https://video.alexanderstreet.com/watch/fire-eyes-female-circumcision?context=channel:documentary-274#startFrom-78

Use the link above to watch the video. 

It is 2019. The federal law banning female circumcision is still under appeal in the courts. You are a nurse assisting a plastic surgeon at a local hospital. The plastic surgeon comes from a country where they practice “female circumcision”. This practice is also sometimes called “female genital mutilation”.

You are not a member of the doctor’s culture, but reside in a state where this practice is still legal. The plastic surgeon has agreed to perform this practice on a young girl, the daughter of a friend of the surgeon. The friend has authorized the procedure. The girl only knows this is a custom. You did not know that today you would be asked to assist in this procedure. You can refuse to participate (your job may be on the line in the future due to that decision). Or, you can assist the surgeon. What ought you to do? We now want to examine the ethical issues involved. To do this, let’s look at the role of relativism, moral truths, and other issues.

address the following questions:

• What would a subjective moral relativist say about what this doctor is doing? Do you agree with the subjective moral relativist? Why or why not?
• Examine what a cultural moral relativist would say here. Do you agree with the cultural relativist? Why or why not?
• Name and evaluate general criticisms of cultural relativism as being the wrong moral approach.
• Is there an objective moral truth about any of the possible actions by the nurse and/or doctor in this case? Why or why not?

Please write APA format, include intext citations, and 2 scholarly references.

Topic:issues with staffing and issues with   clients receiving facetime. As well as being part of the team despite Covid-19   and restrictions. It was clear how Covid-19 has negatively affected both the   staff and clients.working on a plan to   guarantee safe visiting/treatment during the Covid-19 period. The skills I   was gaining during the practicum would help make my documentation better.   Besides, there needed to be a plan in place on how visits and treatments can   be checked during this Covid-19 period.

Assignement’

 

Your problem statement will focus on presenting information related to the problem-intervention-comparison-outcome-time (PICOT) approach to nursing research. You will also present a brief literature review that supports the need you identified in your problem statement and the appropriateness of your broad intervention approach. Provide enough detail so that the faculty member assessing your problem statement will be able to provide substantive feedback that you will be able to incorporate into the other project components in this course, as well as into the final draft of your project.

At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and the Guiding Questions: Problem Statement (PICOT) document (linked above) to better understand how each criterion will be assessed.

Reminder: these instructions are an outline. Your heading for this this section should be titled Problem Statement and not Part 1: Problem Statement.

Your Problem Statement (PICOT) should be structured as follows:

PART 1: PROBLEM STATEMENT (2–3 PAGES)

Need Statement (1 paragraph).

• Analyze a health promotion, quality improvement, prevention, education or management need.

Population and Setting (1–2 paragraphs).

• Describe a target population and setting in which an identified need will be addressed.

Intervention Overview (1–2 paragraphs).

• Explain an overview of one or more interventions that would help address an identified need within a target population and setting.

Comparison of Approaches (1–2 paragraphs).

• Analyze potential interprofessional alternatives to an initial intervention with regard to their possibilities to meet the needs of the project, population, and setting.

Initial Outcome Draft (1 paragraph).

• Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education, or management need.

Time Estimate (1 paragraph).

• Propose a rough time frame for the development and implementation of an intervention to address and identified need.

PART 2: LITERATURE REVIEW (10–15 RESOURCES, 3–6 PAGES)

• Analyze current evidence to validate an identified need and its appropriateness within the target population and setting.
• Evaluate and synthesize resource from diverse sources illustrating existing health policy that could impact the approach taken to address an identified need.

 

The following templates are attached below.

1. Use the Basic concept template

Medical Conditions: Prioritizing Care for a Group of Antepartum Clients

2. Use the Nursing Skill Template

Fetal Assessment During Labor: Performing Leopold Maneuvers

3. Use the System Disorder Template

Postpartum Disorders: Indications for Administration of Oxytocin

4. Use the System Disorder template

Medical Conditions: Caring for a Client Receiving Magnesium Sulfate IV

5. Use the Basic Concept Template

Early Onset of Labor: Actions to Take After Reviewing Medical Record

 

Directions:

Consider the scenario below, then follow the instructions underneath it to complete the discussion. If appropriate, support your position with credible resources/examples/evidence and provide APA references.

