Assignment: Right To Life

Assignment: Right To Life

RESPOND TO EACH DISCUSSION POST IN YOUR OWN WORDS & STATE WHETHER OR NOT YOU AGREE WITH THEM AND WHY

1. I think the staff RN’s comments are beyond inappropriate and actually quite callous. Unless this nurse has gone through a similar situation herself, she has no idea what the parents are going through. I’m sure the decision to withdraw nutrition and hydration from their newborn was far from an easy decision. Baby Sherman was born with an Apgar score of 0 and hypoxic injury to all her organs. This leaves VERY little chance of success. According to the Baby Doe rules, withdrawing treatment is permissible under 3 circumstances.

• i) The infant is chronically and irreversibly comatose;      
• ii) The provision of such treatment would merely      prolong dying, not be effective in ameliorating or correcting all of the      infant’s life-threatening conditions, or otherwise be futile in terms of      the survival of the infant; or 
• iii) The provision of such treatment would be virtually      futile in terms of the survival of the infant and the treatment itself      under such circumstances would be inhumane. 

Under these rules, withdrawing nutrition and hydration is actually the most humane decision. Although Baby Sherman was able to be weaned from the ventilator, she has remained unresponsive. As long as the physicians and nurses are in agreement that treatment would be “virtually futile” and only prolong inevitable death, withdrawing is not the wrong decision. The parents are not being selfish in any way by accepting that. I would remind the staff RN of the Baby Doe rules to show that the parents are not merely being selfish. I would also remind her that as a nurse she needs to remain understanding and empathetic of her patients and their families.

2. Withdrawal of nutrition and hydration is a difficult and controversial subject especially when it comes to pediatric patients. The American Academy of Pediatrics (AAP) “supports allowing the withholding and withdrawing of a medical intervention when the projected burdens of the intervention outweigh the benefits to the child,” (Diekema & Botkin, 2009, p. 813).

I think the case of Baby Sherman is particularly challenging for the healthcare professionals involved as they need to not only be advocates for Baby Sherman, but also respectful of the parents’ autonomy. If a staff RN approached me to share his or her comments on the case, I would first respond by letting him or her know that I understand the concern, but that the parents are the primary decision makers for the child. We should trust that the parents are using the best interest standard in making this decision and that they are “sacrific[ing] their personal goals for their child in favor of the child’s needs and interests,” (Butts & Rich, 2016, p. 168).

I think it is important to be mindful of how stressful and agonizing it is for the parents to make a life-or-death decision for their child. I would also note that only a small number of infants with an “Apgar score of 0 at 10 minutes have been reported to survive with a normal neurologic outcome,”  (“Women’s Health Care Physicians”).

If the staff RN was still concerned about the parents’ decision and did not think that they were acting in the best interest of their child, I would remind him or her that it is also his or her responsibility to advocate for Baby Sherman. I would share with him or her the principles that should be followed to override parental autonomy, including evaluating the “severity of the child’s condition and the direct harm to the child that could result from nontreatment,” (Butts & Rich, 2016, p. 170). I would encourage him or her to consult an interdisciplinary team of healthcare professionals and also to involve an ethics committee if they have not already been consulted. The ethics committee should also consider seeking input from ethicists who practice pediatric care (Butts & Rich, 2016, p. 175)

**FOR THE TWO POST BELOW STATE WHETHER OR NOT YOU AGREE WITH THEM AND WHY IN YOUR OWN WORDS? **

1. Why does severe swelling result when lymphatic vessels are blocked or damaged?

Lymphatic obstructions are blockages in the drainage “pipes” of the lymphatic system (Healthline, n.d.). The lymphatic system is

essentially a collection of nodes connected by veins that drain fluid and waste product away from body tissues. A partial or full blockage can cause swelling as the fluid builds up and is unable to drain in whole or part. This swelling is called lymphedema. When born with this condition, it is often genetic, and called primary lymphedema. If this condition is developed later in life, it is called secondary lymphedema. The swelling is often chronic and requires lifelong treatment. This can be treated at home with compression therapy or may require manual drainage if compression is ineffective.

2. When you cut your finger, which line of defense is compromised? Why do we cover a wound with a bandage?

When you cut your finger, the first line of defense against pathogens is compromised. The skin, along with the mucous membranes, is a continuous surface barrier comprised of a multi-layered, strong endothelium and sebaceous glands which prevent invasion and growth of pathogens. When the surface barrier is punctured, we must cover the wound with a bandage in order to temporarily replicate the protective qualities of the skin and prevent pathogens from entering while the wound heals.

https://www.fda.gov/Food/GuidanceRegulation/GuidanceDocumentsRegulatoryInformation/LabelingNutrition/ucm385663.htm

3.   After reading both articles, I am both happy for the new labels but also disappointed that it was not designed in a more user-friendly way. I do believe that it is a great step that the government is addressing the issue and is able to make updates, as minor those updates may be. The New York Times article made a great point that the consumers the changes are being made for are the people who are most likely not reading the label and that there are many people who are not educated enough to even understand the measurements or what the ingredients stand for.

One of the aspects of the new label that I think will be beneficial is the increased serving size for the different types of food. For example, a whole 20 oz of soda (the whole bottle) will now be the actual serving size, instead of it saying (8 oz) and then expecting the consumers to either only drink 8oz or to do the math to multiply that number my 2.5. I also think it changing where the sugars are found and splitting it up into natural sugars vs. artificial is beneficial.

What I feel they need to have done is change some of the language or measurement choices. Instead of using grams, use teaspoons. Instead of listing that you are in taking calories by the number (which I think they should still do) but they should post the percentage of how much of those calories they are in taking out of their daily intake. Or list that its not healthy to have more that one serving of this food because its sugar content is too high for your daily intake.

I think that the new labels may deter people from eating certain foods if they are the kind of people who look at labels but a lot of people don’t and I think they need to have a better way of describing what foods are healthy vs. not. I’m not sure if this looks like having a color-coded label with different colors representing nutrition levels, or if we should follow the European model of having a certain number of dots representing the health level. There needs to be an easier way to understand you may be eating something very unhealthy for you.

4.    I really appreciate all of the small changes that the FDA made to the nutrition facts label. Increasing the font of the most important pieces of information like calories and serving size is a great way to emphasize them and hopefully help customers take notice. The altering of the serving size to the increased ‘normally consumed’ amount is a nice step – especially because it easily informs the person the food the exact nutritional information for the amount that they are consuming.

The new label has the ability to greatly aid those who read it in making informed decisions about their food choices; however, the label is ignored by many people. The individuals who do take the time to investigate the label and discover what is in their food, nutrients and ingredients, will surely benefit, but making the font larger and restricting the layout of the nutrients will be futile if the table is ignored. I would never happen, but putting the label on the front of the packaging would be a sure way to have the label be more visible. Manufactures would fight that decision with all of their might because they would never want to be forced to include a black and white graphic on packaging that they have paid exuberant amounts of money to grab customers’ attention and establish a recognizable brand. The new, streamlined description of a typical 2,000 calorie diet should help with comprehension, but I wonder if there is a way to establish a base line for what a typical amount of calories is. By including that a typical apple is expected to have X calories, consumers may be able to compare foods to see how calorie dense the food is.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• The is a great resource