NURS 6512 Assignment Ethical Concerns
Walden University NURS 6512 Assignment Ethical Concerns-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NURS 6512 Assignment Ethical Concerns assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NURS 6512 Assignment Ethical Concerns
Whether one passes or fails an academic assignment such as the Walden University NURS 6512 Assignment Ethical Concerns depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NURS 6512 Assignment Ethical Concerns
The introduction for the Walden University NURS 6512 Assignment Ethical Concerns is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NURS 6512 Assignment Ethical Concerns
After the introduction, move into the main part of the NURS 6512 Assignment Ethical Concerns assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NURS 6512 Assignment Ethical Concerns
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NURS 6512 Assignment Ethical Concerns
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NURS 6512 Assignment Ethical Concerns
It is not uncommon for nurses advanced practice nurses to encounter situations where a patient’s wishes regarded their health are in conflict with the family’s wishes, professional experience, or evidence hence creating ethical dilemmas (Haahr et al., 2020). Therefore, it is important for an advanced practice nurse to make informed decisions that can positively impact the patient’s condition. The case considered in this assignment is for a 60-year-old man who was diagnosed with inclusive body myositis several years ago and is currently facing a rapid decline in his condition. While the patient prefers to be at home and get end-of-life care from there, the wife is of the opinion that her husband is admitted to the inpatient care setting.
Making a better decision regarding this case requires particular assessment information. Inclusive body myositis exposes the patients to falls; hence this patient is at risk of falling (Weihl, 2019). I would assess the patient’s quality of life and ability to undertake daily life activities. Assessing the proficiency of the home caregiving would be key in determining whether the partner can offer good care and give moral support.
An appropriate response to this scenario requires that I consider ethics as an advanced practice nurse. Guided by nursing ethics, I would strive to educate the family and the patient to ensure that they have sufficient knowledge regarding the condition and how the family can help take care of the patient. After the assessment, I would also collaborate with the patient’s wife and other family members to help come up with an appropriate care plan which is likely to have a better impact on the patient’s condition. These actions are in accordance with the principles of beneficence and nonmaleficence, which involve doing the right and good thing for the patient and doing no harm (McDermott-Levy et al., 2018). I would also ensure that I treat the patient’s medical details with confidentiality.
References
Haahr, A., Norlyk, A., Martinsen, B., & Dreyer, P. (2020). Nurses experiences of ethical dilemmas: A review. Nursing Ethics, 27(1), 258-272. https://doi.org/10.1177%2F0969733019832941
McDermott-Levy, R., Leffers, J., & Mayaka, J. (2018). Ethical principles and guidelines of global health nursing practice. Nursing Outlook, 66(5), 473-481. https://doi.org/10.1016/j.outlook.2018.06.013
Weihl, C. C. (2019). Sporadic inclusion body myositis and other rimmed vacuolar myopathies. CONTINUUM: Lifelong Learning in Neurology, 25(6), 1586-1598. Doi: 10.1212/CON.0000000000000790
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.
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:
o Select one scenario, and reflect on the material presented throughout this course.
o What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
o 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.
By Day 6 of Week 11
Submit your Assignment.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
• Please save your Assignment using the naming convention “WK11Assgn+last name+first initial.(extension)” as the name.
• Click the Week 11 Assignment Rubric to review the Grading Criteria for the Assignment.
• Click the Week 11 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK11Assgn+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submit button to complete your submission.
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Grading Criteria
To access your rubric:
Week 11 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 11 Assignment draft and review the originality report.
Submit Your Assignment by Day 6 of Week 11
To participate in this Assignment:
Week 11 Assignment
Week 11: The Ethics Behind Assessment
Consider the following scenarios:
• You are a nurse at a large county hospital. One of your patients is leaning toward selecting a certain radical treatment for cancer, to which the family is in opposition. The family is concerned about making the correct decision and asks for your advice.
•
• The state of Oregon has passed a “Death with Dignity” act that allows for euthanasia in certain situations. One of your patients suffering from terminal cancer is thinking of moving there to take advantage of this law and asks your opinion.
