The legal implication of informed consent for Children and adolescents: Informed consent lays the foundation for the psychotherapy relationship and treatment to come in respecting the
client’s legal rights and offering them the opportunity to decide about participating in the treatment to be delivered. It enables the client’s autonomy and empowers them to play an active
role in their treatment. The potential benefits of an appropriately implemented informed consent process is a collaborative process that sets the tone for the psychotherapy relationship,
promoting an enhanced therapeutic alliance; it promotes shared decision-making. This information sharing and collaborative decision-making process minimize the risk of exploitation of
and harm to the client. (Coffman, C., Barnett, E., 2022). The legal implication of informed consent for adults: The process of informed consent occurs when communication between a patient
and physician results in the patient’s authorization or agreement to undergo a specific medical intervention. If the patient lacks decision-making capacity or declines to participate in making
decisions, the provider should: Assess the patient’s ability to understand relevant medical information and the implications of treatment alternatives and make an independent, voluntary
decision. Present relevant information accurately and sensitively, keeping with the patient’s preferences for receiving medical information. The physician should include information about
the diagnosis, the nature, and purpose of recommended interventions, the burdens, risks, and expected benefits of all options, including forgoing treatment. Document the informed
consent conversation. When the patient/surrogate has provided specific written consent, the consent form should be included in the record. In emergencies, when a decision must be made
urgently, the patient cannot participate in decision making, and the patient’s surrogate is not available, the provider may initiate treatment without prior informed consent. In such
situations, the physician should inform the patient/surrogate at the earliest opportunity and obtain permission for ongoing treatment in keeping with these guidelines.
(Informed consent.,2022).
Ethical implications of informed consent in adults: With informed consent, the patient and health care provider each play a role in formulating an acceptable treatment
plan. Essential aspects of informed consent include ethical obligations to promote autonomy, provide information, and avoid unethical forms of bias. Patients have the right to refuse
medical therapies, whether on religious or other grounds if they are competent to do so. Providers cannot subject patients to specific tests without informed consent. All patients should be
involved in decision-making to the degree their capacity allows, irrespective of age. (Van. Norman. G., 2008).
Ethical implications of informed consent for children and adolescents: The American Medical Association suggests that practitioners have a moral obligation to encourage
adolescents’ autonomy by involving them in the decision-making process of medical treatment. Although the American Academy of Pediatrics (2003) defers the regulation of consent rights of minors to
individual states, it takes the following position: “As children develop, they should gradually become the primary guardians of personal health and the primary partners in medical decision making,
assuming the responsibility of their parents” (Committee on Bioethics, 1995, p. 316). Even though the parent has a legal responsibility to ensure the child is receiving the appropriate medical care, there is
also, an ethical “need to respect the rights and autonomy of every individual, regardless of age” (Kunin, 1997, p. 44). Although practitioners are encouraged to respect adolescents’ autonomy, ethical
guidelines promote obtaining consent for treatment with the adolescent and the parent (Roberson, A.J., 2022)
References
Anthony James Roberson. Adolescent Informed Consent: Ethics, Law, and
Theory to Guide Policy and Nursing Research – ProQuest. (2022).
Retrieved 10 March 2022, from https://www.proquest.com/openview/
Caroline Coffman, Jeffrey E Barnett
Adolescents, I. (2022). Informed Consent with Children and Adolescents |
society for the Advancement of Psychotherapy. Retrieved 9 March 2022,
from https://societyforpsychotherapy.org/informed-consent-with-children-and-adolescents/
Informed Consent. (2022). Retrieved 9 March 2022, from https://www.ama-assn.org/delivering-care/ethics/informed-consent
Van Norman, G. (2008). Ethical Issues in Informed Consent. Perioperative Nursing Clinics, 3(3), 213-221. DOI: 10.1016/j.cpen.2008.04.004
Utilitarianism · Egoism · Relativism . Absolutism
/in Nursing /by adminAPA format
1) Minimum 6 pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per page
You must strictly comply with the number of paragraphs requested per page.
