In week 5, you will submit a 6-10 minute audio/visual presentation of your chosen ethical issue (Patient Confidentiality), and your stance supporting this issue. You will submit this as an assignment. You will post this video to the discussion board in week 7. You may not be personally in support of this issue, however, it is your job to convince us of a supporting position. Include evidence why you you are taking an affirmative stance with this issue. Your presentation should include both audio and visual components. The visual component can be PowerPoint slides, graphics, etc. Your presentation should be no more than 10 minutes long. Only the first 10 minutes of your presentation will be graded if you go over the time limit. You must succinctly sum up your position.

Include in your 10 minute presentation:

• A summary of your chosen ethical issue (the problem)
• A brief description of the dilemmas or concerns involved (why is this a problem?)
• Your rationale for a supportive stance on the issue. 
• Your proposed resolution. 
• The key stakeholders and factors in support of the issue resolution
• Ethical principles involved (e.g., justice, autonomy,
• Any policy drivers related to the issue resolution such as access, quality, and cost
• Any ethical theories that support your position

CLINICAL CASE DECISION INSTRUCTIONS

Grading Criteria for Clinical Case Decisions:

The highest potential points for each Clinical Case Decision Question are 15-points. Students are required to upload their response as a word document attachment to the assignment drop box.

Each uploaded response is worth a possible 15 points.

1.       Your comments should be substantiated and substantive. Postings require two citations from 1 scholarly journal and/or 1 outside text book           Text books assigned to this course may be used for an additional citation only.   
2.       Each of the two references must be from a different reference source.
3.       To gain full credit for the assignment, the response must be a full page discussion, but no more than three (3) pages in length, which                   includes the reference list.
4.       Students are required to use APA format, proper citations, and references.  Students using direct quotes from referenced sources in the body       of the paper must include quotations.
5.       Students will be assigned to a question.

Clinical Cases

You have been assigned two (2) cases to provide analysis.  All cases should include the following:

a. Pathophysiology and pharmacology of the disease

b. Expected signs and symptoms of the disease.

c. Nursing Diagnosis with a plan of care.

d. All questions pertaining to the case are listed under each case. 

Clinical Decision Cases

C1.   Mr. Appel has a severe chronic obstructive pulmonary disease (COPD). He is admitted to the hospital with a respiratory infection and increased dyspnea; yellow, purulent sputum; anxiety; and diaphoresis. He states he feels weak and tired. He routinely takes a diuretic (furosemide) and his pulmonary medications. The following laboratory values are obtained:

Arterial blood gases:

pH 7.25                                         Serum sodium (Na+) 140 mEq/L

PaO2 60 mmHg                             Serum potassium (K+) 2.0 mEq/L

PaCO2 78 mmHg                           Serum chloride (Cl–) 105 mEq/L 

HCO3– 34 mEq/l

a. What type of electrolyte imbalance does Mr. Appel have?

b. Interpret his ABGs.

C2.   Mr. Jones is admitted to the hospital with an exacerbation of heart failure. He has +3 peripheral edema of the lower extremities.

a. What are the possible causes of his peripheral edema?