Crohn’s Disease soap note|2025

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Follow the MRU Soap Note Rubric as a guide:  Please use the sample templates for you soap note. You can use the template changing all the information for the new one and if necessary adding something else

The use of templates is ok with regards of Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.

Use APA format and must include minimum of 2 Scholarly Citations. Must have reference cited minimum of 2 Scholarly References (Journals, books) (No websites)

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

I attached 2 templates. One of them is the sample to be use and fill (Sample Regular Soap Note Template) and the another one as a guide to use if something else need to be added (SAMPLE block format soap note template). Also I attached the (Soap note Grading Rubric) as a guide of evaluating and don’t forget any aspect.

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Describe two external stressors that are unique to adolescents|2025

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 Topic 3 DQ 2

Adolescence is a period of growth and development that occurs between childhood and adulthood. As they continue to form an identity, they face many difficulties in integrating themselves into society; they do not belong to either the childhood or adult groups. Any transition that upsets the balance of our lives and forces us to adapt is referred to as a stressor. Stress may be described as physical or mental tension experienced as a result of life events.

They don’t stress factors affecting adolescents are here or social stressor and self-esteem and sexual stressor. Rejections when they begin to form intimate relationships, teasing or being teased, as this is the moment that teenage bodies are undergoing physical changes such as weight gain, awkwardness, acne growth, and so on, are all possible peer or social stressors. Other sources of tension during this time include education and the need to excel, dealing with a family crisis, and online social lives. Self-esteem and sexual stressors are normal in puberty as their bodies shift, they continue to develop sexual identities, and self-esteem may be low. An adolescent’s life revolves around fitting in, and identifying sexually outside of what is considered normal (i.e., bisexual, homosexual, transgender/gender neutral) can be stressful. Society does not often tolerate these kinds of sexual identities, and their bullying, teasing, gossip, and family rejection of their decisions contribute to a poor sense of self-esteem. As a result, when puberty is confronted by stressors like these, they feel depressed and resort to action to cope. Social avoidance, behaving violently against others, or self-abuse, as well as consuming alcohol or using drugs, are examples of those behaviors. When these fails to properly relive the stress experienced by the teenager, they may consider or attempt suicide.

Any of the reinforcement or coping mechanisms that may be used are mentioned below. Since nurses’ assessments are critical for understanding stressor signs and symptoms, this would help nurses to understand how the teenager is feeling and speak about it when their adult is not present. As a result, they would feel more at ease debating those topics. We will teach them to talk about their feelings by giving them things to talk about that they are comfortable with. When it comes to suicidal thoughts or acts, ask them simple questions. To ease tension, encourage healthy coping skills such as sports or exercise, listening to music, or praying. If they don’t feel comfortable talking about their emotions, they can write them down in a diary as a stress reliever. Giving them information about support groups where they can go on their own and get assistance is another informative opportunity. Some of the support groups- self-esteem: Teens Health.org, gender identity question or stress associated with the subject: gay, lesbian and straight education Network (www.gisen.org), Bullying: www.bullying.org or kidshealth.org. Depression and suicide are complex issues and get torn on the flesh for adolescents. It is important for nurses to use communication and sensitivity in education for this group.

Respond using 200-300 words APA format with references supporting the discussion.

Describe two external stressors that are unique to adolescents. Discuss what risk-taking behaviors may result from the external stressors and what support or coping mechanism can be introduced.

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Project Milestone One: Malpractice Case|2025

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For this milestone, you will start working on the case for Final Project I: Malpractice. Below is is a link to the case you will investigate. This link is also provided in the Final Project I Guidelines and Rubric document.

Surgery: Iturralde v. Hilo Medical Center USA
Prompt: In this milestone, you will complete part of your analysis of the malpractice case. Using this analysis of the case, you will address the facts pertaining to

the medical standard of care, breach of care, and causation. Specifically, the following critical elements must be addressed:

I. Introduction:
A. Summarize the case, including information on the stakeholders involved, the problem, and the time period the incident occurred.

II. Medical Malpractice Component: In this section, you will evaluate the case to address the legal components, the malpractice policies similar to this case, and the standard of care given to the patient and how it was breached. Then, you will draw connections to how this malpractice case impacted stakeholders and healthcare consumers outside of the case.