Throughout this course, you have explored a wide range of health assessments and abnormal examination findings. Although you have predominantly focused on the procedural aspects of health assessment, this week, you will focus on ethical considerations that should be taken into account when advising patients or their families.
This week, you will consider how evidence-based practice guidelines and ethical considerations factor into health assessments. You will also evaluate health assessment concepts related to sports physicals and well-child and well-woman examinations.
Learning Objectives
Students will:
• Apply evidence-based practice guidelines to make an informed healthcare decision
• Apply ethical considerations to a health assessment response
• Apply concepts, theories, and principles relating to sports physicals and well-child and well-woman examinations
• Identify concepts, theories, and principles related to advanced health assessment
________________________________________
Learning Resources
Required Readings (click to expand/reduce)
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
• Chapter 24, “Sports Participation Evaluation”
In this chapter, the authors describe the process of a sports participation evaluation. The chapter also states the most common conditions encountered in a sports participation evaluation.
• Chapter 25, “Putting It All Together”
In this chapter, the authors tie together the concepts introduced in previous chapters. In particular, the chapter has a strong emphasis on the patient-caregiver relationship.
Tingle, J. & Cribb, A. (2014). Nursing law and ethics (4th ed.). Chichester, UK: Wiley Blackwell.
Furman , C. D., Earnshaw, L. A., Farrer, L. A. (2014). A case of inappropriate apolipoprotein E testing in Alzheimer’s disease due to lack of an informed consent discussion. American Journal of Alzheimer’s Disease & Other Dementias, 29(7), 590–595. doi:10.1177/1533317514525829.
Navarro-Illana, P., Aznar, J., & Díez-Domingo, J. (2014). Ethical considerations of universal vaccination against human papilloma virus. BMC Medical Ethics, 15(29). doi:10.1186/1472-6939-15-29. Retrieved from http://www.biomedcentral.com/1472-6939/15/29
Maron , B. J., Friedman, R. A., & Caplan, A. (2015). Ethics of preparticipation cardiovascular screening for athletes. Nature Reviews Cardiology, 12(6), 375–378. doi:10.1038/nrcardio.2015.21
May, K. H., Marshall, D. L., Burns, T. G., Popoli, D. M. & Polikandriotis, J. A. (2014). Pediatric sports specific return to play guidelines following concussion. The International Journal of Sports Physical Therapy, 9(2), 242–255. PMCID: PMC4004129. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4004129/
American Academy of Pediatrics. (2008). Recommendations for preventative pediatric health care (periodicity schedule). Retrieved from https://www.harmonyhpi.com/WCAssets/illinois/assets/IL_MedicaidProviderManual_PEM_AdultPHGsForProviders.pdf
This resource provides recommendations for preventative pediatric healthcare from infancy through adolescence. The periodicity schedule covers a variety of areas, from health history to measurements, developmental/behavioral screenings, physical exams, procedural screenings, and oral health.
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Rourke, L., Leduc, D., & Rourke, J. (2017). Rourke Baby Record. Retrieved from http://rourkebabyrecord.ca/
This website provides information on the Rourke Baby Record (RBR). The RBR supplies guidelines on growth and nutrition, developmental surveillance, physical exam parameters, and immunizations for well-baby and child care.
Document: Final Exam Review (Word document)
Required Media (click to expand/reduce)
Module 4 Introduction
Dr. Tara Harris reviews the overall expectations for Module 4. Consider how you will manage your time as you review your media and Learning Resources for your Case Study Lab Assignment and your Final exam (3m).
Sports Participation Evaluation – Week 11 (12m)
Sample Answer 2 for NURS 6512 Assignment Ethical Concerns
The patient is in advanced-stage cancer, and the effective discussion should be on life care and discussion of wishes and needs. In the case presented, the patient has tested positive for advanced-stage cancer and is presented in the emergency unit for cardiac arrest. In this write-up, I will provide a detailed narrative explaining the health assessment information required for a diagnosis regarding the presented case.
