Case Study on Biomedical Ethics in the Christian Narrative

This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles of principlism.

Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following:

Part 1: Chart

This chart will formalize principlism and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.

Part 2: Evaluation

This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.

Remember to support your responses with the topic study materials.

APA style is not required, but solid academic writing is expected.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

AttachmentsPHI-413V-RS-T3ApplyingFourPrinciplesCaseStudy.docx

Examine the x-ray of a patient diagnosed with pneumonia due to infection with Mucor. Refer to the “Module 4 DQ Chest Xray” resource in order to complete the following questions.

Critical Thinking Questions

1. Explain what Mucor is and how a patient is likely to become infected with Mucor. Describe the pathophysiologic progression of the infection into pneumonia and at least two medical/nursing interventions that would be helpful in treating the patient.
2. Examine the laboratory blood test results and arterial blood gases provided in “Discussion Question Resource: Laboratory Blood Test Results.” What laboratory values are considered abnormal? Explain each abnormality and discuss the probable causes from a pathophysiologic perspective.
3. What medications and medical treatments are likely to be prescribed by the attending physician on this case? List at least three medications and three treatments. Provide rationale for each of the medications and treatments you suggest.

Head-to-Toe Assessment  For this assignment, perform a complete head-to-toe assessment on one of your chosen participants. Your analysis should include the following:        

•Topical headings to delineate systems.       

•For any system for which you do not have equipment, explain how you would do the assessment.       

•Detailed review of each system with normal and abnormal findings, along with normal laboratory findings for client age.       

•An analysis of age-specific risk reduction, health screen, and immunizations.       •Your expectation of normal findings and what might indicate abnormal findings in your review of systems.       

•The differential diagnosis (disease) associated with possible abnormal findings.      

 •A plan of care (including nursing diagnosis, interventions, evaluation).       

•Client and age-appropriate evidenced based practice strategies for health promotion.       

•Pharmacological treatments that can be used to address health issues for this client.   Provide your answers in a 6- to 7-page Microsoft Word document.   Support your responses with examples.   On a separate references page, cite all sources using APA format.         

•Use this APA Citation Helper as a convenient reference for properly citing resources.       

•This handout will provide you the details of formatting your essay using APA style.       

•You may create your essay in this APA-formatted template.

  Case Study Analysis  

For this assignment, conduct a thorough analysis of the healthcare system within Saudi Arabia. Specifically, focus on the development and implementation of technology over the last several decades within the Kingdom.

1. How has technology impacted cost, quality, and access to health services?
2. Does Vision 2030 rely heavily on technology?

Your final submission will be 3 pages in length, excluding the cover and reference pages. Be sure to include:

1. Analysis of the specific healthcare system.
2. Technology impact on cost, quality, and access.
3. Predict the KSA vision 2030 impact on technology.
4. Summary of findings (conclusion)

Your paper should meet the following structural requirements:

1. The paper should be formatted according to APA writing standards.
2. Provide support for your statements with in-text citations from a minimum of 4 scholarly articles.
3. Two of these sources may be from the class readings, textbook, or lectures, but two must be external.
4. No pliagiarism

Seth, a thirty-eight year-old white male of Scandinavian descent, has lived his entire life in Southern Florida. He is very concerned with maintaining a “healthy” appearance. Seth is very athletic and especially enjoys surfing. He has been surfing since the age of twelve and he started making surfboards while he was in high school. After obtaining a college degree in marketing Seth decided to start his own business making surfboards and giving surfing lessons for a local resort near his home. During a routine physical examination the physician assistant that Seth sees commented on the presence and appearance of a small growth (approximately 2-cm in diameter) above Seth’s right eyebrow. This growth was shiny with a pearly border, a central ulcer and engorged surface blood vessels. The physician assistant was concerned that this might be a tumor and asked Seth a number of questions to aid in the diagnosis. Seth reported that he noticed this growth approximately six months ago but thought nothing about it since he often developed “pimples” when he was working on surfboards because of the heat and dust. Seth noticed that the growth would occasionally bleed, but he thought the bleeding most often occurred when he absently scratched above his eyebrows when he was working. Seth also reported that after bleeding the growth would “crust over” and appear to heal, but not disappear. Seth also thinks the lesion has increased in size, but he can’t be certain.

The physician assistant asks Seth to come back in two days to visit with the attending physician and encourages Seth to be sure to use sunscreen whenever possible, especially when he is surfing or teaching surfing classes. Upon returning to see the physician, Seth is told that he probably has a basal cell carcinoma. This, the physician explains, is a cancer that while not benign, rarely metastasizes and grows very slowly. This type of cancer usually occurs in areas that have the greatest exposure to the sun (i.e. the face, head, and neck). While this cancer would probably not metastasize, the physician suggests surgical removal to minimize damage to any underlying tissues and a histological examination of the excised tissue to confirm the diagnosis.

Seth is concerned that if this is indeed cancer he will have to undergo radiation and/or chemotherapy and suffer from both hair loss and nausea like his mother did when she was being treated for breast cancer 10 years ago. The physician assures Seth that these treatments are not required for basal cell carcinoma and explains that this cancer usually remains localized to the specific area of the skin and does not usually spread to other tissues, so radiation and chemotherapy would not be necessary. Seth then asks why it is necessary to remove the tumor if it will not spread and is told that while the tumor does not spread to other body areas it will continue to grow and also invade deeper layers of the skin, such as the dermis, and destroy normal tissues. Seth agrees to the procedure and schedules a follow-up appointment to discuss the results of the biopsy the following week. At the follow-up appointment, Seth is told that the lesion was indeed a basal cell carcinoma. He is told that it will be important for him to try to use both sunscreens, specifically those containing para-aminobenzoic acid or PABA, and protective clothing as much as possible to minimize the effects of the ultraviolet (UV) rays of the sunlight. Seth is also told that while he should not be overly concerned, he should also pay close attention for similar lesions in the future, since a person with a single basal cell carcinoma is likely to develop additional basal cell carcinomas in the future.

Using the medical terminology learn this week as of the following questions about the case:

Identify both the primary risk factors that Seth presents with and other risk factors that may or may not be related to Seth’s case? How are benign and malignant tumors similar and different from each other?

Here are the discussion board requirements.

• The initial discussion post must be at least 250 words of content, referencing the reading of the week, and include a scholarly source.