Tonya’s Case- ASSESMENT 5

/0 Comments/in /by

Write a 2–3 page paper that examines end-of-life issues in relationship to hospitals, professional ethics, and accrediting bodies.
For this assessment you will apply some concepts we have learned in the course, particularly those relating to the basic principles of health care ethics, professional codes of ethics, and values of health care institutions.

Write a paper that answers the following questions as it relates to the Tonya Archer Case Study:

What are the most relevant end-of-life issues in health care ethics as they relate to this case?
What should the hospital do? Should doctors simply keep Tonya on life support, as the parents want? Or, since all medical evidence indicates that Tonya’s brain damage is permanent, should life support be removed?
Support your answer with the following considerations in mind:

Explain which principles of health care ethics and which moral theory are the best philosophical foundations for your view.
Is your view supported by your professional code of ethics? If so, explain how. If not, explain what your code gets wrong about a case like this.
Is your view consistent with the mission statement and values of the hospital you identified in your independent research you conducted to prepare to complete this assessment?
Would an accrediting body, like The Joint Commission(https://www.jointcommission.org)support your choice? Why or why not?

Complete the Case Study: Tonya Archer media activity, which is linked later in this assessment.

Before you begin creating your submission for this assessment, make sure you have worked through the Tonya Archer case study. This will provide the foundational context for the assessment, for which you will be carrying out independent research by using the Internet to complete the following:

Identify the professional code of ethics for your professional specialty or a specialty that you are interested in.
With a local hospital in mind (perhaps one you work for), locate the mission, vision, and values statement of that hospital.
After you identify the professional ethics code and the hospital mission, vision, and values statements relevant to your work and interests, it may be useful to complete the following:

Identify which item in the ethical code you believe is the most important and explain why.
Name something in the code you would like to see addressed in more depth. Why?
Which item in the code do you think would be the most challenging to follow and why?
Does your code make an explicit distinction between what is legal and what is ethical? That is, is the code clear that, while an action may be legal, it may not be ethical?
Finally, how well does your professional code of ethics align with the mission and values statement of your hospital? Can you imagine a situation in which following one would make it challenging to follow the other?

CASE STUDY : TONYA ARCHER

Tonya Archer is a fifteen year-old who has been admitted to Saint Anthony Medical Center for surgery to repair an ACL injury she suffered while playing softball. Tonya and her family have met with her surgeon and understand that while all surgery carries risks, this is a straightforward procedure that he has performed many times with no complications.
The surgery goes as expected, but as Tonya is being transferred from the recovery room to her hospital room, she went into cardiac arrest. While Tonya received immediate medical attention, it took over seven minutes to restore cardiac function and the loss of blood circulation resulted in brain damage. During the attempt to resuscitate Tonya, she was intubated and placed on a ventilator. The medical staff has determined, though, that the loss of circulation caused brain death.
Tonya’s doctors explain to her family that the damage Tonya sustained is irreversible and that she suffered whole brain death, which means that there is no neurological function, even at the most basic functions such as respiration or cardiac function. They tell the family that the next step is to take Tonya off the ventilator. Tonya’s parents reaction is of steadfast refusal. They tell the doctor that they understand that Tonya has had a serious accident, but they point out that her body is warm, her heart is beating, and that she therefore is not dead.The doctors, hospital administrator, and the hospital’s medical ethicist tell the family that while the ventilator and other interventions can sustain the body’s functions, the damage done by the cardiac arrest will get worse and there is near certain expectation that Tonya will not recover any brain function. The family is told that there is no reasonable hope of benefit to Tonya by continuing ventilator and other treatment.

QUESTIONS :
1-What are the most relevant end-of-life issues in health care ethics as they relate to this case?
2-What should the hospital do? Should the hospital keep Tonya on life support as the parents desire, or should life support be removed because all medical evidence indicates whole brain death?

Robbing the Dead. assessment 4

/0 Comments/in /by

Do you consider the policy of organ conscription to be morally sound?

For this assessment, you will continue your survey of ethical principles in health care. Especially in our contemporary world, where needs for health care outstrip available resources, we regularly face decisions about who should get which resources.

There is a serious shortage of donor organs. Need vastly outstrips supply, due not only to medical advances related to organ transplantation, but also because not enough people consent to be cadaveric donors (an organ donor who has already died). Munson (2014) points out that in the United States, approximately 10,000 patients die each year because an organ donor was not available, which is three times the number of people killed in the terrorist attacks on 9/11.

