Assignment:

Signature Assignment

Euthanasia, Assisted Suicide and Aid in Dying Paper

You have had an opportunity to review the ethical position statements of the American Nurses Association. These position statements are reviewed from time to time. In June of 2018, the ANA Membership Assembly met to discuss changes, if any, to the ANA position statement Euthanasia, Assisted Suicide and Aid in Dying.

Read the debate session overview.

Assignment

1. Read the ANA position statement on Euthanasia, Assisted Suicide and Aid in Dying posted in Module 8. Choose one of the 4 options proposed in the debate session overview that you think is the best of the four position statements. Address each issue below.
2. Explain the basis for your choice and include how the option you selected fits with your world view.
3. Identify ethical systems/principles/values that support your option; identify any systems/principles/values that could be sited in opposition to your choice.
4. In addition to sources in this course, use at least 2 of the references from the debate session overview to support your decision.

The Current ANA Position Statement,

“Although a nurse’s participation in aid in dying has been prohibited by law and professional nursing ethics codes, numerous studies have shown that over the past 20 years 1%-18% of nurses provided or prescribed drugs to a patient knowing the patient intended to use them to hasten death or intentionally injected drugs to hasten a patient’s death” (Stokes, 2017).

If you believe the idea that a changing trend and more people doing something is not the basis for change, defend your position. If you believe, more people doing something is a good reason to support the activity, defend your position.

Write a 1000-1500 word essay addressing each of the points. Be sure to completely answer all the questions for each question. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.
Format: Save your assignment as a Microsoft Word document (.doc or .docx).
APA Format: Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount.
File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)

Explain the planning process of community health improvement. Choose one of the models / tools for community health planning discussed in your book and explain it. (Please, mention which model / tool you chose). 

At least 350 words.

   All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

·      Minimum of two references, not older than 2015.

This week, as you study anxiolytic therapies and PTSD treatments, you examine the assessment and treatment of patients with PTSD and other anxiety disorders. You also explore ethical and legal implications of these therapies.   

Common symptoms of anxiety disorders include chest pains, shortness of breath, and other physical symptoms that may be mistaken for a heart attack or other physical ailment. These manifestations often prompt patients to seek care from their primary care providers or emergency departments. Once it is determined that there is no organic basis for these symptoms, patients are typically referred to a psychiatric mental health practitioner for anxiolytic therapy. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat patients presenting with anxiety disorders. 

https://mym.cdn.laureatemedia.com/2dett4d/Walden/NURS/6630/DT/week_05/index.html 

To prepare for this Assignment:

· Review this week’s Learning Resources, including the Medication Resources indicated for this week.

· Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients requiring anxiolytic therapy.

https://mym.cdn.laureatemedia.com/2dett4d/Walden/NURS/6630/DT/week_05/index.html  

The Assignment: 5 pages

Examine Case Study: A Middle-Aged Caucasian Man With Anxiety. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

· Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

· Which decision did you select?

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

· Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.

 

• The purpose of the signature assignment is for students to apply the research and EBP concepts they have learned in this course and develop a framework for the initial steps of the student’s capstone project. The assignment allows the student to initiate the steps for planning, researching and developing an evidence-based practice intervention project proposal. 
  On or before Day 7, of week eight each student will submit his or her final proposal paper to the week eight assignment link in D2L. This formal paper will include and expand upon work completed thus far in prior assignments.
  Essential Components of the Final Project Proposal will include:
  This formal paper will include and expand upon work completed thus far in prior assignments.
  Be sure to use the headings as  listed below. Essential Components of the Final Project Proposal will include:   
• Introduction– Provide an introduction to your topic or project. The introduction gives the reader an accurate, concrete understanding what the project will cover and what can be gained from implementation of this project.
• Overview of the Problem – Discuss the problem,  why the problem is worth exploring and the potential contribution of the proposed project to the discipline of nursing.
• Project Purpose Statement – Provide a declarative sentence or two which summarizes the specific topic and goals of the project.
• Background and Significance – State the importance of the problem and emphasize what is innovative about your proposed project. Discuss the potential impact of your project on your anticipated results to the betterment of health and/or health outcomes.
• PICOt formatted Clinical Project Question(s)– Provide the Population, Intervention, Comparison, Expected Outcomes and Timeframe for the proposed project.
• Literature Review – Provide the search engines used and the key terms used to guide a search for evidence and discuss at least five (5) summaries (this can be the copy and paste lit reviews you did in the last paper) of relevant, credible, recent, evidence-based research studies to support the project proposal.
• Critical Appraisal of Literature – Discuss the strengths and weaknesses of the evidence, what is known from the evidence and what gaps in evidence were found from the appraisal of evidence-based research studies.
  • Add this information at the conclusion of each of the articles you discussed above
• Develop an EBP Standard – Describe  two to three interventions (or a bundle of care) from the evidence and discuss how individual patient preferences or the preferences of others will be considered.
• Implications – Summarize the potential contributions of the proposed project for nursing research, education and practice.

• Expectations

• Length: A minimum of 8 pages and a maximum of 10 pages (excluding the title and reference pages)
• Format: Formal scholarly paper in APA 7th ed format
• Reference Citations: A minimum of five, recent (past five years), peer-reviewed scholarly references cited in APA 7th ed format.
• File name: Save the file with Student First Name_Last Name_SigAssignment
• See USU NUR Research Paper Rubric for additional details and Proposal 
• Revised PICOT Question: For elderly patients above 60 years with pressure ulcers (P) will the negative pressure wound therapy (I) as opposed to standard moist wound therapy (C) improve the healing of the pressure ulcer (O) during their two-week stay at the hospital (T).  
• Attached sample paper with track changes and yellow highlights is to show you the strength /weakness discussion. one thing to remember is that even though an article is level I to III, the weakness may limit the validity of the study to be used in changing practice.
•   FYI please use the first attachment  below as sample paper and the guidelines them the other 3 papers need to be expanded and incorporated in.  On this last paper you are discussing the interventions you would do.
  

Read Chapter 14: Ethics in Professional Nursing Practice

Answer: Think about the ethical theories and approaches in this section and the moral conflicts you have experienced in the past. Have you used one of these approaches to resolve a conflict? Which theory or approach have you used?

Follow the 3 x 3 rule: minimum three paragraphs

Minimum of two references, not older than 2015.

APA style (intext citations and references)

Plagiarism FREE