Should We Withhold Life Support?

Assessment 3 Instructions: Should We Withhold Life Support? The Mr. Martinez Case

    • Write a 2-3 page paper that examines the moral and ethical issues involved in making a decision regarding limiting life support.
      End-of-Life Issues
      With our framework of ethical theories and principles in hand, we begin our look at some of the critical ethical issues in our contemporary world, starting with end-of-life issues. This assessment covers ethical questions related to end-of-life care. Passive euthanasia is the removal or refusal of life-sustaining treatment. Examples of passive euthanasia include removal of a feeding tube or a ventilator, or forgoing a life-prolonging surgery. Passive euthanasia is legal in all 50 states, and the principle of autonomy gives informed patients the right to refuse any and all treatments. Patients who are unable to make such decisions in the moment (because they are unconscious, for example) might have made their intentions clear beforehand with an advance directive or similar document. Things become more complicated, however, when a patient who is unable to make treatment choices has not made his or her wishes clear, either formally in a written document, or informally in conversations with family members or friends. Another problem concerns cases in which there is disagreement about whether the treatment is sustaining the life of a person in the full sense or merely as a body that, because of severe and irreversible brain trauma, is no longer truly a living person.
      Active euthanasia, or assisted suicide, introduces further difficult moral questions. A patient who has a terminal illness and who has refused treatments that would merely prolong a potentially very painful and debilitating death might want the process of dying to be hastened and made less painful. The patient might want to take his or her own life before the disease reaches its horrible final stages. Should patients be legally allowed to have help in this endeavor? If suicide itself is not morally wrong, at least in cases like these, is it wrong for another person to directly help bring about the patient’s death? Is it wrong for doctors, a role we naturally associate with healing and the promotion of life, to use their medical expertise to deliberately end a patient’s life if the patient wants this?
      Demonstration of Proficiency
      By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

      • Competency 1: Articulate ethical issues in health care.
        • Articulate the moral issues associated with limiting life support.
      • Competency 2: Apply sound ethical thinking related to a health care issue.
        • Demonstrate sound ethical thinking and relevant ethical principles when considering limiting life support.
        • Explain important considerations that arise when contemplating limiting life support.
      • Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals.
        • Exhibit proficiency in clear and effective academic writing skills.
      • Preparation
      • Case Study: Mr. Martinez.
      • This media piece provides the context for this assessment; make sure you have reviewed the case study thoroughly.
        Additionally, it may be useful to think through the following issues as they relate to Mr. Martinez’s case:
      • Should Mr. Martinez be transferred to intensive care, where his respiratory failure can be treated by a ventilator, and by CPR if necessary, and his oxygen level can be monitored?
        • What are the key ethical issues or models at play in this case study?
        • What are the key end-of-life issues at play in this case study?
        • How can an understanding of models and best-practice help to guide health care practitioners to make ethical and legal decisions?
      • Instructions
        In a 2–3 page analysis of the case study, address the following:
      • The patient’s directives.
      • The patient’s quality of life.
      • The family’s stated preferences.
      • The moral issues associated with limiting life support.
      • The ethical principles most relevant to reaching an ethically sound decision.
      • Important considerations such as implications, justifications, and any conflicts of interest that might arise because of the patient’s respiratory failure.
      • When writing your assessment submission assume that doctors cannot contact Mrs. Martinez and must make this choice on their own. To help you reach an objective, ethically sound decision, draw upon concepts and arguments from the suggested resources or your independent research. Support your response with clear, concise, and correct examples, weaving and citing the readings and media throughout your answer.
        Submission Requirements
      • Written communication: Written communication is free of errors that detract from the overall message.
      • APA formatting: Resources and citations are formatted according to current APA style and formatting guidelines.
      • Length: 2–3 typed, double-spaced pages.
      • Font and font size: Times New Roman, 12 point.

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Week 2 Assignment: Analysis of Personal Beliefs and Biases

I just need this revised and edit please. Don’t change my words in my personal beliefs. Just want it revised as if there are any run-ons, fragments, and punctuation in my paper. Before turning it in. Thanks!

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SBAR

Choose an experience from your nursing practice. Using the “SBAR” template, explain the situation in detail, followed with background information. Then explain your immediate assessment and recommendations you have for the provider.

Include the following in the “SBAR” template:

  1. Be sure to include three or four evidence-based references, not older than 5 years.
  2. When giving your recommendation discuss how you would educate the client using evidence-based research and guidelines. How would you deliver your recommendation in various learning environments?

APA style is not required, but solid academic writing is expected.

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 not required to submit this assignment to LopesWrite.

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nursing

  • Identify and describe any      risks and consider what further information you would need to gain a full      understanding of the child’s health. Think about how you could gather this      information in a sensitive fashion.
  • Taking into account the      parents’ and caregivers’ potential sensitivities, list at least three      specific questions you would ask about the child to gather more      information.
  • Provide at least two      strategies you could employ to encourage the parents or caregivers to be      proactive about their child’s health and weight.
  • For this Assignment, you      will consider the validity and reliability of different assessment tools      and diagnostic tests. You will explore issues such as sensitivity, specificity,      and positive and negative predictive values. You will also consider      examples of children with various weight issues. You will explore how you      could effectively gather information and encourage parents and caregivers      to be proactive about their children’s health and weight.
  • CHILD HEALTH CASE

Overweight 5-year-old black boy with overweight parents who work full-time and the boy spends his time after school with his grandmother.

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Community Assessment and Analysis Presentation

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest in your region. Perform a physical assessment of the community.

  1. Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”
  2. Interview a community health and public health provider regarding that person’s role and experiences within the community.

Interview Guidelines

Interviews can take place in-person, by phone, or by Skype.

Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.

Complete the “Provider Interview Acknowledgement Form” prior to conducting the interview. Submit this document separately in its respective drop box.

Compile key findings from the interview, including the interview questions used, and submit these with the presentation.

PowerPoint Presentation

Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.

Include the following in your presentation:

  1. Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.
  2. Summary of community assessment: (a) funding sources and (b) partnerships.
  3. Summary of interview with community health/public health provider.
  4. Identification of an issue that is lacking or an opportunity for health promotion.
  5. A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.

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 format ting 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.

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Signature Assignment

Career Progression WorksheetPart 1In the table below, identify 5 health care positions you could pursue based on your previous and/or current health care experience as well as with the completion of your degree.Describe each role and how well you meet, or could meet, the qualifications. You are encouraged to choose different types of positions to show the different career paths you could pursue.Part 2Explain in 200–400 words which of the above positions you believe would be the best fit for you and why.Part 3In the table below, identify 5 health care employers you could potentially work for in your community.Describe each employer and list the types of employment or internship opportunities they offer.

Position Description Do you meet the qualifications?
     
     
     
     
     
Employer Description Employment or internship opportunities

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Discussion Post

Analysis of a Persuasive Speech

Instructions:

View the persuasive speech, Graham Hill: Why I Am A Weekday Vegetarian. Based on the video, respond to the following questions in your post:

  • What is the speaker’s topic?
  • Who is the speaker’s target audience? How do you know?
  • What is the speaker’s thesis?
  • How did the speaker use logos?
  • How did the speaker use ethos?
  • How did the speaker use pathos?
  • What other persuasive techniques did the speaker use?
  • Did the speaker use visual aids? If so, how did these help persuade you?
  • What defective persuasion did the speaker use?
  • Did the speaker persuade you to listen to their point? Why or why not?

Why I’m a weekday vegetarian – Graham Hill: https://www.youtube.com/watch?v=aUJD3sGppUo&feature=emb_logo

Please post 1 peer response.
In the response post, based on your classmate’s review of the speech, including the following:

  • Was the speaker’s use of ethos, logos, and pathos effective?
  • How did the speaker use presentation aids?
  • Was the delivery of the speech effective? Why or why not?
  • Were you convinced?

Please be sure to validate your opinions and ideas with citations and references in APA format.

Assignment #2:

Instructions

Choose: Persuasive Speech Topic

Evaluation Title: Persuasive Speech Topic

Choose a topic for your persuasive speech. Craft a Word document which addresses the following:

  • What is your topic?
  • Who is your target audience?
  • Share examples of logos, pathos, and ethos you will include in the speech.
  • What other persuasive techniques and/or appeals will you use?
  • How will you avoid defective persuasion?
  • Identify a minimum of three research materials you will use as supportive evidence. Include an APA citation as well as a 3-5 sentence summary of each material.
  • Share ideas for presentation aids to be used in the speech.

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Discussion Question

1- Discussion Question: A 41-year-old female presents to the doctor’s office you work at complaining of a sore throat and headache. Upon examination, she is diagnosed with a virus that is currently prevalent in the area she works. She is told to rest and drink liquids until the virus has run its course. She becomes irate and tells you she wants an antibiotic.

How could you explain to her why she does not need an antibiotic?

What are some alternatives you could consider for a patient who demands an antibiotic?

2- 3 paragraph 3 sentences each

3- APA style

4- 2 references not older than 2015

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nursing multidimensional care2

Module 06 Discussion – Multidimensional Care for Sarah

Sarah is a 69-year old female that presented to the emergency department with shortness of breath. Her past medical history includes heart failure and COPD. Her pulse oximetry on room air is 82%. You notify the provider, and he orders oxygen at 4 L via nasal canula NC. Sarah’s chest x-ray reveals bilateral pneumonia. Her arterial blood gas result are below:

pH

7.30

PaCO2

58 mm Hg

PaO2

78 mm Hg

HCO3

26 mEq/L

Sarah is admitted to a general medical floor. You are the nurse assigned to Sarah.

  1. What potential problems can occur based on the above findings?
  2. How would you provide multidimensional care for Sarah?
  3. Describe the roles of other departments in Sarah’s treatment plan.

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PIcot reseach

Part 1 uses your PICOT question- Please use the Evidence-Based Practice Guideline-Searchable Clinical Questions Form to complete this part of the assignment. You can find the form under the Course Resources Tab.

1.) You need to have a strong PICO(T) question in order for the search to make sense. If you are struggling with this please don’t hesitate to email me and send me your question with the PICO(T) breakdown so I can help you with this. Send it early in the week so you have enough time to get my response and do the search. I will comment on everyone’s PICOT in the discussion and make recommendations. Submit early!
2.) When searching you want to make sure you take good notes and write them in the comments side.
3.) The goal is to get between 10 and 15 articles. If you are not within this number keep searching until you have demonstrated it is not likely to reach this goal. Please provide as a rationale when you are not achieving the goal number of articles in your PICOT assignment.
4.) Not only will you be searching individual key terms (your PICO terms) and then combining them, but you will use search limits as well to narrow your search.

You have an example in the Rubric for this assignment. I strongly suggest you look at it and make sure you read the Rubric. This is how I will score your submitted assignment. This part of the assignment is a total of 100 points.

Please contact me early on in the week for any issues.

Part 2 of your assignment is the Annotated Bibliography (100 points)

1. From the articles you found during your database searches, choose 4 scholarly peer reviewed articles that would help provide an answer or provide insight to your clinical research question and write them in an annotated bibliography format. There is an example provided for you under the Course Resource Tab.

2. The paper must be in APA  6th ed format. You will submit the  paper into the Dropbox for a Turn it in Review.

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