Part 1: minimum 1 page
Part 2: minimum 2 pages
Part 3: minimum 1 page
Part 4: minimum 1 page
Part 5: minimum 1 page
Submit 1 document per part
2)¨******APA norms
All paragraphs must be narrative and cited in the text- each paragraph
Bulleted responses are not accepted
Don’t write in the first person
Don’t copy and paste the questions.
Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph
Submit 1 document per part
3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)
********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)
4) Minimum 3 references (APA format) per part not older than 5 years (Journals, books) (No websites)
Part 2: Minimum 4 references (APA format) per part not older than 5 years (Journals, books) (No websites)
All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.
5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next
Example:
Q 1. Nursing is XXXXX
Q 2. Health is XXXX
6) You must name the files according to the part you are answering:
Example:
Part 1.doc
Part 2.doc
__________________________________________________________________________________
Part 1: Aging and family
1. Define the following terms:
a· Utilitarianism
b· Egoism
c· Relativism
·d. Absolutism
2. Briefly write a hypothetical situation where each of the defined terms above is utilized.
Part 2: Aging and family
Topic: Provide cultural care for this group or the individual
The older population in the United States is becoming more ethnically and racially diverse. In addition to racial and ethnic diversity, there will be growing numbers of lesbian, gay, bisexual, and transgender persons entering their senior years who will present a unique set of challenges. The growing diversity of the older population presents challenges for gerontological nursing in providing culturally competent care.
Older group: Hispanic Americans
Role: Nurse
Situation: You must demonstrate the importance of providing cultural care for this group population, addressing:
1. Beliefs, values, traditions, and practices of health (1/2 page)
a. Give a brief example
2. Education on health risk factors (1/2 page)
a. Give a brief example
3. One’s own attitudes, beliefs, and those attitudes of co-practitioners (1/2 page)
a. Give a brief example
4. Language barriers that can affect the ability of patients to communicate health-related information, understand instructions, provide informed consent, and fully participate in their care (1/2 page)
a. Give a brief example
Part 3: Health informatics
1. Describe how healthcare informatics impacts epidemiology and health promotion – prevention?
Part 4: Health Promotion
Topic: Qualitative evaluations
1. What is a qualitative study?
2. What are the advantages and disadvantages?
3. Provide two examples of qualitative studies, include:
a. How the information could be analyzed.
Health promotion initiative: Breast cancer in menopausal patients
SMART goal: Through pedagogical groups, during the three months after the diagnosis, improve the awareness of menopausal patients about the risk factors for developing breast cancer
Population: Menopausal patients
Purpose: Educate menopausal patients about prevention strategies to develop breast cancer during menopause
4. Would you use a qualitative test to determine effectiveness of your health promotion initiative?
a. Explain why
Part 5: Epidemiology
1. Give one example for each type of care delivery service incentivized by volume based, fee-for-service payment models, as opposed to value based, alternative payment models.
2. Select one example and explain how works
Evidence-Based Clinical Intervention
/in Nursing /by adminYour Evidence-Based Clinical Intervention should be submitted in a Microsoft Word document following APA style and should include the following:
The medical problem/diagnosis/disease.
Typical presenting signs and symptoms including:
Onset, Characteristics, Location, Radiation, Timing, Setting, Aggravating factors, Alleviating factors, Associated symptoms, Course since onset, Usual age group affected
Concomitant disease states associated with the diagnosis
The pathophysiology of the problem.
Three differential diagnoses and the usual presenting signs and symptoms in priority sequence with rationales.
Reference to at least two current journal articles that show evidence-based practice as how to best treat this disorder related to the primary differential.
The expected outcomes of the intervention.
Algorithms if available.
A typical clinical note in SOAP format.
carcinogenesis
/in Nursing /by adminJ.C is an 82-year-old white man who was evaluated by GI specialist due to abdominal discomfort, loss of appetite, weight lost, weakness and occasional nausea.
Past Medical History (PMH):
Patient is Diabetic, controlled with Metformin 500 mg by mouth twice a day, Lantus 15 units SC bedtime. Hypertensive, controlled with Olmesartan 20 mg by mouth once a day. Atrial Fibrillation, controlled with Rivaroxaban 15 mg by mouth once a day and bisoprolol 10 mg by mouth once a day.