  1. Explain the key legal components of the case, including the nature of the issue and the rules that applied.
  2. Determine relevant malpractice policies in place for addressing the issues within the case.
  3. Analyze the malpractice case for the standard of care provided to the victim. Be sure to apply what the law states about standard of care to
    support whether or not it was breached in the case.
  4. Analyze how the malpractice case would impact healthcare consumers from different cultural backgrounds. For example, would this case have a
    similar impact on a person from a culture different from the one in the case? How could this incident change the views of these healthcare
    consumers toward the healthcare system?
  5. Assess the malpractice case for accountability based on its severity. To what extent was the healthcare provider held accountable?

Case below is what the paper needs to be answered.

LINK TO CASE –>  https://caselaw.findlaw.com/hi-intermediate-court-of-appeals/1597588.html

Attached below is Rubric with further instructions!!

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Using the Data/Information/Knowledge/Wisdom Continuum|2025

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Using the Data/Information/Knowledge/Wisdom Continuum

Assignment: Application:
Using the Data/Information/Knowledge/Wisdom Continuum

Have you ever gone online to search for a journal article on a specific topic? It is amazing to see the large number of journals that are available in the health care field. When you view the library in its entirety, you are viewing untapped data. Until you actually research for your particular topic, there is little structure. Once you have narrowed it down, you have information and once you apply the information, you have knowledge. Eventually, after thoughtful research and diligent practice, you reach the level of wisdom—knowledge applied in meaningful ways.

Are there areas in your practice that you believe should be more fully explored? The central aims of nursing informatics are to manage and communicate data, information, knowledge, and wisdom. This continuum represents the overarching structure of nursing informatics. In this Assignment, you develop a research question relevant to your practice area and relate how you would work through the progression from data to information, knowledge, and wisdom.

To prepare:

  • Review the information in Figure 6–2 in Nursing Informatics and the Foundation of Knowledge.
  • Develop a clinical question related to your area of practice that you would like to explore.
  • Consider what you currently know about this topic. What additional information would you need to answer the question?
  • Using the continuum of data, information, knowledge, and wisdom, determine how you would go about researching your question.
    • Explore the available databases in the Walden Library. Identify which of these databases you would use to find the information or data you need.
    • Once you have identified useful databases, how would you go about finding the most relevant articles and information?
    • Consider how you would extract the relevant information from the articles.
    • How would you take the information and organize it in a way that was useful? How could you take the step from simply having useful knowledge to gaining wisdom?
By Day 7 of Week 4

Write a 4-page paper that addresses the following: MUST BE APA FORMAT

  • Summarize the question you developed, and then relate how you would work through the four steps of the data, information, knowledge, wisdom continuum. Be specific.
    • Identify the databases and search words you would use.
    • Relate how you would take the information gleaned and turn it into useable knowledge.
  • Can informatics be used to gain wisdom? Describe how you would progress from simply having useful knowledge to the wisdom to make decisions about the information you have found during your database search.

Your paper must also include a title page, an introduction, a summary, and a reference page ( YOU CAN ONLY USE THE REFERENCES LISTED BELOW).

 

 

 

 

 

American Nurses Association. (2015). Nursing informatics: Scope & standards of practice (2nd ed.). Silver Springs, MD: Author.

  • “Metastructures, Concepts, and Tools of Nursing Informatics”

    This chapter explores the connections between data, information, knowledge, and wisdom and how they work together in nursing informatics. It also covers the influence that concepts and tools have on the field of nursing.

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

  • Chapter 6, “Overview of Nursing Informatics”

    This chapter defines the foundations of nursing informatics (NI). The authors specify the disciplines that are integrated to form nursing informatics, along with major NI concepts.

Brokel, J. (2010). Moving forward with NANDA-I nursing diagnoses with Health Information Technology for Economic and Clinical Health (HITECH) Act Legislation: News updates. International Journal of Nursing Terminologies & Classifications, 21(4), 182–185.

Retrieved from the Walden Library databases.

