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HA3002: Ethical Issues in Health Assessment
Assessment Template
Instructions: For this Competency Assessment, you will respond to the following prompts based on the case study that is related to a particular health issue: HIV partner notification.
Scenario:
You are a nurse in the surgical unit of a large metropolitan hospital. A young woman has been admitted for an ovarian cyst removal later the same day. As you are taking her health history, she reveals that she has recently been diagnosed as HIV positive. In response to a query from you, she acknowledges that she has not yet seen a healthcare provider regarding this diagnosis. She also quickly adds that she hasn’t disclosed this condition to her new boyfriend, who is in the waiting room, or to any other family members or friends.
Respond to the questions below from your perspective as the nurse providing care for this patient. Support your thoughts and ideas with appropriate citation of scholarly references.
With this patient’s right to privacy and confidentiality in mind, identify those whom you need to inform about her HIV-positive status. Provide support from scholarly references for your response. (1–2 paragraphs)
As the nurse, I would document this information in the patient electronic medical record. Hospitals abide by Health Insurance Portability and Accountability Act (HIPAA), the patient’s
medical record can only be accessed by individuals on a need-to-know basis and is protected from unauthorized use (Secretary & OCR, 2020). This information is pertinent for the patient's care. The surgeon may feel that it is necessary to determine the patient’s current CD4 level. If the CD4 is low the surgeon may want to reschedule to reduce the risk of post-surgical
infection (King Jr, 2015). Informing the surgeon of the patient’s diagnosis is solely based on providing safe and effective care for the patient. All healthcare workers are educated about using universal precautions (CDC, 2018). Using standard precautions for each patient minimizes the need for each healthcare worker the patient comes across to know their
diagnosis.
During the health assessment, your patient has revealed that her boyfriend does not know about her HIV-positive status. Briefly explain how you might explore the patient’s understanding of how her HIV positive status may impact her relationship and the health of her partner. Explain why you would take this approach. Support your approach with scholarly references. (1–2 paragraphs)
While speaking with the patient, I want to ensure that she trusts me. Carefully identifying ways to build rapport will help the patient feel comfortable discussing this private matter (Allinson & Chaar, 2021). I will ensure that when speaking to her I am not engaged with charting notes, and I will use active listening. I will use therapeutic communication and sit down at eye level with her, so she does not feel intimidated (Hull, 2007). Now that I have gained her trust and established a more relaxed atmosphere, I would
ask her to educate me on what she knows about HIV. Once she is done talking, I will ask her if it is okay for me to tell her what I know about HIV. I will acknowledge this is a sensitive subject matter and inquire if she is sexually active with her boyfriend because I just do not want to assume. Once I have her answer, I will offer to sit with them both to discuss this with him. I will also educate her that it is a crime in Iowa if she does not disclose her diagnosis to him even if they practice safe sex (Iowa Legislature: 641.11 2017).
If she does not feel comfortable with disclosing this to him, I will inform her about Iowa’s partner notification services. This service requires physicians to notify a patient’s partner if
there is a belief that the patient has not discussed this with their partner.
(Iowa Legislature: 641.11 2017). I want her to realize that this is a serious matter and that her boyfriend has a right to know as soon as possible.
Identify two actions you would take—or ensure are taken—in this scenario to preserve patient confidentiality. Support your response with reference to the ANA’s position paper on privacy
and confidentiality. (1–2 paragraphs)
The American Nurse Association (2015) states “Organizations must develop appropriate administrative, physical, and technical safeguards required to protect the confidentiality, integrity, and availability of individually identifiable health information (p. 2).” To preserve my patient’s confidentiality, I will use the following technical safeguards, protecting my username and password. This includes not writing this information down and using a password that cannot be easily guessed. Each time I am directly in front of the computer screen I will log completely out. I will use privacy screen protectors to ensure that if someone were to walk past, they cannot see the patient’s information on my screen. To physically preserve her confidentiality, when I am speaking with my patient, I will always keep the door closed and talk in a softer tone to ensure my voice does not carry on to the next room for others to hear. I will also not discuss or give shift report in public areas. Any papers that have protected health information will be stored in protected areas out of reach of unauthorized individuals.
