Research the health-illness continuum and its relevance to patient care. In a 750-1,000-word paper, discuss the relevance of the continuum to
Research the health-illness continuum and its relevance to patient care. In a 750-1,000-word paper, discuss the relevance of the continuum Research the health-illness continuum and its relevance to patient care. In a 750-1,000-word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following: Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients. Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing and are consistent with the Christian worldview. Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellnReflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuumess (managing a chronic disease, recovering from an illness, self-actualization, etc.). You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Expert Answer and Explanation Benchmark – Human Experience Across the Health-Illness Continuum Introduction Very often, individuals fail to show the presence of disease but still have depression, anxiety, and unhappiness. In some situations, people could complain of feeling unwell, but they do not have external symptoms or evidence to justify the same. The health-illness continuum can help examine these characteristic levels of wellness based on a paradigm ranging from premature death and high wellness levels (Kishan, 2020). This essay examines the application of the health-illness continuum in improving the wellness of healthcare givers. The Health-Illness Continuum Perspective and its Importance in the Health and the Human Experience when Caring for Patients The Health-Illness continuum perspective represents a graphical or diagrammatic illustration of the concept of human well-being on their emotional and mental states. For some people, wellness is the direct opposite of illness, where the absence of disease conditions shows they are well (Swanson et al., 2019). Other individuals believe that having a healthy lifestyle or the potential to lead a healthy lifestyle is the real definition of wellness (Kishan, 2020). A pictorial illustration of the illness-wellness continuum is as follows. Fig 1: An illustration of the illness-wellness continuum. The right side of the graph in Fig 1 shows the different degrees of wellness, while the left side shows illness levels. In this continuum, wellness is explained to be dynamic, in that it is not static, and that the patient is often changing in their present states. Individuals’ outlook is what contributes to their states of wellness for the positive vision of a person who has a disability or a disease, and such a person is likely to face the right side of the continuum (Ow & Poon, 2020). This is unlike a healthy individual who has a negative outlook, feels anxiety, complains a lot, and is depressed. The latter would face the left side of the continuum, and their emotional and mental growth and wellness are hindered to the point that they experience the real state of wellness. How Understanding the Health-Illness Continuum Could Enable Healthcare Providers to Better-Promote the Value and Dignity of Individuals or Groups and Serve others in Ways that Promote Human Flourishing In caring for patients, understanding the health-illness continuum helps to improve the patients’ mental and emotional development. Healthcare givers can use this continuum to motivate the patients’ healthcare and have better health systems including but not limited to, preventing emotional and physical diseases (Sajnani, Marxen, & Zarate, 2017). This continuum is also essential in patient care as it helps to analyze the different developments and evaluate the patient progress. A Reflection of My Overall State of Health and the Behaviors that Support or Detract from Health and Well-Being Several behaviors support my overall state of health, and these include but are not limited to workouts, exercises, and healthy eating. I believe what I eat and my behaviors determine how I will show wellness. I have to continually keep my weight in check, where a negative shift in my BMI prompts me to change my diet and my workout strategies. Besides hitting the gym at least thrice a week, I do regular jogging in the morning before embarking on my daily activities, which I believe serves a long way in improving my emotional well-being. I also walk for 30 minutes to the gym instead of using other less engaging means of transport. I have recently started consuming plenty of water and many greens, which I believe will help me improve my immunity from diseases. Among the negative behaviors that could be distracting me from wellness is smoking, which I did not know its detrimental effects until a recent webinar on lung cancer. Also, I think I barely have enough time to have a healthy sleep. Lastly, I believe I spend too little time with my loved ones due to excessive engagement in my workplace. Options and Resources that Could Help Me to Move toward Wellness on the Health-Illness Spectrum Among the essential resources to help me improve wellness on the spectrum are programs to stop my smoking
Describe the difference between a nursing practice problem and a medical practice problem
Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. PICOT is utilized by the health care community to identify and study a nursing or medical practice problem. Consequently, PICOT examples that may provide insight into the use of the PICOT process, may not be relevant to nursing practice as they are based on a medical practice problem. Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem. EXPERT ANSWER AND EXPLANATION Nursing vs. Medical Practice Problem Nursing practice problem assesses Whereas a nursing practice problem is identified during the nursing assessments conducted on a patient’s condition, medical practice problem is one which focuses on the pathology of the patient. Specifically, a nursing practice problem assesses the human response to the health conditions (Milner & Cosme, 2017). For example, when a patient presents to the facility with headaches, fever, and other physical symptoms, a triage nurse could identify the condition as a nursing practice problem, where they offer the patient the relevant nursing diagnosis. On the other hand, when a patient is seen to have a condition which requires his pathology to be assessed and the healthcare giver recognizes that it could be stroke, then this is a medical practice problem. Why PICOT should be based on Nursing Practice Problem A PICOT seeks to address various elements of nursing care, and hence it should be primarily based on a nursing practice problem and not on a medical practice problem. In the nursing practice problem, the care needs of the patient from the time they get out of the healthcare environment to the time they are diagnosed by the doctor to the after-care periods are addressed (Meyer, 2017). Also, in the nursing practice problem, there is collection of information about the patient, and this helps to draw relevant conclusions based on the PICOT questions. This way, it is easy to collect diverse data about the patient and their condition. Also, with the nursing practice problem, it is more likely that the PICOT will improve population health. References Meyer, M. N. (2017). Evidence-Based Practice: Success of Practice Change Depends on the Question. Evidence-Based Practice in Nursing: Foundations, Skills, and Roles. Milner, K. A., & Cosme, S. (2017). The PICO Game: An Innovative Strategy for Teaching Step 1 in Evidence‐Based Practice. Worldviews on Evidence‐Based Nursing, 14(6), 514-516. Alternative Expert Answer How Nursing and Medical Practice Problems differ Medical and Nursing Practice Problem There is a difference between a nursing and a medical practice problem. The former is a clinical issue that a provider identifies and notes when assessing the patient, and it