Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solution in a 3-5-page paper.
Introduction
Whether you are a nurse, a public health professional, a health care administrator, or in another role in the health care field, you must base your decisions on a set of ethical principles and values. Your decisions must be fair, equitable, and defensible. Each discipline has established a professional code of ethics to guide ethical behavior. In this assessment, you will practice working through an ethical dilemma as described in a case study. Your practice will help you develop a method for formulating ethical decisions.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
· Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
o Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
· Competency 3: Apply ethical principles and academic standards to the study of health care.
o Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
o Discuss the effectiveness of the communication approaches present in a case study.
o Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
o Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
· Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others, and that is consistent with expectations for health care professionals.
o Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
o Write following APA style for in-text citations, quotes, and references.
Instructions
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.
For this assessment, you will develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:
1. Access the Ethical Case Studies | Transcript media piece to review the case studies you may use for this assessment.
o Select the case most closely related to your area of interest and use it to complete the assessment.
o Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.
2. Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.
3. Access the Ethical Decision-Making Model | Transcript media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
4. Analyze the factors that contributed to the problem or issue.
o Identify who is involved or affected by the problem or issue.
o Describe the factors that contributed to the problem or issue and explain how they contributed.
5. In addition to the readings provided, use the library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation.
o Cite and apply the journal article as evidence to support your critical thinking and analysis of the case.
o Assess the credibility of the information source.
o Assess the relevance of the information source.
6. Discuss the effectiveness of the communication approaches present in the case study.
o Describe how the health care professional communicated with others.
o Describe the communication and communication strategies that were applied, both in creating and in resolving the problems or issues presented.
o Assess instances where the professional communicated effectively or ineffectively.
7. Discuss the effectiveness of the approach used by the professional related to any problems or issues involving ethical practice in the case.
o Describe the actions taken in response to the ethical dilemma or challenge presented in the case study.
o Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
o Discuss the key lessons this case provides for health care professionals.
8. Apply ethical principles to a possible solution to the proposed problem or issue from the case study.
o Describe the proposed solution.
o Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
o Discuss how likely it is the proposed solution will foster professional collaboration.
9. Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
o Determine the proper application of the rules of grammar and mechanics.
10. Write using APA style for in-text citations, quotes, and references.
o Determine the proper application of APA formatting requirements and scholarly writing standards.
o Apply the principles of effective composition.
o Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
· Assessment 1 Example [PDF].
Additional Requirements
1. Length: At least 3–5 typed, double-spaced pages, not including the title page and reference page.
2. Font and font size: Times New Roman, 12 point.
3. APA Template: Use the APA Style Paper Template [DOCX] as the paper format and use the APA Style Paper Tutorial [DOCX] for guidance.
4. Written communication: Use correct spelling, grammar, and punctuation.
5. References: Integrate information from outside sources to include at least two references (the case study and an academic peer-reviewed journal article) and three in-text citations within the paper.
6. APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.
Note: Read the Applying Ethical Principles Scoring Guide to fully understand how your paper will be graded.
If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, do not hesitate to ask faculty or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions.
Note: Your instructor may also use the Writing Feedback Tool to provide feedback on your writing. In the tool, click the linked resources for helpful writing information.
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Case Study 19343347
/in Uncategorized /by developerPlease do case number 2
Septic shock
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Case Study 19347767
/in Uncategorized /by developerA 38-year-old male had a 3-week history of fatigue and lethargy with intermittent complaints of headache, fever, chills, myalgia, and arthralgia. According to the history, the patient’s symptoms began shortly after a camping vacation. He recalled a bug bite and rash on his thigh immediately after the trip. The following studies were ordered:
Studies
Results
Lyme disease test,
Elevated IgM antibody titers against Borrelia burgdorferi (normal: low)
Erythrocyte sedimentation rate (ESR),
30 mm/hour (normal: ≤15 mm/hour)
Aspartate aminotransferase (AST),
32 units/L (normal: 8-20 units/L)
Hemoglobin (Hgb),
12 g/dL (normal: 14-18 g/dL)
Hematocrit (Hct),
36% (normal: 42%-52%)
Rheumatoid factor (RF),
Negative (normal: negative)
Antinuclear antibodies (ANA),
Negative (normal: negative)
Diagnostic Analysis
Based on the patient’s history of camping in the woods and an insect bite and rash on the thigh, Lyme disease was suspected. Early in the course of this disease, testing for specific immunoglobulin (Ig) M antibodies against B. burgdorferi is the most helpful in diagnosing Lyme disease. An elevated ESR, increased AST levels, and mild anemia are frequently seen early in this disease. RF and ANA abnormalities are usually absent.