I would determine the cardiac arrest using an ECG and the life-saving measures as defined in the ACL protocols (Nelson & Lewis, 2017). Once I am able to stabilize the patient, I would ask the boyfriend if the patient has an advanced directive or will concerning the resuscitation status. The advanced directive is a legal document relaying more information on the life savings of the patient (Rossetti, 2017). In this case, I would ask the boyfriend who can connect to the next of kin in case the boyfriend is not the next of kin. This would happen if the patient is unconscious or does not have the mental capacity to make important decisions. Effective decisions for resuscitation would wait, but until then, I will make every attempt to stabilize the patient.
I will respect the wish of the patient and the family. If the patient and the family agree that they need all interventions and the patient is stable on life support machines, then further investigation into brain function and viability will be conducted (Ozmen et al., 2019). Diagnostic testing would reveal the extent of brain damage and cardiopulmonary stability that would aid in determining the status of my patient and viability. I will then discuss the patient’s condition with the family to get ready for any result that would come from the treatment offered to the patient.
A confirmation that the brain cells of the patient are dead and the family is not ready to stop the life support measures, the hospital can change the status of the patient to “do not resuscitate” with approval from two physicians (Nelson & Lewis, 2017). However, providers will ensure that the family confirms the decision. This would be important in avoiding ethical dilemmas.
References
Nelson, A., & Lewis, A. (2017). Determining brain death: basic approach and controversial issues. American Journal of Critical Care, 26(6), 496-500. https://doi.org/10.4037/ajcc2017540
Ozmen, O., Aksoy, M., Atalay, C., Aydin, M. D., Dostbil, A., Ince, I., & Sener, E. (2019). Are unresponsive dilated pupils an indicator for brain death? an evaluation of Edinger Westphal nucleus in rabbits with brain death. Annals of Medical Research, 26(10), 2376-2381. https://annalsmedres.org/index.php/aomr/article/view/3711
Rossetti, A. O. (2017). Clinical neurophysiology for neurological prognostication of comatose patients after cardiac arrest. Clinical Neurophysiology Practice, 2, 76-80. https://doi.org/10.1016/j.cnp.2017.03.001
Sample Answer 3 for NURS 6512 Assignment Ethical Concerns
Ethical Concerns
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.
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
Sample Answer 4 for NURS 6512 Assignment Ethical Concerns
Lab Assignment: Ethical Concerns Case Study II
BC is a 49-year-old woman who has been admitted to the emergency room with cardiac arrest. BC has advanced-stage cancer. She is with her husband and one of her children. Adequate health assessment data should be obtained from BC and her family members to develop an accurate diagnosis and treatment plan. The nurse should obtain subjective data. This includes information about her symptoms, onset, severity, and alleviating, exacerbating, and relieving factors. The nurse should also obtain information about BC’s medical and surgical history. This includes information about any other chronic conditions apart from advanced cancer, hospitalizations, and surgeries (Giger & Haddad, 2020; Greer et al., 2020). Information about her current use of medications, allergies, and reproductive history should be obtained.
Objective data should also be obtained from BC. This includes vital signs and a comprehensive review of all the body systems to rule out any abnormalities. The nurse will use the objective data to validate BC’s complaints. laboratory and diagnostic investigations should also be ordered. They include a complete blood count, renal and liver function tests, electrolyte levels test, a chest x-ray, and an electrocardiogram (Giger & Haddad, 2020). The diagnostic and laboratory investigations will help confirm the diagnosis and rule out differential diagnoses.
I will respond to the case scenario by focusing on the provision of patient-centered care to BC. I will demonstrate professional behaviors such as active listening, empathy, and respecting BC’s values and preferences. I will seek her and her family’s input in the treatment decisions. I will also provide her with accurate and adequate information to aid informed decision-making. I will also ensure data privacy and confidentiality. BC’s information will only be shared after informed consent has been obtained from her (Chua et al., 2020; Gennari et al., 2021; Molina-Mula & Gallo-Estrada, 2020). I will also be a proactive member of the interprofessional teams involved in her care to ensure the delivery of high-quality, safe, and efficient care.