constitutes one physiological health, and the emotional and psychological responses linked to the patient’s physical health. An example is a patient with hypertension and diabetes developing stress because of their health. In this case, a nurse would want to know all these details about the patient including the manner in which they respond to the disease. One can also look at this particular problem as one which can be addressed through patient education, counseling and health promotion (Cook et al., 2018). Conversely, the latter is about the medical condition or the pathology of a medical disorder in which the provider determines the patient’s disorder. If a provider measures the body’s insulin and manages to determine that body’s insulin level is low, they can conclude that the condition is type 1 diabetes (Yoo et al., 2019). Basing PICOT on the Nursing Practice Problem When preparing a PICOT, it is important to base it on the nursing practice problem (NPP). This is because the NPP addresses majority of the elements of the nursing care. Some of these elements include the diagnosis information, patient care goals, screening of the risks, and the outcomes. The PICOT also addresses all these elements considering that it focuses on the patient, their health, the intervention that can help promote recovery compared to another treatment, and results of the treatment. It equally focuses on the clinical outcomes (Ho et al., 2016). Given that the PICOT addresses all the elements of the nursing problem, it make sense to base PICOT on the NPP. References Cook, D.A., Pencille, L.J., Dupras, D.M., Linderbaum, J.A., Pankratz, V.S., & Wilkinson, J.M. (2018). Practice variation and practice guidelines: Attitudes of generalist and specialist physicians, nurse practitioners, and physician assistants. PLoS ONE 13(1), e0191943. Doi: https://doi.org/10.1371/journal.pone.0191943. Ho, G.J., Liew, S.M., Ng, C.J., Hisham Shunmugam, R., & Glasziou P (2016). Development of a Search Strategy for an Evidence Based Retrieval Service. PLoS ONE 11(12), e0167170. Doi: https://doi.org/10.1371/journal.pone.0167170. Yoo, J.Y., Kim, J.H., Kim, J.S., Kim, H.L., Ki, J.S. (2019). Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture. PLoS ONE 14(12): e0226742. Doi: https://doi.org/10.1371/journal.pone.0226742. Place your order now on the similar assignment and get fast, cheap and best quality work written by our expert level assignment writers. What is the difference between a nursing problem and a medical problem? In the world of healthcare, it’s crucial to understand the fundamental differences between nursing problems and medical problems. While both are essential aspects of patient care, they serve distinct purposes and require different approaches. This article will delve into the nuances that set nursing practice problems apart from medical practice problems, providing clarity on this critical subject. Nursing Practice Problem vs. Medical Practice Problem Defining Nursing Practice Problems Nursing practice problems, often referred to as nursing diagnoses, are specific issues that nurses identify and address within their scope of practice. These problems are focused on the patient’s response to an illness, a medical condition, or a life situation. Nursing practice problems aim to enhance the quality of care, improve patient outcomes, and promote patient safety. Defining Medical Practice ProblemsMedical practice problems, on the other hand, are concerns that fall within the domain of medical practitioners, such
There is often the requirement to evaluate descriptive statistics
There is often the requirement to evaluate descriptive statistics for data within the There is often the requirement to evaluate descriptive statistics for data within the organization or for health care information. Every year the National Cancer Institute collects and publishes data based on patient demographics. Understanding differences between the groups based upon the collected data often informs health care professionals towards research, treatment options, or patient education. Using the data on the “National Cancer Institute Data” Excel spreadsheet, calculate the descriptive statistics indicated below for each of the Race/Ethnicity groups. Refer to your textbook and the Topic Materials, as needed, for assistance in with creating Excel formulas. Provide the following descriptive statistics: Measures of Central Tendency: Mean, Median, and Mode Measures of Variation: Variance, Standard Deviation, and Range (a formula is not needed for Range). Once the data is calculated, provide a 150-250 word analysis of the descriptive statistics on the spreadsheet. This should include differences and health outcomes between groups. APA style is not required, but solid academic writing is expected. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are not required to submit this assignment to LopesWrite. Expert Answer and Explanation Alternative Expert Answer and Explanation Measures of Central Tendency: Mean, Median, and Mode This paper will elaborate on the descriptive statistical analysis for lung and bronchus cancer for the different racial groups as contained in the National Cancer Institute (2018). The data compiled was from the years 2000 to 2015. Mean Mean, also known as average, is the total summation of the values given divided by the number of items in a data set (Grove & Gray, 2018). The following is a mean for the different racial groups: Mean = Σ/n. where Σ is the total sum of the rate per 100,000, and n is the number of years (16 years). American Indian / Alaska Native (includes Hispanic) Mean = 692.4/16 = 43.275 Asian / Pacific Islander (includes Hispanic) Mean = 616.2/16 = 38.5125 Black (includes Hispanic) Mean = 1121.1/16 = 70.06875 Hispanic (any race) Mean = 503.9/16= 31.49375 White (includes Hispanic) Mean = 1003.6/16=62.725 Median Median is defined as the middle number in a data set (Grove & Gray, 2018). Given that the data set used by this paper contains an even number of items, one can get the median by calculating the average of the two middle numbers. The median for the following racial groups is calculated as follows American Indian / Alaska Native (includes Hispanic) Median = (43.1+44.6)/2 = 43.85 Asian / Pacific Islander (includes Hispanic) Median = (38.8+39)/2 = 38.9 Black (includes Hispanic) Median = (71.2+71.6)/2 =71.4 Hispanic (any race) Median = (32+32.2)/2 =32.1 White (includes Hispanic) Median = (63.9+65.2)/2 = 64.55 Mode Mode is defined as the most repeated number in a data set. In case a modal value can’t be established, one is supposed to group the data values, and using the following formula; the modal value for the group can be identified. Mode = L + (fm − fm-1) / ((fm − fm-1) + (fm − fm+1)) × W where: L is the lower-class boundary of the modal group fmis the frequency of the modal group fm-1is the frequency of the group before the modal group fm+1is the frequency of the group after the modal group w is the group width American Indian / Alaska Native (includes Hispanic) Data Groups 31-40 frequency = 6, 41-50 frequency = 9, 51-60 frequency = 1 The modal estimation for this population group is Mode = 41+ (9 − 6) / ((9 − 6) + (9 − 1)) × 10 = 41 +3/11 x 10 = 43.73 Ans = 43.73 Asian / Pacific Islander (includes Hispanic) The mode for this population group is 36,6 Black (includes Hispanic) Data Groups 55-60 frequency = 2, 61-65 frequency =3, 66-70 frequency =2, 71-75 frequency =6, 76–80 frequency = 3 The modal estimation for this population group is Mode = 71+ (6 − 2) / ((6 − 2) + (6 − 3)) × 5 = 71 +4/7 x 10 = 76.71 Ans = 76.71 Hispanic (any race) The mode for this population group is 34.1 White (includes Hispanic) The mode for this population group is 65.8 Measures of Variation: Variance Variance is the measurement of how numbers are distributed in a given data set. The following is a formula used