Ethical Concerns As an advanced practice nurse, you will run into situations where a patients wishes about his or her health conflict with evidence, your own experience, or a familys wishes. This may create an ethical dilemma. What do you do when these situations occur? In this Discussion, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios. Scenario 1: A single mother has accompanied her two daughters, aged 15 and 13, to a womens health clinic and has requested that the girls receive a pelvic examination and be put on birth control. The girls have consented to the exam but seem unsettled. Scenario 2: A 17-year-old boy has come in for a check-up after a head injury during a football game. He has indicated that he would like to be able to play in the next game, which is in 3 days. Scenario 3: A 12-year-old girl has come in for a routine check-up and has not yet received the HPV vaccine. Her family is very religious and believes that the vaccine would encourage premarital sexual activity. Scenario 4: A 57-year-old man who was diagnosed with motor neuron disease 2 years ago is experiencing a rapid decline in his condition. He prefers to be admitted to the in-patient unit at a hospice to receive end-of-life care, but his wife wants him to remain at home. To prepare: · Select three scenarios, and reflect on the material presented throughout this course. · What necessary information would need to be obtained about the patient through health assessments and diagnostic tests? · Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected. Questions to be addressed in my paper: 1. The explanation of the health assessment information required for a diagnosis of your selected patients (include the scenario numbers). 2. Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your responses. 3. Summary with Conclusion REMINDERS: 1) 2-3 pages (addressing the 3 questions above excluding the title page and reference page). 2) Kindly follow APA format for the citation and references! References should be between the period of 2011 and 2016. Please utilize the references at least three below as much as possible and the rest from yours. 3) Make headings for each question. RESOURCES: · Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby. o Chapter 23, Sports Participation Evaluation (pp. 581-593) In this chapter, the authors describe the process of a sports participation evaluation. The chapter also states the most common conditions encountered in a sports participation evaluation. o Chapter 24, Putting It All Together (pp. 594-609) In this chapter, the authors tie together the concepts introduced in previous chapters. In particular, the chapter has a strong emphasis on the patient-caregiver relationship. o Review of Chapter 16, Breasts and Axillae (pp. 350-369) o Review of Chapter 18, Female Genitalia (pp. 416-465) · Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis. o Chapter 6, “Outpatient Charting and Communications” (“Advanced Directives”; pp. 128129) o Chapter 9, “Discharging Patients from the Hospital” (pp. 189207) · Burger, I. M., & Kass, N. E. (2009). Screening in the dark: Ethical considerations of providing screening tests to individuals when evidence is insufficient to support screening populations. American Journal of Bioethics , 9 (4), 314. Retrieved from the Walden Library databases. This article recommends how physicians should respond when new screening examinations emerge in the marketplace. The authors examine how evidence influences decision making for screening. · De Jong, A., Dondor…
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