 

In this news brief, the author describes the initiatives that NANDA-I will implement to remain abreast of the HITECH legislation of 2009. The author explains two recommendations for the federal government’s role in managing vocabularies, value sets, and code sets throughout the health care system.

Matney, S., Brewster, P. J., Sward, K. A., Cloyes, K. G., & Staggers, N. (2011). Philosophical approaches to the nursing informatics data-information-knowledge-wisdom framework. Advances in Nursing Science, 34(1), 6–18.

Retrieved from the Walden Library databases.

 

This article proposes a philosophical foundation for nursing informatics in which data, information, and knowledge can be synthesized by computer systems to support wisdom development. The authors describe how wisdom can add value to nursing informatics and to the nursing profession as a whole.

Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? OJIN: The Online Journal of Issues in Nursing, 13(1). Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/vol132008/No1Jan08/ArticlePreviousTopic/StandardizedNursingLanguage.html

 

The author of this article provides justification for the use of a standardized nursing language, which will be necessary for incorporating electronic documentation into the health care field. The author defines standardized language in nursing, describes how such a language can be applied in a practice setting, and discusses the benefits of using a standardized language.

Westra, B. L., Subramanian, A., Hart, C. M., Matney, S. A., Wilson, P. S., Huff, S. M., … Delaney, C. W. (2010). Achieving “meaningful use” of electronic health records through the integration of the Nursing Management Minimum Data Set. The Journal of Nursing Administration, 40(7–8), 336–343.

Retrieved from the Walden Library databases.

 

This article explains the nursing management minimum data set (NMMDS), which is a research-based minimum set of standard data for nursing management and administration. The article describes how the NMMDS can be used to minimize the burden on health care administrators and increase the value of electronic health records within the health care system.

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Case studies and one nursing care plan|2025

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Essentials of Maternity, Newborn, and Women’s Health Nursing

(Answers to Case studies and one nursing care plan )

Chapter 21: Nursing Management of Labor and Birth at Risk

1.  Laura is a 26-year-old G2P1 who had a caesarean delivery for fetal distress with her first pregnancy. Laura is now struggling with deciding between a repeat caesarean delivery or attempting a VBAC.  (Learning Objective 9)

A.    In order to ensure that Laura has the facts to assist her in her decision, explain the risks of a repeat caesarean delivery.

B.    Laura can’t understand why more women don’t want to try a VBAC delivery.  Discuss the possible reasons for this.

C.    Describe the management of care for a woman attempting a VBAC delivery.

2.  Carol, age 17, is pregnant with her first child.  Her menstrual dates are accurate and her date of conception is limited to one possible day.  Her physician gives her an EDC of March 28th.  Carol has gone past her due date and refuses to have her labor induced.  Carol states, “My grandmother says that the baby will come when it is good and ready.”  It is now April 14th and Carol is at 42 3/7 weeks’ gestation. She calls the office and reports that she is having a significant lower backache and she just passed “a glob of bloody mucus” from her vagina.  (Learning Objective 5)

A.  Discuss the risks a prolonged pregnancy places on Carol.

B.  What risks are there for Carol’s unborn baby?

C.  Describe the nursing care required for women in labor with a prolonged pregnancy.

Chapter 22: Nursing Management of the Postpartum Woman at Risk

1. Amy calls the office 3 days after delivering a healthy baby girl and tells you she is passing small clots and feels like her bleeding is heavier than it should be. You advise Amy to come into the clinic to be checked. (Learning Objectives 1, 2, 3, and 6)

  1. What are the “four T’s” that need to be assessed in a possible case of postpartum hemorrhage?
  2. Amy also tearfully tells you that she is experiencing anxiety and feelings of being overwhelmed. What is she experiencing, and what education are you going to provide?

2. Alyssa, age 26, had a cesarean delivery 7 days ago and is breast-feeding her baby. She calls the office today and reports that she has a temperature of 102. (Learning Objective 5)

  1. Given the limited information you have, describe the four most likely types of infection Alyssa may have contracted.
  2. What additional questions do you want to ask her to try to ascertain the cause of her fever?

