Choose one of the articles below,

Park, M. (2009). Ethical issues in nursing practice. Journal of Nursing Law, 13(3), 68-77. doi:10.1891/1073-7472.13.3.68

Link:  Ethical issues in nursing practice Links to an external site. 

 Prompt: Identify primary areas for legal and ethical issues faced by oncology nurses in this study (Park, 2009), and strategies they may have developed to work with those ethical issues.

Or,
Croke, E. (2006). Nursing malpractice: determining liability elements for negligent acts. Journal of Legal Nurse Consulting, 17(3), 3.

Link: Nursing malpractice: determining liability elements for negligent actsLinks to an external site.

Prompt: Identify primary problems that led to the malpractice suits (Croke, 2006), and identify the role the nurse played and what the nurse did wrong.

Case Study:Dr. Emily Clark, a seasoned cardiologist at Mercy General Hospital, is presented with a challenging case involving Mr. Rajan Patel, a 58-year-old man who recently immigrated from India. Mr. Patel has been diagnosed with a significant heart condition that requires a surgical procedure. While the surgery has a high success rate, like all medical procedures, it comes with its own set of risks and benefits. Mr. Patel, whose primary language is Gujarati, has limited proficiency in English. He nods and smiles politely during consultations, giving Dr. Clark the impression that he understands. However, when asked to explain the procedure back to her, it becomes evident that he does not fully grasp the intricacies of the surgery or its potential complications. Dr. Clark recognizes the importance of informed consent and wants to ensure that Mr. Patel truly understands the procedure, its risks, and its benefits. She believes in the ethical principle of autonomy, which dictates that every patient has the right to make decisions about their own body and health. However, she also acknowledges the principle of beneficence, which compels her to act in the best interest of her patient.  

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. For this assessment, develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:1. briefly summarize the facts surrounding the case study. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.

• Identify who is involved or affected by the ethical problem or issue.
• Access and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
  • Apply the three components outlined in the Ethical Decision-Making Model media.
• Analyze the factors that contributed to the ethical problem or issue identified in the case study.
  • Describe the factors that contributed to the problem or issue and explain how they contributed.

1. Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
   • In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references.
     • Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.
     • Review the Think Critically About Source Quality resource.
       • Assess the credibility of the information source.
       • Assess the relevance of the information source.
2. Discuss the effectiveness of the communication approaches present in a case study.
   • Describe how the health care professional in the case study communicated with others.
   • Assess instances where the professional communicated effectively or ineffectively.
   • Explain which communication approaches should be used and which ones should be avoided.
   • Describe the consequences of using effective and non-effective communication approaches.
3. Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
   • Describe the actions taken in response to the ethical dilemma or issue presented in the case study.
   • Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
   • Discuss the key lessons this case provides for health care professionals.
4. Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
   • Describe the proposed solution.
   • Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
   • Discuss how likely it is the proposed solution will foster professional collaboration.
5. Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
   • Apply the principles of effective composition.
   • Determine the proper application of the rules of grammar and mechanics.
6. Write using APA style for in-text citations, quotes, and references.
   • Determine the proper application of APA formatting requirements and scholarly writing standards.
   • Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.

Week 3 Discussion: Myocardial Infarction (MI) (USLOs 1, 2, 3, 4)

You are the nurse caring for a 48-year Leslie Collins, retired army officer for the United States military, He arrives to the emergency department after experiencing chest pain and shortness of breath.  His EKG indicated he had a myocardial infarction (MI). He has a history of hypertension and high cholesterol. He states he used to smoke about 15 years ago, he has no other reported risk factors.

Based on this information, your prior knowledge of this client (refer to medical card from the Collins-Kim family tree interactive), and your knowledge of the pathophysiology of myocardial infarction (MI), respond to the following prompts:

1.

1. Thoroughly explain the pathophysiology of myocardial infarction (MI). Use a 
scholarly or 
authoritative source to support your answer.

2. Examine each of the following three factors related to this disease process. 
Support all three with a scholarly source.
cultural
financial
environmental implications

3. Identify 3-5 priority nursing interventions for the client while in the 
emergency department.

4. Describe labs and diagnostic testing you would want to include in client’s plan of care and why. What are critical indicators? 
Support with a scholarly source.

5. What members of the interdisciplinary team need to be included for holistic patient-centered care? 
Provide a rationale and support with a scholarly source.

 Instructions:
During the first two weeks, we have explored Principles of Disease and Pathology and the Primary Mechanisms of Disease. Review the material covered and provide a minimum of five key points about one of the key content areas covered that are listed below.  You may include sign/symptoms, diagnostic tools, and/or treatments.

Genetics & Congenital Alterations
Cancer
Immune Responses
Infection
Malnutrition & Obesity
Aging
Trauma
Please be sure to validate your opinions and ideas with citations and references. 

respond to the discussion using APA format and two scholarly references

 

The suggested disease in the case study is protein malnutrition. It is a condition where the patient does not have adequate protein intake. Genetic disorders can cause protein malnutrition. For instance, cystic fibrosis can lead to pancreatic insufficiency, limiting the production of digestive enzymes necessary for protein digestion (Montoro-Huguet et al., 2021). Celiac disease can lead to malabsorption of many nutrients. Hartnup can hinder the absorption of Tryptophan, which is necessary for protein synthesis (Schmidt-Kastner & Kravetz, 2022). However, these genetic factors may not be adequate to cause protein malnutrition. Other health conditions and poor dietary intake may also play an important role.

          The patient presents with generalized edema of extremities and abdomen due to low levels of albumin (a plasma protein), which causes the leakage of fluids from the blood vessels into the surrounding tissues due to low osmotic pressure. The physiologic response to the stimulus is an attempt for the body to maintain homeostasis amid the lack of adequate protein. The body breaks down muscle tissues to release amino acids necessary for several cellular processes. The process causes muscle wasting and exacerbates protein deficiency.

          Liver cells (hepatocytes) are involved in protein malnutrition. Hepatocytes synthesize plasma proteins, including albumin. Due to inadequate protein, these cells do not produce adequate albumin. Therefore, oncotic pressure in the blood vessels decreases, leading to edema (Grüngreiff et al., 2021). Another characteristic that would change the response is gender influence. The female elderly patient may have low levels of estrogen that would cause hormonal imbalance. Therefore, there would be a decrease in muscle mass and protein synthesis, a possible cause of protein malnutrition. The patient’s progesterone levels may also fluctuate due to menopause, leading to poor nutrient intake and loss of appetite. These gender-based factors may cause protein malnutrition.