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2025 Borderline Case Ethics of Patient Care For this discussion you will be applying defining attributes to an actual patient
by adminNursing theory 2025
Borderline Case: Ethics of Patient Care For this discussion, you will be applying defining attributes to an actual patient case. Please listen to the NPR podcast, “ If You Have Dementia, Can You Hasten Death As You Wished? ” Additionally, review Wilkinson’s defining attributes (found in the Wilkinson (1997) reading in the Learning Materials section). See attachments. https://www.npr.org/sections/health-shots/2015/02/10/382725729/if-you-have-dementia-can-you-hasten-death-as-you-wished Please respond to the following prompts: 1. Review Wilkinson’s (1997) defining attributes and describe how the NPR podcast, “If You Have Dementia, Can you Hasten Death As You Wished?” case story meets the definition of a borderline case. 2. Describe the ethical issues the case raises. 3. If it were changed to meet criteria for a model case, what ethical issues would come to the forefront? Your post should contain two to three (2–3) paragraphs with three to four (3–4) sentences per paragraph. The post should integrate a minimum of three readings and/or other evidence-based research articles no more than three years old and use APA formatting for citations and references. TURNITIN ASSIGNMENT
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2025 Scarcity of Medical Resources For this assessment you will continue your survey
by adminWrite a 2-3 page paper that examines the moral and ethical considerations of organ conscription policies and theories. 2025
Scarcity of Medical Resources For this assessment, you will continue your survey of ethical principles in health care. Especially in our contemporary world, where needs for health care outstrip available resources, we regularly face decisions about who should get which resources. There is a serious shortage of donor organs. Need vastly outstrips supply, due not only to medical advances related to organ transplantation, but also because not enough people consent to be cadaveric donors (an organ donor who has already died). Munson (2014) points out that in the United States, approximately 10,000 patients die each year because an organ donor was not available, which is three times the number of people killed in the terrorist attacks on 9/11. But what is an efficient and morally sound solution to this problem? The policy of presumed consent, where enacted, has scarcely increased supply, and other alternatives, such as allowing donors to sell their organs, raise strong moral objections. In light of this, some have advocated for a policy of conscription of cadaveric organs (Spital & Erin, 2002). This involves removing organs from the recently deceased without first obtaining consent of the donor or his or her family. Proponents of this policy argue that conscription would not only vastly increase the number of available organs, and hence save many lives, but that it is also more efficient and less costly than policies requiring prior consent. Finally, because with a conscription policy all people would share the burden of providing organs after death and all would stand to benefit should the need arise, the policy is fair and just. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria: Competency 1: Articulate ethical issues in health care. Articulate the moral concerns surrounding a policy of organ conscription. Articulate questions about the fairness and justness of organ conscription policy. Explain the relevance and significance of the concept of consent as it pertains to organ donation. Evaluate alternative policies for increasing available donor organs. Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals. Exhibit proficiency in clear and effective academic writing skills. References Munson, R. (2014). Intervention and reflection: Basic issues in bioethics (concise ed.). Boston, MA: Wadsworth. Spital, A., & Erin, C. (2002). Conscription of cadaveric organs for transplantation: Let’s at least talk about it. American Journal of Kidney Disease, 39 (3), 611–615. Instructions Do you consider the policy of organ conscription to be morally sound? Write a paper that answers this question, defending that answer with cogent moral reasoning and supporting your view with ethical theories or moral principles you take to be most relevant to the issue. In addition to reviewing the suggested resources, you are encouraged to locate additional resources in the Capella library, your public library, or authoritative online sites to provide additional support for your viewpoint. Be sure to weave and cite the resources throughout your work. In your paper, address the following: On what grounds could one argue that consent is not ethically required for conscription of cadaveric organs? And on what grounds could one argue that consent is required? Is the policy truly just and fair, as supporters claim? Explain. Do you consider one of the alternative policies for increasing available donor organs that Munson discusses to be preferable to conscription? Explain why or why not.
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2025 Purpose Problem based learning is a methodology designed to help students develop the reasoning process used in clinical practice through problem solving
by adminCase Study Advanced Pharmacology 2025
Purpose Problem-based learning is a methodology designed to help students develop the reasoning process used in clinical practice through problem-solving actual patient problems in the same manner as they occur in practice. The purpose of this activity is to develop students’ clinical reasoning skills using a case-based learning exercise. Through participation in an online discussion forum, students identify learning issues in a self-directed manner which facilitates learning for the entire group. Activity Learning Outcomes Through this discussion, the student will demonstrate the ability to: Synthesize clinical knowledge, didactic learning and research findings to provide appropriate pharmacological care to primary care patients. (CO 1, 2, 3, 4 & 5) Case Study & Discussion Questions Claudia (G2P2) is a 36-year-old mother who recently delivered a child 9 months ago. She has been using condoms for birth control for the last 7 months. Today she is requesting a more convenient method of birth control. She is not sure of her current pregnancy plans, however, she does not wish to discuss sterilization or an IUD. She has no religious contraindications for treatment.PMH: positive for mild hypertension with first pregnancy, seasonal allergies.Surgeries: Left inguinal hernia and tonsillectomy.Family history: Mother-HTN; Father-Colon CA (both deceased)Social History: Denies tobacco use, wine one to two glasses a week, denies recreational drugs, exercises twice a week.Drug allergies-Sulfa causes a rash.Current medications-MVI with Fe, Calcium chews, Allegra 10mg daily prn for allergies.Vitals: Height 67 inches, weight 157 pounds, BP 110/75, P 70, R 16. PAP collected today, breast exam WNL, urine pregnancy negative.A physical exam is normal. What are your treatment goals for Claudia today? What are two possible medications (in different classes) that you can recommend for Claudia? Please provide a detailed rationale and mechanism of actions for each medication. Make sure that all recommendations are cited with guidelines or scholarly, peer-reviewed articles and always include medication, strength, dosage form, route, frequency, and duration when making recommendations. Pick one of the medications from your response above and list five (5) patient-centered teaching points to communicate to the patient. What would your contraceptive choice be if Claudia smoked 10-15 cigarettes per day? Explain your answer.
