Case Study: Healing and Autonomy

Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’s condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve. The attending physician suggested immediate dialysis. After some time of discussion with 

Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain

mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet, Mike

and Joanne agreed to return to the hospital after the faith healing services later in the week,and in hopes that James would be healed by then.

Two days later the family returned and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. 

Had he not enough faith? Was God punishing him or James? To make matters

worse, James’s kidneys had deteriorated such that his dialysis was now not a

temporary matter and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors.

Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James.

However, none of them were tissue matches. 

James’s nephrologist called to schedule a private appointment with Mike

and Joanne.

James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’s brother Samuel. Mike vacillates and

struggles to decide whether he should have his other son Samuel lose a

kidney or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? Mike reasons, “This time around it is a matter of life and death. 

What could require greater faith than that?” 

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.

                          

Applying the Four Principles: Case Study

Part 1: Chart (60 points)

Based on the “Healing and Autonomy” case study, fill out all the relevant boxes below. Provide the information by means of bullet points or a well-structured paragraph in the box. Gather as much data as possible.

Medical Indications

Beneficence and Nonmaleficence Patient Preferences

Autonomy

Quality of Life

Beneficence, Nonmaleficence, Autonomy Contextual Features

Justice and Fairness

Part 2: Evaluation

Answer each of the following questions about how principlism would be applied:

In 200-250 words answer the following: According to the Christian worldview, which of the four principles is most pressing in this case? Explain why. (45 points)

In 200-250 words answer the following: According to the Christian worldview, how might a Christian rank the priority of the four principles? Explain why. (45 points)

References:

DPI Project Milestone: 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement ProjecIn the prospectus, proposal, and scholarly project there are 10 strategic points that need to be clear, simple, correct, and aligned to ensure the research is doable, valuable, and credible. The 10 strategic points emerge from researching literature on a topic that is based on or aligned with the learner’s personal passion, future career purpose, and degree area. These 10 points provide a guiding vision for DPI Project. In this assignment, you will continue the work begun in DNP-815, working on your draft of a document addressing the 10 key strategic points that define your intended research focus and approach.

The DNP-815 10 Strategic Points-ATTACHED

In the prospectus, proposal, and scholarly project there are 10 strategic points that need to be clear, simple, correct, and aligned to ensure the research is doable, valuable, and credible. The 10 strategic points emerge from researching literature on a topic that is based on or aligned with the learner’s personal passion, future career purpose, and degree area. These 10 points provide a guiding vision for DPI Project. In this assignment, you will continue the work begun in DNP-815, working on your draft of a document addressing the 10 key strategic points that define your intended research focus and approach.h

General Requirements:

Use the following information to ensure successful completion of the assignment:

· Locate the “The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project” that you completed in DNP-815.

· Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center. An abstract is not required.

· This assignment uses a rubric. Please Review the rubric prior to the beginning to become familiar with the expectations for successful completion.

· You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

Use the “The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project” resource to draft statements for each of the 10 points for your intended research study.

Portfolio Practice Hours:

Practice immersion assignments are based on your current course objectives, and are intended to be application-based learning using your real-world practice setting. These assignments earn practice immersion hours, and are indicated in the assignment by a Portfolio Practice Hours statement which reminds you, the learner, to enter in a corresponding case log in Typhon. Actual clock hours are entered, but the average hours associated with each practice immersion assignment is 10.

You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to DNP resources in the DC Network.

Copy and paste the following line in the South University Online Library Quick Search line: “conditioned emotional reactions” (in quotation marks).

The original article by Watson and Rayner was published in the Journal of Experimental Psychology in 1920. There is a reprint of the original article which can be found in the South University Online Library. Here is the reference for the article reprint: Watson, J. B., & Rayner, R. (2000). Conditioned Emotional Reactions. American Psychologist, 55(3), 313-317. DOI: https://doi.org/10.1037//0003-066x.55.3.313

What is proper etiquette for a job interview?

 What’s “good behavior” in a behavioral job interview?

1.   Tell me about yourself; please include years of experience as a nurse and   your previous work history. 

2.   Where do you see yourself in 5 years? Please describe plans for education and   career advancement in the near future

3.   What are your career aspirations?

4.   How do you handle stress in the healthcare setting? 

5.   What clinical skills do you possess that will be most beneficial to this   clinical practice?

6.   What are your strengths and weaknesses?   

7.   Describe how you handled a difficult situation that has involved a patient,   physician or family member? 

8.   How do you get along with your staff at your current position?  

9.   Why should we hire you? 

10.   What salary are you seeking? 

  

4-Interaction in statistics can be defined as the effect of one independent variable may depend on the level of the other independent variable. In statistics, an interaction may arise when considering the relationship among three or more variables, and describes a situation in which the simultaneous influence of two variables on the third is not additive. In order to find an interaction, you must have a factorial design, in which the two or more independent variables are “crossed” with one another so that there are observations at every combination of levels of the two independent variables.

 The presence of interaction can have important implications for the interpretation of statistical models. If two variables of interest interact, the relationship between each of the interacting variables and a third “dependent variable” depends on the value of the other interacting variables and this makes it hardest to anticipate or predict the consequences of the value of variable that changes particularly if the variable it interacts with are difficult to control. (Eastern & McColl 2016)

Example is if we want to examine the effect of two variables, gender and premature birth on health outcomes, we would first of all outline any differences in health outcome score among gender as a main effect.  Similarly, we will describe any difference in the scores of full term/premature as a main effect.  The presence of an interaction effect shows that the effect of gender on health outcome varies as a function of premature birth status.

Reference

Easton J.C & McColl 2016: Design of Experiments and Anova.  Retrieved August 17, 2018 from https://www.stats.gla.ac.uk/steps/glossar/anova.html#intermpediaiew.com.

  

5-Thank you all for sharing your examples of the variables interaction. Suppose you formulate a hypothesis and conduct an experiment, but the results were not significant. What information can you gain from that, or has your experiment been a failure? Support your argument with example.

  

6- for your example. The interaction effect here is useful as it is an indication for the treatment efficacy. It is important to consider different factors when assigning the treatment for the patient, for example looking at the effect at different age, by gender and if the patient will go with one treatment, diet or pills, or both.