to calculate variance; Σ (Xi – μ) 2 / n. Where: Σ is summation of the items n is the total number of items in the data set. Xi is the individual figures in the data set, μ is the mean for that data set, The following is the variance for the given racial groups American Indian / Alaska Native (includes Hispanic) μ = 43.275 Xi (μ – Xi)2 32 127.125625 36.6 44.555625 38.7 20.930625 39.6 13.505625 39.9 11.390625 40.1 10.080625 42.4 0.765625 43.1 0.030625 44.6 1.755625 45 2.975625 45.7 5.880625 46.4 9.765625 47.9 21.390625 48.7 29.430625 50 45.225625 51.7 70.980625 Σ =415.79 Variance = 415.79/16 = 25.986875 Asian / Pacific Islander (includes Hispanic) μ = 38.5125 Xi (μ – Xi)2 34 20.36265625 34.4 16.91265625 36.6 3.65765625 36.6 3.65765625 36.7 3.28515625 37 2.28765625 38.5 0.00015625 38.8 0.08265625 39 0.23765625 39.8 1.65765625 40.2 2.84765625 40.4 3.56265625 40.5 3.95015625 40.9 5.70015625 41 6.18765625 41.8 10.80765625 Σ =85.1975 Variance = 85.1975/16 = 5.32484375 Black (includes Hispanic) μ = 38.5125 Xi (μ – Xi)2 57.4 160.4972266 60.5 91.56097656 61.3 76.89097656 64.1 35.62597656 64.3 33.27847656 67.8 5.147226562 70.8 0.534726563 71.2 1.279726563 71.6 2.344726563 73.4 11.09722656 73.7 13.18597656 75.1 25.31347656 75.8 32.84722656 77.3 52.29097656 77.8 59.77222656 79 79.76722656 Σ = 681.4344 Variance = 681.4344/16 = 42.58965 Hispanic (any race) μ = 31.49375 Xi (μ – Xi)2 26 30.18128906 26.8 22.03128906 28.2 10.84878906 28.8 7.256289062 29.4 4.383789063 30.3 1.425039062 31.8 0.093789063 32 0.256289063 32.2 0.498789063 32.7 1.455039063 33.8 5.318789062 34.1 6.792539063 34.1 6.792539063 34.2 7.323789063 34.5 9.037539063 35 12.29378906 Σ =125.989375 Variance = 125.989375/16 = 7.8743359375 White (includes Hispanic) μ = 38.5125 Xi (μ – Xi)2 53.2 90.725625 55.4
Select a research article other than the articles from your assignments, from the GCU library
Select a research article other than the articles from your assignments, from the GCU library. Provide an overview of the study and describe the strategy Select a research article other than the articles from your assignments, from the GCU library. Provide an overview of the study and describe the strategy that was used to select the sample from the population. Evaluate the effectiveness of the sampling method selected. Provide support for your answer. Include the article title and permalink in your post. Expert Answer and Explanation Discussion Post: Sampling Method The selected article for this discussion is an article by McHugh et al. (2016). The article is titled “Better Nurse Staffing and Nurse Work Environments Associated with Increased Survival of In-Hospital Cardiac Arrest Patients” and has a permalink, which is doi:10.1097/MLR.0000000000000456. In brief, the article considers nurse staffing and the work environment as major factors contributing to patient outcomes, more so in-hospital cardiac arrest (IHCA) cases. The article used cross sectional study as the main research design, where data was collected from three secondary sources. The first source was from the 2007 American Hospital Association (AHA)’s Annual Survey of Hospitals. The second source was from Penn Multi-State Nursing Care and Patient Safety Survey of registered nurses (data was collected in the period between 2006 and 2007 from four different states). The last source was from the 2006-2007 report by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient survey data (McHugh et al., 2016). The three sources used random sampling as the preferred method of selecting the research sample. Random sampling technique is a sampling method that gives the participants from a selected population an equal chance of being selected to participate in a study. This is one of the main features which makes it quite effective. When random sampling is done correctly, the aspect of bias is eliminated, thereby making the research findings representative of the target population (Moule, Aveyard & Goodman, 2016). Another feature that makes random sampling quite effective is that it reduces the amount of time and cost required to carry out a study, more so when a large target population is involved. References McHugh, M. D., Rochman, M. F., Sloane, D. M., Berg, R. A., Mancini, M. E., Nadkarni, V. M., … American Heart Association’s Get With The Guidelines-Resuscitation Investigators (2016). Better Nurse Staffing and Nurse Work Environments Associated With Increased Survival of In-Hospital Cardiac Arrest Patients. Medical care, 54(1), 74–80. doi:10.1097/MLR.0000000000000456 Moule, P., Aveyard, H., & Goodman, M. (2016). Nursing research: An introduction. Sage. Using the research article selected for DQ 1, identify three key questions you will ask and answer when reading the research study and why these questions are important. When responding to peers, provide other questions and answers that could be considered in relation to the peers’ studies. Expert Answer and Explanation Key Questions in Research Studies When evaluating the study selected, the first question I would ask myself is; what is the objective of the study, or rather the main aim, which drove the researcher to carry out their study. In the identified research, the main objective was to establish the correlation between nurse engagement and patient outcome (McHugh et al., 2016). Having an objective is an essential factor in that it gives the research a bearing or direction through which the research results are to be established. The next question I would probably ask is, what are other research or studies saying about the subject matter and what is the motive behind the researcher’s interest in conducting the study? It is imperative to have a basis for measuring the research findings, whether the findings tally with or against other similar studies conducted. A historical perspective or the motive behind the researcher conducting the study is usually established in the problem statement. It is from that point that one can establish the contribution or application of the research findings in a practical setup. The third question I would ask myself is, what were the research findings and their implications in the practice of nursing. For example, in the research analyzed, it was concluded that a professional practice environment is essential in promoting better patient and nurse outcomes (McHugh et al., 2016). By using the research findings, one can be guided in their line of practice going forward. When responding to peers, other questions that I would consider include, how applicable is the research in a general set up? Applicability of the research findings gives importance and relevance to the research. Another question that can be considered is how the sample was collected to realize the results obtained. The importance of this question is to confirm the reliability, validity, and generalizability of the research. Reference McHugh, M. D., Rochman, M. F., Sloane, D. M., Berg, R. A., Mancini, M. E., Nadkarni, V. M., … American Heart Association’s Get With The Guidelines-Resuscitation Investigators (2016). Better Nurse Staffing and Nurse Work Environments Associated With Increased Survival of In-Hospital Cardiac Arrest Patients. Medical care, 54(1), 74–80. doi:10.1097/MLR.0000000000000456 Alternative Expert Answer Research Questions The first key question that I would ask will ask is, “what is evidence-based practice education program?” According to the article, EBP is the integration of readily available research among clinical professionals to increase the positive aspect of patient output (Kim, Gu, & Chang, 2019). EBP education program considers the aspects if patient culture, characteristics, and preferences to aid in deciding the most preferred treatment alternative that will ensure patient satisfaction. EBP is a representation of a new paradigm in nursing that is as a result of modern advancement in research methodology and clinical practice. EBP education integrates the information technology aspect in computing, coupled with the analytical skills in nursing to facilitate informed decision making. The second question that I would ask is, “what are the effects of EBP education program using the multifaceted interventions?” The research identifies that the evidence-based practice education program is a useful tool for improving skills, knowledge, competencies, attitudes, and the future use of EBP in graduate nursing students (Kim, Gu, & Chang, 2019). The third
