In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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:

BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2

Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

Comment1

I will say that spiritual care is providing the spiritual or religious needs of a patient as he/she is dealing with  an illness, whether it is assisting them with physical or emotional healing.  Being raised a Disciple of Christ, I was taught that the spiritual care we provide others needed to be less reminiscent of a country club and more like a soup kitchen. Providing spiritual care to others doesn’t always occur at a convenient time or place, rather, it’s the Holy Spirit working through us to help others connect to God. “The goal of Christian spirituality is not to merely know ourselves, it is to offer ourselves to God, to empty ourselves to Almighty, so that we may be available to hear God’s call and to respond” (Spirituality, n.d.). When we approach others in a humble and loving manner, like the soup kitchen philosophy, we can nurture more than an individual’s body, but their heart, soul and mind. Professionally, the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO, 1998) clearly stipulates that, “Patients have a fundamental right to considerate care that safeguards their personal beliefs”.

Comment2

Spiritual care is caring for the patient and their family members, holistically. It involves doing a complete assessment of the patient’s cultural and spiritual needs.  We, as
nurses, should understand that a person’s identity and decisions are based on their cultural and spiritual beliefs and an understanding of this allows us to provide appropriate interventions that are sensitive to their needs and desires for a positive outcome.  This outcome may be to help them die peacefully, according to their spiritual beliefs or cope with the unknown process of a disease.   Understanding, respecting and providing spiritual care also helps reduce the patient’s anxiety and stress related to
disease processes and sometimes provides the hope they need to recover or improve their quality of life. Meilaender (2013) contends that spirituality can be as important, if not more important than physical care, which I agree with wholeheartedly.  When I understand my patients spirituality and their needs, I am able to take better care of my patients based on their moral values and ethics and allow them to make decisions based on their interpretation and meaning of life.

Project Title/Subject 

Literature Review in Advanced Nursing Research

Type of Service 

Literature Review

Urgency 24  hours maximum. 

No. of Pages/Wordcount 

10 page(s)/2750 Words

Style APA Style

Destailed Description 

Literature review on 15 peer reviewed research articles 

(Not more than 5 years) for the use of Telehealth Monitoring on patients with Heart Failure

Àttached file:

https://drive.google.com/file/d/1G44C0d93zucAhCEqsGHekhS1u0Q0l6VX/view?usp=drivesdkdrivesdk

Àttached file:

https://drive.google.com/file/d/1G44C0d93zucAhCEqsGHekhS1u0Q0l6VX/view?usp=drivesdk

I have done week 4. It`s in relating to the use of Telehealth Monitoring in the management of patients with Heart Failure.

Chief complaint: “I’m here for a medication refill because I ran out of my medicines”.

HPI:  Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago. The SOB gets worse with exertion, especially when she is walking fast, and it is resolved when she is resting. She reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. Her symptoms of shortness of breath resolve after sitting upright on 3 pillows. She also has lower leg edema pitting 1+ which started 2 weeks ago. She indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight of stairs, but it resolves after sitting down to rest. She has not tried any over the counter medications at home.

She started taking her medications, but failed to refill the prescriptions because she cannot afford the medications as she only works part-time and lives alone. In addition, she reports that she does not think taking all these medications would help her condition anyway.

PMH: Primary Hypertension, Previous history of MI 1 year ago

Surgeries:

1 year ago-Left Anterior Descending (LAD) cardiac stent placement

Allergies: Penicillin

Vaccination History:  Up-to-date

Social history:

High school graduate married and no children. Drinks one 4-ounce glass of red wine daily. She is a former smoker and stopped 5 years ago.

Family history:

Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52.

ROS:

Constitutional: Lightheaded and faint with exertion. Respiratory: Shortness of breath with exertion. + Orthopnea. Cardiovascular: + 2 pitting leg edema for 3 weeks.

Psychiatric: Non-contributory.

Physical examination:

Vital Signs: Height: 5 feet 1 inches Weight: 175 pounds BMI: 32, Obese, BP 160/92, T 98.0, P 111,  R 22 and non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRLA, EOMI; Teeth intact. Negative for gum disease. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: + Mild Crackles on inspiratory phase not clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally. ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL: + Heberden’s nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis. PSYCH: Normal affect. Cooperative. SKIN: No rashes. Positive for dry skin.

Labs: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 228, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

A:

Primary Diagnosis: Congestive Heart Failure (CHF)

Secondary Diagnoses: Primary Hypertension, Obesity, Osteoarthritis (OA)

Differential Diagnosis: Peripheral Vascular Disease (PVD)

Plan:

Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis pain

Labs: UA; Brain natriuretic peptide (BNP); LFTs and TSH; 12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index.

Additional lab results: Echo results 1 week ago: Left ventricular EJ Fraction decreased to 35 %

BNP – not available.

As a future FNP, you need to determine the medications for CHF/ASCVD. (Arteriosclerotic Cardiovascular Disease).

Questions:

1.     According to the ACC/AHA guidelines, what medications should this patient be prescribed?

2.     Does he need medication(s) given his history of MI?

Consider yourself in a role in which you are accountable for allocation of scarce health care resources for a given situation. Discuss how ethical principles, virtues, and values affect your decision making. Describe your process for ethical decision making. How might a resolution cause conflicts between personal values and beliefs and the perspective of the community or organization? 1 page, 2 sources.