Please use references ie scholarly articles for United States, that are from current standards of nursing practice. MUST be within 5 years or newer.
Please assign writer #1086
Assignment: Ethical Concerns
As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?
In this Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios Ethical Concerns Essay Paper.
The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines.
A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.
A 27-year-old man with Crohn’s disease has been admitted to the emergency room with an extreme flare-up of his condition. He explains that he has not been able to afford his medications for the last few months and is concerned about the costs he may incur for treatment.
A single mother has accompanied her two daughters, aged 15 and 13, to a women’s health clinic and has requested that the girls receive a pelvic examination and be put on birth control. The girls have consented to the exam but seem unsettled.
A 17-year-old boy has come in for a check-up after a head injury during a football game. He has indicated that he would like to be able to play in the next game, which is in 3 days Ethical Concerns Essay Paper.
A 12-year-old girl has come in for a routine check-up and has not yet received the HPV vaccine. Her family is very religious and believes that the vaccine would encourage premarital sexual activity.
A 57-year-old man who was diagnosed with motor neuron disease 2 years ago is experiencing a rapid decline in his condition. He prefers to be admitted to the in-patient unit at a hospice to receive end-of-life care, but his wife wants him to remain at home.
Select one scenarios, and reflect on the material presented throughout this course.
What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.
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Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least 3 different references from current evidence based literature Ethical Concerns Essay Paper.
Ethical practices, particularly for advanced practice nurses whose decisions will often mean the difference between life and death, demands perpetual vigilance and insightful examination. Even as nurses are faced with a better-informed public, globalization, patient demographic diversities, new legislations, professional standards updates, communication changes, practice area differences, disease evolutions, technology changes, and resources scarcity, their ethical practices act as the foundation that they hold constant in their professional duties (Ball et al., 2015). The present analysis discusses the ethical concerns of a typical medical care case.
The scenario under review involves a 27-year-old man who was diagnosed with Crohn’s disease. The patient has been admitted to the emergency room with an extreme flare-up of the condition thus requiring immediate and urgent medical care. During the medical assessment, the patient explains that he has not been using the required medication for his condition. Further review of the situation determines that he faces financial difficulties that have limited his capacity to purchase the prescribed medication over the last few months. His financial situation has not improved even as he is admitted for emergency care and he is concerned that receiving care would only worsen the situation. He explains that the care is likely to be costly and is anxious that since he is unable pay for the less costly medication (thus landing him in the present situation where he requires emergency care), he is even less likely to pay for the more costly emergency care. The scenario makes it clear that although the patient is cognizant of how important medication is towards controlling his condition, his unfavorable financial situation limits his capacity to acquire the required medication. In essence, he us unable to meet his need for medication to control his previously diagnosed Crohn’s disease. Based on this awareness, the ethical dilemma presented to medical personnel is how to ensure that the patient’s unfavorable financial situation does not limit his capacity to access the required emergency medical care not to talk of continued access to the required medication even after being discharged from the facility. To be more precise, the patient’s situation shows that he requires care that would not worsen his financial situation while addressing his medical needs. As a nursing practitioner, it would be prudent to discuss financial and treatment options with the client, while also presenting financial resources available to patients with difficulties in paying their bills (Ball et al., 2015; Porter-O’Grady & Malloch, 2016). This would entail introducing financial advisors who would present the patient with options that ensure he receives the required care in an acceptable payment plan (Kaakinen et al., 2015). Also, the nursing personnel could explore the availability of waiver systems that could reduce the financial burden on the patient (Finkelman, 2016) Ethical Concerns Essay Paper.
One must accept that in carrying out professional duties, advanced practice nurses are faced with ethical dilemmas. These dilemmas place the nurse in a position where he or she must make a choice between protecting the patient’s human rights and operating within the dictates of their professional standards. In such cases, there is no definite right decision and whatever choice the nurse makes will be viewed by some as bad while others will see it as good, whether in the legal or moral sense. For that matter, the nurse has to apply his or her personal definition of ethics in making the choice that he or she considers as being the right one, even as professionalism provides a guide. Consequently, different nurses will choose different options when faced with the same dilemma.
Ball, J., Dains, J., Flynn, J., Solomon, B. & Stewart, R. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.
Finkelman, A. (2016). Leadership and management for nurses: core competencies for quality care (3rd ed.). London: Pearson Education.
Kaakinen, J., Coehlo, D., Steele, R., Tabacco, A. & Hanson, S. (2015). Family health care nursing: theory, practice, and research (5th ed.). Philadelphia, PA: F. A. Davis Company.
Porter-O’Grady, T. & Malloch, K. (2016). Leadership in nursing practice: changing the landscape of healthcare (2nd ed.). Burlington, MA: Jones & Bartlett Learning Ethical Concerns Essay Paper.
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