Assignment 1: Lab Assignment: Ethical Concerns

Assignment 1: Lab Assignment: Ethical Concerns

Assignment 1: Lab Assignment: Ethical Concerns

Assignment 1: Lab Assignment: Ethical
Concerns

Photo Credit: Getty Images/Maskot
As an advanced practice nurse, you will run into situations where a patient’s wishes about
his or her health conflict with evidence, your own experience, or a family’s wishes. This
may create an ethical dilemma. What do you do when these situations occur?
In this Lab Assignment, you will explore evidence-based practice guidelines and ethical
considerations for specific scenarios.

To Prepare
Review the scenarios provided by your instructor for this week’s Assignment. Please see the
“Course Announcements” section of the classroom for your scenarios.
 Based on the scenarios provided:
o Select one scenario, and reflect on the material presented throughout this course.
o What necessary information would need to be obtained about the patient through
health assessments and diagnostic tests?
o 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.
By Day 6 of Week 11
Submit your Assignment.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
 Please save your Assignment using the naming convention “WK11Assgn+last name+first
initial.(extension)” as the name.
 Click the Week 11 Assignment Rubric to review the Grading Criteria for the
Assignment.
 Click the Week 11 Assignment link. You will also be able to “View Rubric” for grading
criteria from this area.
 Next, from the Attach File area, click on the Browse My Computer button. Find the
document you saved as “WK11Assgn+last name+first initial.(extension)” and
click Open.
 If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit
my paper(s) to the Global Reference Database.
 Click on the Submit button to complete your submission.
Grading Criteria

To access your rubric:
Week 11 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:
Submit your Week 11 Assignment draft and review the originality report.

Submit Your Assignment by Day 6 of Week 11

To participate in this Assignment:
Week 11 Assignment

Assignment 2: Lab Assignment: Practice
Assessment: Mental Health Examination
The Lab Assignment
Complete the following in Shadow Health:
 Mental Health (Practice)

Exam: Week 11 Final Exam

Photo Credit: Getty Images/iStockphoto

This exam is a test of your knowledge in preparation for your certification exam. No
outside resources, including books, notes, websites, or any other type of resource, are to
be used to complete this exam. You are expected to comply with Walden University’s
Code of Conduct.
This exam will be on topics covered in weeks 7, 8, 9, 10, and 11. Prior to starting the
exam, you should review all of your materials. This exam is timed with a limit of 2 hours
for completion. When time is up, your exam will automatically submit.
By Day 7 of Week 11
Complete the Final Exam.
Submission and Grading Information
Submit Your Final Exam by Day 7 of Week 11.

To Complete this Exam:
Week 11 Exam

Learning Resources

Required Readings (click to expand/reduce)

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).
Seidel's guide to physical examination: An interprofessional approach (9th ed.).
St. Louis, MO: Elsevier Mosby.

 Chapter 24, “Sports Participation Evaluation”
In this chapter, the authors describe the process of a sports participation
evaluation. The chapter also states the most common conditions
encountered in a sports participation evaluation.

 Chapter 25, “Putting It All Together”
In this chapter, the authors tie together the concepts introduced in previous
chapters. In particular, the chapter has a strong emphasis on the patient-
caregiver relationship.

Tingle, J. & Cribb, A. (2014). Nursing law and ethics (4th ed.). Chichester, UK:
Wiley Blackwell.

Furman , C. D., Earnshaw, L. A., Farrer, L. A. (2014). A case of inappropriate
apolipoprotein E testing in Alzheimer’s disease due to lack of an informed
consent discussion. American Journal of Alzheimer’s Disease & Other
Dementias, 29(7), 590–595. doi:10.1177/1533317514525829.

Navarro-Illana, P., Aznar, J., & Díez-Domingo, J. (2014). Ethical considerations
of universal vaccination against human papilloma virus. BMC Medical Ethics,
15(29). doi:10.1186/1472-6939-15-29. Retrieved from
http://www.biomedcentral.com/1472-6939/15/29

Maron , B. J., Friedman, R. A., & Caplan, A. (2015). Ethics of preparticipation
cardiovascular screening for athletes. Nature Reviews Cardiology, 12(6),
375–378. doi:10.1038/nrcardio.2015.21

May, K. H., Marshall, D. L., Burns, T. G., Popoli, D. M. & Polikandriotis, J. A.
(2014). Pediatric sports specific return to play guidelines following concussion.
The International Journal of Sports Physical Therapy, 9(2), 242–255. PMCID:
PMC4004129. Retrieved from
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4004129/