Labs:
Hb 12.7 g/dl; Hct 38.8% WBC 8.2; Glycemia 74mg/dl; Creatinine 0.8 mg/dl; BUN 9.8 mg/dl; AST 21 U/L ALT 17 U/L; Bil T 1.90 mg/dl; Ind 0.69 mg/dl; Dir 1.21 mg/dl.
Diagnostic test:
Endoscopic Ultrasound of the Pancreas. Solid mass in the head of pancreas 4 cms, infiltrating Wirsung duct. The solid mass impress to infiltrate the superior mesenteric vein. Perilesional node is detected, 1.5 cms, metastatic aspect. Fine needle aspiration (FNA) biopsy: Ductal adenocarcinoma.
Case study questions:
Please name the potential most common sites for metastasis on J.C and why?
What are tumor cell markers and why tumor cell markers are ordered for a patient with pancreatic cancer?
Based on the case study described, proceed to classify the tumor based on the TNM Stage classification. Why this classification important?
Discussed characteristic of malignant tumors regarding it cells, growth and ability to spread.
Describe the carcinogenesis phase when a tumor metastasizes.
Choose the tissue level that is affected on the patient discussed above: Epithelial, Connective, Muscle or Neural. Support your answer.
Covid Colonoscopy
/in Nursing /by adminWhen seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.
Not only do these diagnostic tests affect adults, but body measurements can also provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture—among other factors—are also relevant. That said, gathering and communicating this information can be a delicate process. Explore how you could effectively gather information and encourage parents and caregivers to be proactive about their health and weight.
For this Assignment, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values.
Adult Assessment Tools or Diagnostic Tests.
The assigned Assessment Tool/Diagnostic Test is Colonoscopy
THE QUESTION:
Description how the assessment tool or diagnostic test you were assigned is used in healthcare.
What is the purpose of Colonoscopy?
How is Covid Colonoscopy conducted?
What information does it gather?
Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting.
nurse’s role in health promotion and disease prevention in older adults
/in Nursing /by admindescribe and discuss the nurse’s role in health promotion and disease prevention in older adults. Share an example from your personal experience as a RN.
Name and elaborate on at least three screening/preventive procedure that must be done in older adults.
Define and discuss three common End-of-life documents that you as nurse must be familiar with to be able to educate older adults.
Covid 19 and Mental Health ( Depression)
/in Nursing /by adminCompare your analysis of this issue in the media reports with your analysis of this issue in the professional nursing literature.
Identify the similarities and differences
Based on your findings in this comparative analyses identify the implications for nurses or nursing students, health care policy, and/or health care delivery systems
Use the following headings:
Introduction
Similarities
Differences
Implications for nurses, nursing students, health care policy, and/or health care delivery systems
Conclusion
name one financial aspect, one quality aspect, and one clinical aspect
/in Nursing /by adminAfter discussion with your preceptor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based change proposal. Explain how your proposal will directly and indirectly impact each of the aspects.
Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it. What led to your current perspective and direction?
Evidenced-based Practice (EBP) and quality projects/initiatives
/in Nursing /by adminYou will explore Evidenced-based Practice (EBP) and quality projects/initiatives. A nurse leader’s role in these projects cannot be underestimated. It is important to understand the differences in research projects, quality improvement (QI) initiatives, and evidenced based practice (EBP) projects. This week students will explore and discuss those differences.
Learning Outcomes
Upon successful completion of this module, you will be able to:
Differentiate between evidenced-based practice and research.
Differentiate between quality improvement projects and research.
Explore how evidenced based practice, quality, and safety in health care are reflected in nursing theory, research, and science in meeting the mandate for quality and safety.
Be sure to complete all Introduction, Learn, and Apply items in Module 5: Week 5 – Evidenced Based Practice/Quality Improvement by 11:59 p.m. (ET) on the assigned due date. Use the Modules link on the left side of the screen at any time to view your progress in the course.
nurses in all settings need to strive to learn about existing or emerging mid-range theories
/in Nursing /by adminIn this module’s introduction, the following assertation is made: “Therefore, nurses in all settings need to strive to learn about existing or emerging mid-range theories, or seek to develop and describe theories that will explain phenomena they observe in practice?” APA, 150 words or more, two or more references.