Mr. D

Mr. D is a 90-year-old man who was admitted to the hospital with complaints of nausea, vomiting, left arm pain, and chest pain. An electrocardiogram (ECG) is performed, and he is diagnosed as having a myocardial infarction. Mr. D has a long history of comorbidities including hypertension, diabetes, and congestive heart failure (CHF). With this in mind, the physician asks Mr. D if he wants life-sustaining measures taken (e.g., CPR, mechanical ventilation, etc.) should he experience cardiopulmonary arrest. Mr. D tells the physician that he wants all measures taken to save his life.

Imagine that you are the nurse assigned to provide care to Mr. D, and address the following:

1. Considering Mr. D’s advanced age, what are the benefits/risks associated with providing life-sustaining measures?
2. What factors should you consider based on the Mr. D’s age and health history?
3. If Mr. D were your family member, how would you respond to his decision?

2-3 pages

APA format

Answer the following:

A.  Discuss how the application of nursing-quality indicators could assist the nurses in this case in identifying issues that may interfere with patient care.

B.  Analyze how hospital data of specific nursing-quality indicators (such as incidence of pressure ulcers and prevalence of restraints) could advance quality patient care throughout the hospital.

C.  Analyze the specific system resources, referrals, or colleagues that you, as the nursing shift supervisor, could use to resolve an ethical issue in this scenario.

D.  Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

Scenario

Mr. J is a 72-year-old retired rabbi with a diagnosis of mild dementia. He was admitted for treatment of a fractured right hip after falling in his home. He has received pain medication and is drowsy, but he answers simple questions appropriately.

A week after Mr. J was admitted to the hospital, his daughter, who lives eight hours away, came to visit. She found him restrained in bed. While Mr. J was slightly sleepy, he recognized his daughter and was able to ask her to remove the restraints so he could be helped to the bathroom. His daughter went to get a certified nursing assistant (CNA) to remove the restraints and help her father to the bathroom. When the CNA was in the process of helping Mr. J sit up in bed, his daughter noticed a red, depressed area over Mr. J’s lower spine, similar to a severe sunburn. She reported the incident to the CNA who replied, “Oh, that is not anything to worry about. It will go away as soon as he gets up.” The CNA helped Mr. J to the bathroom and then returned him to bed where she had him lie on his back so she could reapply the restraints.

The diet order for Mr. J was “regular, kosher, chopped meat.” The day after his daughter arrived, Mr. J was alone in his room when his meal tray was delivered. The nurse entered the room 30 minutes later and observed that Mr. J had eaten approximately 75% of the meal. The meal served was labeled, “regular, chopped meat.” The tray contained the remains of a chopped pork cutlet.

The nurse notified the supervisor, who said, “Just keep it quiet. It will be okay.” The nursing supervisor then notified the kitchen supervisor of the error. The kitchen supervisor told the staff on duty what had happened.

When the patient’s daughter visited later that night, she was not told of the incident.

The next night, the daughter was present at suppertime when the tray was delivered by a dietary worker. The worker said to the patient’s daughter, “I’m so sorry about the pork cutlet last night.” The daughter asked what had happened and was told that there had been “a mix up in the order.” The daughter then asked the nurse about the incident. The nurse, while confirming the incident, told the daughter, “Half a pork cutlet never killed anyone.”

The daughter then called the physician, who called the hospital administrator. The physician, who is also Jewish, told the administrator that he has had several complaints over the past six months from his hospitalized Jewish patients who felt that their dietary requests were not taken seriously by the hospital employees.

The hospital is a 65-bed rural hospital in a town of few Jewish residents. The town’s few Jewish members usually receive care from a Jewish hospital 20 miles away in a larger city.