But what is an efficient and morally sound solution to this problem? The policy of presumed consent, where enacted, has scarcely increased supply, and other alternatives, such as allowing donors to sell their organs, raise strong moral objections. In light of this, some have advocated for a policy of conscription of cadaveric organs (Spital & Erin, 2002). This involves removing organs from the recently deceased without first obtaining consent of the donor or his or her family. Proponents of this policy argue that conscription would not only vastly increase the number of available organs, and hence save many lives, but that it is also more efficient and less costly than policies requiring prior consent. Finally, because with a conscription policy all people would share the burden of providing organs after death and all would stand to benefit should the need arise, the policy is fair and just.

Write a paper that answers this question, defending that answer with cogent moral reasoning and supporting your view with ethical theories or moral principles you take to be most relevant to the issue. In addition to reviewing the suggested resources, you are encouraged to locate additional resources in your public library, or authoritative online sites to provide additional support for your viewpoint. Be sure to weave and cite the resources throughout your work.

In your paper, address the following:

On what grounds could one argue that consent is not ethically required for conscription of cadaveric organs? And on what grounds could one argue that consent is required?
Is the policy truly just and fair, as supporters claim? Explain.
Do you consider one of the alternative policies for increasing available donor organs that Munson discusses to be preferable to conscription? Explain why or why not.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 1: Articulate ethical issues in health care.
Articulate the moral concerns surrounding a policy of organ conscription.
Articulate questions about the fairness and justness of organ conscription policy.
Explain the relevance and significance of the concept of consent as it pertains to organ donation.
Evaluate alternative policies for increasing available donor organs.
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.
References
Munson, R. (2014). Intervention and reflection: Basic issues in bioethics (concise ed.). Wadsworth.

Spital, A., & Erin, C. (2002). Conscription of cadaveric organs for transplantation: Let’s at least talk about it. American Journal of Kidney Disease, 39(3), 611–615.

Should We Withhold Life Support? The Mr. Martinez Case- assement 3

/0 Comments/in /by

Write a 2–3 page paper that examines the moral and ethical issues involved in making a decision regarding limiting life support.

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.

CASE STUDY: Mr. Martinez was a seventy-five-year-old chronic obstructive pulmonary disease patient. He was in the hospital because of an upper respiratory tract infection. He and his wife had requested that CPR not be performed should he require it. A DNR order was written in the charts. In his room on the third floor, he was being maintained with antibiotics, fluids, and oxygen and seemed to be doing better. However, Mr. Martinez’s oxygen was inadvertently turned up, and this caused him to go into respiratory failure. When found by the therapist, he was in terrible distress and lay gasping in his bed.

CASE STUDY INSTRUCTIONS :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?

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.

A Right to Experimental Drugs?-assesment 2

/0 Comments/in /by

Write a 2–3 page paper that explains and defends your view on the issue of whether or not patients with no other treatment options have a moral right to unproven drugs.
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.
Explain how the principle of informed consent is relevant to these issues.
Explain the costs and benefits of offering unapproved experimental drugs to patients.
Competency 2: Apply sound ethical thinking related to a health care issue.
Identify relevant ethical theories and moral principles.
Articulate arguments using examples for and against offering pre-approved drugs to wider pools of patients.
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.

When a new drug is undergoing clinical trials to be approved for treatment, it must pass through a number of distinct phases of testing. These phases require rigorous study and evidence to demonstrate the safety and efficacy of new treatments. Passing through these phases and achieving approval takes many years for some trials. Before approval, patients not part of a clinical trial have limited or no access to experimental drugs, even though these drugs could be helpful and potentially save their lives. There are various groups pushing for greater patient access to drugs still in the experimental stage. In recent years, the FDA has made it somewhat easier to receive treatment with experimental drugs, but according to advocacy groups there are still too many restrictions (Munson, 2014).

preperations: This leads to a potential quandary when early stages of research on a drug sometimes suggest that the drug could be effective in treating a certain disease. On one hand, offering easier access to early stage trial drugs could help individuals suffering with a medical condition. However, on the other hand, making early access to experimental drugs easier could limit the pool of patients available to participate in clinical trials that establish whether or not the drug is truly effective and safe. This is an important consideration, as the vast majority of experimental drugs turn out to be completely ineffective or could have very dangerous side effects that will only show up over time and across a wider test population.

When completing this assessment, it is important to keep in mind the ethical arguments that are relevant to both views regarding the right to experimental drugs. It may be useful to review the suggested resources and conduct additional independent research while you are planning your assessment submission.

instructions :Do patients with no other treatment options have a moral right to unproven drugs? Write a paper that explains and defends your view on this issue. In addition to reviewing the suggested resources, you are encouraged to locate additional resources in the Capella library, your public library, or authoritative online sites to provide additional support for your viewpoint. Be sure to weave and cite the resources throughout your work. In your paper, address the following points:

Identify relevant ethical theories and moral principles.
Explain how the principle of informed consent is relevant to the issue.
Explain the costs and benefits of making unproven, unapproved experimental drugs widely available to patients. Consider the costs and benefits not only to the individual patients who take these drugs but also potential costs and benefits to other patients.
Explain arguments using examples for and against offering pre-approved drugs to wider pools of patients.
Support your view using ethical theories or moral principles (or both) that you find most relevant to the issue.