Given the demands, we all face in our practices, how can we tangibly “seek to develop and describe theories that will explain phenomena they observe in practice?”
informed consent for Children and adolescents
/in Nursing /by adminThe legal implication of informed consent for Children and adolescents: Informed consent lays the foundation for the psychotherapy relationship and treatment to come in respecting the
client’s legal rights and offering them the opportunity to decide about participating in the treatment to be delivered. It enables the client’s autonomy and empowers them to play an active
role in their treatment. The potential benefits of an appropriately implemented informed consent process is a collaborative process that sets the tone for the psychotherapy relationship,
promoting an enhanced therapeutic alliance; it promotes shared decision-making. This information sharing and collaborative decision-making process minimize the risk of exploitation of
and harm to the client. (Coffman, C., Barnett, E., 2022). The legal implication of informed consent for adults: The process of informed consent occurs when communication between a patient
and physician results in the patient’s authorization or agreement to undergo a specific medical intervention. If the patient lacks decision-making capacity or declines to participate in making
decisions, the provider should: Assess the patient’s ability to understand relevant medical information and the implications of treatment alternatives and make an independent, voluntary
decision. Present relevant information accurately and sensitively, keeping with the patient’s preferences for receiving medical information. The physician should include information about
the diagnosis, the nature, and purpose of recommended interventions, the burdens, risks, and expected benefits of all options, including forgoing treatment. Document the informed
consent conversation. When the patient/surrogate has provided specific written consent, the consent form should be included in the record. In emergencies, when a decision must be made
urgently, the patient cannot participate in decision making, and the patient’s surrogate is not available, the provider may initiate treatment without prior informed consent. In such
situations, the physician should inform the patient/surrogate at the earliest opportunity and obtain permission for ongoing treatment in keeping with these guidelines.
(Informed consent.,2022).
Ethical implications of informed consent in adults: With informed consent, the patient and health care provider each play a role in formulating an acceptable treatment
plan. Essential aspects of informed consent include ethical obligations to promote autonomy, provide information, and avoid unethical forms of bias. Patients have the right to refuse
medical therapies, whether on religious or other grounds if they are competent to do so. Providers cannot subject patients to specific tests without informed consent. All patients should be
involved in decision-making to the degree their capacity allows, irrespective of age. (Van. Norman. G., 2008).
Ethical implications of informed consent for children and adolescents: The American Medical Association suggests that practitioners have a moral obligation to encourage
adolescents’ autonomy by involving them in the decision-making process of medical treatment. Although the American Academy of Pediatrics (2003) defers the regulation of consent rights of minors to
individual states, it takes the following position: “As children develop, they should gradually become the primary guardians of personal health and the primary partners in medical decision making,
assuming the responsibility of their parents” (Committee on Bioethics, 1995, p. 316). Even though the parent has a legal responsibility to ensure the child is receiving the appropriate medical care, there is
also, an ethical “need to respect the rights and autonomy of every individual, regardless of age” (Kunin, 1997, p. 44). Although practitioners are encouraged to respect adolescents’ autonomy, ethical
guidelines promote obtaining consent for treatment with the adolescent and the parent (Roberson, A.J., 2022)
References
Anthony James Roberson. Adolescent Informed Consent: Ethics, Law, and
Theory to Guide Policy and Nursing Research – ProQuest. (2022).
Retrieved 10 March 2022, from https://www.proquest.com/openview/
Caroline Coffman, Jeffrey E Barnett
Adolescents, I. (2022). Informed Consent with Children and Adolescents |
society for the Advancement of Psychotherapy. Retrieved 9 March 2022,
from https://societyforpsychotherapy.org/informed-consent-with-children-and-adolescents/
Informed Consent. (2022). Retrieved 9 March 2022, from https://www.ama-assn.org/delivering-care/ethics/informed-consent
Van Norman, G. (2008). Ethical Issues in Informed Consent. Perioperative Nursing Clinics, 3(3), 213-221. DOI: 10.1016/j.cpen.2008.04.004