3. Describe the care required to treat each of these infections.

Chapter 24: Nursing Management of the Newborn at Risk: Acquired and Congenital Newborn Conditions

1. On the evening shift in the special care nursery, you are paged to delivery room 5. When you arrive, the labor nurse says the baby has been stuck in the birth canal for a while, and the fetal heart tones are down. They use the vacuum suction to assist delivery. The doctor gets the baby out and places the infant on the radiant warmer. You are the resuscitating nurse for the infant, and you observe the following: the infant is limp, pale, gasping, has poor tone, and the heart rate is 101. (Learning Objective 1)

  1. What are your first actions to aid in this infant’s recovery?
  2. What Apgar score would you assign at 1 minute with these results? Explain the score for each category.

2. Tammi is an 18-year-old single mother who delivered a full-term infant 3 days ago. The father is not involved, and Tammi’s aunt is her support person. The infant is very fussy in the nursery, with mild tremors noted. Tammi is having a hard time feeding her baby, the baby spits up a lot and he does not console easily. The physician has been called to assess the infant. (Learning Objective 7)

  1. What is the probable cause of the infant’s symptoms, and what questions do you need to ask the mother?
  2. What is the acronym of the tool used in assessing the infant’s condition, and what are the top three substances used that can cause this condition?
  3. Name what measures are used to test for this condition and on whom you perform the test.

3. Mandy just gave birth vaginally to her first child. Mandy and James had attended prenatal classes and had a natural childbirth. They were totally unprepared to see that baby “Rose” has a severe left-sided unilateral cleft lip and cleft palate. James is having a hard time with this and just keeps staring at the baby. Mandy begins to cry and states “I thought I was going to breast-feed my baby and now it’s impossible.” (Learning Objectives 12, 14, and 15)

  1. A. Discuss the implications for bottle feeding and breast-feeding a baby with a unilateral cleft lip. Is it possible for Mandy to breast-feed Rose?
  2. B. What is involved in the surgical correction of the defect? When can she eventually have a “normal” mouth and facial features?
  3. C. What other problems may develop for Rose since she has this type of defect?

D. How can you assist the family bond with Rose?

NURSING CARE PLANS (NCP)  

1 from high risk OB (ch 21-24).

NCP are to be written in using the included Rubric. Do NOT use a grid format… use an “essay” style format or bullet point using the included Grading Rubric. 

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Searching Databases|2025

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Searching Databases (APA 7 format and at least 3-4 references)

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
  • Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
  • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
  • Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course.
By Day 3 of Week 4

Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Then, post your PICO(T) question, the search terms used, and the names of at least two databases used for your PICO(T) question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

By Day 6 of Week 4

Respond to at least two of your colleagues on two different days and provide further suggestions on how their database search might be improved.

Mike RE: Discussion – Week 4/Initial (at least 2-3 references and APA 7 format)

Given the diverse nature of the health care industry, the ubiquitous array of multi faceted axillary services, the sector we service the most sometimes becomes the focus of our interest given the opportunity and longevity in such an institution. For the purpose of this discussion post I will be posing a question on post operative pain management since this sector happens to be a critical pivotal point in patient recovery following either inpatient or outpatient surgical interventions. Using the PICOT question format; Does the management of pain using pharmacological and non pharmacological interventions on a post operative surgical adult patient improve pain control in four days post surgery? Following from the PICOT abbreviation, the P represents the population which refers to our surgical patients, I represents the intervention; pain management, C represents comparison; the comparison of pharmacological and alternate pain management strategies, O represents the outcome which is pain management while T speaks to our time frame for achieving this goal which is four days post surgery. According to Melnyk, (2018, p34) “the desire to gather the right information in the right way at the right time is not sufficient. Mastering practical, lifelong learning skills (e.g., asking focused questions, learning to systematically search) is required to negotiate the information rich environment that clinicians encounter.”