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. Refer to Evidence and APA for guidance.
Length: 2–3 typed, double-spaced pages.
Font and font size: Times New Roman, 12 point.
Reference
Munson, R. (2014). Intervention and reflection: Basic issues in bioethics (concise ed.). Wadsworth.

Matrix of Ethical Theories-assesment 1

/0 Comments/in /by

Identify the professional code of ethics for your professional specialty or a specialty that you are interested in, describe the decision criteria, and analyze each theory using examples and the Ethical Theory Matrix Template.

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Articulate ethical issues in health care.
Articulate the time-tested theories of ethics.
Describe the strengths and weaknesses of the time-tested theories of ethics.
Competency 4: Explain the conceptual framework that health care leaders use to make ethical decisions.
Identify the decision criteria of the time-tested theories of ethics.

Drawing from the material covered in the resources as well as your own research, complete this assessment using the Ethical Theory Matrix Template [DOC] Download Ethical Theory Matrix Template [DOC].

For each theory, first describe the decision criteria. The decision criteria are the instructions the theory gives for how to reach the morally correct choice in a situation that requires action.
Then, provide your own example of how someone might act using the decision criteria of the theory.
Finally, briefly describe the strengths and weaknesses of each theory using the last two columns of the Ethical Theory Matrix Template.
The suggested resources for this assessment could help you get a start on completing the matrix, but do not hesitate to use any outside resources that you can find online, the Capella library, or elsewhere.

This matrix is a tool you will use throughout the rest of the course. Submit your completed matrix as an attachment to this assessment.

Refer to the Matrix of Ethical Theories Scoring Guide for more information on how this assessment will be graded.
As you begin work on your Ethical Theories Matrix assessment, it may be helpful to review the suggested resources focused on moral and ethical considerations. For your own reference, you may want to briefly jot down your thoughts related to:

An inventory of the basic principles of health care ethics. These principles are nonmaleficence, beneficence, utility, distributive justice, and autonomy.
An explanation of each principle as well as your own example to illustrate the application of each.

interview and Interdisciplinary Issue assessment 2

/0 Comments/in /by

This assessment is the first of three related assessments in which you will gather interview information (Assessment 2); design a proposal for interdisciplinary problem-solving, (Assessment 3); and report on how an interdisciplinary improvement plan could be implemented in a place of practice (Assessment 4). At the end of the course, your interviewee will have a proposal plan based on the PDSA cycle that he or she could present to stakeholders to address an interdisciplinary problem in the workplace.

For this assessment, you will need to interview a health care professional such as a fellow learner, nursing colleague, administrator, business partner, or another appropriate person who could provide you with sufficient information regarding an organizational problem that he or she is experiencing or has experienced, or an area where they are seeking improvements. Consult the Interview Guide [DOCX] Download Interview Guide [DOCX]for an outline of how to prepare and the types of information you will need to complete this project successfully.

Additional Requirements

Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
Summarize an interview focused on past or current issues at a health care organization.
Describe collaborative approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.
Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate
Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
Describe potential change theories and leadership strategies that could help develop an interdisciplinary solution to an organizational issue.
Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

Length of submission: Use the provided template. Most submissions will be 2–4 pages in length. Be sure to include a reference page at the end of the plan.
Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.
APA formatting: Make sure that in-text citations and reference list follow current APA style.
Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.
For this assessment, you will create a 2–4 page report on an interview you have conducted with a health care professional. You will identify an issue from the interview that could be improved with an interdisciplinary approach, and review best practices and evidence to address the issue.

Appendix E

/0 Comments/in /by

Appendix E Immersion Hours Journal has been sent to your email.
Evaluation from the DNP Immersion Guide Revised KJB 2024.docx

Assignment 8 A & B: DNP Practice Immersion Log Submissions (Midterm P/F; Final 5 points)

Assignment A represents the Midterm. Assignment B represents the Final Evaluation.

Throughout the course, students will complete 150 DNP clinical practice immersion hours that meet the course objectives and the DNP Essentials.

