LAB ASSIGNMENT: ETHICAL CONCERNS

 

As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?

In this Lab Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific

 

 

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:

o Select one scenario from below, and reflect on the material presented throughout this course.

o What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?

o Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.

 

 

 

 

CASE STUDY 1

 

A 47-year-old man with Ulcerative Colitis has been admitted to the emergency room with an extreme abdominal pain.  He explains that he has not taken his medications for the last few months and does not have any medical or prescription insurance.

CASE STUDY 2

A single father has accompanied his 17 year old daughter to a women’s health clinic and has requested that the his daughter has a pregnancy test. The girl has not consented to the test and seems uneasy

 

SELECT ONE OF THE CASE STUDY YOU WANT

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.

 

REQUIRED READING

• Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel’s guide to physical examination: An interprofessional approach (10th ed.). St. Louis, MO: Elsevier Mosby.

o Chapter 25, “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.

o Chapter 24, “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.

• Persad, G. (2018). Authority without identity: defending advance directives via posthumous rights over one’s body.Links to an external site.Journal of Medical Ethics, 45(4), 249–256. https://doi.org/10.1136/medethics-2018-104971

• Savulescu, J., Giubilini, A., & Danchin, M. (2021). Global ethical considerations regarding mandatory vaccination in children.Links to an external site. The Journal of Pediatrics, 231, 10–16. https://doi.org/10.1016/j.jpeds.2021.01.021

• Zhang, H., Zhang, H., Zhang, Z., & Wang, Y. (2021). Patient privacy and autonomy: A comparative analysis of cases of ethical dilemmas in China and the United States.Links to an external site.BMC Medical Ethics, 22(1). https://doi.org/10.1186/s12910-021-00579-6

• Document: Final Exam Review (Word document)

 

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