As a medical professional, how might you educate these caregivers about their child’s health and development concerning this issue? What is your role in this process/situation? How can you best respect the caregiver’s wishes and provide the best healthcare in this situation?

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Immunization controversy in the medical profession.

For this assignment, you will compare/contrast a controversial topic in lifespan development – the immunization controversy in the medical profession. Be certain that your answers are cogent, well-formed, and supported by outside research rather than based on personal opinion.

Write about the immunization controversy in the medical profession. Be sure to address why people delay immunizations and why some refuse all immunizations for their children. As a medical professional, how might you educate these caregivers about their child’s health and development concerning this issue? What is your role in this process/situation? How can you best respect the caregiver’s wishes and provide the best healthcare in this situation?

Would you advise that breastfeeding or bottle feeding would be best for her infant’s development? Why/why not? Are there any other factors that you must take into consideration?

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Breastfeeding versus bottle feeding

There is much debate about breastfeeding versus bottle feeding and which is best for a baby’s physical, cognitive and socioemotional development. Based on what you have learned from the textbook, lessons and outside readings, what advice would you give to a patient who is struggling with the decision to breastfeed her 2-week-old infant. Consider that her milk supply has dipped, she is suffering from severe post-partum depression, but she has access to an excellent lactation consultant. Would you advise that breastfeeding or bottle feeding would be best for her infant’s development? Why/why not? Are there any other factors that you must take into consideration?

How three nursing models can be incorporated into the care of patients with end-stage kidney disease

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Three nursing models

How three nursing models can be incorporated into the care of patients with end-stage kidney disease

How did your personal perspective impact your proposal? How was the content from this course integrated into the paper or proposal? What perspective did you gain from formulating this proposal and doing research on this topic?

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Scholarly paper/How to Prevent Pressure Ulcers

What is the clinical practice problem/issue selected?
Why do you think there needed to be a change?
Explain the general idea of your change proposal.
Communication—Assessment
Critical Thinking—Support and Evidence
Identify the change you want to bring about.
What issues have you seen in practice or found in research that made you select this topic for a change proposal?
How will your leadership style and gifts be used to lead the change proposal?
Conduct a Literature review
Utilize the CCU library to assist in finding scholarly research articles.
Is your evidence valid to support the change you are proposing?
Leadership and Management—Development
Identification of change theory for project
State one specific long-term and short-term goal
Leadership and Management—Implementation
Develop a basic timeline for your project that shows the plan for implementation.
What is the role of the change agent/s?
Critical Thinking and Clinical Reasoning—Evaluation
Suggest specific evaluation points along the way based on your implementation timeline.
Critical Self-Reflection—Personal Impact of Change Proposal
Analyze your personal assumptions and perspectives regarding your proposed change.
How did your personal perspective impact your proposal?
How was the content from this course integrated into the paper or proposal?
What perspective did you gain from formulating this proposal and doing research on this topic?
What have you learned?

In second year nursing students, will high fidelity simulation compared to didactic teaching improve confidence levels in caring for critically ill patients in 6 weeks?

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Reference List

 

“In second year nursing students, will high fidelity simulation compared to didactic teaching improve confidence levels in caring for critically ill patients in 6 weeks?

References are for the intervention, which will be a pre/post survey to assess student’s confidence levels from both educational settings.

Tips for list:

– Review the Reference List Assignment grading and scoring rubrics (attached).

– USE THE REFERENCE ASSIGNMENT TEMPLATE (attached).

– Include your PICOT question at the top of the reference list (already included).

– The references must be scholarly and published within the past 5 years

– The references must be about your EDUCATIONAL INTERVENTION (pre/post survey). References about what you are teaching will not be allowed. This must be about how you are teaching the material.

– The reference much be a research article – look for the word “study” (aim of study, method of study, result are key phrases to indicate that it is a research study.)

– Exclude case study research, literature review research, theory papers, “how to” articles, integrated reviews, systematic reviews of research, scoping reviews, meta-analyses, and meta-syntheses.

After listening to his perspective on work-life balance consider a programmatic change you would like to propose for organizations to improve work-life balance for their employees.

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TED Talk by Nigel Marsh about Work-Life Balance

One of the video links for this week was to a TED Talk by Nigel Marsh about Work-Life Balance

(https://www.ted.com/talks/nigel_marsh_how_to_make_work_life_balance_work (Links to an external site.)).

After listening to his perspective on work-life balance consider a programmatic change you would like to propose for organizations to improve work-life balance for their employees. Post your program idea, supported by at least one authoritative source (research). Include an APA formatted reference for your researched source. Include in your post at least one outcome (consequence) the organization can expect as a result of your programmatic change.

Identify the policy that concerns you. Identify and explain the concern(s) you have with the policy from a professional nurse viewpoint.

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Healthcare policy in the state of Florida

Summarize and advocate for a potential change in a current or proposed healthcare policy or issue in the state of Florida that concerns you as a professional nurse.
No Covid related issues.

Identify the policy that concerns you.

Identify and explain the concern(s) you have with the policy from a professional nurse viewpoint.

What is the APN’s obligation to the patient? Is the APN required to inform Jocelyn’s parents about her sexual activity? Can Jocelyn give her informed consent? What type of contraceptive is the best choice for Jocelyn?