An understanding of the neurological and musculoskeletal systems
An understanding of the neurological and musculoskeletal systems is a critically important component of disease Module 5 Assignment: Case Study Analysis An understanding of the neurological and musculoskeletal systems is a critically important component of disease and disorder diagnosis and treatment. This importance is magnified by the impact that that these two systems can have on each other. A variety of factors and circumstances affecting the emergence and severity of issues in one system can also have a role in the performance of the other. Effective analysis often requires an understanding that goes beyond these systems and their mutual impact. For example, patient characteristics such as, racial and ethnic variables can play a role. In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health. To prepare: By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor. Assignment (1- to 2-page case study analysis) A 58-year-old obese white male presents to ED with chief complaint of fever, chills, pain, and swelling in the right great toe. He states the symptoms came on very suddenly and he cannot put any weight on his foot. Physical exam reveals exquisite pain on any attempt to assess the right first metatarsophalangeal (MTP) joint. Past medical history positive for hypertension and Type II diabetes mellitus. Current medications include hydrochlorothiazide 50 mg po q am, and metformin 500 mg po bid. CBC normal except for elevated sedimentation rate (ESR) of 33 mm/hr and C-reactive protein (CRP) 24 mg/L. Metabolic panel normal. Uric acid level 6.7 mg/dl In your Case Study Analysis related to the scenario provided, explain the following: Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms. Any racial/ethnic variables that may impact physiological functioning. How these processes interact to affect the patient. Expert Answer: Alteration of Neurological and Musculoskeletal Systems Advanced practice registered nurses should be knowledgeable about the alterations in body systems. This information can help the nurses conduct a proper diagnosis and plan effective treatments. Understanding the processes of body systems that result in patient symptoms can also guide the APRNs during patient education and disease prevention. The purpose of this assignment is to examine the case study and identify the factors for diagnosis and implications for the health of the patient. Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms The nerves that connect the muscles of the toes are known as interdigital nerves. These nerves are pass between the bones of the toes to connect the toe muscles, tendons, and joints. The interdigital nerves’ longstanding irritation causes the swelling and pain on the patient’s right great toe (Raney, Thankam, Dilisio, & Agrawal, 2017). The swelling was caused by misalliance between the ability of the patient to withhold load and external load. This difference resulted from the patient’s ability to hold the load and physical exertion and posture. Pain is a sign that a certain tissue in one’s body is damaged. Raney et al. (2017) note that the body often communicates that a specific organ or tissue is damaged by sending a pain sensation to the brain to alert the patient. In the case, the patient experienced pain in his left toe because the interdigital nerves sensed high mechanical pressure on the injured and swollen toe joints and muscles. He cannot put weight on the foot because the nerves have communicated to the spinal cord, which has sent a signal to motor reflex, ordering it not to exert any pressure on the swollen toe. Any racial/ethnic variables that may impact physiological functioning The physiological functioning of the human body can be affected by various racial or ethical factors. The first factor is obesity. According to Spurr, Bally, Bullin, Allan, and McNair (2020), obesity is mostly recorded among blacks and Latinos compared to whites and Asians. The authors note that 49.6% of blacks are obese, followed by Hispanics (44.8%), whites (42.2%), and Asians (17.4%). Obesity affects cell repair and cell generation. The second variable is physical exercise. According to Ige-Elegbede, Pilkington, Gray, and Powell (2019), physical exercise activity is 6% lower among whites, 26% among African Americans, and 10% lower among Hispanics. El Khoudary et al. (2019) also performed research to understand the lean mass and muscle strength among blacks and whites. The researchers found that black males have a higher lean mass compared to white men. However, physical activity was higher among whites. How these Processes Interact to Affect the Patient Obesity highly affects physiological functioning, especially cell repair and generation (Toubal et al., 2020). However, the patient is a white male, meaning that the chances of being obese are minimal. Hence, the cells in his swollen toe are expected to generate, repair, and heal faster. Physical exercise also affects physiological functioning by increasing the effectiveness of medications and other metabolic processes (Ige-Elegbede et al., 2019). Being white, the patient is likely to work out often. Hence, he will show a positive response to hydrochlorothiazide 50 mg po q am and metformin 500 mg po bid. Lastly, the patient has a lower lean mass, increasing his chances of developing a toe condition. Conclusion The assignment has analyzed a case about a patient experiencing swollen and painful toe. The feeling is likely to result from communication between interdigital nerves, the brain, spinal cord, and toe muscles. The nerves communicated pain to alert the patient that the toe tissues are damaged. References El Khoudary, S. R., Greendale, G., Crawford, S. L., Avis, N. E., Brooks, M. M., Thurston, R. C., … & Matthews, K. (2019). The menopause transition and women’s health at midlife: a progress report from the Study of Women’s Health Across the Nation (SWAN). Menopause (New York, NY), 26(10),
My Personal Goals and Walden University Vision and Mission
My Personal Goals and Walden University Vision and Mission Networking Opportunities In this module, you begin laying the foundation for your academic and professional success. Your efforts begin with a vision that includes your own definition of success. Your vision may vary from those of your colleagues, but this does not mean you have to take these first steps alone. Walden University and the College of Nursing also have a vision and mission, which include helping you to make your own vision a reality. Members of your new academic community, such as faculty, support teams, and fellow students, can also be helpful. Current practitioners and other member of the professional community can also help you to clarify your vision. This Module’s Discussion asks you to consider how the Walden mission and vision as well as the College of Nursing’s mission and vision apply to your professional and academic goals. You will also begin to identify individuals and teams who can help you along the way as you begin designing the “blueprint”—your Academic Success and Professional Development Plan—that will guide you toward your own vision for academic and professional success. To Prepare: Review the Walden and College of Nursing mission and vision statements, Walden’s