CASE STUDY 1 5-Year Old Boy Whose Parents are Opposed to Vaccines

Week 11: The Ethics Behind Assessment

Consider the following scenarios:

• You are a nurse at a large county hospital. One of your patients is leaning toward selecting a certain radical treatment for cancer, to which the family is in opposition. The family is concerned about making the correct decision and asks for your advice.
• The state of Oregon has passed a “Death with Dignity” act that allows for euthanasia in certain situations. One of your patients suffering from terminal cancer is thinking of moving there to take advantage of this law and asks your opinion.

Throughout this course, you have explored a wide range of health assessments and abnormal examination findings. Although you have predominantly focused on the procedural aspects of health assessment, this week, you will focus on ethical considerations that should be taken into account when advising patients or their families.

This week, you will consider how evidence-based practice guidelines and ethical considerations factor into health assessments. You will also evaluate health assessment concepts related to sports physicals and well-child and well-woman examinations.

Learning Objectives for CASE STUDY 1 5-Year Old Boy Whose Parents are Opposed to Vaccines

Students will:

• Apply evidence-based practice guidelines to make an informed healthcare decision
• Apply ethical considerations to a health assessment response
• Apply concepts, theories, and principles relating to sports physicals and well-child and well-woman examinations
• Identify  concepts, theories, and principles related to advanced health assessment

Learning Resources

Required Readings (click to expand/reduce)

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

• Chapter 24, “Sports Participation Evaluation”In this chapter, the authors describe the process of a sports participation evaluation. The chapter also states the most common conditions encountered in a sports participation evaluation.
• Chapter 25, “Putting It All Together”In this chapter, the authors tie together the concepts introduced in previous chapters. In particular, the chapter has a strong emphasis on the patient-caregiver relationship.

Tingle, J. & Cribb, A. (2014). Nursing law and ethics (4th ed.). Chichester, UK: Wiley Blackwell. 

Furman , C. D., Earnshaw, L. A., Farrer, L. A. (2014). A case of inappropriate apolipoprotein E testing in Alzheimer’s disease due to lack of an informed consent discussion. American Journal of Alzheimer’s Disease & Other Dementias, 29(7), 590–595. doi:10.1177/1533317514525829.

Navarro-Illana, P., Aznar, J., & Díez-Domingo, J. (2014). Ethical considerations of universal vaccination against human papilloma virus. BMC Medical Ethics, 15(29). doi:10.1186/1472-6939-15-29. Retrieved from http://www.biomedcentral.com/1472-6939/15/29

Maron , B. J., Friedman, R. A., & Caplan, A. (2015). Ethics of preparticipation cardiovascular screening for athletes. Nature Reviews Cardiology, 12(6), 375–378. doi:10.1038/nrcardio.2015.21

May, K. H., Marshall, D. L., Burns, T. G., Popoli, D. M. & Polikandriotis, J. A. (2014). Pediatric sports specific return to play guidelines following concussion. The International Journal of Sports Physical Therapy, 9(2), 242–255. PMCID: PMC4004129. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4004129/

American Academy of Pediatrics. (2008). Recommendations for preventative pediatric health care (periodicity schedule). Retrieved from https://www.harmonyhpi.com/WCAssets/illinois/assets/IL_MedicaidProviderManual_PEM_AdultPHGsForProviders.pdf

This resource provides recommendations for preventative pediatric healthcare from infancy through adolescence. The periodicity schedule covers a variety of areas, from health history to measurements, developmental/behavioral screenings, physical exams, procedural screenings, and oral health.

Rourke, L., Leduc, D., & Rourke, J. (2017). Rourke Baby Record. Retrieved from http://rourkebabyrecord.ca/

This website provides information on the Rourke Baby Record (RBR). The RBR supplies guidelines on growth and nutrition, developmental surveillance, physical exam parameters, and immunizations for well-baby and child care.

Document: Final Exam Review (Word document)

Assignment 1: Lab Assignment: Ethical Concerns

To Prepare

Review the scenarios provided by your instructor for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your scenarios.