Critical Thinking Questions
1. What is the cardinal sign of Lyme disease? (always on the boards)
2. At what stages of Lyme disease are the IgG and IgM antibodies elevated?
3. Why was the ESR elevated?
4. What is the Therapeutic goal for Lyme Disease and what is the recommended treatment.
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Case Study 19348639
/in Uncategorized /by developerAssignment:
Complete the following:
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MEXICAN CASE STUDY #2
Pablo Gaborra, aged 32, and his wife, Olga,
aged 24, live in a migrant-worker camp on
the eastern shore of Maryland. They have tw
o children: Roberto, aged 7, and Linda, aged
18 months. Olga’s two younger sisters, Floren
cia, aged 16, and Rosa, aged 12, live with
them. Another distant relative, Rodolpho, ag
ed 28, comes and goes several times each
year and seems to have no fixed address.
Pablo and Olga, born in Mexico, have lived
in the United States for 13 years, first
in Texas for 6 years and then in Delaware fo
r 1 year, before moving to the eastern shore
of Maryland 5 years ago. Neither of them have U.S. citizenship, but both children were
born in the United States.
Pablo completed the sixth grade and Olga
the third grade in Mexico. Pablo can
read and write enough English to function at
a satisfactory level. Olga knows a few
English words but sees no reason for l
earning English, even though free classes are
available in the community. Olga
’s sisters have attended school
in the United States and
can speak English with varying degrees of
fluency. Roberto attends school in the local
community but is having great difficulty w
ith his educational endeavors. The family
speaks only Spanish at home. Not much is
known about the distant relative, Rodolpho,
except that he is from Mexico, speaks mi
nimal English, drinks beer heavily, and
occasionally works picking vegetables. The Ga
borra family lives in a trailer on a large
vegetable farm. The house has cold runni
ng water but no hot water, has an indoor
bathroom without a shower or bathtub, a
nd is heated with a wood-burning stove. The
trailer park has an outside shower, wh
ich the family uses in the summer.
The entire family picks asparagus, squash, peppers, cabbage, and spinach at
various times during the year. Olga takes the
infant, Linda, with her to the field, where
her sisters take turns watching the baby a
nd picking vegetables. When the vegetable-
picking season is over, Pablo helps the farmer
to maintain machinery and make repairs on
the property. Their inco
me last year was $30,000.
From the middle of April until the
end of May, the children attend school
sporadically because they are needed to
help pick vegetables. During December and
January, the entire Gaborra family travels to
Texas to visit relatives and friends, taking
them many presents. They return home in early February with numerous pills and herbal
medicines.
Olga was diagnosed with anemia when she had an obscure health problem with
her last pregnancy. Because she frequently
complains of feeling tired and weak, the
farmer gave her the job of handing out “chits”
to the vegetable picker
s so that she did not
have to do the more-strenuous work of picking vegetables.
Pablo has had tuberculosis for years a
nd sporadically takes medication from a
local clinic. When he is not traveling or is t
oo busy picking vegetables to make the trip to
the clinic for refills, he generally takes his medicine. Twice last year, the family had to
take Linda to the local emergency room because she had diarrhea and was listless and
unable to take liquids. The Gaborra family s
ubscribes to the hot and cold theory of
disease and health-prevention maintenance.
Study Questions
1.
Identify three socioeconomic factors
that influence the health of the
Gaborra family.
2.
Name three health-teaching interven
tions the health-care provider might
use to encourage Olga to seek treatment for her anemia.
3.
Identify strategies to help improve
communications in English for the
Gaborra family.
4.
Identify three health-teaching
goals for the Gaborra family.
5.
Name three interventions Olga must
learn regarding fluid balance for the
infant, Linda.
6.
Discuss three preventive maintenanc
e–teaching activities that respect the
Gaborra family’s belief in the hot an
d cold theory of disease management.
7.
Identify strategies for obtaining h
ealth data for the Gaborra family.
8.
Identify four major health problems of
Mexican Americans that affect the
Gaborra family.
9.
If Olga were to see a folk practitioner, which one(s) would she seek?
10.
Explain the concept of familism
as exhibited in this family.
11. Distinguish between the
two culture-bound syndromes
el ataque
and
susto
.
12.
Discuss culturally conscious health-car
e advice consistent with the health-
belief practices of the pregnant Mexican American woman.
13.
Discuss two interventions to encour
age Mexican American clients with
tuberculosis to keep clinic appointment
s and to comply with the prescribed
medication regimen.
14.
Identify where the majority of Mexican Americans have settled in the
United States.
NAVAJO CASE STUDY
Mr. Begay, aged 78, lives with his wife in
a traditional Navajo hogan. He has lived in
the same area all his life and worked as
a uranium miner until the government closed
the mines. His hogan has neither electricity
nor running water. Heat is provided by a
fire, which is also used for cooking. Lighting
is obtained from propane lanterns. Water
is hauled from a windmill site 20 miles aw
ay and stored in 50-gallon steel drums.
Because the windmill freezes and the roads are
often too muddy to travel in the winter,
sometimes he must travel an additional 10 miles to the trading post to obtain water.
Because Mr. Begay does not own a car, he must depend on transportation from
extended family members who live in the same vicinity.