For the purpose of this post, the search engines I utilized were ProQuest and CINAHL Plus database. My key word search was pain management, which returned 20,494 results and 21,460 respectively. After the utilization of limiters for full text, peer review, date range of 2016 to 2020 the streamlined search result was 13,601 and 15,787 respectfully. The inclusion of Boolean search parameter for surgical patients further helped narrow down the search as follows; 3,070 and 5,179 respectfully, my inclusion of a final modifier for the most recent year of publication “2020” further help streamline my search results as follows ProQuest 232, while CINAHL Plus with full text returned 203 searches. “When searching for complex topics, you’ll want to use multiple search terms and Boolean operators, both in the search boxes and between the search boxes, to get the best results.” (Retrieved September 6th, 2019)

With the desire to increase the rigor and effectiveness on my data base search results, some of the strategies I will employ will be the refining of my search limiters which will help streamline my research to the most current year, using year of publication limiters, I will also include key words from my PICOT question like surgical, post surgical, pharmacological and or non pharmacological to help narrow in on the much desired research article that mirrors my PICOT question. “Keyword searching is the process of choosing search terms and entering them into the database search boxes to locate information on your topic.” (Retrieved September 19th, 2018)

References

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Walden University Library. (n.d.-c). Evidence-based practice research: CINAHL search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp

Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: Introduction to keyword searching. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics 

Lau RE: Discussion – Week 4 

I work on an IMCU, and it is hectic. Patient care is often interrupted for transferring improved patients to lower levels of care units to make room for admissions. About 1/3 of the unit will be newly admitted on my shift. The admission process includes asking patients about suicide and depression. I don’t feel awkward asking patients directly about the subject, but I see that patients are surprised that I ask even when I tell them in advance that I will be doing so. I have queried the significance of asking about suicidal ideation when patients are being admitted for a physical illness unrelated to psychiatric disorders.

P-         patients admitted for physical illness unrelated to psychiatric disorders

I-  hospital staff asking about suicidal ideation on admission to acute care settings

C-  not asking about suicidal ideation on admission to acute care settings

O-        value; decrease in the number of suicide attempts, an increase in patients seeking assistance in mental health care

T-         one year

PICO question: Is there value in asking patients admitted to an acute care setting for physical illness unrelated to psychiatric disorder, about suicidal ideation, compared to not asking over one year.

Search phrases could include ask suicide, medical admission, suicide screening, and asq suicide. I used Sage journals and queried “ask suicide” and received 39,212 results (Sage Journals, 2020). Using the same search terms on Taylor & Francis Online there were 75,136 results (Taylor & Francis Online, 2020). Using Boolean operators changed the results returned. Using “and” narrowed my search and “or” broadened my results. Adding more search terms linked together further narrowed the results  by approximately 75% by using “and.” Both databases have the ability for the user to narrow searches by searching for terms in specific article type, journal type as well as the publication date.

Strategies to increase the rigor and effectiveness of a database search might include using more than one database (UTHealth, 2019). One study on search strategies found a higher number of systematic reviews were obtained using a 2 PICO element search rather than a 4 element search. Additionally, it was found that it was essential to combine at least three databases together to achieve a 90% retrieval of relevant literature (Ho, Liew, Ng, Shunmugam, & Glasziou, 2016). This could provide me with the opportunity to find more significant studies to review. Another strategy would be to combine search terms and phrases with Boolean operators to refine my search. UTHealth libguides also points out that all databases are not created the same (UTHealth, 2019). They each have different rules and quirks. I must familiarize myself with the tool I choose to use, or it will not be effective.

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Discussion critique|2025

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  • please critique your peers’ works, such as purpose, concepts, assumptions, and theory’s implications for nursing practice, nursing education, and nursing research.  Does each group use concepts and the conceptual framework/theoretical framework/model of the theory to guide the nursing implications?
  • Discuss theory applications from their selected articles.
  • Please provide suggestions or opportunities for improvement.
  • Ask a challenge question to encourage your peers’ participations and critical thinking, for example a question about a unique situation and theory’s application, such as infection prevention.
  • Critique the packet of materials and APA format.