American Academy of Pediatrics. (2008). Recommendations for preventative
pediatric health care (periodicity schedule). Retrieved from
https://www.harmonyhpi.com/WCAssets/illinois/assets/IL_MedicaidProviderMan
ual_PEM_AdultPHGsForProviders.pdf

This resource provides recommendations for preventative pediatric healthcare
from infancy through adolescence. The periodicity schedule covers a variety of
areas, from health history to measurements, developmental/behavioral screenings,
physical exams, procedural screenings, and oral health.

Rourke, L., Leduc, D., & Rourke, J. (2017). Rourke Baby Record. Retrieved from
http://rourkebabyrecord.ca/

This website provides information on the Rourke Baby Record (RBR). The RBR
supplies guidelines on growth and nutrition, developmental surveillance, physical
exam parameters, and immunizations for well-baby and child care.

Document: Final Exam Review (Word document)

Required Media (click to expand/reduce)

Module 4 Introduction

Dr. Tara Harris reviews the overall expectations for Module 4. Consider how you
will manage your time as you review your media and Learning Resources for
your Case Study Lab Assignment and your Final exam (3m).
Sports Participation Evaluation – Week 11 (12m)

Lab Assignment: Ethical Concerns

            Looking at case scenario 2, the 49-year-old female patient with a history of advanced-stage cancer was admitted to the emergency room due to cardiac arrest. Studies show that advanced-stage cancer patients with cardiac arrest usually have a survival rate of less than 10% hence the need for collecting appropriate health assessment information to promote accurate diagnosis and management of the patient (Stoltzfus et al., 2020). The diagnostic process will mainly focus on the relationship between the patient’s advanced cancer state and the causes of sudden cardiac arrest such as neoplasm or antineoplastic therapy among other causes (Cushman et al., 2021). As such, it will be necessary to first utilize the tumor, nodes, and metastasis system to confirm the staging of the patient’s cancer. For the diagnosis of cardiovascular arrest, the patient must report symptoms of sudden collapse, chest discomfort, no pulse, loss of consciousness, and no breathing (Holmes et al., 2020). With these symptoms, it will be necessary to obtain the patient’s electrocardiogram (ECG), and a blood test to check for magnesium, potassium, and hormone levels among other chemicals which affect the functioning of the heart. Imaging studies will also be necessary including chest X-ray and echocardiogram to promote accurate diagnosis.

Evidence-based practice guidelines recommend the administration of oxygen alongside medication therapy to relieve the symptoms of patients with cardiac arrest (Holmberg et al., 2020). Routine monitoring of the patient’s vitals including ECG, blood pressure, respiratory status, and urinary output is crucial to promote positive outcomes (Stoltzfus et al., 2020). Since the patient is in palliative care, with advanced-stage cancer, the clinician needs to ensure that the patient’s personal beliefs and values are respected (Cushman et al., 2021). Ethical principles such as beneficence, non-maleficence, respecting the patient’s autonomy, justice, and observing the patient’s right to consent are also important (Holmes et al., 2020).

 

 

References

Cushman, M., Shay, C. M., Howard, V. J., Jiménez, M. C., Lewey, J., McSweeney, J. C., … & American Heart Association. (2021). Ten-year differences in women’s awareness related to coronary heart disease: results of the 2019 American Heart Association National Survey: a special report from the American Heart Association. Circulation, 143(7), e239-e248.

Holmberg, M. J., Nicholson, T., Nolan, J. P., Schexnayder, S., Reynolds, J., Nation, K., … & Berg, K. M. (2020). Oxygenation and ventilation targets after cardiac arrest: a systematic review and meta-analysis. Resuscitation, 152, 107-115.

Holmes, J. L., Brake, S., Docherty, M., Lilford, R., & Watson, S. (2020). Emergency ambulance services for heart attack and stroke during UK’s COVID-19 lockdown. The Lancet, 395(10237), e93-e94.

Stoltzfus, K. C., Zhang, Y., Sturgeon, K., Sinoway, L. I., Trifiletti, D. M., Chinchilli, V. M., & Zaorsky, N. G. (2020). Fatal heart disease among cancer patients. Nature communications, 11(1), 1-8. https://doi.org/10.1038/s41467-020-15639-5