Mr. Begay has continually experienced
shortness of breath,
and it is getting
worse. He has been hospitalized with pne
umonia several times as a result of the
uranium poisoning. He had a cholecystectomy at
age 62. His diet is traditional and is
supplemented by canned foods, which ar
e obtained at the trading post.
All health care is obtained at the Publ
ic Health Service Hospital in Shiprock.
Neither Mr. Begay nor his wife obtain routin
e preventive-health care. He was admitted
from the clinic to the hospital
with a diagnosis of pneumonia.
Mr. Begay shows clinical improvement after initial intravenous antibiotic
therapy. However, his mental status continue
s to decline. His family feels that he
should see a traditional medicine man a
nd discusses this with his physician. The
physician agrees and allows Mr. Begay to
go to see the medicine man. Several
members of the nursing staff disagree with
the physician’s decision and have requested
a patient-care conference with
the physician. The physician agrees to the conference.
Study Questions
1. Identify three physical barriers Mr. Be
gay must overcome to obtain health care.
2. Discuss the benefits of Mr. Bega
y’s seeing the traditional medicine man.
3. Identify some potential negative outcomes of Mr. Begay’s seeing the traditional
medicine man.
4.
Identify culturally relevant interventions to
reduce the potential for the recurrence of
pneumonia.
5. Identify at least two majo
r health risks that the Begays
face, based on their current
lifestyle.
6. Discuss potential outcomes fo
r negotiation during the conference.
7. Mr. Begay’s diet is described as traditi
onal Navajo. What foods
are included in this
diet?
8. Because of his continued need for
oxygen, what services do you anticipate for Mr.
Begay when he returns home?
9. What might the nurse do to encourag
e preventive-health measures for the Begay
family?
10. Identify at least three types of
traditional Navajo healers.
11. Identify contextual speech patterns of the Navajo Indians.
12. Distinguish differences in ge
nder roles among Navajo Indians.
13. Identify two culturally congruent teac
hing methods for the Navajo client.
14. Discuss the meaning of the First Laugh Ceremony for the Navajo.
15. Identify two culturally congruent approach
es for discussing a fatal illness with a
Navajo client.
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PUERTO RICAN CASE STUDY #2
Carmen Medina, aged 39, lives with he
r husband, Raúl, aged 43, who works as a
mechanic in a small auto shop. Mr. Medina has
worked in the same place since he and his
wife came to the United States from Puerto
Rico 15 years ago. The Medinas have a 4-
year-old son, José; a 16-yea
r-old daughter, Rosa; and an
18-year-old son, Miguel. The
Medinas both attended vocational school afte
r completing high school. Mrs. Medina is
employed 4 hours a day at a garden shop. She
stopped working her full-time job to care
for her ill mother and aged father, who
do not speak English and depend on government
assistance. The family income last year was $28,500.
The family has health insurance through
Mr. Medina’s job. They live in a three-
bedroom apartment in a low-income Illinoi
s community. Miguel works in a fast-food
store a few hours a week. Because Rosa has re
sponsibilities at home, the Medina’s do not
allow her to work outside the home. She is
very close to her grandmother but avoids
talking with her parents. Both Rosa and Mi
guel are having difficulties in school. Rosa is
pregnant and the family does not know. She is
planning to drop out of school, get a job in
a beauty shop, and leave home without telli
ng the family. Miguel frequently comes home
late and, on occasion, sleeps out of the home.
He is beginning college next semester and
has plans to move out of
the house during the summer.
The family is having difficulty dealing
with Rosa’s and Miguel’s developmental
and behavioral challenges. Although Mrs. Medi
na is outspoken about these concerns, Mr.
Medina is quiet and not actively involved in
the discussion. He is mo
re preoccupied with
the family’s financial situati
on. Mrs. Medina’s parents are en
couraging them to return to
Puerto Rico.
Mr. Medina was diagnosed with hypertensi
on 2 months ago, when he went to the
emergency room for a respiratory infection. He
smokes cigarettes and drinks two to three
beers every evening after work. He has not
followed up on his blood pressure treatment.
Miguel is beginning to smoke, but not at home.
José has had frequent colds and sinus
allergies. He has been to the emergency
room three times during the past year for
respiratory infections. Mrs. Medina’s last
physical examination was after she had José.
She is experiencing insomnia, tiredness, headach
es, and gastrointestinal problems. She is
very concerned about Rosa and Miguel, her
parents, and the family’s finances. Mrs.
Medina is Catholic and recently has been visiting her church more often.
Study Questions
1.
Explain Mrs. Medina’s attitude in
her relationship with her adolescent
daughter.
2.
Identify strategies to ensure
that Rosa seeks prenatal care.
3.
Identify barriers to accessing heal
th care for the Medina family.
4.
What are the high-risk behaviors exhibited by this family?
5.
What communication barriers
exist in this family that affect care delivery?
6.
Discuss gender and family roles in th
e context of traditional Puerto Rican
culture.