goals and University Outcomes, and the MSN Program Learning Outcomes presented in this Module’s Learning Resources. Reflect on your professional and academic goals as they relate to your program/specialization. Consider how the information in these resources fit with your own goals and to your becoming a scholar-practitioner. Also consider academic and professional individuals and teams with whom you may collaborate in support of your efforts as a student at the university and as a professional within your organization and career. By Day 3 of Week 1 Post a brief introduction of yourself to your colleagues. Include an explanation as to how Walden’s vision, mission, goals, and social change initiatives relate to your professional and academic goals and to your becoming a scholar-practitioner. Also include an explanation for how the Walden MSN Program Outcomes and perspectives relate to your professional and academic goals and to your becoming a scholar-practitioner. Expert Answer and Explanation Networking Opportunities Brief Introduction of Myself I am a psychiatric nurse practitioner by training and specialty, and I enjoy working in different nursing departments. Currently, I work as a medical surgical nurse in Texas Health Presbyterian Hospital Dallas, which is quite a big hospital with over 500 outpatients and inpatients per day (Texas Health Resources, 2020). I work in the surgical unit as a medical surgical nurse and provide services such as helping adult patients to resolve medical issues that often arise as a result of past surgeries. How Walden’s Goals and Mission Relates to my Professional and Academic Goals The goals of Walden University relate to my professional and academic goals in many aspects. Firstly, the institution envisions to become an agent of transformation of the kind of nursing services that are received across the human lifespan in local and global communities and has set different standards in which it can ensure congruence with the 21st century demands (McGuinness et al., 2020). I believe the healthcare industry is moving rapidly to incorporate the most recent developments such as tele-health solutions, which makes Walden a suitable school of choice for me. As part of its mission, Walden University seeks to improve the critical thinking skills of nursing students and increase their ability to implement evidence based practice in patient care. While it is clear that some healthcare professionals have low ability to make critical decisions when faced with care dilemmas, some nursing schools have not incorporated in their curriculum programs that add directly to the ability of the students to make healthy decisions (Sauer, 2017). As part of my professional goals, I wish to become fully enlightened in critical decision making. I believe this is an element I will successfully acquire from Walden University. Lastly, Walden provides an opportunity for the students to advance their careers through the development of career advancement opportunities. Through my education in the university, I believe I will be able to improve my research skills as well as my ability to advance to the highest levels of education in nursing. It is evident that through my experience in the University, I can improve my ethical conduct, personal values, and commitments to meet the required professional excellence. Regarding research, I believe this is one of the ways through which I can successfully bridge the gap between academia and the real world, and improve the ability to solve complex problems in the profession. Professional Individuals and Teams There are several professional teams and individuals with whom I hope to collaborate so as to achieve success in the career. One of these individuals is my mentor, who is a psychiatric nurse practitioner in the facility where I work. This individual not only helps me in reviewing my research proposals but he also serves as a consultant for most of my academic developments. Another team which is likely to be instrumental in the achievement of my goals in the university is my family, which not only gives me moral support, but also offers different kinds of assistance such as financial whenever there are major requirements and I am not in a position to meet them immediately. My colleagues also form part of the crucial team for my success in becoming a scholar-practitioner. References McGuinness, T. M., Shirey, M. R., Cleveland, C., Richardson, J., Campbell, R., & Harper, D. C. (2020). The shifting paradigm of graduate education for psychiatric nurse practitioners. Journal of Professional Nursing. Sauer, K. (2017). University Professors’ and Department Directors’ Perceptions Regarding Support for Freshman Academic Performance. https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=5124&context=dissertations Texas Health Resources, (2020). Texas Health Presbyterian Hospital Dallas. https://www.texashealth.org/Locations/Texas-Health-Dallas Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon Code: NEW30 to Get 30% OFF Your First Order Name: NURS_6003_Module01_Week01_Assignment_Rubric Excellent Good Fair Poor Complete Part 1 of your Academic
Week 8 assignment aacn essentials summary paper
Week 8 assignment aacn essentials summary paper For this Assignment review the AACN DNP Essentials document and reflect on the competencies presented. Reflect on your personal and academic goals and consider how those goals align with both Walden University’s mission and vision and with the AACN DNP Essentials. Reflect on the social determinants of health framework and consider how your academic and professional goals might align with addressing these elements as a DNP-prepared nurse. To prepare: Review The Essentials of Doctoral Education for Advanced Nursing Practice (AACN, 2006) in this week’s Learning Resources and reflect on the competencies presented. Review Walden University’s mission, vision, and university outcomes. Reflect on your professional and academic goals. Consider how Walden’s mission and vision as well as the AACN’s perspective may fit with your goals. How might you incorporate a commitment to social change into your academic and professional plans? How might your academic and professional goals align with addressing the social determinants of health? The Assignment: (2–3 pages) Explain how your academic and professional goals align with Walden’s vision, mission, social change message, social determinants of health, and university outcomes as well as the AACN DNP Essentials. Be specific. Explain how you plan to incorporate social change throughout your program of study and in professional practice. Be sure to include how social change may contribute to your practicum/field experience and your role in professional practice. Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting. Expert Answer and Explanation AACN Competencies and the Walden Mission, Vision, and Outcomes Every nurse practitioner must have a goal or goals that guide their practice. Nurses should consider the culture and beliefs of all patients while working with them and helping them achieve their mental health outcomes (Cain et al., 2018). They should also work with their fellow healthcare professionals and stakeholders to provide affordable care to underserved communities (Cain et al., 2018). My goals are well aligned with Walden’s mission, social change message, vision, social determinants of health, university outcomes, and American Association of Colleges of Nursing (AACN) DNP Essentials. The purpose of this assignment is to explain how my goals align with Walden’s mission, social change message, vision, social determinants of health, university outcomes, as well as AACN DNP Essentials and how I plan to incorporate social change throughout my program of study and professional practice. Goals Aligning with Walden’s Vision and Mission, and AACN DNP Essentials Like any other organization, Walden University has a mission and vision that guides its practices. The mission of the university is to provide a diverse community of career professionals (Walden University, 2021). My first goal as a psychiatric nurse practitioner is to provide safe, quality, patient-centered and competent care to all patients, their families, and the community at large regardless of their background and culture. My goal aligns with the university’s mission in that I aim to provide quality care to all patients without any form of discrimination. I will achieve my professional goal by improving my knowledge of culturally-based care. I believe that I am one of the kinds of career professionals the university seeks to release in the job market. The vision of the university is to provide graduates who can solve societal challenges and thus advance the greater global good. My second goal is to be part of programs that aim to solve societal problems. Being part of problem-solving programs, will fulfil my second goal and also meet the vision of the university. Walden University defines social change as a deliberate process of developing and applying strategies, ideas, and actions to promote and develop cultures and communities (Walden University, 2021). My third goal is to become an advocate for patients and nurses. I would be able to promote social change by advocating for the needs of patients and my fellow nurses, a practice that aligns with the university’s social change message. My goals also align with AACN DNP Essentials. One of the essentials my goals align with is health care policy for advocacy in health care (AACN, 2006). I would be able to advocate for patients’ and nurses’ rights by creating health policies and presenting them to necessary people for approval and implementation. My academic goal is to be competent in the creation and advocacy of healthcare policies. Incorporating Social Change I plan to incorporate social change throughout my program of study by performing a quality improvement project aimed at improving the mental health of the less privileged in society. I will conduct a quality improvement study about the impact of physical exercise on sleep quality in African American people with depression. I will incorporate social change at the professional level by volunteering in mental health promotion programs. Social change will contribute to my field experience by improving my knowledge of advocacy and the development of promotional programs. Social change will also improve my collaborative skills because it will collaborate with various people to promote better mental health in the community. Conclusion My goals align with Walden’s mission, vision, and social change message. As a professional, I will work with other healthcare professionals to promote the better mental health status of my patients, families, and communities. I will also develop health policies that seek to make mental health care affordable to less privileged and provide other health professionals with the requisite tools to provide proper mental health care. References American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf Cain, C. L., Surbone, A., Elk, R., & Kagawa-Singer, M. (2018). Culture and palliative care: preferences, communication, meaning, and mutual decision making. Journal of Pain And Symptom Management, 55(5), 1408-1419. https://doi.org/10.1016/j.jpainsymman.2018.01.007 Walden University. (2021). Student publications: Vision, mission, and goals. https://catalog.waldenu.edu/ Place your order now for a similar assignment and get fast, cheap and best quality work written by our
Shadow Health Comprehensive Assessment of Tina
Shadow Health Comprehensive Assessment of Tina Complete the Digital Experience. The estimated average time to complete this assignment each time is 3 hours and 30 minutes. Please note, this is an average time. Some students may need longer. This clinical experience is a comprehensive exam. Students must score at the level of “Proficiency” in the Shadow Health Digital Clinical Experience. Students have three opportunities to complete this assignment and score at the Proficiency level. Upon completion, submit your lab pass to your instructor in the classroom. Students successfully scoring within the Proficiency level in the Digital Clinical Experience on the first attempt will earn a grade of 150 points; students successfully scoring at the Proficiency level on the second attempt will earn a grade of 135 points; and students successfully scoring at the Proficiency level on the third attempt will earn a grade of 120 points. Students who do not pass the performance-based assessment by scoring within the Proficiency level in three attempts will receive a failing grade (102 points). Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion. If Proficiency is not achieved on the first attempt it is recommended that you review your answers with the correct answers on the Experience Overview page. Review the report by clicking on each tab to the left titled; Transcript, Subjective Data Collection, Objective Data Collection, Documentation, and SBAR to compare your work. Reviewing this overview and course resources may help you improve your score. You are not required to submit this assignment to LopesWrite. Expert Answer Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon: NEW30 to Get 30% OFF Your First Order What is Shadow Health Assessment? Introduction In the world of healthcare and nursing education, new technologies are constantly emerging to enhance patient care and improve training methodologies. One such innovative tool is Shadow Health Assessment. This article aims to provide a comprehensive understanding of what Shadow Health Assessment is, its benefits, how it works, its importance in healthcare, its applications in nursing education, its limitations, and future trends. Understanding Shadow Health Assessment Shadow Health Assessment is a virtual patient simulation platform that enables healthcare professionals and students to engage in realistic clinical scenarios. It is an interactive, web-based learning environment designed to replicate real-life patient interactions. Through this assessment, users can develop critical thinking skills, clinical reasoning abilities, and improve their overall competence in patient care. Benefits of Shadow Health Assessment Realistic Patient Encounters: Shadow Health Assessment offers realistic virtual patients with diverse backgrounds, medical histories, and symptoms. This allows healthcare professionals and students to practice their skills in a safe and controlled environment. Active Learning: Users actively engage in patient assessments, health histories, physical examinations, and clinical reasoning, promoting active learning and knowledge retention. Immediate Feedback: The platform provides immediate feedback and performance evaluations, highlighting strengths and areas for improvement. Flexibility and Accessibility: Shadow Health Assessment can be accessed anytime, anywhere, making it convenient for healthcare professionals and students to enhance their skills and knowledge. Standardized Assessment: The virtual patient scenarios provide standardized assessments, ensuring consistency and fairness in evaluating competency levels. How Shadow Health Assessment Works Shadow Health Assessment utilizes advanced technology to create immersive virtual patient experiences. Users interact with virtual patients through various modules, including health history interviews, physical assessments, documentation, and diagnostic reasoning. The platform simulates the entire patient encounter, allowing users to apply their knowledge and skills in a practical setting. The Importance of Shadow Health Assessment in Healthcare Shadow Health Assessment plays a vital role in healthcare for both