Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number)

As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?

In this Lab Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.

Write a detailed one-page narrative (not a formal paper) explaining 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.

CASE STUDY 2

A single mother has accompanied her two daughters, aged 15 and 13, to a women’s 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.

Expert Answer and Explanation

Ethics Behind Assessments

A lot of information will be needed to assess the patients in the assigned case study two properly. The patients will be required to report the current medications they are using. This information will help the caregiver recommend a birth control method that does not react with the medications (Boerma, Hosseinpoor, Verdes & Chatterji, 2016). Another information is about the patients’ social lives. This information will help in developing the most effective patient education plan. The patients’ family history will also be important for prognosis. Information about the patients’ genitourinary system is also fundamental. Here, the patients will be required to say when they started seeing their periods, whether they are experiencing heavy bleeding, incontinence, or dysuria, their sexual lives, and when last they saw their menstrual periods (Boerma et al., 2016). The patients’ vital signs will also be taken, and their general appearance assessed.

In the case scenario, a single mother accompanied her two daughters aged 13 and 15 and requested that they undergo a pelvic exam and start birth control. However, the girls seem unsettled though they have consented. I would respond to the scenario by offering the two girls’ pelvic exam and enroll them on birth control as requested by their mother. At the age of 13 and 15, the girls do not have the authority to make their decisions. According to Spatz, Krumholz, and Moulton (2016), parents are allowed to provide informed consent for kids below 18. Patient autonomy will be the responsibility of the parent. Patent autonomy is the ethical principle that allows patients to make decisions regarding their health (Kilbride & Joffe, 2018). Hence, I will do as the mother requested, even if the children seem unsettled. I will just advise the mother to talk to her daughters but will not influence her decision.

References

Boerma, T., Hosseinpoor, A. R., Verdes, E., & Chatterji, S. (2016). A global assessment of the gender gap in self-reported health with survey data from 59 countries. BMC public health, 16(1), 675. https://link.springer.com/article/10.1186/s12889-016-3352-y

Kilbride, M. K., & Joffe, S. (2018). The new age of patient autonomy: implications for the patient-physician relationship. Jama, 320(19), 1973-1974. do i:10.1001/jama.2018.14382

Spatz, E. S., Krumholz, H. M., & Moulton, B. W. (2016). The new era of informed consent: getting to a reasonable-patient standard through shared decision making. Jama, 315(19), 2063-2064. d oi:10.1001/jama.2016.3070

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