7.
Identify sociodemographic factors af
fecting the physical- and mental-
health well-being for this family.
8.
Identify Puerto Rican folk practices appropriate for this family.
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Case Study 19365059
/in Uncategorized /by developer1. Pick one of the grand nursing theories from chapters 7-9 (except Henderson or Peplau)
2. Obtain an original work of the theorist (i.e., primary source). You may not be able to so get a source that exemplifies the theory. Do not use your textbook. Provide the reference in your post.
3. Read the following case study and think about how your theorist would interpret the assessment information provided and intervene. All of this should be consistent with the grand nursing theory you choose.
Address the following items.
1. State which theory you are using In your initial post. Try to be the theorist and see the case from the theory. For example if you were Roy you will write about maintaining infection control for the baby in the NICU since her theory is on adaptation to the environm
3. Write a nursing diagnosis (see PP in lecture)
4. Write one intervention for the diagnosis that could be applied to the family in the case study. You may choose either the mother, the infant, or the family as your focus. THE
INTERVENTION MUST BE CONGRUENT WITH THE THEORY.
200-270 words
PLEASE DO NOT CHOOSE A CULTURE THEORY.
Here are some suggestions for concepts to discuss within your theory – depression, post partum. guilt, stress, family, premature,transitions, adaptation.
Case Study
Mrs. Bedlam gave birth to a premature boy baby 3 weeks ago. The baby is still in the NICU at the major medical center 45 miles away. Mrs. Bedlam has only been able to visit once a week when her husband has a day off and can watch their other children, all girls, ages 1, 3, 4, and 6.
The Bedlam family moved from Saudi Arabia 2 years ago. Prior to this pregnancy, Mrs. Bedlam was taking Prozac for depression. She states she feels so guilty because she can’t come to see the baby more often and can’t breast feed him as her culture demands.
Baby Boy Bedlam has necrotizing entercolitis and at least one intracranial bleed. He now weighs 1800 grams. His ventilator is set to deliver 85% oxygen.
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Case Study 19366973
/in Uncategorized /by developerRequired Resources
Read/review the following resources for this activity:
Optional Resources to Explore
Feel free to review the library guide for scholarly sources and videos at the following link:
Introduction
The purposes of each case study assignment include the following:
Instructions
Pick one (1) of the following topics. Then, address the corresponding questions/prompts for your selected topic. Use at least one (1) documented example of the corresponding primary source in your writing.
Option 1: Big Business (Monopolies) and Exploitation of Workers
View the following resource:
Link (video): https://search-alexanderstreet-com.chamberlainuniversity.idm.oclc.org/view/work/bibliographic_entity%7Cvideo_work%7C1790467(27:30)
Browse and read one (1) of the following:
Link (library article): https://eds-a-ebscohost-com.chamberlainuniversity.idm.oclc.org/eds/detail/detail?vid=0&sid=cc04efe2-2fcf-40cd-85b0-15529b48b427%40sessionmgr4007&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=125077563&db=ehh
Link (library article):https://eds-a-ebscohost-com.chamberlainuniversity.idm.oclc.org/eds/detail/detail?vid=0&sid=a9d4b796-c232-4e23-a952-bd51964e00e5%40sdc-v-sessmgr02&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=8700110&db=bah
Then, address the following:
Option 2: Who is A Progressive?
Review the following site: https://www.loc.gov/rr/program/bib/elections/election1912.htmlhttps://www.loc.gov/rr/program/bib/elections/election1912.html
Then, address the following:
Option 3: World War I
Review the following resources:
Then, address the following:
Writing Requirements (APA format)
References
Dyer, J. (Director), & Dyer, J. (Producer). (2005). A war to end all wars: Part 2 [Video file]. Dallas County Community College District. Retrieved from Academic Video Online: Premium database.
Farmer, B. (2018). The Treaty of Versailles and the Rise of Nazism. New American (08856540), 34(21), 33–38. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=132888411&site=eds-live&scope=site
The Library of Congress. (2018, October 23). Presidential election of 1912: A resource guide. Retrieved from https://www.loc.gov/rr/program/bib/elections/election1912.html
McNatt, E. B. (1944). The Pullman strike (Book). American Economic Review, 34(1), 184–186. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=bah&AN=8700110&site=eds-live&scope=site
Media Rich Communications (Producer). (2004). The progressive era [Video file]. Retrieved from Academic Video Online: Premium database.
Smith, P. (2017). The Triangle disaster: How a fire a century ago at a New York clothing factory changed U.S. labor laws. New York Times Upfront, 150(1), 11. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ehh&AN=125077563&site=eds-live&scope=site
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Case Study 19373321
/in Uncategorized /by developerCreate your APA formatted essay-style submission, with references, be sure to cite your sources and check your spelling.
