Ethical Concerns

Ethical Concerns

Assignment; Lab Assignment: Ethical Concerns Sample Essay

Case study II depicts B.C., a 49-year-old female with advanced-stage cancer admitted to the emergency room with cardiac arrest. The health assessment information needed for a diagnosis of this patient includes asking the family if the patient developed signs and symptoms of impending cardiac arrest (Murphy et al., 2022). Thus, I would ask the family if the patient experienced a period of clinical deterioration with rapid, shallow breathing, a progressive deterioration in mental alertness, and unconsciousness. Health information on the presence of risk factors for Cardiac arrest will be needed including Coronary artery disease (CAD), Ischemic heart disease, Myocardial infarction, Heart failure, Arrhythmias, and Cardiomyopathy (Penketh & Nolan, 2022).

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Furthermore, a physical assessment will be required to identify signs of cardiac arrest like pulselessness, impaired breathing pattern, absence of circulation, and cardiac rhythm disturbance (Murphy et al., 2022). A cardiac monitor should be applied to this patient to rule out if the patient has ventricular fibrillation (VF), ventricular tachycardia (VT), or asystole. Ethical Concerns

As an APN, I would respond to the case by taking part in Cardiopulmonary resuscitation (CPR), which should be performed immediately when a person is in cardiac arrest. Rapid initiation of uninterrupted chest compressions and early defibrillation of patients who are in Ventricular Fibrillation or Ventricular Tachycardia foster success in achieving a return of spontaneous circulation (Penketh & Nolan, 2022). The American Heart Association guidelines for the treatment of cardiac arrest further recommend rapid administration of a first dose of epinephrine for patients with non-shockable rhythms. However, I would inform the patient’s family of the interventions that will be implemented in the patient and seek the husband’s or next of kin’s consent to ensure respect for autonomy (Bjorklund & Lund, 2019). Besides, I will continuously update the family on the patient’s progress and refrain from giving the false hopes.

Ethical Concerns References

Bjorklund, P., & Lund, D. M. (2019). Informed consent and the aftermath of cardiopulmonary resuscitation: Ethical considerations. Nursing ethics, 26(1), 84-95. https://doi.org/10.1177/0969733017700234

Murphy, T. W., Cohen, S. A., Hwang, C. W., Avery, K. L., Balakrishnan, M. P., Balu, R., Chowdhury, M. A. B., Crabb, D. B., Elmelige, Y., Maciel, C. B., Gul, S. S., Han, F., Becker, T. K., & Interdisciplinary Cardiac Arrest Research Review (ICARE) group (2022). Cardiac arrest: An interdisciplinary scoping review of clinical literature from 2020. Journal of the American College of Emergency Physicians open, 3(4), e12773. https://doi.org/10.1002/emp2.12773

Penketh, J., & Nolan, J. P. (2022). In-hospital cardiac arrest: the state of the art. Critical care (London, England), 26(1), 376. https://doi.org/10.1186/s13054-022-04247-y

CASE STUDY II.

A 49-year-old woman by initials B.C with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.

• 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.
• 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 three different references from current evidence-based literature.

Criteria	Ratings							Pts
Write a detailed 1- page narrative (not a formal paper) addressing the following:· Explain the health assessment information required for a diagnosis of your selected patient (include the scenario number).	35 to >29.0 pts Excellent The response clearly, accurately, and thoroughly explains detailed health assessment information required to diagnose the selected patient, with correct scenario number included.	29 to >23.0 pts Good The response accurately explains health assessment information required to diagnose the selected patient, with correct scenario number included.			23 to >17.0 pts Fair The response vaguely explains health assessment information required to diagnose the selected patient, with scenario number, correct or inaccurate, included.		17 to >0 pts Poor The response lacks and/or inaccurately explains assessment information required to diagnose the selected patient, with scenario number inaccurate or missing.	35 pts
· 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 three different references from current evidence- based literature.	50 to >44.0 pts Excellent The response clearly, accurately, and thoroughly explains detailed evidence-based practice guidelines and ethical considerations applied by an advanced practice nurse in responding to the scenario, with clear, accurate, and thorough justification using three or more different references from current evidence- based literature.	44 to >38.0 pts Good The response accurately explains evidence-based practice guidelines and ethical considerations applied by an advanced practice nurse in responding to the scenario, with accurate justification using at least three different references from current evidence- based literature.		38 to >32.0 pts Fair The response vaguely explains evidence-based practice guidelines and ethical considerations applied by an advanced practice nurse in responding to the scenario, with vague and/or inaccurate justification using two to three different references from current evidence- based literature.		32 to >0 pts Poor The response inaccurately explains or lacks evidence-based practice guidelines and ethical considerations applied by an advanced practice nurse in responding to the scenario, with inaccurate or missing justification using two or fewer references from current evidence-based literature.		50 pts
Written Expression and Formatting –	5 to >4.0 pts Excellent		4 to >3.0 pts Good		3 to >2.0 pts Fair	2 to >0 pts Poor		5 pts

 

Criteria	Ratings									Pts
Paragraph	Paragraphs and			Paragraphs and			Paragraphs and		Paragraphs and
Development and	sentences follow			sentences follow			sentences follow		sentences
Organization:	writing standards			writing standards			writing standards		follow writing
Paragraphs make	for flow, continuity,			for flow,			for flow,		standards for
clear points that	and clarity. A clear			continuity, and			continuity, and		flow, continuity,
support well-	and comprehensive			clarity 80% of the			clarity 60%–79%		and clarity <
developed ideas, flow	purpose statement,			time. Purpose,			of the time.		60% of the
logically, and	introduction, and			introduction, and			Purpose,		time. No
demonstrate	conclusion are			conclusion of the			introduction, and		purpose
continuity of ideas.	provided that			assignment are			conclusion of the		statement,
Sentences are	delineate all			stated, yet are			assignment are		introduction, or
carefully focused–	required criteria.			brief and not			vague or off		conclusion were
neither long and				descriptive.			topic.		provided.
rambling nor short
and lacking
substance. A clear
and comprehensive
purpose statement
and introduction are
provided that
delineate all required
criteria.
Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation	5 to >4.0 pts Excellent Uses correct grammar, spelling, and punctuation with no errors.	4 to >3.0 pts Good Contains a few (1 or 2) grammar, spelling, and punctuation errors.			3 to >2.0 pts Fair Contains several (3 or 4) grammar, spelling, and punctuation errors.			2 to >0 pts Poor Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.		5 pts
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list. Ethical Concerns	5 to >4.0 pts Excellent Uses correct APA format with no errors.		4 to >3.0 pts Good Contains a few (1 or 2) APA format errors.			3 to >2.0 pts Fair Contains several (3 or 4) APA format errors.			2 to >0 pts Poor Contains many (≥ 5) APA format errors.	5 pts