References
Chua, G. P., Pang, G. S. Y., Yee, A. C. P., Neo, P. S. H., Zhou, S., Lim, C., Wong, Y. Y., Qu, D. L., Pan, F. T., & Yang, G. M. (2020). Supporting the patients with advanced cancer and their family caregivers: What are their palliative care needs? BMC Cancer, 20(1), 768. https://doi.org/10.1186/s12885-020-07239-9
Gennari, A., André, F., Barrios, C. H., Cortés, J., Azambuja, E. de, DeMichele, A., Dent, R., Fenlon, D., Gligorov, J., Hurvitz, S. A., Im, S.-A., Krug, D., Kunz, W. G., Loi, S., Penault-Llorca, F., Ricke, J., Robson, M., Rugo, H. S., Saura, C., … Harbeck, N. (2021). ESMO Clinical Practice Guideline for the diagnosis, staging and treatment of patients with metastatic breast cancer☆. Annals of Oncology, 32(12), 1475–1495. https://doi.org/10.1016/j.annonc.2021.09.019
Giger, J. N., & Haddad, L. (2020). Transcultural Nursing – E-Book: Assessment and Intervention. Elsevier Health Sciences.
Greer, J. A., Applebaum, A. J., Jacobsen, J. C., Temel, J. S., & Jackson, V. A. (2020). Understanding and Addressing the Role of Coping in Palliative Care for Patients With Advanced Cancer. Journal of Clinical Oncology, 38(9), 915–925. https://doi.org/10.1200/JCO.19.00013
Molina-Mula, J., & Gallo-Estrada, J. (2020). Impact of Nurse-Patient Relationship on Quality of Care and Patient Autonomy in Decision-Making. International Journal of Environmental Research and Public Health, 17(3), Article 3. https://doi.org/10.3390/ijerph17030835
Sample Answer for NURS 6512 Assignment Ethical Concerns
Case Study 1: Parents of a 5-year-old boy who oppose the immunization of their son
Immunization is an important component of health promotion for all children in the US. All the states require that children should be fully vaccinated before they begin their education. However, 47 states consider exemptions due to religious or philosophical reasons. Vaccinations are important in preventing unnecessary hospitalizations as well as mortalities. Therefore, it would be important for nurse practitioner to seek additional information from the parents about their reasons for opposing vaccination for their son. Often, parents decline vaccinations for their children due to the influence of factors such as religious beliefs and practice. The nurse practitioners should obtain information related to the religious affiliation of the family, beliefs and practice and their influence on the uptake on immunization services (Giubilini, 2021). The information on the religious beliefs, values and practices of the family will provide the nurse practitioner with the insights into the factors contributing to the decisions that the parents are making.
The nurse practitioner should also determine the knowledge and attitude of the family towards immunization. Information such as the knowledge of the parents about the benefits and risks of immunization should be obtained. The nurse practitioner should also obtained information about the fears and misconceptions that the family might have towards immunization. Low level of knowledge or misconceptions may affect the utilization of immunization services by the family (Berry et al., 2017). As a result, the nurse practitioner should educate the family about the benefits of immunization alongside the anticipated side effects. The nurse practitioner may utilize educational resources such as videos and photographs of the consequences of failing to immunize their child to increase the level of understanding of the patients (Mossey et al., 2020). Health education will help the family to make informed decisions about whether their son should be immunized or not.
References
Berry, N. J., Henry, A., Danchin, M., Trevena, L. J., Willaby, H. W., & Leask, J. (2017). When parents won’t vaccinate their children: A qualitative investigation of australian primary care providers’ experiences. BMC Pediatrics, 17(1), 19. https://doi.org/10.1186/s12887-017-0783-2
Giubilini, A. (2021). Vaccination ethics. British Medical Bulletin, 137(1), 4–12. https://doi.org/10.1093/bmb/ldaa036
Mossey, S., Hosman, S., Montgomery, P., & McCauley, K. (2020). Parents’ experiences and nurses’ perceptions of decision-making about childhood immunization. Canadian Journal of Nursing Research, 52(4), 255–267. https://doi.org/10.1177/0844562119847343