The Code of Ethics for Nurses was developed to provide guidance for administering quality and ethical care while upholding standards and obligations of the profession. Select one of the provisions of the Code and explain how you might apply this provision to guide your responses to the health assessment described in the scenario. Support your response with appropriate citations from scholarly references. (2–3 paragraphs)
As a nurse Provision 3 of The Code of Ethics for Nurses is one that I would help assist me during my assessment. This particular provision explains how the nurse promotes, advocates for, and protects the rights, health, and safety of the patient (Fowler, 2015). Even though I am a nurse when I seek medical attention, I am a patient
and feel more confident with discussing things with my nurse or provider knowing what I share will only be used to help them care for me. I always think about things as
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Related Questions
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Inability to recognize the problem
Inability to make decisions with respect to taking appropriate health action
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Module Eight: Suffering, Quaternary Prevention, Ethics in Chronic Illness Situations
This module introduces quaternary prevention and addresses the role of nurses in situations where
individuals and families may be suffering. Principles of ethics are revisited as related to suffering and the
nursing role.
Module Objectives
1. Discuss types of suffering.
2. Address the role of nursing in situations of suffering.
3. Introduce quaternary prevention as it relates to nursing practice.
4. Apply the Code of Ethics for Nurses with Interpretive Statements in situations of suffering.
5. Consider informed risk, autonomy, beneficence, and nonmaleficence in difficult situations.
Resources and readings (you have seen some of these before in this course):
Required videos linked into this module
American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.).
(available free through the SMSU McFarland Library e-books:…
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Need help with definition
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RESULT OF INTERVIEW WITH SIGNIFICANT FINDINGS
A. Interaction Patterns
According to the daughter of Aling Adela named Pat-pat, her mother is always busy at work. They (children) are always in-charged for planning
activities at home. Sometimes if they are planning to go out as family, Aling Adela is not interested to join, she instead advises her children to be
careful and take extra responsible.
B. Economic Patterns
Aling Adela is the only one who supports and works for her family. Her husband died a couple of years ago from emphysema. Aling Adela works as
"laundry woman" in their neighborhood. And sometimes work as extra in the farm during harvest of rice. The client wakes up as early as 4:00AM and
work until 6:00PM. Her eldest daughter Tin-tin admitted that the income of her mother is not sufficient to support them in their everyday needs as wel
as other expenses such as payment for food and education.
C. Cognitive Patterns
Aling Adela just finished Grade 5 and has difficulty…
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Write down the nursing care plan for patients with Anemia (Refer to nurses pocket guide, diagnosis, prioritized interventions, and
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Write down the classification, indications, adverse reactions, patient monitoring and teaching for Digoxin medication (Refer to
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Nursing diagnosis
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Term 3 Final Review
Fundamentals:
◆ Nursing interventions and nursing actions
◆ Therapeutic communication
Head-to-Toe Assessment
◆ HAI's
◆ Right to care, right to refuse
◆ Advanced directives and living will
◆Forms of consent
◆ Prioritization
Nursing documentation
◆ Care of non-English speaking patient
◆ Standard and Contact precautions
◆ Pain control and management
Labs and Diagnostics:
◆ CBC
◆ BMP
◆ BNP
◆ PT/INR
◆ APTT
ABG
◆ A1C
◆ CT scan: pre and post care
◆ Biopsy: renal, liver, lung (pre and post care)
◆ Urinary tests: U/A, C/S, collection methods
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explain 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.
asap typed
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formulate a case study with introduction, case presentation, actions and their results, current care plan and recommendations and conclusions
Case Study: A newly admitted client will be your responsibility as the registered nurse.
The client is a 47year-old male of Native American heritage with type 2
diabetes. He states that he has not been taking his medication because it
doesn't make him feel better, he also has difficulty remembering to take
the medication. The following information pertains to this chient:
Fingerstick blood sugar = 213 mg/dL
BP 150/90 mmHg, temp 370C (98.6013) oral; respiratíons 24/min; pulse
78 beats/min.
" I use the bathroom about eight times per. day
Ht6feet 4 inches, weight 284 pounds
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Need slides see instructions too.
