NURS 6512: Advanced Health Assessment and Diagnostic Reasoning: lab Assignment-Ethical Concerns

NURS 6512: Advanced Health Assessment and Diagnostic Reasoning: lab Assignment-Ethical Concerns

NURS 6512: Advanced Health Assessment and Diagnostic Reasoning: lab Assignment-Ethical Concerns

The patient is in advanced-stage cancer, and the effective discussion should be on life care and discussion of wishes and needs. In the case presented, the patient has tested positive for advanced-stage cancer and is presented in the emergency unit for cardiac arrest. In this write-up, I will provide a detailed narrative explaining the health assessment information required for a diagnosis regarding the presented case.

I would determine the cardiac arrest using an ECG and the life-saving measures as defined in the ACL protocols (Nelson & Lewis, 2017). Once I am able to stabilize the patient, I would ask the boyfriend if the patient has an advanced directive or will concerning the resuscitation status. The advanced directive is a legal document relaying more information on the life savings of the patient (Rossetti, 2017). In this case, I would ask the boyfriend who can connect to the next of kin in case the boyfriend is not the next of kin. This would happen if the patient is unconscious or does not have the mental capacity to make important decisions. Effective decisions for resuscitation would wait, but until then, I will make every attempt to stabilize the patient.

BUY A CUSTOM PAPER HERE

I will respect the wish of the patient and the family. If the patient and the family agree that they need all interventions and the patient is stable on life support machines, then further investigation into brain function and viability will be conducted (Ozmen et al., 2019). Diagnostic testing would reveal the extent of brain damage and cardiopulmonary stability that would aid in determining the status of my patient and viability. I will then discuss the patient’s condition with the family to get ready for any result that would come from the treatment offered to the patient.

A confirmation that the brain cells of the patient are dead and the family is not ready to stop the life support measures, the hospital can change the status of the patient to “do not resuscitate” with approval from two physicians (Nelson & Lewis, 2017). However, providers will ensure that the family confirms the decision. This would be important in avoiding ethical dilemmas.

References

Nelson, A., & Lewis, A. (2017). Determining brain death: basic approach and controversial issues. American Journal of Critical Care, 26(6), 496-500. https://doi.org/10.4037/ajcc2017540

Ozmen, O., Aksoy, M., Atalay, C., Aydin, M. D., Dostbil, A., Ince, I., & Sener, E. (2019). Are unresponsive dilated pupils an indicator for brain death? an evaluation of Edinger Westphal nucleus in rabbits with brain death. Annals of Medical Research, 26(10), 2376-2381. https://annalsmedres.org/index.php/aomr/article/view/3711

Rossetti, A. O. (2017). Clinical neurophysiology for neurological prognostication of comatose patients after cardiac arrest. Clinical Neurophysiology Practice, 2, 76-80. https://doi.org/10.1016/j.cnp.2017.03.001

ORDER A PLAGIARISM-FREE PAPER

NURS 6512: Advanced Health Assessment and Diagnostic Reasoning
Lab Assignment: Ethical Concerns
To Prepare:
Based on the scenarios provided:
• 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.
• Utilize 3 scholarly, peer reviewed references.
• Utilize Safe Assign Draft for originality report.
The Ethics Behind Assessment
CASE STUDIES
1. A 33-year-old woman with advanced stage breast cancer has been admitted to the emergency room with cardiac arrest. She is not married and her boyfriend accompanies her in the ambulance.
The Lab Assignment
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.

Name: NURS_6512_Week_11_Assignment_Rubric

	Excellent	Good	Fair	Poor
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).	Points Range: 30 (30.00%) – 35 (35.00%) The response clearly, accurately, and thoroughly explains detailed health assessment information required to diagnose the selected patient, with correct scenario number included.	Points Range: 24 (24.00%) – 29 (29.00%) The response accurately explains health assessment information required to diagnose the selected patient, with correct scenario number included.	Points Range: 18 (18.00%) – 23 (23.00%) The response vaguely explains health assessment information required to diagnose the selected patient, with scenario number, correct or inaccurate, included.	Points Range: 0 (0.00%) – 17 (17.00%) The response lacks and/or inaccurately explains assessment information required to diagnose the selected patient, with scenario number inaccurate or missing.
·   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.	Points Range: 45 (45.00%) – 50 (50.00%) 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.	Points Range: 39 (39.00%) – 44 (44.00%) 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.	Points Range: 33 (33.00%) – 38 (38.00%) 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.	Points Range: 0 (0.00%) – 32 (32.00%) 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.
Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.	Points Range: 5 (5.00%) – 5 (5.00%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.	Points Range: 4 (4.00%) – 4 (4.00%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.	Points Range: 3 (3.00%) – 3 (3.00%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic.	Points Range: 0 (0.00%) – 2 (2.00%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided.
Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation	Points Range: 5 (5.00%) – 5 (5.00%) Uses correct grammar, spelling, and punctuation with no errors.	Points Range: 4 (4.00%) – 4 (4.00%) Contains a few (1 or 2) grammar, spelling, and punctuation errors.	Points Range: 3 (3.00%) – 3 (3.00%) Contains several (3 or 4) grammar, spelling, and punctuation errors.	Points Range: 0 (0.00%) – 2 (2.00%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
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.	Points Range: 5 (5.00%) – 5 (5.00%) Uses correct APA format with no errors.	Points Range: 4 (4.00%) – 4 (4.00%) Contains a few (1 or 2) APA format errors.	Points Range: 3 (3.00%) – 3 (3.00%) Contains several (3 or 4) APA format errors.	Points Range: 0 (0.00%) – 2 (2.00%) Contains many (≥ 5) APA format errors.