NURS 6512 Nursing Ethical Concerns Case Study

Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nu

Based on the scenarios provided:

Select one scenario of your choice, and reflect on the material presented throughout this course.

What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?

Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.

The Lab Assignment

Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.

B

CASE STUDY 1

The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines.

CASE STUDY 2

A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.

CASE STUDY 4

A single mother has accompanied her two daughters, aged 15 and 13, to a women’s health clinic and has requested that the girls receive a pelvic examination and be put on birth control. The girls have consented to the exam but seem unsettled.

Expert Solution Preview

Introduction:

As an advanced practice nurse, it is crucial to obtain necessary health assessment information and diagnostic tests for making a diagnosis of a patient. This response will focus on the health assessment information required and how to respond to the scenario chosen from the case studies using evidence-based practice guidelines and ethical considerations.

Scenario:

Case Study 4:

A single mother has accompanied her two daughters, aged 15 and 13, to a women’s health clinic and has requested that the girls receive a pelvic examination and be put on birth control. The girls have consented to the exam but seem unsettled.

Health Assessment Information Required:

For making a diagnosis in this case study, the required health assessment information includes understanding the family’s medical history, including any gynecological issues, sexually transmitted infections, and past pregnancies, if any. It is essential to obtain complete information about the girls’ menstrual cycle, including the onset, duration, frequency, and associated symptoms. Further, a detailed physical examination of the girls’ reproductive systems, including the pelvic examination, is necessary to identify any signs of infection, abnormalities, or anomalies. It is vital to establish trust and rapport with the girls and their mother to gain information that might have a bearing on the diagnosis.

How to Respond:

As an advanced practice nurse, the key to responding in this scenario is establishing clear communication with the girls and their mother. It is important to ensure that the girls understand why they are being examined, what to expect during and after the examination, and their rights to privacy and confidentiality. An evidence-based approach is to follow the guidelines laid out by the American College of Obstetricians and Gynecologists and the American Academy of Pediatrics. These guidelines specify that pelvic examinations are not necessary for girls until they are sexually active or have other gynecological issues. Therefore, it is crucial to educate the mother and the girls about their options, including non-invasive birth control methods such as oral contraceptive pills. The ethical considerations in this scenario require protecting the autonomy and dignity of the girls while ensuring they receive appropriate medical care.

References:

1. American College of Obstetricians and Gynecologists. (2016). Adolescent confidentiality and Electronic health records. Committee Opinion No. 699. Obstetrics and Gynecology, 127(5), 979–980.

2. American Academy of Pediatrics Committee on Adolescence. (2013). Contraception for adolescents. Pediatrics, 131(4), e1424–e1436.

3. Berg, A. O., Allan, J. D., Frame, P., Homer, C. J., Johnston, R. B., Knapp, P., . . . Uhl, K. (2008). Adolescent and Young Adult Health. Annals of Family Medicine, 6(5), 447-453.

Expert Solution Preview

Introduction:

As an advanced practice nurse, obtaining necessary health assessment information and diagnostic tests is crucial for making a diagnosis of a patient. This response will focus on the health assessment information required and how to respond to the scenario chosen from the case studies using evidence-based practice guidelines and ethical considerations.

Scenario:

Case Study 2:

A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.

Health Assessment Information Required:

For making a diagnosis in this case study, the required health assessment information includes obtaining a complete medical history of the patient, including any history of cancer, previous treatments received, medications taken, and any allergies to medications. It is essential to obtain information about the family’s medical history, including any history of heart disease or cancer.

Further, a physical examination is necessary for identifying any signs of distress related to cardiac arrest. Diagnostic tests, such as electrocardiogram (ECG), blood tests, imaging tests, and biopsy, may also be required to make a diagnosis.

How to Respond:

As an advanced practice nurse, the key to responding in this scenario is to provide appropriate and timely medical interventions to stabilize the patient’s condition. It is crucial to communicate with the patient’s family and involve them in the decision-making process related to their loved one’s treatment.

An evidence-based approach is to follow the guidelines laid out by the American Heart Association and other professional organizations. These guidelines specify the appropriate interventions and medications to be used in such cases.

The ethical considerations in this scenario require protecting the autonomy and dignity of the patient while ensuring they receive appropriate medical care. The information related to the patient’s condition and treatment must be kept confidential and shared only with those directly involved in the patient’s care.

References:

1. Benjamin, E. J., Muntner, P., Alonso, A., Bittencourt, M. S., Callaway, C. W., Carson, A. P., … & Virani, S. S. (2019). Heart disease and stroke statistics—2019 update: a report from the American Heart Association. Circulation, 139(10), e56-e528.

2. Colvin Clark, K., & Sleeper, L. A. (2019). Advanced cardiac life support in adult cardiovascular disease. Current Opinion in Pediatrics, 31(3), 361-367.

3. Vergis, M. N., & Chacko, R. (2019). Advanced cardiac life support. In StatPearls [Internet]. StatPearls Publishing.

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