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Value based care|2025

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Value-Based Nursing Care Readiness Assessment

 

 

 

DEFINED NEED

 Yes No
Has your organization established a need to implement value-based nursing care strategies? ☐ X
READINESS FOR CHANGE
Is now the right time for implementing value-based nursing care (e.g., it will not compete with other major changes currently being made within the organization)? X ☐
Have employees been informed of the recommendations and been provided an opportunity to comment on the feasibility of the change? X ☐
Have implementation plans been developed that include an action plan, training plan, and communication and change management plans? X ☐
Does the organization have a Health Information System that has the capacity to collect, analyze and report value metrics and key performance indicators that link nursing care services to patient outcomes? X ☐
LEADERSHIP & MANAGEMENT SUPPORT
Will the organization’s executive leaders actively support and champion implementation of value-based nursing care. X ☐
Does the organization’s leadership reward teamwork behaviors and showcase successes throughout the organization? X ☐
Have the strategic recommendations the interprofessional team developed been approved by organizational leaders and managers? ☐ X
TIME, RESOURCES, PERSONNEL
Has an Impact Analysis been completed to determine the influence this change will have on human and financial resources? ☐ X
Does your organization have sufficient staff with the necessary time and resources to support active project participation? X ☐
Will your organization allow time to prepare and continue work on project deliverables? X ☐
SUSTAINMENT OF THE CHANGE
Has the organization identified value metrics that can be used to measure the effectiveness of value-based nursing care over time? ☐ X
Will the organization be willing to use continuous improvement processes to measure and assess progress and continuously improve processes? X ☐
Will strategies for minimizing potential project failure modes be developed prior to implementation? X ☐
Does the organization have a culture that supports and rewards teamwork and innovation in nursing care? X ☐

 

 

Count the number of “Yes” responses and refer to the next page to determine the organization’s level of readiness for value-based nursing care.

 

READINESS ASSESSMENT SCORE

 

Number of Yes responses you have selected is 11-15 out of 15:

This is likely a good time within your organization to participate in the Value-Based Nursing Care Project. Prior to implementation, continue to monitor whether the answers to these questions change and keep a close eye on any items to which you answered “No.”

 

Number of Yes responses you have selected is 6-10 out of 15:

Your organization may not be ready on several of the factors. This reduces the likelihood of the success of implementing Value-based Nursing Care at this time.

 

Number of Yes responses you have selected is 1-5 out of 15:

Based on your responses, significant work is likely needed to raise the readiness level of your organization. Moving forward with implementing Value-Based Nursing Care could create significant risk that it will not succeed or produce the desired results.

 

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Lab Assignment|2025

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The Assignment

  1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  2. Analyze the objective portion of the note. List additional information that should be included in the documentation.
  3. Is the assessment supported by the subjective and objective information? Why or why not?
  4. What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?
  5. Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

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Intervention and Ethical Decision Making|2025

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 5 DQ 2

Over the ten years I have been a Registered Nurse, I have daily interactions with patients that both share and have a different worldview than I do. I find myself extremely lucky to work in a multicultural environment with co-workers, staff and patients that have many different religious cultural and overall worldviews. This environment has allowed me to understand other cultures a lot better, while being able to provide high quality care. An individual’s worldview of spirituality and faith affects, shapes impact their perspective (Grand Canyon University, 2018).

I feel that my strengths in facilitating spiritual care for patients with different worldviews than mine include being open minded, understanding and being compassionate. It is important to educate patients and families on the importance of certain medications, treatments or plans, however ultimately the patient always has the right to refuse. It is our job to provide the best education and information that we possibly can however, the patient and family has the right to choose, and it is our ultimate duty to respect their decision. My weakness in facilitating spiritual care for patients include not knowing every different spiritual view. Every day, I feel I learn something new about what others believe in or value. I find asking culturally appropriate questions are truly helpful. For the most part, people are very willing to share and open up about their beliefs and why and what they value in their lives. It is also important to assess the patient and family for spiritual needs which can include dietary or medical restrictions. At my hospital, this assessment is done upon admission and can be a very helpful tool.

For me personally, the person who would have the final say in terms of ethical decision-making and interventions in the event of a difficult situation would be my next of kin. At the moment, this role would go to my husband. I have found that regardless of cultures or religion, every family or individual is unique and has specific needs that are distinctive only to that person. It is essential that the nurse knows the needs of the individual patient in order to provide the best care possible.

 

When it comes to facilitating spiritual care for patients with worldviews different from your own, what are your strengths and weaknesses? If you were the patient, who would have the final say in terms of ethical decision-making and intervention in the event of a difficult situation?

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years.

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