professionals and students. It provides an opportunity to refine clinical skills, enhance critical thinking abilities, and improve patient care. By practicing in a risk-free environment, healthcare professionals can gain confidence and competence in their diagnostic and treatment decisions, ultimately leading to better patient outcomes. Shadow Health Assessment in Nursing Education Nursing education greatly benefits from the integration of Shadow Health Assessment. It allows students to bridge the gap between theoretical knowledge and clinical practice. By engaging in virtual patient encounters, nursing students develop essential assessment and communication skills, empowering them to deliver high-quality care in real-life settings. Limitations of Shadow Health Assessment While Shadow Health Assessment offers significant advantages, it also has certain limitations. Some of these limitations include: Lack of Human Interaction: Virtual patient encounters cannot fully replace the experience of interacting with real patients, including the nuances of non-verbal communication and patient-provider rapport. Limited Physical Examination: While virtual patient simulations cover a wide range of scenarios, they may not fully capture the complexity and variability of physical examinations. Technology Requirements: Access to the platform relies on technology and internet connectivity, which may pose challenges in resource-constrained environments. Future Trends in Shadow Health Assessment As technology continues to advance, Shadow Health Assessment is expected to evolve and incorporate new features. Some future trends in this field may include: Artificial Intelligence Integration: AI algorithms can enhance the realism and interactivity of virtual patient encounters, providing more sophisticated feedback and adaptive learning experiences. Expanded Specialty Areas: The platform may expand its scope to include a wider range of specialty areas, allowing healthcare professionals and students to practice in specific clinical contexts. Enhanced Interactivity: Future developments may include more immersive and interactive elements, such as virtual reality and augmented reality, to create even more realistic simulations. Conclusion Shadow Health Assessment is a powerful tool in healthcare and nursing education that offers realistic virtual patient encounters. It provides numerous benefits, including active learning, immediate feedback, flexibility, and standardized assessments. While it has certain limitations, its importance in enhancing clinical skills and patient care cannot be understated. As technology progresses, we can expect to see even more advanced features and applications in the future. FAQs How do you perform a complete head to toe assessment? Performing a complete head-to-toe assessment is a comprehensive process used by healthcare professionals
Describe why there is such a struggle when addressing end-of-life
Describe why there is such a struggle when addressing end-of-life issues Module 2: Assignment Assignment: Professional Development Exercises : Describe why there is such a struggle when addressing end-of-life issues What are the differences between allowing a patient to die and physician-assisted suicide? Discuss the controversy that can occur when considering a patient’s right to know whether a caregiver has AIDS and the caregiver’s right to privacy and confidentiality. Describe the distinctions among wrongful birth, wrongful life, and wrongful conception. Discuss the moral dilemmas of these concepts Discuss the arguments for and against partial birth abortions Discuss why there is controversy over genetic markers and stem cell research Please combine all of these responses into a single Microsoft Word document for submission Please submit only complete assignments (not partial or “draft” assignments). Submit only the assignments corresponding to the module in this section. You are not required to adhere to the 500-1000 word count for each of the responses, but please be thorough in your responses so that you adequately address all aspects of each question. Sample Answer Ethical, Legal, and Moral Issues in Nursing Practice Nurses face various issues when providing care to patients in their work settings. Some of the issues are about patient and nurse privacy and confidentiality, death, and abortion. This assignment aims to write an essay addressing questions answering some of the issues nurses face while discharging their duties. Reasons for Struggle When Addressing End-Of-Life Issues End-of-life care provides healthcare services to an individual with a terminal illness that has advanced and cannot be cured. Healthcare professionals, especially nurses, experience a lot of dilemmas when providing end-of-life care. Sellars et al. (2019) define end-of-life issues as complex ethical, moral, or legal dilemmas about a patient’s significant medical-surgical prognosis, physiologic functions, personal beliefs and values, and quality of life. The issues include hopelessness, loss of dignity, depression, physical pain, and a variety of intense emotions. Caregivers struggle to address end-of-life issues due to the following reasons. The first reason is the difference in culture. As human beings, both patients and healthcare workers have different cultures that can contradict their care provision relationship (Reader, Dayal, & Brett, 2020). For instance, a patient might need their caregivers to talk to them about death. However, the nurse might not fulfill the patient’s wishes because their culture prohibits them from discussing death-related issues. As a result, fail to help the patient psychologically. The second reason is ethics. Nurses are guided by specific ethical values when performing their clinical duties. The principles include autonomy, beneficence, justice, non-maleficence, and privacy and confidentiality (Reader et al., 2020). The key aim of these principles is to ensure that nurses provide quality and safe care. However, the principles, especially, autonomy can cause a struggle when nurses are handling end-of-life issues. For instance, during the end-of-life stage, patients with advanced cancer might refuse to take the pain, yet they are feeling a lot of pain. To respect the patient’s right to autonomy, the nurse will be forced to respect the client’s decision despite the psychological torcher of seeing the patient in pain and agony (Sellars et al., 2019). Lastly, patients’ moral obligation of dying a dignified death can make it hard for caregivers to provide care to them in their last stages of life. Difference Between Allowing Patients to Die and Physician-Assisted Suicide Allowing patients to die and physician-assisted suicide is used to ensure that they have undergone a dignified death process. However, these two practices are done using different approaches. The key difference between the two is that allowing a patient to die is where a client with a prolonged or terminal illness is left to die of natural causes. The Uniform Determination of Death Act of 1980 defines natural death in two ways. First, the act notes that death is an irreversible cessation of respiratory or circulatory functions. Second, death is an irreversible lapse of all the brain functions, including the brain stem. However, physician-assisted suicide is a situation where a patient is allowed to commit suicide with a physician’s help (Sulmasy et al., 2019). In other words, physician-assisted suicide is where a patient commits suicide, and a physician is there to help them, but allowing a patient to die is letting the patient perish of natural causes. Another difference between the two is that physician-assisted suicide is done using medical intervention while allowing patients to die is letting nature take its cause. An example of allowing a patient to die is withdrawing or withholding life-support