Assignment:
Complete the following:
GERMAN CASE STUDY
Margaret Schmidt, a terminally ill 60-year-old American of German descent, was
recently admitted to a hospice service and is
receiving care at home. Diagnosed with
metastatic breast cancer, Margaret’s prognosis
is less than 6 months. Margaret’s cancer
has metastasized to her ribs and liver and
often causes intense pa
in. Although Margaret
speaks freely of her impending death, her family
has expressed their discomfort at her
decision to secure hospice care.
Over the last 10 years, Margaret, a nurs
e, has practiced homeopathy (for herself
and others) and consults frequently with a
medical intuitionist. She follows the medical
intuitionist’s recommendations to attenuate
her symptoms but avoids, when she can, the
traditional cancer pain
–management therapies.
Medical staff and her family have entere
d into continuous discussions with her
about her lack of acceptance of traditiona
l medical approaches. Margaret remains
unconvinced of their value within her scheme
of care. Margaret main
tains a strong belief
in an afterlife, believing that
she will be reunited with
her husband. Margaret meditates
daily, calling upon her spiritual guides and angels for strength and peace in the dying
process. She often asks those around
her to join her during this time.
Study Questions
1.
What experiences have you had with patients of German descent?
2.
How does Margaret’s German ancest
ry mold her beliefs about medical
treatment?
3.
What Western medicine concepts
complicate the staff and family’s
understanding of Margaret’s self
-prescribed medical regimen?
4.
How do you, as a health-care prof
essional, feel about the use of
homeopathic remedies?
5.
What is your view of the use of
medical intuitionists and other non-
Western health practices?
6.
How do Margaret’s health-care c
hoices differ or match your own?
7.
How do you deal with cultural health practices unlike your own?
8.
Discuss Margaret’s desire to contro
l her life even through terminal illness.
9.
Relate Margaret’s strong spiritual beli
efs in an afterlife to her ability to
cope with her impending death.
10.
Describe a plan of care that is cultu
rally sensitive to the patient and her
family.
11.
How can your knowledge of the German American culture positively
influence health outcomes for Margaret?
12.
Discuss the cultural filters you may
use as you assist Margaret in her
health-care decisions.
13.
Describe the enculturation you, as
a health-care professional, have
experienced and how this influences
your own health-care decisions.
RISH CASE STUDY
The O’Rourke family lives on a small farm in Iowa and comprises David, aged 30; his
wife, Mary, aged 29; and two children: Bridge
t, aged 7, and Michael, aged 6. Both David
and Mary are second-generation Irish. Before
purchasing their farm 5 years ago, David
sold farm equipment in Ohio. The O’R
ourkes are Catholic; Mary converted to
Catholicism when they married.
David, who works long hours outdoors, is
concerned about profitability from
his corn crop because of the unpredictable size of the harvest, and thus, his income
varies depending on the weather. Mary di
d not work outside the home because she
wanted to be with their children until they started school. However, because both
children are now school age, Mary has discus
sed with David the possibility of working
part time to supplement the family income. He
would prefer that she stay at home, but
Mary is anxious to return to the wo
rkforce and believes the timing is right.
Both David and Mary are happy with ju
st two children and do not desire more.
They use the rhythm method for family planning.
Eating a healthy breakfast is important
to the O’Rourkes. Because eggs are
readily available on the farm, they have frie
d eggs with potato bread and juice at least
four times a week. Their main meal in the
evening usually includes meat, potatoes, and
a vegetable. David enjoys a
glass of beer with dinner.
David has been a little edgy lately becau
se of his concerns about the corn crop.
He admits to having some minor chest pain, wh
ich he attributes to indigestion. His last
visit to a physician was before their marri
age. Mary knows David is concerned about
finances and believes it would help if she had a job.
Bridget and Michael spend
a lot of time outside playing and doing some minor
chores for their parents. Both children
enjoy school and are looking forward to
returning in the fall. Bridget is starting to
show concern over her appearance. She does
not like her red hair and all the freckles on he
r face. Her teacher has noted that Bridget
has trouble reading and may need glasses.
Michael wants to be a farmer like his Dad
but worries about his Da
d being tired at night.
The O’Rourkes have not taken a vacati
on since they were married. They go to
the state fair in the summer, which is the extent of their trips away from home. They
are active in the church and
attend services every Sunday.
Study Questions
1. Describe the O’Rourke family st
ructure in terms of individual roles.
2. Identify two potential health problems re
lated to the O’Rourke
’s dietary practices.
3. Identify potential health-risk
factors for the O’Rourkes as a family unit and for each
family member.
4. Explain the relationship be
tween risk factors a
nd ethnicity specific
to the O’Rourke
family and their Irish heritage.
5.
Describe culturally competent health-promotion strategies for the identified risk
factors for the O’Rourke family.
6. Describe the O’Rourke family’s fertility
practices. Are they congruent with their
Irish background and religious beliefs?
7.
Describe the O’Rourke fam
ily’s communication patterns.
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8.
What are the predominant health
conditions among Irish immigrants?
9. Explain the significance of the Great
Potato Famine for Irish Americans.
