In an era where medicine can keep one’s body physically functioning while there may be no cognitive awareness, feeling or outward interactions: How much care ‘ought’ we provide?; Who ‘ought’ to have the ability and ‘power’ to decide when curative medical treatments are to be stopped?

/in /by

You read several articles this week that addresses what care at near the end of life “ought” to include and/or exclude. There are differences in how people would like to be cared for when they are near the end of life. “Letting Go”, “Approaches to end-of-life decision in the NICU and “Dying: Go Gentle” all address the role of medical care for people that are near the end of life. Leaders in medicine need to be aware and responsive to the special needs of people near the end of life and their families, Some topics to consider in your comments on the Forum may include:

In an era where medicine can keep one’s body physically functioning while there may be no cognitive awareness, feeling or outward interactions: How much care ‘ought’ we provide?; Who ‘ought’ to have the ability and ‘power’ to decide when curative medical treatments are to be stopped?; When does ‘futility’ of the treatment options morally require the medical practitioner to stop treatments that could be said to be doing ‘more harm than good’? Connect your comments to an application of the weekly principle which is ” Justice”

Examine the findings that the article presents and consider how well they addressed the researcher’s initial question(s)

/in /by

When conducting original research, the final step researchers must complete is weighing the evidence and interpreting the meanings of their data, statistics, and analyses. This is the culmination of the research process in which all of the research methods and designs can be synthesized into a meaningful conclusion. In this stage, researchers should formulate explanations for what their data indicates, determine whether the data answers their initial research question, identify areas of uncertainty, and consider directions for further research.
In this Discussion, you focus on one of the research articles that you identified for Part 2 of the Course Project (Literature Review). You then explore the process of how the researchers generated conclusions based on their data, consider other possible interpretations of their data, and formulate ideas for further research.
To prepare: •Review this week’s Learning Resources, focusing on how researchers find meaning in their data and generate sound conclusions. Pay particular attention to Table 2 in the article, “Study Design in Medical Research.” •Revisit the 5 articles that you identified in Part 2 of the Course Project. Select one to consider for the purpose of this Discussion. •Read sections of the chosen article where the data is presented, analyzed, and interpreted for meaning. What reasoning process did the researchers use to formulate their conclusions? What explanation did they give to support their conclusions? Were there any weaknesses in their analysis or conclusions? •Consider possible alternate conclusions that the researchers could have drawn based on their data. •Examine the findings that the article presents and consider how well they addressed the researcher’s initial question(s). What additional research could be done to build on these findings and gain a fuller understanding of the question?

Adolescence

/in /by

Part 1: Create the Case: Adolescence
Create a simulated case study, relevant to your area of specialization, of an adolescent who presents developmental challenges related to Erikson’s age- or stage-related milestones expected at his or her age.
Your case study should be 1–2 pages in length and it should describe:
• The adolescent and his or her strengths and challenges.
• A challenge for the adolescent in terms of identity and self-concept.
• The medical, family, and social context.
• The developmental challenges evident in the behavior of the adolescent.
• Evidence in the case that the adolescent struggles by not meeting the expected milestones of Erikson’s theory of adolescent development.
• Individual and cultural factors that theory and/or research indicate could impact the adolescent’s development.
• Any other factors you deem appropriate based on your understanding of the theory and related research.
To develop this case, you should:
• Explore theory and research related to development linked to adolescence.
• Utilize current research on adolescent brain development to describe potential outcomes linked to brain development at this age, including important considerations in the case you are developing.
• Develop your case study further by creating an environmental context for the adolescent. Include any specific issues that you want to explore through research, such as influences of a specific culture or ethnicity or specific socioeconomic status.
• Maintain a resource list of the materials you consulted to build your case.
Follow current APA guidelines for style and formatting, as well as for citing your resources. Include a reference list of the scholarly resources you use.
Part 2: Adolescent Case Intervention Analysis
Research
Complete the following:
• Research evidence-based interventions that have been effective in meeting the challenges of the adolescent you described in your case study, from the perspective of your own professional specialization (as far as possible).
o Explain how the deficits in the social-emotional developmental domain impact development.
o Explain how the environmental contexts impact development.
o State the recommended interventions that align with your specialization.
o Include evidence for those recommendations and outcomes from the professional literature.
Explore briefly the literature on adult identity and self-concept, considering that early influences can impact development across the lifespan.
o Explain, from the perspective of your specialization, how the identity issues (for example, Erikson’s theoretical perspective) that emerged in adolescence could be manifested in adulthood.
o Explain how this might help in understanding and determining an approach to working with an adult with a history of identity issues.

Describe the issue o Use appropriate evidence from scholarly literature to describe the issue and discuss what is known about the issue/challenge.

/in /by

Written assignment: “Nursing Process applied to a Family” 2,000 words Weighting: 40 % Aim: The aim of this written assessment item is to apply the nursing process in providing family centred care. When an infant, young child or adolescent experiences a health or social issue, the issue can impact upon all family members. Nurses working in acute care and community settings need to understand the functioning of the family unit so they can care for and assist the whole family. This written assignment addresses course learning outcomes 2 and 3: 2. Demonstrate an understanding of the functioning of the family unit using family assessment models that enable families to make health decisions; 3. Plan and evaluate evidence-based nursing for families across the lifespan. Instructions: This 2000 word written assignment has two distinct parts that you should address separately. Please use headings for each part. You do not need to provide an introduction or a conclusion for the written assignment or any of the parts. There are two family scenarios for you to choose from; select ONE scenario and use this for your entire assignment. Part 1 – Nursing Care of the Family: Assessment (500 words) • Create a genogram to visually depict the family’s structure. You must use the PowerPoint slide which will be supplied to you within the Assessment Folder on Learning@Griffith course site to create your genogram. Save the slide as a picture file (*.jpeg), and insert the picture into your document. • Below the genogram, summarise the structure of the family to demonstrate your understanding of the family assessment findings. • Use the Australian Family Strengths Nursing Assessment Guide (AFSNAG) to identify and briefly describe two (2) strengths of the family you are assessing. 2 Part 2 – Nursing Care of the Family: Planning, Implementing and Evaluating (1,500 words) • Select two (2) issues/challenges for the family or a member of the family you have selected. These issues may be identified by the nurse, family or both. These can be health, social, or developmental family issues/challenges e.g., breastfeeding, social isolation, transition to parenting; they should not be ‘medical’ issues e.g., diabetes, high blood pressure. • For each issue/challenge identified in the family assessment (allow approximately 750 words per issue): a) Describe the issue o Use appropriate evidence from scholarly literature to describe the issue and discuss what is known about the issue/challenge. b) Plan nursing care o Provide a relevant nursing goal and justify the goal (explain why it is relevant to the issue) using appropriate evidence or policies. c) Implement nursing care o Outline one nursing intervention that supports the family to achieve the goal. Each nursing intervention should be supplemented by the recommendation of an existing online resource for the family and an appropriate referral. d) Evaluate nursing care o Describe how you would evaluate the effectiveness of the intervention to address whether it met the planned goal of care