Comment 1

The pillars of principalism represent the four areas of consideration that must be weighed when faced with an ethical dilemma. I would rank the four ethical principles in the following order:

1.)    Nonmaleficence

2.)    Beneficence

3.)    Respect for autonomy

4.)    Justice

I believe that nonmaleficence, or the principle of not causing harm or purposeful wrongdoing onto others should be the highest ranking ethical principle (Grand Canyon University, 2015). Nonmaleficence is a core medical ethical standard but can also be applied on a broader spectrum throughout society. In a Christian, biblical narrative I believe nonmaleficence to be one of the strongest ethical pillars as well. Numerous biblical teachings and several the 10 commandments of Christian faith relate to the core concept of nonmaleficence (“Bible List Of The Ten Commandments,” 2017). Any consideration of nonmaleficence is likely to involve an examination of beneficence since they can often be considered inseparable. Beneficence is the principle of providing benefits to others. Respect for autonomy is the patient’s right to choose what happens to their body. Though this seems pretty straight forward, there is possibility for dilemma in cases where an individual is unable to make autonomous decisions. Autonomy can be seen as the limiter on how far a clinician can medically intervene for a patient. Justice is the principle of fair and equal benefits and treatment among all people. Justice may require an analyzed approach and comparison and is therefore in the lowest ranking but nonetheless a significant and crucial pillar.

Comment 2

Similar to how the U.S. has placed the respect for autonomy as the highest of the four principles, I too rank autonomy as the most important biomedical ethics principle. I believe that first and foremost, what happens to the body of an individual is the decision of that individual, assuming that those decisions do not cause harm to anyone else.

I rank nonmaleficence as my second most important principle of ethics because I don’t believe anyone should intentionally cause harm to others.  

The ranking of the last two principles, for me, is slightly less clear. Beneficence and justice are tied in third. When I see the term “prevent” as in prevent harm, I want to rank beneficence higher on my list, but I need further consideration. In consideration of justice, the fair distribution of benefits is of extreme importance and is no small issue. It is of huge importance, but it is not what I think of when I initially think of ethics.

In relation to the Christian biblical narrative, I believe the order of importance for the principles would be: beneficence, justice, nonmaleficence, and respect for autonomy. I believe this would be the order because in the beginning, God provided benefits that were balanced and distributed fairly to all (beneficence and justice). This resulted in Shalom, a peaceful and orderly state. Nonmaleficence I believe would be ranked third because we were (are) not to cause harm to others. Finally, I believe respect for autonomy would be last in the Christian biblical narrative because all living things had what they needed, and they believed and trusted in God to provide all their needs. 

Writing that autonomy would be ranked last in the Christian biblical narrative when I ranked it first really surprised me and is making me think about how these principles of ethics can be interpreted and determined to be more or less important based on the approach.

 

You will need to think about multifaceted discharge planning for a 45-year-old, married African American male and an 85-year-old, widowed African American male who were admitted to the hospital with a diagnosis of diabetes ketoacidosis (DKA).

In your initial post, please answer the following:

1. What are the priority areas of concern for the individual in an advanced nursing role to consider in reviewing the expected diagnostic test results for an individual suffering from DKA, which may include changes to acid-balance, bicarbonate level, and electrolyte balances?
2. The usual treatment options for individuals suffering from DKA

Explain your rationale for your choices, citing resources from the literature.

Answer the following question as assigned by your role in the discussion:

• Write a succinct summary of the 45-year-old, married, African American male’s status and the 85-year-old, widowed, African American male’s status to present to the team as a plan of care. What would you expect to happen to these patients within the next 48 hours? Please be sure to identify any strengths and gaps in the plan of care.

Each of the 3 answers needs to be 2 paragraphs long (about 150-200 words per paragraph) answering the questions with references from: 

McCance, K. L., & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in  adults and children (8th ed.). St. Louis, MO: Elsevier.

 

You have been assigned 4 patients on an Intermediate Medical Care Unit. Two of the patients are post myocardial infarctions at various stages of their infarctions with multiple types of arrhythmias, the third patient is having drastic blood sugar fluctuations 218 down to 50 within minutes and its rebounds back up with changes in mentation and the fourth is reported to be having frequent TIA’s. One of the MI patients is having some dizziness and your TIA patient is presenting signs of impending stroke.

How would you prioritize your assessments and activities? How would you describe your critical thinking process and how do you organize and prioritize implementation of care?

Your initial response to the post should be 200 words in length and include proper APA formatting when referencing your resources.

Assignment Details

Imagine that you are the CEO of a large, metropolitan, multispecialty health care organization located in an urban city within the United States. The health care organization is for-profit and privately held. The demographics of the surrounding area include military personnel, educators, government employees, professionals, factory workers, and laborers. With the recent and proposed changes in health care regulations and the uncertainty surrounding federal law (e.g., the Affordable Care Act), the organization must cut costs and reduce the number of full-time personnel. The board has asked you to create a bulleted Executive Summary of the key positions that must be retained within the organization and the positions that can be eliminated. Provide your opinion about how these personnel changes could impact quality and patient satisfaction.

Create a high-level 500–750-word Executive Summary for the board that provides a brief description of the health care organization, a list of applicable laws that must be considered if staff is to be reduced, and a list of both the positions that must be retained and those that may be eliminated.

Be sure to include the following:

• A brief description of the health care organization
• A list of applicable laws or regulations that must be considered
• Recommendations regarding which positions may be eliminated and which cannot be eliminated
• Opinion about how these personnel changes could impact quality and patient satisfaction
• At least 2 outside scholarly sources, exclusive of your textbook
  • Your textbook may be used as an additional source.
• Always provide a Title page and References page—and these are not counted in your total assignment page count.

  

• Type of paper Essay (Any Type)
   
• Subject Medicine and Health
   
• Number of pages 3
   
• Format of citation MLA
   
• Number of cited resources  3
   
• Type of service  Writing
   

More like a Persuasive essay on getting vaccines   Instead of saying ″Vaccines are important″ think of it as ″Be sure to vaccinate yourself and children″