Assignment Criteria:

Download the DNP Immersion Guide from the DNP student center.
Appendix E is attached for your convenience.
Clearly and fully describe each clinical experience and link it to the course objective(s) and DNP Essential(s). Complete submissions include the dates, times, and number of hours of the experience. Students should list each clinical immersion experience separately, not group days and hours together.

week 6

/0 Comments/in /by

Lauri-Ann Clarke 450 words please
Jun 20 11:08pm

Reply from Lauri-Ann Clarke
Hello Dr. Brown and classmates,

Health education and health promotion are important as it aims to enhance the quality of life of individuals and their communities. It is also important as it reduces morbidity and mortality due to preventable health problems. There are different programs and organizations geared towards health promotion and education such as the YMCA, Healthy People 2030 and the World Health Organization (WHO). The Special Olympics is one such health promotion program but it is specifically geared towards health promotion and education for individuals with intellectual and physical disabilities. Health education is teaching and informing people about health issues. Health promotion is promoting healthy lifestyles and preventing illness. Both definitions are intertwined as health education is a part of health promotion (Whitehead, 2018). Health education is teaching disease prevention, teaching about a disease and teaching how to control the disease. Health promotion enables people to improve or have increase control over their health. It allows people to choose healthy alternatives or change a behavior (Phillips, 2019). The Special Olympics is the largest sports organization for individuals with intellectual disabilities and physical disabilities. The organization provides sports training and activities to over 5 million individuals in 172 countries. They facilitate local, national and regional competitions. International competitions are held every 4 years. The program is available free of charge to child and adults (Special Olympics, 2021). Research from McCarty et al (2020) shows that individuals who participate in Special Olympics tend to live sedentary lifestyles due to their disabilities. They are more at risk for developing cardiovascular disease and obesity, and physical activity tends to lower these risks. These diseases often plague that disabled community creating a large health disparity between disabled and non disabled people. They also gain emotional and psychological benefits including self -confidence and social competence when they compete in these programs (Myśliwiec & Damentko, 2015).

References

Healthy Athletes. (2021, March 30). SpecialOlympics.Org. https://www.specialolympics.org/our-work/inclusive-health/healthy-athletes?locale=en

Myśliwiec, A., & Damentko, M. (2015). Global Initiative of the Special Olympics Movement for People with Intellectual Disabilities. Journal of Human Kinetics, 45(1), 253–259. https://doi.org/10.1515/hukin-2015-0026

Whitehead, D. (2018). Exploring health promotion and health education in nursing. Nursing Standard, 33(8), 38–44. https://doi.org/10.7748/ns.2018.e11220Links to an external site.

Annotated Bibliography

/0 Comments/in /by

Annotated Bibliography

Limited acess to health care

/0 Comments/in /by

Describe the health care problem or issue you selected for use in Assessment 2 and provide details about it.
As you describe the topic you explored in Assessment 2, use the first four steps of the Socratic Problem-Solving Approach to aid your critical thinking. This approach was introduced in Assessment 2.
Identify possible causes for the problem or issue.
Use scholarly information to describe and explain the health care problem or issue and identify possible causes for it.
Identify at least three scholarly or academic peer-reviewed journal articles about the topic.
You may find the How Do I Find Peer-Reviewed Articles? library guide helpful in locating appropriate references.
You may use articles you found while working on Assessment 2 or you may search the Capella library for other articles.
You may find the applicable Undergraduate Library Research Guide helpful in your search.
Review the Think Critically About Source Quality to help you complete the following:
Assess the credibility of the information sources.
Assess the relevance of the information sources.
Analyze the health care problem or issue.
Describe the setting or context for the problem or issue.
Describe why the problem or issue is important to you.
Identify groups of people affected by the problem or issue.
Provide examples that support your analysis of the problem or issue.
Discuss potential solutions for the health care problem or issue.
Describe what would be required to implement a solution.
Describe potential consequences of ignoring the problem or issue.
Provide the pros and cons for one of the solutions you are proposing.
Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented.
Describe what would be necessary to implement the proposed solution.
Explain the ethical principles that need to be considered (Beneficence, Nonmaleficence, Autonomy, and Justice) if the potential solution was implemented.
Provide examples from the literature to support the points you are making.

Length: 4–6 typed, double-spaced pages, not including the title page and reference page.
Font and font size: Times New Roman, 12 point.
APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Using outside sources: Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
References: Integrate information from outside sources to include at least three scholarly or academic peer-reviewed journal articles and three in-text citations within the paper.
APA format: Follow current APA guidelines for in-text citations of outside sources in the body of your paper and also on the reference page.
Organize your paper using the following structure and headings:

Title page. A separate page.
Introduction. A brief one-paragraph statement about the purpose of the paper.
Elements of the problem/issue. Identify the elements of the problem or issue or question.
Analysis. Analyze, define, and frame the problem or issue.
Considering options. Consider solutions, responses, or answers.
Solution. Choose a solution, response, or answer.
Ethical implications. Ethical implications of implementing the solution.
Implementation. Implementation of the potential solution.
Conclusion. One paragraph.

Write a 4-6 page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.