paper explores the ethical concerns involved in caring for a 47-year-old man with ulcerative colitis who has no insurance. The patient has been admitted to the emergency room with extreme abdominal pain. He has not taken his medications for last few months and does not have any medical or prescription insurance.

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Necessary Information

The additional information that should be obtained from the patient include symptom onset, duration, severity, precipitating, and relieving factors. Information on patient’s lifestyle such as alcohol use should also be obtained, as it can precipitate the disease. Physical assessment should identify if the patient is dehydrated or not, with diagnostic investigations such as complete blood count requested since the patient is at a risk of developing anemia.

Nursing Actions

Nurses and other healthcare providers act as advocates of their patients. They ensure the protection of their right to access high-quality, safe, and efficient care (Daly & Jackson, 2020; Molterer et al., 2020). Based on this, I would ensure the patient receives the care he needs despite lacking any medical or prescription insurance. Patients should not be discriminated in the care process based on factors such as ethnicity, race, or socioeconomic background.

Nurses should also demonstrate ethics in their practice. This includes ensuring the protection of principles such as informed consent, justice, beneficence, and non-maleficence. Therefore, an appropriate intervention in the case study would be protecting patient’s  right to justice by providing the care that he needs. In addition, the nurse should alleviate any pain and suffering the patient has, hence, the principles of beneficence and non-maleficence (Mathibe-Neke, 2020; Moreau & Rudge, 2018).

Besides providing care the nurse should also collaborate with the social worker and link the patient with the existing insurance plans such as those in the Affordable Care Act plan. Such insurances will help the patient access the care he needs whenever he needs for ulcerative colitis. The nurse should also empower the patient about the effective management of his condition. This includes educating him about the causes, precipitating factors, and prevention (Butts & Rich, 2022; Grace & Uveges, 2022). The health education will help him take responsibility for his health. therefore, the consideration of the above interventions will promote ethics in the patient care process.

In summary, additional information and investigations should be performed on the client. Ethical principles should guide nursing actions. Patient empowerment should be considered. The aim should be relapse prevention for the patient’s optimum health and wellbeing.

References

Butts, J. B., & Rich, K. L. (2022). Nursing Ethics: Across the Curriculum and Into Practice. Jones & Bartlett Learning.

Daly, J., & Jackson, D. (2020). Contexts of Nursing: An Introduction. Elsevier Health Sciences.

Grace, P. J., & Uveges, M. K. (2022). Nursing Ethics and Professional Responsibility in Advanced Practice. Jones & Bartlett Learning.

Mathibe-Neke, J. M. (2020). Ethical practice in the nursing profession: A normative analysis. South African Journal of Bioethics and Law, 13(1), Article 1. https://doi.org/10.7196/SAJBL.2020.v13i1.00690

Molterer, K., Hoyer, P., & Steyaert, C. (2020). A Practical Ethics of Care: Tinkering with Different ‘Goods’ in Residential Nursing Homes. Journal of Business Ethics, 165(1), 95–111. https://doi.org/10.1007/s10551-018-04099-z

Moreau, J. T., & Rudge, T. (2018). How “care values” as discursive practices effect the ethics of a care-setting. Journal of Organizational Ethnography, 8(3), 298–311. https://doi.org/10.1108/JOE-04-2018-0024

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LAB ASSIGNMENT: ETHICAL CONCERNS

As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?

In this Lab Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

TO PREPARE
Review the scenarios provided by your instructor for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your scenarios.

Based on the scenarios provided:
Select one scenario, and reflect on the material presented throughout this course.
What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.
THE LAB ASSIGNMENT
Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.

Week 11 Case Study

Allen-Morris, Andrews, Binkey, Blake, Boursquot, Mena-Cuba, D’Aquisto, Hintz, Hochstetler, Junco, Macdonald, Mercado

A 47-year-old man with Ulcerative Colitis has been admitted to the emergency room with an extreme abdominal pain. He explains that he has not taken his medications for the last few months and does not have any medical or prescription insurance

BY DAY 6 OF WEEK 11
Submit your Assignment.

SUBMISSION INFORMATION
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

To submit your completed assignment, save your Assignment as WK11Assgn+last name+first initial.
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.

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Rubric

NURS_6512_Week_11_Assignment_Rubric

NURS_6512_Week_11_Assignment_Rubric

CriteriaRatingsPtsThis criterion is linked to a Learning Outcome

Write a detailed 1-page narrative (not a formal paper) addressing the following:·  Explain the health assessment information required for a diagnosis of your selected patient (include the scenario number).35 to >29.0 pts

Excellent

The response clearly, accurately, and thoroughly explains detailed health assessment information required to diagnose the selected patient, with correct scenario number included.

29 to >23.0 pts

Good

The response accurately explains health assessment information required to diagnose the selected patient, with correct scenario number included.

23 to >17.0 pts

Fair

The response vaguely explains health assessment information required to diagnose the selected patient, with scenario number, correct or inaccurate, included.

17 to >0 pts

Poor

The response lacks and/or inaccurately explains assessment information required to diagnose the selected patient, with scenario number inaccurate or missing.

35 pts

This criterion is linked to a Learning Outcome

·  Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.50 to >44.0 pts

Excellent

The response clearly, accurately, and thoroughly explains detailed evidence-based practice guidelines and ethical considerations applied by an advanced practice nurse in responding to the scenario, with clear, accurate, and thorough justification using three or more different references from current evidence-based literature.

44 to >38.0 pts

Good

The response accurately explains evidence-based practice guidelines and ethical considerations applied by an advanced practice nurse in responding to the scenario, with accurate justification using at least three different references from current evidence-based literature.

38 to >32.0 pts

Fair

The response vaguely explains evidence-based practice guidelines and ethical considerations applied by an advanced practice nurse in responding to the scenario, with vague and/or inaccurate justification using two to three different references from current evidence-based literature.

32 to >0 pts

Poor

The response inaccurately explains or lacks evidence-based practice guidelines and ethical considerations applied by an advanced practice nurse in responding to the scenario, with inaccurate or missing justification using two or fewer references from current evidence-based literature.

50 pts

This criterion is linked to a Learning Outcome

Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.5 to >4.0 pts

Excellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.

4 to >3.0 pts

Good

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.

3 to >2.0 pts

Fair

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic.

2 to >0 pts

Poor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction,or conclusion were provided.

5 pts

This criterion is linked to a Learning Outcome

Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.0 pts

Good

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

3 to >2.0 pts

Fair

Contains several (3 or 4) grammar, spelling, and punctuation errors.

2 to >0 pts

Poor

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

5 pts

This criterion is linked to a Learning Outcome

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.5 to >4.0 pts

Excellent

Uses correct APA format with no errors.

4 to >3.0 pts

Good

Contains a few (1 or 2) APA format errors.

3 to >2.0 pts

Fair

Contains several (3 or 4) APA format errors.

2 to >0 pts

Poor

Contains many (≥ 5) APA format errors.

5 pts

Total Points: 100