NURS 6512 The Ethics Behind Assessment

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NURS 6512 The Ethics Behind Assessment

NURS 6512 The Ethics Behind Assessment

Consider the following scenarios:
 You are a nurse at a large county hospital. One of your patients is leaning toward
selecting a certain radical treatment for cancer, to which the family is in opposition. The
family is concerned about making the correct decision and asks for your advice.

 The state of Oregon has passed a “Death with Dignity” act that allows for euthanasia in
certain situations. One of your patients suffering from terminal cancer is thinking of
moving there to take advantage of this law and asks your opinion.
Throughout this course, you have explored a wide range of health assessments and
abnormal examination findings. Although you have predominantly focused on the
procedural aspects of health assessment, this week, you will focus on ethical
considerations that should be taken into account when advising patients or their
families.
This week, you will consider how evidence-based practice guidelines and ethical
considerations factor into health assessments. You will also evaluate health
assessment concepts related to sports physicals and well-child and well-woman
examinations.
Learning Objectives
Students will:
 Apply evidence-based practice guidelines to make an informed healthcare decision
 Apply ethical considerations to a health assessment response
 Apply concepts, theories, and principles relating to sports physicals and well-child and
well-woman examinations
 Identify  concepts, theories, and principles related to advanced health assessment

Learning Resources

Required Readings (click to expand/reduce)
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W.
(2019). Seidel's guide to physical examination: An interprofessional
approach (9th ed.). St. Louis, MO: Elsevier Mosby.

 Chapter 24, “Sports Participation Evaluation”
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.

 Chapter 25, “Putting It All Together”
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.
Tingle, J. & Cribb, A. (2014). Nursing law and ethics (4th ed.). Chichester,
UK: Wiley Blackwell.

Furman , C. D., Earnshaw, L. A., Farrer, L. A. (2014). A case of
inappropriate apolipoprotein E testing in Alzheimer’s disease due to lack
of an informed consent discussion. American Journal of Alzheimer’s
Disease & Other Dementias, 29(7), 590–595.
doi:10.1177/1533317514525829.

Navarro-Illana, P., Aznar, J., & Díez-Domingo, J. (2014). Ethical
considerations of universal vaccination against human papilloma virus.
BMC Medical Ethics, 15(29). doi:10.1186/1472-6939-15-29. Retrieved
from http://www.biomedcentral.com/1472-6939/15/29

Maron , B. J., Friedman, R. A., & Caplan, A. (2015). Ethics of
preparticipation cardiovascular screening for athletes. Nature Reviews
Cardiology, 12(6), 375–378. doi:10.1038/nrcardio.2015.21

May, K. H., Marshall, D. L., Burns, T. G., Popoli, D. M. & Polikandriotis, J.
A. (2014). Pediatric sports specific return to play guidelines following
concussion. The International Journal of Sports Physical Therapy, 9(2),
242–255. PMCID: PMC4004129. Retrieved from

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4004129/
American Academy of Pediatrics. (2008). Recommendations for
preventative pediatric health care (periodicity schedule). Retrieved from
https://www.harmonyhpi.com/WCAssets/illinois/assets/IL_MedicaidProvid
erManual_PEM_AdultPHGsForProviders.pdf

This resource provides recommendations for preventative pediatric
healthcare from infancy through adolescence. The periodicity schedule
covers a variety of areas, from health history to measurements,
developmental/behavioral screenings, physical exams, procedural
screenings, and oral health.
Rourke, L., Leduc, D., & Rourke, J. (2017). Rourke Baby Record.
Retrieved from http://rourkebabyrecord.ca/

This website provides information on the Rourke Baby Record (RBR). The
RBR supplies guidelines on growth and nutrition, developmental
surveillance, physical exam parameters, and immunizations for well-baby
and child care.
Document: Final Exam Review (Word document)

Required Media (click to expand/reduce)

Module 4 Introduction

Dr. Tara Harris reviews the overall expectations for Module 4. Consider
how you will manage your time as you review your media and Learning
Resources for your Case Study Lab Assignment and your Final exam

(3m).

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