10. Name two genetic diseases common among Irish Americans.
11.
Identify accepted fertility practices
for Irish American Catholics.
12. Identify three sources of strength for
the Irish American in times of illness.
13. Identify traditional home remedies commonly used by Irish Americans.
ITALIAN CASE STUDY #1
Rosa and Mario Gianquito live on the ground fl
oor of a three-family house in Brooklyn,
New York. Although they completed only gram
mar school in Italy, they speak English
and have little difficulty understanding mo
st verbal communication. They have a
daughter, Lucia, aged 25, and a son, An
thony, aged 28, who were born in this
neighborhood but now live in Manhattan. Both
children speak fluent Italian. Anthony is
an attorney and does not visit with his si
ster very often. Luci
a is a grammar school
teacher, married to an Italian man, Guido
Venetto, who recently immigrated from
southern Italy and is 10 years older than Lu
cia. Guido speaks mostly Italian at home but
does speak broken English. In addition to sm
oking two packs of cigarettes a day, Guido
is emotionally abusive to Lucia. He is ve
ry jealous and does not want Lucia to go out
after work with her friends or
to spend much time visiting with her parents. Lucia has
allergies, and the last time she visited the docto
r, he told her that her blood pressure was
elevated. She has noticed lately that, after st
anding all day at work, she often has swollen
ankles and leg pain.
Lucia’s husband works 12 hours a day as a construction worker and expects her
to cook Old-Country–style Italian food, which re
quires that she use a great deal of salt.
She is often depressed and feel
s isolated and powerless. She has been trying to have a
baby for 3 years.
Rosa comes to visit her daughter wh
en she can. She often brings homemade
manicotti or tortellini when she comes. She
is very concerned about Guido’s behavior
toward her daughter but does not feel that
she can challenge Guido because he is the
capo di famiglia
. Rosa is concerned about Lucia’s
swollen feet and suggests that she
drink red wine and eat more garlic and dandeli
ons. She tells Lucia to pray to the Virgin
Mary to ask for help in conceiving a ch
ild and to make Guido treat her better.
Lucia and Guido attend the neighborhood Catholic Church on Sunday. Lucia
always wears the
cornicelli
around her neck that her mother gave her to protect her
from
il mal occhio
. Lucia says her faith and her fa
mily help her cope with life
challenges with
pazienza
.
Study Questions
1. Identify three problems and a
related plan of care for Lucia.
2.
Identify two health-teaching goals for this family that are congruent with family
order and rituals.
3.
Identify three socioeconomic factors that in
fluence the health of the Venetto family.
4.
How might the health-care provider involve
Lucia in a mutual-planning process for
her holistic health-care needs,
including mind, body, and spirit?
5. Knowing that many first-generation Italia
ns generally mistrust health-care providers,
how would you encourage Lucia to enga
ge in health-promotion behaviors?
6. Discuss at least two preventive health
maintenance–teaching activities that respect
the folk practices used to treat illness in this family.
7. Define the Italian’s unique relationship w
ith food and discuss implications this could
have on the health of the Venetto family, particularly Lucia.
8.
Discuss the status and role of elderl
y Italians in the extended family.
9. Identify two practices common among Ital
ian women that might affect conception
and pregnancy.
10. Name two dietary health-car
e risks and two dietary health
-care assets for Italians.
11. What are some of the primary religious
practices and use of prayer for Italian
people?
12. Define the terms
capo di famiglia
,
il mal occhio
, and
pazienza
.
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Case Study 19377103
/in Uncategorized /by developerDevelop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solution in a 3-5-page paper.
Introduction
Whether you are a nurse, a public health professional, a health care administrator, or in another role in the health care field, you must base your decisions on a set of ethical principles and values. Your decisions must be fair, equitable, and defensible. Each discipline has established a professional code of ethics to guide ethical behavior. In this assessment, you will practice working through an ethical dilemma as described in a case study. Your practice will help you develop a method for formulating ethical decisions.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
· Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
o Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
· Competency 3: Apply ethical principles and academic standards to the study of health care.
o Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
o Discuss the effectiveness of the communication approaches present in a case study.
o Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
o Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
· Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others, and that is consistent with expectations for health care professionals.
o Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
o Write following APA style for in-text citations, quotes, and references.
Instructions
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.
For this assessment, you will develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:
1. Access the Ethical Case Studies | Transcript media piece to review the case studies you may use for this assessment.
o Select the case most closely related to your area of interest and use it to complete the assessment.
o Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.
2. Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.
3. Access the Ethical Decision-Making Model | Transcript media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
4. Analyze the factors that contributed to the problem or issue.
o Identify who is involved or affected by the problem or issue.
o Describe the factors that contributed to the problem or issue and explain how they contributed.
5. In addition to the readings provided, use the library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation.
o Cite and apply the journal article as evidence to support your critical thinking and analysis of the case.
o Assess the credibility of the information source.
o Assess the relevance of the information source.