The objective of this is to create a PowerPoint presentation focusing on a
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Quality Concepts to Choose From:
1. Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury
2. Catheter Associated Urinary Tract Infection (CAUTI)
3. Residents Experiencing One or More Falls with Major Injury
4. Clostridium difficile Infection (CDI)
5. Potentially Preventable 30-Day Post-Discharge Readmission
6. Pressure Ulcers That Are New or Worsened
7. Change in Self-Care for Medical Rehabilitation Patients
8. Change in Mobility Score for Medical Rehabilitation Patients
• Presentation Requirements:
• The presentation should consist of 7-10 slides (excluding the title slide and
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• Use evidence-based resources to explain the chosen clinical problem/quality
initiative.
• Slides should be engaging, minimally cluttered, and free from spelling errors.
• Each presentation should address the following:
•…
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Assessment
How did this individual/group present to the agency and what the client(s) viewed as their challenges
Describe the biopsychosocial/cultural/spiritual assessment factors of this case.
Did you, as a social worker, identify additional needs? If so, what were they?
What did the client identify as their strengths?
What strengths did you as the social worker identify in this client?
Describe in detail how the following theories could be applicable to your client and this case:
Erikson's theory of psychosocial development
Attachment theory
Person in Environment perspective
Cognitive Behavioral Theory
Strengths Perspective
Intervention
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For each of the following patient considerations, tell me which
component of Health Literacy it is reflecting.
Answer Options:
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-Oral Literacy
-Print Literacy
-Numeracy
-Media Literacy
1.) Knowing HOW to keep yourself healthy.
2.) Knowing when to seek healthcare.
3.) Understanding prescription bottled directions.
4.) Knowing how to accurately fill out a medical form.
5.) Reading and understanding health pamphlets.
6.) Critically thinking through television, movie, and website portrayals of healthcare
information.
7.) Understanding and being able to accurately follow a healthcare provider's directions.
8.) Navigating the healthcare system, including health insurance.
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For the nursing problem of the highest importance establish:
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A minimum 6 actions per goal, with comprehensive rationales
A minimum 1 evaluation of the outcomes for each action
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Patient is on hospice with a diagnosis of Parkinson and end stage Dementia, agitation, self-inflicted wounds from scratching. The paper should be written base on this patient diagnosis. Should be structed as follows below in APA format.
Instructions:· Answer each question individually; in a narrative APA format· Give background information through research, cite references· Include a reference sheet.
Paragraph 1:
introduce the concept of home health,hospice outpatient, transitions clinicor wound care. Name the goals andobjectives associated with theseagencies.
Paragraph 2:
Describe the certification processinvolved in these outpatient services;Insurance vs uninsured, and approvalfor supplies needed.
Paragraph 3:
Pick one patient you visited anddiscuss the cause and progression ofthe illness/injury leading to theadmission to the outpatient services.
Paragraph 4:
Describe the pathophysiology of thedisease process of the patientrequiring the outpatient services
Paragraph…
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Assessment
-Subjective & objective
Diagnosis
Planning
Interventions
-Independent & dependent
Evaluation
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1. Risk for infection related to lowered immune response in newborn.
2.Risk for imbalanced nutrition, less than body require- ments related to lack of energy for sucking.
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Recommended textbooks for you
Comprehensive Medical Assisting: Administrative a...
