Assignment 9a My Sisters Keeper Part 1 (30 points Possible)

A. Research and define the following terms as they relate to the legal and medical ethics presented in the story My Sister’s Keeper. These are the central issues needed to base a medical opinion about any case in court. (12 points)

Medical Ethics:

• Autonomy
• Veracity
• Fidelity
• Beneficence
• Non-maleficence
• Justice

B. Using these as 6 criterion, describe how each of these characteristics related back to the legal arguments and behaviors exhibited by the prosecuting and defense attorneys in this case. (12 points)

C. Then, in two to three paragraphs, describe the moral, practical, and emotional complication of putting one child in unnecessary pain and danger for the well-being of another? (6 points)

Submit your assignment in a word document by clicking on the link above.

Assignment 9b My Sisters Keeper (20 Points Possible)

A. Research the two following topics and write a one page summary of your findings for the two scenarios: (5 points each)

1. Stem cell research for reproduction of a designer child whose sole purpose is to be a donor to a sick child.

2. Parents who decide, for religious and moral issues, to preserve umbilical cords for use in the future to potentially save a life.

B. Write a one page summary for the questions asked below. (10 points)

1. What are the moral and ethical implications of this genetic selection?

2. What conclusions have you reached about such medical technology?

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PART A

In the following case, identify the ideals, or ideals and obligations, that are in conflict. Examine the action taken or proposed and decide whether it achieves the greater good (or lesser harm).

2. The issue of health care rationing was an important factor in the debate over the health care bill that President Obama signed into law in 2010.
Whether such rationing will occur remains to be seen.  If it does, though, it will undoubtedly have the greatest effect on the elderly — that is, some government administrator or health care panel may decide that certain expensive medical procedures will not be approved for people above a certain age.
Similar decisions could also be made about the level of care given in assisted living facilities and nursing homes.

PART B

Select ONE of the inquiries below to answer.

For the one you select to respond, identify the conflicting obligations and decide whether the action taken is morally right.  Be sure to consider the requirement of proportion.

13. A very competent druggist, well versed in the latest pharmacological studies, receives a prescription from a physician and recognizes that it is for a dangerous, highly addictive, and largely discredited medication.  She calls the physician and is told curtly to mind her own business.  As the customer waits in the front of the store, the druggist ponders the situation. “Should I refuse to fill it? Should I tell the customer I am certain the doctor has made a mistake?  Should I call the medical board and report the incident?”  She decides to fill the prescription.

OR

15. A doctor on duty in a hospital emergency room one Halloween night treats a 15-year-old boy whose eye was injured by an exploding firecracker.  He notices the boy is drunk.  Because the extent of the injury is not certain, he has the boy admitted to the hospital and notifies his parents.  When they arrive, the boy is under sedation, so his drunken condition escapes their detection.  Nevertheless, the doctor informs them that their son had been drinking.

OR

16. A psychiatrist is treating a very disturbed and potentially violent man. One day the man tells her that he has recurring thoughts of killing a stranger, whom he will choose at random.  He details exactly how he will carry out the crime.  A few days later the psychiatrist reads in the newspaper that the very same crime her patient described has been committed.  She has no doubt that her patient committed it; every detail is identical.  The psychiatrist would like to inform the police, but she decides not to.

You should have a total of TWO answers for this activity.  Submit your answers for Part A and Part B in a Word Document. 

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Rate yourself using the results from the “Nurse Manager Skills Inventory”:

http://www.aone.org/resources/nurse-manager-skills-inventory.pdf

Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:

1. Personal and professional accountability
2. Career planning
3. Personal journey disciplines
4. Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace.

Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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Observe the simulated “Home Visit With Sallie Mae Fisher” video (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).

Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.

Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:

Essay Portion

After viewing the home visit, write an essay of 500-750-words in which you do the following:

1. Identify, prioritize, and describe at least four problems.
2. Provide substantiating evidence (assessment data) for each problem identified.
3. Identify and describe at least four medical and/or nursing interventions.
4. Discuss your rationale for the interventions identified.

Prepare this step of the assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Scripted Dialogue Portion

Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions identified to improve her condition. Consider Sallie Mae’s physiological, psychosocial, educational, and spiritual needs when developing your dialogue.

Your dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue:

Nurse: “Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________.”

APA format is not required for this part of the assignment, but solid academic writing is expected.

Refer to “Home Visit With Sallie Mae Fisher Grading Criteria.”

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1)   In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

2)  In a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

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