6. Discuss the effectiveness of the communication approaches present in the case study.
o Describe how the health care professional communicated with others.
o Describe the communication and communication strategies that were applied, both in creating and in resolving the problems or issues presented.
o Assess instances where the professional communicated effectively or ineffectively.
7. Discuss the effectiveness of the approach used by the professional related to any problems or issues involving ethical practice in the case.
o Describe the actions taken in response to the ethical dilemma or challenge presented in the case study.
o Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
o Discuss the key lessons this case provides for health care professionals.
8. Apply ethical principles to a possible solution to the proposed problem or issue from the case study.
o Describe the proposed solution.
o Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
o Discuss how likely it is the proposed solution will foster professional collaboration.
9. Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
o Determine the proper application of the rules of grammar and mechanics.
10. Write using APA style for in-text citations, quotes, and references.
o Determine the proper application of APA formatting requirements and scholarly writing standards.
o Apply the principles of effective composition.
o Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
· Assessment 1 Example [PDF].
Additional Requirements
1. Length: At least 3–5 typed, double-spaced pages, not including the title page and reference page.
2. Font and font size: Times New Roman, 12 point.
3. APA Template: Use the APA Style Paper Template [DOCX] as the paper format and use the APA Style Paper Tutorial [DOCX] for guidance.
4. Written communication: Use correct spelling, grammar, and punctuation.
5. References: Integrate information from outside sources to include at least two references (the case study and an academic peer-reviewed journal article) and three in-text citations within the paper.
6. APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.
Note: Read the Applying Ethical Principles Scoring Guide to fully understand how your paper will be graded.
If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, do not hesitate to ask faculty or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions.
Note: Your instructor may also use the Writing Feedback Tool to provide feedback on your writing. In the tool, click the linked resources for helpful writing information.
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Case Study 19385571
/in Uncategorized /by developerRequired Resources
Read/review the following resources for this activity:
Optional Resources to Explore
Feel free to review the library guide for scholarly sources and videos at the following link:
Introduction
The purposes of each case study assignment include the following:
Instructions
Pick one (1) of the following topics. Then, address the corresponding questions/prompts for your selected topic. Use at least one (1) documented example of the corresponding primary source in your writing.
Option 1: McCarthyism and Anti-Communist Campaigns
The Cold War brought about an irrational fear of communism and communist activities in the United States. As we are learning this week, one of the most vocal instigators of this paranoia was Senator Joseph McCarthy. McCarthy delivered a speech about the imminent threat of communism on February 9, 1950. Perform a search on the internet and locate and read Joseph McCarthy’s speech given in Wheeling, West Virginia on February 9, 1950. Copy and paste the following keywords into your Google search bar: “Joseph McCarthy, Wheeling, West Virginia.” The speech is also referred to as “Enemies from Within.”
Construct the case study by responding to the following prompts:
Option 2: The Civil Rights Movement
Using the Internet, locate and read Martin Luther King Jr’s “I Have a Dream” speech given in Washington D.C., August 1963. Copy and paste the following keywords into your Google search bar: “I Have a Dream by Martin Luther King, Jr.” Feel free also to locate and incorporate additional scholarly sources to respond to this case study, including information on the Civil Rights Movement.
Construct the case study by responding to the following prompts:
Option 3: American Domestic and Foreign Policies (1953-1991)
Complete a search either in the Chamberlain Library or internet for domestic and foreign polices of four (4) of the following Presidents. Please incorporate at least one primary source of either a policy or act that you have chosen to write about.
Then, compare domestic and foreign polices of your four (4) presidents by answering the following prompts:
Writing Requirements (APA format)
references: .S. history. OpenStax CNX. Retrieved from https://cnx.org/contents/[email protected]:[email protected]/IntroductionLinks to an external site.
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Case Study 19398207
/in Uncategorized /by developerInflammatory Bowel Disease
Case Study
The patient is an 11-year-old girl who has been complaining of intermittent right lower quadrant pain and diarrhea for the past year. She is small for her age. Her physical examination indicates some mild right lower quadrant tenderness and fullness.
Studies Results
Hemoglobin (Hgb), 8.6 g/dL (normal: >12 g/dL) Hematocrit (Hct), 28% (normal: 31%-43%) Vitamin B12 level, 68 pg/mL (normal: 100-700 pg/mL) Meckel scan, No evidence of Meckel diverticulum D-Xylose absorption, 60 min: 8 mg/dL (normal: >15-20 mg/dL) 120 min: 6 mg/dL (normal: >20 mg/dL) Lactose tolerance, No change in glucose level (normal: >20 mg/dL rise in glucose)
Small bowel series, Constriction of multiple segments of the small intestine Diagnostic Analysis The child’s small bowel series is compatible with Crohn disease of the small intestine. Intestinal absorption is diminished, as indicated by the abnormal D-xylose and lactose tolerance tests. Absorption is so bad that she cannot absorb vitamin B12. As a result, she has vitamin B12 deficiency anemia. She was placed on an aggressive immunosuppressive regimen, and her condition improved significantly. Unfortunately, 2 years later she experienced unremitting obstructive symptoms and required surgery. One year after surgery, her gastrointestinal function was normal, and her anemia had resolved. Her growth status matched her age group. Her absorption tests were normal, as were her B12 levels. Her immunosuppressive drugs were discontinued, and she is doing well.