systems to allow patients to die a natural death. Withholding vital treatments, such as ventilators to allow patients to die of respiratory complications or brain dysfunction, is also an example of allowing a patient to die. An example of physician-assisted suicide is where a licensed physician provides information and means, such as sleeping pills and other legal medications, to enable the patient to commit suicide (Goligher et al., 2017). In physician-assisted suicide, the physician often provides data with the knowledge that the patient will commit suicide. The last difference is that physician-assisted suicide is a type of euthanasia while allowing a patient to die is not. Religious organizations such as the National Association of Evangelicals support allowing a patient to die but oppose physician-assisted suicide and other euthanasia forms. Controversies about Patient’s Right to Know a Nurse’ HIV Status and Caregiver’s Right to Privacy and Confidentiality A dilemma has always occurred in a clinical setting regarding whether a patient should know if their caregivers have aided and the nurses’ right to privacy and confidentiality. This issue has been controversial because patients’ right to safety and nurses’ right to confidentiality have been locking horns (Jacobsen, 2019). Nurses with HIV/AIDs are protected by the Health Insurance Portability and Accountability Act of 1996 as patients. The HIPAA requires that patients’ information should be guarded technically, administratively, and physically. The law prohibits healthcare providers from disclosing nurses’ health status to anyone without their consent in the caregivers’ patient status. As a general rule, nurses are
Apply Guidos MORAL model to resolve the dilemma – Solved 2025
Apply Guidos MORAL model to resolve the dilemma presented in the case study described in EXERCISE 4–3 (Guido textbook) Start by reading and following these instructions: Quickly skim the questions or assignment below and the assignment rubric to help you focus. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully. Consider thecoursediscussions so far and any insights gained from it. Create your Assignment submission and be sure to cite your sources if needed, use APA style as required, and check your spelling. Assignment: Complete both case studies: Apply Guidos MORAL model to resolve the dilemma presented in the case study described in EXERCISE 4–3 (Guido textbook). How might the nurses in this scenario respond to the physician’s request? How would this scenario begin to cause moral distress among thenursingstaff, and what are the positive actions that the nurses might begin to take to prevent moral distress? Read the case study entitled You be the Ethicist, presented at the end of Chapter 3 (Guido textbook). What are the compelling rights that this case addresses? Whose rights should take precedence? Does a child (specifically this competent 14-year-old) have the right to determine what will happen to him? Should he ethically have this right? How would you have decided the outcome if his disease state had not intervened? Now, examine the scenario from the perspective of health care policy. How would you begin to evaluate the need for the policy and the possible support or lack of support for the policy from your peers, nursing management, and others who might be affected by the policy? Do the 10 framework questions outlined by Malone in chapter 4 (Guido textbook) assist in this process? Create a process proposal for the organization with possible guidelines, procedures, and policies to address the issues you have identified. REQUIRED SOURCES: Guido, G. W. (2014). Legal and ethical issues in nursing (6th ed.). Upper Saddle River, NJ: Prentice Hall. (Chapter 3 and 4) Pozgar, G. D. (2013). Legal and ethical issues for health professionals (3rd ed.). Boston: Jones and Bartlett. (Chapter 1 and 4) Expert Answer and Explanation Ethical and Legal Issues in Nursing Professionals in nursing get faced with several ethical and legal issues in the course of carrying out their practice. Nurses experience different kinds of stress in their practice environment when dealing with different medical circumstances. Moral distress is a situation that occurs when a nurse gets confronted with two conflicting principles of ethics. For example, deciding between acting upon the patient’s wishes and what the nurse knows to be the best thing to do for the patient. This paper aims to discuss the ethical dilemmas with regard to moral distress and determination of rights. Case Study; Exercise 4-3 Nurses’ Response to the Physician’s Request In responding to the request of the physicians to the nurses for them to talk to the family of the patient about the transfer of the patient to another facility. The nurses are bound to experience uncertainty in their morals in which they are unsure about what the right course of action is based on the sentiments of the family and the patient’s medical history. The patient’s condition seems hopeless to the extent that she no longer recognizes family who as such, intended to stop visiting her. However, the nurses can follow the instructions of the physician, but the final decision gets made by the family since the patient lacks capacity. Link to Moral Distress among the Nursing Staff The nursing staff in the scenario would begin experiencing initial moral distress based on the fact that the physician and the family of the patient have different opinions of what should be done and the burden lies on the nurses to decide whose instructions to follow. The family of the patient have voiced their concerns on what the patient would have wanted with regard to the use of the ventilator support, which, according to them, the patient would never have accepted. Trying to convince the family to transfer the patient for advanced treatment with instructions from her primary physician would cause significant distress to the nursing staff because they would be caught between what the patient’s family want and what the physician thinks is right for the patient (Campbell et al., 2018). The physician has his reasons just like the patient’s family do, and as such, trying to convince the family otherwise would be a stressful task for the nurses. Positive Actions that the Nurses Might Begin to Take to Prevent Moral Distress Medical studies present several actions that the nurses in this kind of stressful scenarios can begin taking in a bid to manage moral distress. They may start by voicing their ethical concerns, which is something that should be allowed in their practice environment as this will allow them to cope better with such situations in future thus minimize the possibility of them experiencing moral distress (Guido, 2014). Raising their ethical concerns will help them to cope better with situations when they experience moral distress. The orientation programs for new nursing employees should include use of experts in ethics to provide them with information concerning moral distress to be discussed in settings that are neutral to educate them on identifying, understanding as well as making use of the available resources in the organization to prevent moral distress. Some of these resources may include making use of the services for counselling to help them understand what moral distress entails and how to manage it in the course of their practice (Lachman, 2016). The nurses can also begin by asking the healthcare organization to provide intervention programs for nurses to help them reduce moral distress. Case Study, You Be the Ethicist; Chapter 3 Compelling Rights Addressed by this Case This case addresses some rights that are compelling, with the most significant being the right to refuse treatment. After the nurses and physicians have exercised veracity by telling the patient the whole truth about his condition, then providing options