Deontology

Required Reading: Kantianism

Required Reading: Introduction to Deontology

Required Reading: The Groundwork of the Metaphysic of Morals by Immanuel Kant

Watch this video introducing Kantian ethic

 https://youtu.be/mQ2fvTvtzBM

 https://youtu.be/8bIys6JoEDw

Writing assignment:

In 500 words or more (no less), create a maxim and evaluate it via the three formulations of the Categorical Imperative. Your maxim should only involve moral questions [i.e. “Stealing is always wrong”, but not “Doing jumping jacks is always wrong”]. The moral question should be general enough to apply to first principles and should involve no circumstantial qualifiers [i.e. “Stealing is always wrong”, not “If I am not hungry or chasing a bad guy or when no one is looking, stealing is always wrong”]. You may use examples, but you will still need to include a full scholarly definition of each, with commentary. You may use Wikipedia as a starting point, but be aware that Wikipedia is not a scholarly source and therefore can never be quoted in your paper. You will need to include in-text citations in your essay (last name, date, pg#) along with an APA formatted References page. You can find tools and examples of APA citation formats at the Purdue University Online Writing Lab.

Not only do children and adults have different presentations for ADHD, but males and females may also have vastly different clinical presentations. Different people may also respond to medication therapies differently. For example, some ADHD medications may cause children to experience stomach pain, while others can be highly addictive for adults. In your role, as a psychiatric nurse practitioner, you must perform careful assessments and weigh the risks and benefits of medication therapies for patients across the life span. For this Assignment, you consider how you might assess and treat patients presenting with ADHD.

To prepare for this Assignment:

· Review this week’s Learning Resources, including the Medication Resources indicated for this week.

· Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients with ADHD.

The Assignment: 5 pages

Examine Case Study: A Young Caucasian Girl with ADHD

{https://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_09/index.html}. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

· Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

· Which decision did you select?

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

· Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.

Reminder : The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. 

Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

·      Minimum of two references, not older than 2015. 

1. Jeff is 11 years old and slightly overweight. His father is a truck driver who was recently diagnosed with type 2 diabetes. His mother is a licensed practical nurse at the local hospital. At a recent health science fair at his school, a student-led screening clinic documented Jeff’s blood pressure at 140/92 mm Hg.

a. Is Jeff at risk? If so, for what?

b. Utilizing the Guidelines for High Blood Pressure in Adults (American College of Cardiology, 2017), what is Jeff’s future risk from adolescence through adulthood?

c. How does epidemiologic data define hypertension in a child of Jeff’s age?

d. Are there health promotion activities that you would recommend?

This week we have a discussion involving hormone therapy.  In discussing this case, I really would like you to focus on HRT…how to best treat the patient…what are the factors that need to be looked at when deciding on HRT…etc.?  Please use the case below for your discussion:

A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on yearly mammograms. She has a history of HTN. She complains of hot flushing, night sweats, and genitourinary symptoms. She had felt well until 1 month ago and she presented to her gynecologist for her annual gyn examination and to discuss her symptoms. She has a history of ASCUS about 5 years ago on her pap, other than that, Pap smears have been normal. Home medications are Norvasc 10mg qd and HCTZ 25mg qd. Her BP today is 150/90. She has regular monthly menstrual cycles. Her LMP was 1 month ago. 

You are working for a health care organization that is starting a new service. You will be part of the roll-out for a new app that allows patients to access personalized health advice 24/7.  What are some realistic branding strategies you could use to evaluate the new service? Be sure to provide rationale for your choices.