What in your view is the most moral thing for that person to do in that dilemma? Why is that the most moral thing? Use moral values and logical reasoning to justify your answer

Next, apply the following:

• Aristotle’s Golden Mean to the dilemma
• Utilitarianism to the dilemma
• Natural Law ethics to the dilemma

Which of those three theories works best ethically speaking? Why that one?

Why do the other two not work or not work as well?

 Is it the same as what you said is the most moral thing earlier? Why or why not?

Students maintained and submitted weekly reflective narratives throughout the course to explore the personal knowledge and skills gained throughout this course. This assignment combines those entries into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

This final submission should also outline what students have discovered about their professional practice, personal strengths and weaknesses that surfaced during the process, 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.

The final journal should address a variable combination of the following, while incorporating your specific clinical practice experiences:

1. New practice approaches
2. Interprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Practices of culturally sensitive care
6. Ensuring the integrity of human dignity in the care of all patients
7. Population health concerns
8. The role of technology in improving health care outcomes
9. Health policy
10. Leadership and economic models
11. Health disparities

While APA style is not 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, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

2.3:     Understand and value the processes of critical thinking, ethical reasoning, and decision-making.

4.1:     Utilize patient care technology and information management systems.

4.3:     Promote interprofessional collaborative communication with health care teams to provide safe and effective care.

5.3:     Provide culturally sensitive care.

5.4:     Preserve the integrity and human dignity in the care of all patients.

INSTRUCTORS INSTRUCTION!!!!! PLEASE READ

 Benchmark – Professional Capstone and Practicum Reflective Journal; This should include (all 10 weeks) of reflections with a cover page of your completion of the project from your weekly reflections 

 Often, our aging population find themselves “invisible”. How does this statement make you feel? Do any of you have an example of this in your daily life/work? 

   

Alma Faulkenberger is an 85-year-old female outpatient sitting in the waiting room awaiting an invasive pelvic procedure. The health care professional who will assist in her procedure enters the room and calls “Alma.” There is no reply so the professional retreats to the work area. Fifteen minutes later the professional returns and calls “Alma Frankenberg.” Still no reply, so he leaves again. Another 15 minutes pass and the professional approaches Alma and shouts in her ear, “Are you Alma Frankenberg?” She replies, “No I am not, and I am not deaf either, and when you get my name correct I will answer you.”

Using the topic 1 materials, develop a plan to help Alma be compliant with the procedure and post-treatment medication. Also, describe the approach you would take to patient education in this case.

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years

In this assignment, you will write a letter to advocate a position specific to social justice. The letter should be addressed to the appropriate person, such as a congressperson from your state if your focus is a state-level issue to be voted on. Write from your stance as a professional nurse. As such, articulate how health is linked to your topic as well as the bioethical principles and concepts justifying your position. 

• Articulation of how issue and health are connected and relevance to nursing
• Use of ethical principles and concepts to justify position
• In a professional manner in accordance with business letter formatting

        • With no errors in grammar or spelling

        • Using appropriate addressee

1-page SINGLE SPACED

2 references

Please reply to the following discussion with one reference. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates.  

MC Discussion:

Nsg6435 Week 6 Discussion

Which essential questions will you ask this pediatric patient or his/her caregiver during this well-child check? Why are these questions important? What lab tests or diagnostic studies will you order and why?

From his previous visit I would ask how Benjamin is doing with his temper tantrums, and how Mom is addressing them. I would ask Mom if he were doing well without his bottle, as using a bottle after 2 years pus him at risk for dental caries. Asking Mom if she is teaching him to brush his teeth in the morning and before bedtime should be done now also (Policy on Early Childhood Caries (Ecc): Unique Challenges and Treatment Options. Council on Clinical Affairs. Adopted 2000., 2016).  Nutrition is important at this age, so I would ask Mom what type of foods he is eating now as he was noted to be a picky eater. I would ask Mom how he is doing with his potty-training. In addition, I would ask her how he is doing socially in preschool. It is also important to ask about family dynamics and if there have been any family stressors at home. Assessing safety will include asking Mom if she has the proper car seat and placing it forward-facing in the middle of the back seat (“Child Passenger Safety,” 2011). Talking to Mom about childproofing and storage of dangerous household chemicals is essential, as this is the most likely cause of child morbidity and mortality at this age. I would assess appropriate developmental milestones for Benjamin’s age at this time using the Bright Futures milestones guidelines (Hagan et al., 2017).

The only testing indicated today would be a fingerstick hemoglobin/hematocrit.

What diagnoses would you give the patient in this case? Include the findings that support the diagnoses.

Diagnosis 1: Atopic dermatitis, or eczema. After determining that no one else in the household has this rash, we can rule out scabies.

Diagnosis 2: Anemia, his Hgb is 10.5, which is low. This is  most likely iron-deficient considering his picky eating habits and his age.

What is your treatment recommendation and education for the patient and family? Why? Include anticipatory guidance.

For Benjamin’s eczema I would recommend the use of a topical otc 1% hydrocortisone cream topically to affected areas twice a day as needed. If the itching is keeping him up at night, he can have children’s Benadryl at bedtime orally as needed. If this doesn’t improve, we can add children’s Claritin once daily orally as needed. I would educate his mother to look for triggers that cause a rash, such as certain foods, grass etc.

Benjamin’s anemia can be treated by diet initially. His excessive cow milk intake can cause anemia because of its low iron content. Also limiting his juice intake should make him hungrier to eat meals. Iron-enriched cereals and vegetable should be encouraged. An iron supplement trial of 7 mg/day should also be initiated. Flintstone’s Complete vitamin gummies with iron meets this requirement. We will recheck this at his next visit, and if his Hgb is still low we can then obtain a CBC, ferritin, B6  and 12 level and iron level for further work-up (Hay et al., 2014).

References

Child passenger safety. (2011). PEDIATRICS, 127(4), e1050–e1066. https://doi.org/10.1542/peds.2011-0215

Hagan, J. F., Shaw, J. S., & Duncan, P. M. (2017). Bright futures: Guidelines pocket guide (4th ed.). American Academy of Pediatrics.

Hay, Hay, & Hay. (2014). Current diagnosis and treatment pediatrics (22nd ed.). MCGRAW HILL.

Policy on early childhood caries (ecc): unique challenges and treatment options. council on clinical affairs. adopted 2000. (2016). American Academy of Pediatric Dentistry. Retrieved September 23, 2021, from http://www.aapd.org/media/Policies_Guidelines/P_ECCUniqueChallenges.pdf