Critical Thinking Questions
1. Why was this patient placed on immunosuppressive therapy?
2. Why was the Meckel scan ordered for this patient?
3. What are the clinical differences and treatment options for Ulcerative Colitis and Crohn’s Disease? (always on boards)
4. What is prognosis for patients with IBD and what are the follow up recommendations for managing disease?
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Case Study 19418257
/in Uncategorized /by developerMr. James is a 62 year old male in a primary care practice being seen for a health maintenance visit (last visit was over 10 years ago). His only complaint of note is fatigue but generally feels well. He denies any limitations in “doing the things I like to do”, including yard work and fishing. He works full time as a supervisor for a commercial construction company. He is married and has 2 daughters. His oldest daughter is expecting their first grandchild.
He has a history of “recreational” IV drug use when he was in his early 20s while he was in the military. Denies any drug use since that time. He indicates “minimal” alcohol use – generally no more than 2-3 beers or glasses of wine a week. He has no chronic illnesses and does not take any medicines on a regular basis.
Physical exam:
Vitals: 38.1-97-18-183/139
Normocephalic. Alert & Oriented x3.
Eyes: PERL. No nystagmus, no icterus.
Neck: Supple, no cervical lymphadenopathy
Cardiovascular: Normal Rate and rhythm. No murmur, gallops. 2+/4+ radial, brachial, dorsalis pedis pulses bilaterally. No jugular venous distension. No edema.
Pulmonary: Lungs are clear. No dyspnea or orthopnea.
Abdomen: Soft and nontender, active bowel sounds. No liver enlargement; abdomen flat. No striae.
Skin: Warm and dry; no rashes. Multiple tattoos on both arms.
Rectal exam: Stool is brown, no rectal masses.
Lab results:
CBC: WBC 9,000; RBC 5.10; Hemoglobin 15.3 g/dL Hematocrit 46%; MCV 90; Platelets 152,000.
Electrolyte Panel: Sodium 136 mEq/L; Potassium 3.7 mEq/L; Creatinine 1.1 mg/dL; BUN 12 mg/dL; Glucose 115mg/dL
Alanine aminotransferase (ALT) 36
Aspartate aminotransferase (AST) 50
Bilirubin (total) 0.9 mg/dL
Hepatitis A IgM negative; IgG positive
Hepatitis B surface antigen negative; surface antibody positive; core antibody negative
Hepatitis C (HCV) antibody reactive (positive), Hepatitis C RNA positive with an undetectable viral load.
APA Format
Information is presented in a scholarly manner (clear, grammatically correct) and reflects synthesis of information from sources. APA format is correctly used for citations and references. Submission follows assignment guidelines; does not exceed page limit (6 pages, excluding title and reference pages). (15 pts)
UTA Title page (5 pts)
Respond to the following questions regarding the Case Study
1. The clinical scenario is most consistent with which type of hepatitis? Please list your answer below using a bullet point format. This does not have to be in a complete sentence. A citation is not required. (10 pts)
2. What specific data in the clinical scenario supports your diagnosis? You may list your answers below using bullet point format. This does not have to be in a complete sentence. A citation is not required. (10 pts)
3. What is the most likely cause of this patient’s diagnosis you noted in Question 1? You may list your answer below using a bullet point format. This does not have to be in a complete sentence. A citation is not required. (10 pts)
4. Describe key pathophysiologic concepts that relate to the diagnosis in question 1. To answer this question completely, you must answer all of the sub-questions below using complete sentences. Each sub-question may be answered in 1-6 sentences. ***Citations are required for each answer to each question using APA format. You MAY NOT use direct quotes.
a. How does Hepatitis lead to an increased risk of hepatocellular carcinoma? Describe how the virus affects the hepatocytes and may lead to cancer. ( 10 pts)
b. How does Hepatitis lead to cirrhosis of the liver? Describe the pathologic steps of how cirrhosis develops and how cellular changes can lead to liver failure. ( 10 pts)
c. One of the negative sequela of liver failure is increased bleeding. Why do individuals with liver failure experience potentially life threatening bleeding? Describe how liver failure leads to coagulopathy. ( 10 pts)
d. Portal hypertension is also a negative sequela of liver failure. Describe how liver failure leads to portal hypertension AND how portal hypertension manifests. (10 pts)
5. Mr. James is concerned that he will transmit the virus to his new granddaughter after she is born.
What is the likelihood of transmitting the virus to his granddaughter? Provide a single sentence that includes your rationale. A citation is not required. (10 pts)
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