Nursing
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
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Related Questions
- Situation: It is the 5th day of the nurse deployed by the DOH under the Registered Nurses for Health Enhancement and Local Service (RN HEALS) Program. The nurse supervisor assists the registered nurse trainees in selecting the appropriate second level assessment among the families in Bgy. Purita, Baba, Sta. Rosa. Mrs. Ligaya verbalized "I know that getting vaccinated protects my son's health. At 6-months-old, for me my son has completed his immunization, we will just spend our money for food than transportation to this health center." Second level assessment shows: Inability to recognize the problem Inability to make decisions with respect to taking appropriate health action Inability to provide adequate nursing care to the sick, disabled, dependent or vulnerable/at risk member of the family Inability to provide a home and environment conducive to health maintenance and personal developmentarrow_forwardPlease each questionarrow_forwardWrite down the nursing care plan for patients with Anemia (Refer to nurses pocket guide, diagnosis, prioritized interventions, and rational book) 3 nursing diagnosis Objectives/outcomes Interventions Rational Write down the classification, indications, adverse reactions, patient monitoring and teaching for Digoxin medication (Refer to Nurse's drug hand book)arrow_forward
- No need generalize answer ok. Module Eight: Suffering, Quaternary Prevention, Ethics in Chronic Illness Situations This module introduces quaternary prevention and addresses the role of nurses in situations where individuals and families may be suffering. Principles of ethics are revisited as related to suffering and the nursing role. Module Objectives 1. Discuss types of suffering. 2. Address the role of nursing in situations of suffering. 3. Introduce quaternary prevention as it relates to nursing practice. 4. Apply the Code of Ethics for Nurses with Interpretive Statements in situations of suffering. 5. Consider informed risk, autonomy, beneficence, and nonmaleficence in difficult situations. Resources and readings (you have seen some of these before in this course): Required videos linked into this module American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.). (available free through the SMSU McFarland Library e-books:…arrow_forwardNeed help with definitionarrow_forwardRESULT OF INTERVIEW WITH SIGNIFICANT FINDINGS A. Interaction Patterns According to the daughter of Aling Adela named Pat-pat, her mother is always busy at work. They (children) are always in-charged for planning activities at home. Sometimes if they are planning to go out as family, Aling Adela is not interested to join, she instead advises her children to be careful and take extra responsible. B. Economic Patterns Aling Adela is the only one who supports and works for her family. Her husband died a couple of years ago from emphysema. Aling Adela works as "laundry woman" in their neighborhood. And sometimes work as extra in the farm during harvest of rice. The client wakes up as early as 4:00AM and work until 6:00PM. Her eldest daughter Tin-tin admitted that the income of her mother is not sufficient to support them in their everyday needs as wel as other expenses such as payment for food and education. C. Cognitive Patterns Aling Adela just finished Grade 5 and has difficulty…arrow_forward
- Discuss and justify two nursing safety considerations/ interventions for patients receiving pre-operative medication while awaiting transfer to the operating room.arrow_forwardWrite down the nursing care plan for patients with Anemia (Refer to nurses pocket guide, diagnosis, prioritized interventions, and rational book) 3 nursing diagnosis Objectives/outcomes Interventions Rational Write down the classification, indications, adverse reactions, patient monitoring and teaching for Digoxin medication (Refer to Nurse's drug hand book) Nursing diagnosis Outcomes/objectives Intervention Rationalarrow_forwardTerm 3 Final Review Fundamentals: ◆ Nursing interventions and nursing actions ◆ Therapeutic communication Head-to-Toe Assessment ◆ HAI's ◆ Right to care, right to refuse ◆ Advanced directives and living will ◆Forms of consent ◆ Prioritization Nursing documentation ◆ Care of non-English speaking patient ◆ Standard and Contact precautions ◆ Pain control and management Labs and Diagnostics: ◆ CBC ◆ BMP ◆ BNP ◆ PT/INR ◆ APTT ABG ◆ A1C ◆ CT scan: pre and post care ◆ Biopsy: renal, liver, lung (pre and post care) ◆ Urinary tests: U/A, C/S, collection methodsarrow_forward
- Please explain to the understanding of the NSQHS Recognising and Responding to Acute Deterioration Standard. Please provide a detailed neonatal ward example from nursing clinical placement of your application of this standard to your practice (please presente example using the STAR format).arrow_forwardA 15-year-old boy has come in for a sports physical after testing postive for Covid two months ago. He is coughing and has asthma but is not on maintenance medications. He has indicated that he doesn't want to take medication everyday. explain 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. asap typedarrow_forwardformulate a case study with introduction, case presentation, actions and their results, current care plan and recommendations and conclusions Case Study: A newly admitted client will be your responsibility as the registered nurse. The client is a 47year-old male of Native American heritage with type 2 diabetes. He states that he has not been taking his medication because it doesn't make him feel better, he also has difficulty remembering to take the medication. The following information pertains to this chient: Fingerstick blood sugar = 213 mg/dL BP 150/90 mmHg, temp 370C (98.6013) oral; respiratíons 24/min; pulse 78 beats/min. " I use the bathroom about eight times per. day Ht6feet 4 inches, weight 284 poundsarrow_forward
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SEE MORE QUESTIONS
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Recommended textbooks for you
- Comprehensive Medical Assisting: Administrative a...NursingISBN:9781305964792Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy CorreaPublisher:Cengage Learning
Comprehensive Medical Assisting: Administrative a...
Nursing
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Cengage Learning