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Contraception for Adolescents

The United States has the highest teen pregnancy rate among developed countries. In recent years, however, the teen pregnancy rate has been dropping, which is attributed largely to improved contraceptive use. Counseling is particularly important in adolescent girls to ensure they understand their contraceptive options and use contraception consistently. One-third of teenagers have not received education in their schools about contraception. Counseling should provide an opportunity for adolescents to explore the emotional, physical, and financial consequences of sexual activity with a knowledgeable, nonjudgmental adult. In the United States, adolescent girls have their first sexual experience at 17 years of age on average, and 7 of 10 have intercourse by the time they are 19 years of age, but most do not marry until their mid-20s. Therefore, they may be at increased risk of unintended pregnancy and STDs for several years. From 2005 through 2008, 84% of sexually active teenaged girls used contraceptives during their first sexual encounter. A sexually active teen who does not use contraception has a 90% chance of becoming pregnant within a year.
More than half of sexually active adolescent girls who use contraception take an oral formulation. Oral contraceptives are a safe choice for them, even those who smoke. The absolute risk of thrombosis with use of combined oral contraceptives in a healthy adolescent is 0.05% per year. However, teens are more than twice as likely to become pregnant while using the pill for contraception compared with women aged ≥30 years, largely due to inconsistent use. Most adolescents have difficulty using any contraceptive method consistently, including the pill. Remembering to take a dose often is difficult during weekends away, family vacations, trips to visit relatives, or visits to noncustodial parents. Given a choice, most adolescent girls choose a long-acting contraceptive option.

Jocelyn is a 15-year-old adolescent girl who asks her primary care clinician for a refill of her prescription for combined oral contraceptives. She began taking the pill 1 year ago to help control her acne. Since then, she has become sexually active. She denies experiencing breast tenderness, headaches, or breakthrough bleeding. However, Jocelyn says that because of her busy schedule in school and in a women’s soccer program, she does not always remember to take the pill on time. She is planning on going to college and has no interest in starting a family for several years. Jocelyn does not smoke and has no chronic medical illness. No positive findings for disease were found during the physical assessment and Body mass index (BMI): 23 kg/m2

1. What is the APN’s obligation to the patient?

2. Is the APN required to inform Jocelyn’s parents about her sexual activity?

3. Can Jocelyn give her informed consent?

4. What type of contraceptive is the best choice for Jocelyn?

What is the Advanced Practice Nurse’s ethical duty in the above scenario? What is the ethical duty of the parents when thinking about the “best interests” of the child? Should the Advanced Practice Nurse continue the patient-parent relationship and why?

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Refusing Pediatric Vaccinations

Phoenix, a 24-month-old boy, is brought in by his mother for his annual well-child physical examination. The provider notices that the child has yet to receive vaccination against measles, mumps, and rubella (MMR) and reminds his mother of the need to have her son immunized. The mother is hesitant and states that she has heard of the links between MMR and autism. Citing several recent cases of measles in the community, the physician stresses the need for the MMR vaccine to protect the young child, because they may be in the midst of a measles outbreak. He tells her that mortality rates range between 1 and 3 of every 1000 cases and that acute encephalitis, which may cause permanent brain damage, occurs in about 1 of every 1000 cases. The mother counters that her chiropractor has discussed the issue of vaccination with her, including the topic of vaccination safety. In addition, the chiropractor discussed immune function and noted that treatments such as spinal manipulation and nutritional supplements, although not an alternative to vaccination, may optimize her son’s natural immune function. The provider is frustrated and tells her that he is not comfortable with continuing care for Phoenix if she chooses not to listen to his professional advice. The provider wonders what he could have done differently to avoid this impasse.

1. What is the Advanced Practice Nurse’s ethical duty in the above scenario?

2. What is the ethical duty of the parents when thinking about the “best interests” of the child?

3. Should the Advanced Practice Nurse continue the patient-parent relationship and why?

4. What information does the Advanced Practice Nurse need to give the parents for them to make an informed decision?

What is Shari’s risk of being a CF carrier? What are the pros and cons of knowing that one is a carrier for an autosomal condition? What role should Shari play in deciding about CF carrier testing? What are the risks and benefits of knowing one is a BRCA carrier?

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Genetic Testing & Screening of Children

Every year, approximately 4 million children undergo genetic testing as part of newborn screening. This is the most common form of genetic testing in the entire population. Other children undergo genetic testing as part of a diagnostic workup for clinical problems (from progressive muscle weakness to developmental delays) or as part of research protocols or family linkage analyses. With the completion of the human genome project, there are hopes that genetic medicine will evolve into personalized medicine and become an integral part of medical practice. The expansion of genetic testing and screening in pediatrics raises ethical issues about the limits of parental autonomy, whose consent is needed, and what rights to privacy, if any, do children have with respect to their parents.

Shari, a 15-year-old, comes to your office with her mother. Her younger brother, Bob, had an abnormal newborn screen for cystic fibrosis (CF), but a sweat test result was negative, indicating that he does not have CF. Bob was found to have one CF mutation (delta F507, the most common mutation). Both parents were screened and found to have delta F507. Shari is very healthy and tall and her parents and physicians are not concerned that she has CF, but her parents wants to know if Shari can be tested for being a carrier. Also, her mother, 2 maternal aunts, and maternal grandmother all had breast cancer in their early 30s. They have been tested and found to have BRCA mutation. Shari’s mom wants Shari tested for the BRCA mutation so that if she is a carrier, she will get appropriate screening even though there is no breast cancer in her father’s family. Shari tells her mother that she is ambivalent about genetic testing.

1. What is Shari’s risk of being a CF carrier?

2. What are the pros and cons of knowing that one is a carrier for an autosomal condition?

3. What role should Shari play in deciding about CF carrier testing?

4. What are the risks and benefits of knowing one is a BRCA carrier?