• Based on the scenarios provided:
  • Select one scenario, 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.

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.

By Day 6 of Week 11

Submit your Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

• Please save your Assignment using the naming convention “WK11Assgn+last name+first initial.(extension)” as the name.
• Click the Week 11 Assignment Rubric to review the Grading Criteria for the Assignment.
• Click the Week 11 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK11Assgn+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 11 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 11 Assignment draft and review the originality report.

Submit Your Assignment by Day 6 of Week 11

To participate in this Assignment:

Week 11 Assignment

Assignment 2: Lab Assignment: Practice Assessment: Mental Health Examination

The Lab Assignment

Complete the following in Shadow Health:

• Mental Health (Practice)

Exam: Week 11 Final Exam

Photo Credit: Getty Images/iStockphoto

This exam is a test of your knowledge in preparation for your certification exam. No outside resources, including books, notes, websites, or any other type of resource, are to be used to complete this exam. You are expected to comply with Walden University’s Code of Conduct.

This exam will be on topics covered in weeks 7, 8, 9, 10, and 11. Prior to starting the exam, you should review all of your materials. This exam is timed with a limit of 2 hours for completion. When time is up, your exam will automatically submit.

By Day 7 of Week 11

Complete the Final Exam.

Submission and Grading Information

Submit Your Final Exam by Day 7 of Week 11.

To Complete this Exam:

Week 11 Exam

ORDER NOW FOR WELL-WRITTEN, PLAGIARISM-FREE ASSIGNMENTS

Rubric Detail

Select Grid View or List View to change the rubric’s layout. CASE STUDY 1 5-Year Old Boy Whose Parents are Opposed to Vaccines

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List View

• 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).

30 (30%) – 35 (35%)

• The response clearly, accurately, and thoroughly explains detailed health assessment information required to diagnose the selected patient, with correct scenario number included.

24 (24%) – 29 (29%)

• The response accurately explains health assessment information required to diagnose the selected patient, with correct scenario number included.

18 (18%) – 23 (23%)

• The response vaguely explains health assessment information required to diagnose the selected patient, with scenario number, correct or inaccurate, included.

0 (0%) – 17 (17%)

• 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.

45 (45%) – 50 (50%)

• 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.

39 (39%) – 44 (44%)

• 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.

33 (33%) – 38 (38%)

• 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.

0 (0%) – 32 (32%)

• 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.

5 (5%) – 5 (5%) 

• 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.

4 (4%) – 4 (4%)

• 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.

3 (3%) – 3 (3%)

• 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.

0 (0%) – 2 (2%)

• 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

5 (5%) – 5 (5%)

• Uses correct grammar, spelling, and punctuation with no errors.

4 (4%) – 4 (4%)

• Contains a few (1 or 2) grammar, spelling, and punctuation errors.

3 (3%) – 3 (3%)

• Contains several (3 or 4) grammar, spelling, and punctuation errors.

0 (0%) – 2 (2%)

• 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.

5 (5%) – 5 (5%)

• Uses correct APA format with no errors.

4 (4%) – 4 (4%)

• Contains a few (1 or 2) APA format errors.

3 (3%) – 3 (3%)

• Contains several (3 or 4) APA format errors.

0 (0%) – 2 (2%)

• Contains many (≥ 5) APA format errors.

Total Points: 100

NURS 6003 Module 3 | Part 3: Research Analysis

I have identified one topic of interest for further study. I have researched and identified one peer-reviewed research article focused on this topic and have analyzed this article.  The results of these efforts are shared below.

Directions: Complete Step 1 by using the table and subsequent space below identify and analyze the research article you have selected. Complete Step 2 by summarizing in 2-3 paragraphs the results of your analysis using the space identified.