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2025 Develop a 3 4 page preliminary care coordination plan for an individual in your
by adminAssessment 1 Instructions: Preliminary Care Coordination Plan 2025
Develop a 3-4-page preliminary care coordination plan for an individual in your community with whom you choose to work. Identify and list available community resources for a safe and effective continuum of care. NOTE: You are required to complete this assessment before Assessment 4. The first step in any effective project or clinical patient encounter is planning. This assessment provides an opportunity for you to strengthen your understanding of how to plan and negotiate the coordination of care for an individual in your community as you consider the patient’s unique needs; the ethical, cultural, and physiological factors that affect care; and the critical resources available in your community that are the foundation of a safe plan for the continuum of care. As you begin to prepare this assessment, you are encouraged to complete the Care Coordination Planning activity. Completion of this will provide useful practice, particularly for those of you who do not have care coordination experience in community settings. The information gained from completing this activity will help you succeed with the assessment. Completing formatives is also a way to demonstrate engagement. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Competency 1: Adapt care based on patient-centered and person-focused factors. Analyze a health concern and the associated best practices for health improvement. Competency 2: Collaborate with patients and family to achieve desired outcomes. Establish mutually agreed-upon health goals for a care coordination plan, in collaboration with the patient. Competency 3: Create a satisfying patient experience. Identify available community resources for a safe and effective continuum of care. Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care. Write clearly and concisely in a logically coherent and appropriate form and style. Preparation Imagine that you are a staff nurse in a community care center. Your facility has always had a dedicated case management staff that coordinated the patient plan of care, but recently, there were budget cuts and the case management staff has been relocated to the inpatient setting. Care coordination is essential to the success of effectively managing patients in the community setting, so you have been asked by your nurse manager to take on the role of care coordination. You are a bit unsure of the process, but you know you will do a good job because, as a nurse, you are familiar with difficult tasks. As you take on this expanded role, you will need to plan effectively in addressing the specific health concerns of community residents. As you assume your expanded care coordination role, you have been tasked with addressing the specific health concerns of a particular individual within the community. You decide to prepare a preliminary care coordination plan and proceed by identifying the patient’s three priorities for health and by investigating the resources available in your community for a safe and effective continuum of care. To prepare for this assessment, you may wish to: Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete. Allow plenty of time to plan your patient clinical encounter. Be sure that you have a patient in mind that you can work with throughout the course. Note : Remember that you can submit all, or a portion of, your draft plan to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback. Instructions Note : You are required to complete this assessment before Assessment 4. This assessment has two parts. Part 1: Develop the Preliminary Care Coordination Plan Complete the following: Identify a health concern as the focus of your care coordination plan. Possible health concerns may include, but are not limited to: Stroke. Heart disease (high blood pressure, stroke, or heart failure). Home safety. Pulmonary disease (COPD or fibrotic lung disease). Orthopedic concerns (hip replacement or knee replacement). Cognitive impairment (Alzheimer’s disease or dementia). Pain management. Mental health. Trauma. Identify available community resources for a safe and effective continuum of care. Part 2: Secure Individual Participation in the Activity Complete the following: Contact local individuals who may be open to an interview and a care coordination plan addressing their health concerns. The person you choose to work with may be a colleague, community member, friend, or family member. Meet with the individual to describe the care coordination plan session that you intend to provide. Collaborate with the participant in setting goals for the session, evaluating session outcomes, and suggesting possible revisions to the plan. Establish a tentative date and time for the care coordination plan session. Document the name of the individual and a single point of contact, either an e-mail address or a phone number. Document Format and Length For your care coordination plan, you may use the Care Coordination Plan Template [DOCX] , choose a format used in your own organization, or choose a format you are familiar with that adequately serves your needs for this assessment. Your preliminary plan should be 3–4 pages in length. In a separate section of the plan, identify the person you have chosen to work with, and be sure to include his or her contact information. Document the community resources you have identified using the Community Resources Template [DOCX] . Supporting Evidence Cite at least two credible sources from peer-reviewed journals or professional industry publications that support your preliminary plan. Grading Requirements The requirements, outlined below, correspond to the grading criteria in the Preliminary Care Coordination Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. Analyze your selected health concern and the associated best practices for health improvement. Cite supporting evidence for best practices. Consider underlying assumptions and points of uncertainty in your analysis. Establish mutually agreed-upon health goals for the care coordination plan, in collaboration with the selected individual. Identify available community resources for a safe and effective continuum of care. Write clearly and concisely in a logically coherent and appropriate form and style. Write with a specific purpose with your patient in mind. Adhere to scholarly and disciplinary writing standards and current APA formatting requirements. Additional Requirements Before submitting your assessment, proofread your preliminary care coordination plan and community resources list to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your plan. Be sure to submit both documents. CORE ELMS Important note : The time you spend securing individual participation in this activity and the time you spend presenting your final care coordination plan to the patient in Assessment 4 must total at least three hours. Be sure to log your time in the CORE ELMS system. The CORE ELMS link is located in the courseroom navigation menu. Portfolio Prompt : Save your presentation to your ePortfolio . Submissions to the ePortfolio will be part of your final Capstone course.
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