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.

Discussion on Informed Consent

Participation Requirement: You are required to post a minimum of three (3) times in each discussion. These three (3) posts must be on a minimum of two (2) separate days. You must respond to the initial discussion question by 11:59 p.m. on Wednesday.  On additional days, respond to your peers’ posts as well as additional faculty posts. Responses to peers must be posted by 11:59 p.m. on Sunday each week a discussion is due.

Step 1: Read the attached article entitled, “Informed Consent – The Joint Commission” 

Step 2: View the video entitled, “Nursing Fundamentals: Informed Consent, Advance Directives, Reporting and Nursing Documentation”https://www.youtube.com/watch?v=9u53jNI4qoU (Links to an external site.)

Informed consent is obtained after a client receives complete disclosure of all pertinent information provided by the provider regarding the surgery or procedure to be performed. The nurse may obtain informed consent only after the client verbalizes understanding of the potential benefits and risks associated with the surgery or procedure.

Elements of Informed Consent:

1. The individual giving consent must fully understand the procedure that will be performed, the risks involved, expected/desired outcomes, expected complications/side effects, and alternative treatments or therapies available.
2. Consent is given by a competent adult, legal guardian or designated power of attorney (DPOA), emancipated or married minor, parent of a minor, or a court order.
3. A trained medical interpreter must be provided when the person giving consent is unable to communicate due to a language barrier.
4. The nurse’s role is to witness the client’s signature and ensure the provider gave the necessary information and that the client understood and is competent to sign. If it has been identified that the client does not understand the procedure or is not competent to sign the informed consent, the nurse must STOP the process and the physician must be notified immediately.

A consultation occurs when a professional provides expert advice in a particular area and determines what treatment or services the client requires. The nursing intervention evolves around facilitating coordination with other health care providers throughout the continuum of care in order to protect the client from conflicting and potentially dangerous treatments.

A referral is a formal request for a special service by another care provider so that the client can access the care identified by the primary care provider or consultant. Some examples of referrals include physical therapy, wound care, and hospice. The nursing intervention continues to evolve around monitoring the client’s response and progress.

Directions: There are three scenarios that will be used in this discussion posting. You are all responsible for the initial discussion posting and then responding to one posting in the remaining scenarios. For example, my last name is Combs, therefore my initial discussion posting will occur from CASE #1. I will then be responsible for responding to one post from CASE #2 and one post from CASE #3.

CASE #1 (A to H); CASE #2 (I to Q); CASE #3 (R to Z)

CASE #1:

30-year-old male presents to the emergency department with RLQ pain and fever. Labs reveal an elevated white blood count. The surgical intern tells the patient that appendicitis is suspected and that the plan is to proceed with surgery to remove the appendix. He explains that the surgery is to be performed to prevent complications of appendicitis, including abscess formation, sepsis or even death. He goes on to explain the risks of surgery, including bleeding, infection and damage to adjacent organs. What additional information needs to be included in this consent? Provide an evidence-based reason for your answer.

1. Whether or not the intern would undergo the procedure in a similar circumstance.
2. Alternative to the surgery, including receiving antibiotics and monitoring the patient.
3. Name of the surgeon who will actually be performing the procedure.
4. A, B and C
5. B and C only

CASE #2:

33-year-old woman is in the operating room to undergo colectomy for ulcerative colitis. Patient was given appropriate information, and consented for the procedure. During the operation, a mass is identified involving the liver. Given the previous consent, it is acceptable for the surgeon to proceed further to either biopsy or excise the lesion. Provide an evidence-based reason for your answer.

1. True
2. False

CASE #3:

14-year-old girl presents to the emergency department, accompanied by her 10-month-old daughter and boyfriend. The boyfriend is the child’s father. Patient complains of severe lower abdominal pain, although she is afebrile, with normal laboratory values and normal vital signs. No cause of the pain is able to be delineated, and the plan is to take the girl to the operating room to perform a diagnostic laparoscopy. In this case, from whom should informed consent be obtained? Provide an evidence-based reason for your answer.

1. Patient
2. Patient’s parents
3. Patient’s boyfriend

Informed Consent – The Joint Commission.pdf

I need an EBP paper 2-3 pages long for main body. Paper has to emphasize best practices on my assigned topic. My chosen and approved title was Diabetes Management in the Hispanic Community. The paper must include 2 professional nursing articles published within the past 5 years. Articles must be research or evidence based preferably from nursing journals. Article must have a minimum of one nurse author. Discuss one health initiative within your paper. Discuss implications for nursing practice. APA format 7th edition. Double space, one inch margin, Times Roman size 12 font. Cite all sources quoted or paraphrased in the paper using in text apa format. There should be minimal direct quotes. Include a reference list on last page with all cited sources. Focus on paraphrasing your content to reduce similarity. 

 Review the scope of practice for the advanced practice nurse in New York. How does it compare to Florida?

Response must be at least 500 words in current APA format. Must be grammatically correct and include at least 2 academic sources that aren’t more then five years old.

Reply 1 

Lizy Joseph 3 postsRe: Topic 10 DQ 1

The Capstone change project regarding different ways of CLABSI prevention has great importance in our hospital settings because of our diverse patient population. Some examples are trauma patients, medical and surgical patients who need long-term antibiotics, and cancer patients, pain management among sickle cell patients. All these patients will have central lines, and CLABSI prevention is a challenge for nurses, and our CLABSI rates have never become zero for the last few years.

 Therefore, the nursing conference I choose to present my project is the management meeting held once every month. During this meeting, the CNO and all the managers will be present, and it would be an excellent time to inform them about the evidence-based project of CLABSI prevention. And if they agree to implement the different nursing measures, I can guarantee full support from all those nursing managers, making the implementation process much more manageable.

The professional journal I am planning to present my change project is the Clinical Journal of Oncology Nursing (CJON). It is an official publication of the Oncology Nursing Society(ONS). I am a chemo-certified nurse, and I know how difficult for them to keep their line safe and free of infection. CJON provides practical information necessary to care for patients and their families across the cancer continuum and develop publication skills in oncology nurses. The mission of the CJON is to publish clinically relevant, evidence-based content for oncology nurses to use when caring for those affected by cancer. Articles must be clear, concise yet comprehensive, and well-referenced; they should provide practical information, implications for practice and identify patient education resources, if appropriate. CLABI prevention is a relevant subject for oncology patients because they are immunocompromised and are subjected to caught infection faster than regular patients.

Reference

Oncology Nursing Society. CJON. (2021). https://cjon.ons.org/cjon-authors.

Reply 2 

One of the journals I would present my work is the Journal of the American Psychiatric Association. This is because my project deals with mental health, and the journal specialized in the diagnosis, prevention, and treatment of mental health, behavioral and emotional disorders. Using the journal to publish my research would offer a favorable thing to people searching for such solutions on anxiety disorders. Again, the journal provides a source for a similar challenge that attracts the audience-driven specific nature by a similar need. One healthcare conference I would use to disseminate my capstone project is American Psychiatric Association. This is the main organizational body of professionals who deal with emotional, behavioral, and mental health issues. Presenting to this body will provide a good chance for the project to get professional critics and overall scrutiny of its viability (American Psychiatric Association (n.d.).

References

American Psychiatric Association (n.d.). About. Retrieved at: https://www.psychiatry.org/psychiatrists/meetings/annual-meeting/about