Step 1: Research Analysis

Complete the table below

Topic of Interest:
Research Article: Include full citation in APA format, as well as link or search details (such as DOI)	Gibson, C., Goeman, D., & Pond, D. (2020). What is the role of the practice nurse in the care of people living with dementia, or cognitive impairment, and their support person(s)?: a systematic review. BMC Family Practice, 21(1). https://doi.org/10.1186/s12875-020-01177-y
Professional Practice Use: One or more professional practice uses of the theories/concepts presented in the article	This article provides key information to assist the nursing staff in providing great care to dementia patients. The potential value of expanding the Nurse position to include dementia recognition and management has been recognized.  Nurses are well-positioned to give comprehensive dementia information and support, empowering people living with dementia to self-manage their health and live well with dementia.
Research Analysis Matrix Add more rows if necessary	Strengths of the Research	Limitations of the Research	Relevancy to Topic of Interest	Notes
	Large number of articles were reviewed to collect the data.	The article focuses on practice nurses.	The article demonstrates the necessity of helping dementia patients live a quality life.	As nursing practitioners, we can alleviate suffering and help dementia patients live better lives.
	Electronic databases and Google Scholar were searched for review articles.	There were no specifications on the types of dementia and their specific management.	The issue of dementia and cognitive impairment is a growing concern with an aging population.	Nurses as primary providers need knowledge on how to take care of patients experiencing cognitive impairment with growth in the population of old people.
	Articles spanning 19 years have been used to improve the reliability of the information.	Most of the articles analyzed do not give the causal relationship between aging and the development of dementia.	The article illustrates the importance of treating the elderly as a vulnerable population.	Elaborating the role nurses can play in picking and management of cognitive impairment has the ability to improve the quality of care for elderly patients.
	The article applies evidence-based intervention, which improves its validity.	The authors assert the need for further research to understand dementia on a grand scale.	The article is relevant to the topic of interest since it also shows the limitations of the research.

Step 2: Summary of Analysis

Craft a summary (2-3 paragraph) below that includes the following:

•         Describe your approach to identifying and analyzing peer-reviewed research
•         Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research
•         Identify at least one resource you intend to use in the future to find peer-reviewed research

Identification and analysis of peer-reviewed research articles necessitate using an effective method and applying databases and search terms to locate relevant research sources. I started by going through the university library’s databases and publications in this situation. PubMed from the National Library of Medicine, CINHAL Comprehensive, and Web of Science were among them. I also concentrated on papers about Alzheimer’s disease and cognitive impairment. 

The last step was to narrow my research findings using key terms and words such as “Alzheimer’s and dementia.” After reading the abstract and full-text articles, I assessed the significance of the paper’s content. I also ensured that the publications I obtained were full-text articles to acquire all possible information, particularly the study’s limitations. The article was then assessed based on its relevance to the topic of interest. I also ensured that the articles were published within the last five years.

In research analysis, having successful strategies is critical. In this example, the aim was to have journal articles published by well-known and recognized institutions and researchers to increase their reputation and trustworthiness. Ensuring that the articles are listed in an online database like PubMed, overseen by the National Library of Medicine, was a vital element of the study. In the search, I also utilized keywords and concepts to find research publications and studies with relevant material on the topic of interest.

PubMed, particularly its online database, is a fantastic resource I plan to use to obtain peer-reviewed research study publications. This resource, managed by the National Library of Medicine, contains many peer-reviewed and full-text papers to help create enough information on their research topic and interest. Obtaining peer-reviewed research on any topic requires entering keywords relating to the issue into the database and filtering the results using the phrase “peer-reviewed.”

In every case, research analysis is a critical component of obtaining materials that address issues of interest to researchers. In this situation, the selected article demonstrates how nurses play an important role in assisting elderly patients with dementia and cognitive impairment. This study’s findings are reliable and valid, and they encourage practitioners to handle the issue in the most effective way possible to lessen the negative consequences of cognitive impairment on the elderly. More research can be conducted to improve the care given to older individuals.

Reference

Gibson, C., Goeman, D., & Pond, D. (2020). What is the role of the practice nurse in the care of people living with dementia, or cognitive impairment, and their support person(s)?: a systematic review. BMC Family Practice, 21(1). https://doi.org/10.1186/s12875-020-01177-y