Ethical Dilemna

Please reply to the following discussion with one reference.  

Professor and fellow classmates,

I viewed the documentary titled “The Invisible Patients documentary” and an ethical dilemma that was experienced by the nurse practitioner is the decision about hospice care. The patient has a right to decide how they want their life to end in regard to resuscitation, and it is one of the nurse practitioner duties to educate the patient on what a do not resuscitate (DNR) means and the  accept their terminal prognosis or to have do-not-resuscitate (DNR) order (Bhatnaga & Lagnese, 2019). Patients should be allowed to receive all the care needed until the end of their life. The nurse practitioner in the video appears to be giving her personal views and wanting to listen to the patient and his wishes. Roger verbalizes his desire to live even on a respirator and it is not the duty of the nurse practitioner to discourage the patient from the right to desire life.

The nurse practitioner in the documentary as a disruptive innovator was her desire of delivering and have more nurses in primary care because they reach patients that are in unfortunate situations and needs the help of the nurse practitioner to provide care and advocate on their behalf whether by calling doctors or coordinating care on their behalf. An awareness of personal values generates more consistent choices and behaviors; it can also assist APNs to be aware of the boundaries of their personal and professional values so that they can recognize when their own positions may be unduly influencing patient and family decision making (Hamric, 2014). The nurse practitioner should separate their personal beliefs from situations that where an ethical dilemma is involved and follow the nurses code of conduct to make appropriate decisions.

Overcoming barriers when faced with ethical dilemma is being an active listener with good communication skills. We must listen to the patients concern and wishes and communicate with them at a level that is understandable and open to answer questions with clarity.

References

Bhatnagar, M., & Lagnese, K. R. (2019). Hospice Care. In StatPearls [Internet]. StatPearls Publishing.

Hamric, A.B., Hanson, C.M., Tracy, M. F. & O’Grady, E. T. (2014). Advanced Practice Nursing:  An Integrative Approach, (5th ed.). Saunders. ISBN: 9781455739806

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In this assignment I need a peer response for the main discussion, that show below.

The peer’s responses

Discussion Grading Criteria: Agreeing and disagreeing do not mean just voicing one’s opinion. The focus of the discussions should remain on the ideas posed in the readings. Agreeing and disagreeing mean making scholarly arguments from the literature that may support your own ideas. Faculty expects you to support your ideas from the readings or similar scholarly writing about the topic in nursing literature. Always cite your source(s) and reference in APA format.

Remember the post and responses should include scholarly writing about the topic in nursing literature.

Note por the professor:

Hello class,

Please refer to your APA format in your postings. The journal name and volume is italicized font. Ex.

…The American Nursing Journal,7(9),,,,

Please update your APA to reflect doi 

Main POst of my peer:

Ileana Dominguez Baute 

Discussion #4- Challenges of the APRN interview- ileanaDominguez

COLLAPSE

During a job interview, it is highly suggested to always make eye contact with your potential employer or anyone in the room for that manner. Always be sure to greet with a smile and although you may be nervous, you want to maintain confidence. The best way to maintain confidence is to study your resume so that you are prepared to answer any potential questions in regard to skills and prior experience. Another form of adding to your confidence during an interview would be to research the company prior to your interview date. This will not only give you some insight on the company, but it will allow you to ask questions during your interview and many companies and potential employers love this quality.

What is your biggest Weakness?

I would have to say my biggest weakness might be that at times I may attempt to perform too many tasks at once, which I may be overwhelmed and it stress out myself. However at that time I use my biggest strength that consist in take a moment for deep breath, mentally organize my task list and determinate those with priority.

Describe how you resolved conflict with a co-worker or patient?

Working in a BH unit as a psych nurse I can said that in my job environment the most difficult situation involving a patient is management of an aggressive situation. A patient had become highly aggressive both verbally and physically. At this time, my team and I performed the techniques of de-escalation as per protocol. When this was not successful, I, as the lead nurse had to make the difficult decision to call the psychiatrist and receive an order for physical and chemical restraint for the safety of all, the patient, milieu and staff. The psychiatrist led the order and the patient was placed on a four-point restraint in addition to receiving medication to assist in calming the patient. The goal should be always, controlling the situation with the minimal physical and psychological damage for patients and staff members. Always keeping a professional, calmed, team working and positive attitude.

Tell me about yourself?

I am naturally from Cuba. I am privileged enough to be a mother whilst attaining a professional education and career. In 1997, I had the honor of graduating from General Medicine in Cuba, which would be the equivalence of Family Medicine in the United States. I then came to the U.S. and obtained my Registered Nurse certification by 2007. At this time, I began working in a home health setting. This basically involved, but was not limited to: wound care, diabetic management, colostomy management and performing intravenous antibiotics. In 2011, I then began a career at an inpatient psychiatric hospital setting. In 2017 I began my FNP course which I about to finish in this university. Working in the BH environment is what has motivated me to attain a future Post Master in Psychiatry.

Bottom of Form

Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:

1. New practice approaches

2. Intraprofessional collaboration

3. Health care delivery and clinical systems

4. Ethical considerations in health care

5. Population health concerns

6. The role of technology in improving health care outcomes

7. Health policy

8. Leadership and economic models

9. Health disparities

Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.

While APA style is required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines. 

 How to Write the Introduction 1. Write the hook. The hook must include a metaphor word. What is a metaphor? A metaphor is a comparison between two unlike things. For example, I’m drowning in homework. 2. Use the S.O.A.P.S.Tone acronym to guide you through the middle of the introduction paragraph. 3. Thesis/Claim In one sentence, use strong language to express the purpose of your argument. Use an implicit thesis. Since the first paragraph is a counterargument, start the thesis sentence with that information. Example Thesis: Though not all people agree, it is evident that nursing facilities must treat LPNs better, because these employees are the most needed. How to Write the Conclusion 1. Write the telegraphic sentence. Show your concluding thought in a short sentence. Thus technique helps capture the readers’ attention. 2. Point-by-point method Look at your body paragraphs- counterargument, argument 1, argument 2, and argument 3- and write one sentence for each body paragraph. These sentences should be in a positive tone and they should remind the reader of the paragraph’s purpose. 3. Restate the thesis/claim. Using the explicit thesis statement structure, restate the thesis/claim. 4. Wrap the hook. Refer back to the metaphor word you used in the hook (introduction). Write the final sentence of the essay using a word related to the metaphor word you opened the essay with. • The conclusion should have 7 sentences. • There is no need to cite sources in the introduction and conclusion paragraphs. 

 Pick a sport you would like to coach, a sport you would like to train athletes for, or a sport you would like to work in from a rehabilitation/injury prevention position.  Please create a new message in which you can post your initial post thread.  Describe a common injury found in that sport (do NOT pick an injury that someone else has already chosen–sports may be repeated with different injuries.  INJURIES MAY NOT BE REPEATED.) Put the sport name and injury in the title of your post so your classmates do not repeat it.  In the text box, describe the coaches role in addressing first aid for the injury.  Next, describe the roles of two different sports medicine team professionals who have a responsibility in diagnosing, treating, or preventing the injury.   Your initial post must be a minimum of 250 words long. Due 11/6.

I am choosing Baseball – Rotator Cuff Tear