oral presentation (3–4 pages) that examines the moral and ethical issues related to triaging patients

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oral presentation (3–4 pages) that examines the moral and ethical issues related to triaging patients

Question description

OVERVIEW

Create a 15-minute oral presentation (3–4 pages) that examines the moral and ethical issues related to triaging patients in an emergency room.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.
    • Explain the health care policies that can affect emergency care.
    • Recommend evidence-based decision-making strategies nurses can use during triage.
  • Competency 3: Apply professional nursing ethical standards and principles to the decision-making process.
    • Describe the moral and ethical challenges nurses can face when following hospital policies and protocols.
    • Explain how health care disparities impact treatment decisions.
  • Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.
    • Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
    • Correctly format citations and references using APA style.

    CONTEXT

    Working in an emergency room gives rise to ethical dilemmas. Due to time restraints and the patient’s cognitive impairment and lack of medical history, complications can and do occur. The nurse has very little time to get detailed patient information. He or she must make a quick assessment and take action based on hospital protocol. The organized chaos of the emergency room presents unique ethical challenge, which is why nurses are required to have knowledge of ethical concepts and principles.

  • SUGGESTED RESOURCES

  • Internet Resources

    Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.

    • American Nurses Association. (2015). Code of ethics for nurses. Retrieved from http://www.nursingworld.org/codeofethics
    • American Nurses Association. (n.d.). ANA position statements on ethics and human rights. Retrieved from https://www.nursingworld.org/~4adf1c/globalassets/…
    • Vigil, J. M., Alcock, J., Coulombe, P., McPherson, L., Parshall, M., Murata, A., & Brislen, H. (2015). Ethnic disparities in emergency severity index scores among U.S. veteran’s affairs emergency department patients. PLoS One, 10(5). Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/26024515

    ASSESSMENT INSTRUCTIONS

    Your supervisor has asked you to do a 15-minute oral presentation at a staff meeting about a recent issue that occurred at another hospital in town. Following an industrial accident, two patients arrived at the emergency room of that hospital at the same time, presenting with very similar inhalation injuries. The hospital received a great deal of negative press due to how the patients were triaged in the ER. Your supervisor would like you to use the specifics of this case to review triage procedures and best practices at your facility. Here are the details:

    • One is a 32-year-old firefighter, Frank Jeffers, who is presenting with respiratory difficulties that he obtained while evacuating victims of an industrial accident. He is a married homeowner and father of two young boys. He has lived in the community all his life. He has full and comprehensive health insurance through his employer.
    • The other is Brent Damascus, a 58-year-old man. Brent is presenting with respiratory difficulties with the same intensity as Mr. Jeffers above. He is well known at the hospital emergency room, as he is a frequent visitor with various complaints, including asthma, headaches, and tremors. He is homeless, unemployed, and uninsured. He stays many nights at the YMCA and eats lunch at the soup kitchen. He has lived in the community for over 10 years and has been arrested several times for petty theft.

    PREPARATION

    Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on best practices in triage nursing. You will need at least three articles to use as support for your work on this assessment.

    DIRECTIONS

    Create a 15-minute presentation (3–4 pages) that examines the moral and ethical issues that occurred when triaging these two patients and the best practices for managing this in the future.Divide your draft into a number of talking points that you can summarize neatly. Keep in mind that an oral presentation requires slightly different language than an essay. The aim is to communicate your message so keep sentences simple and focus on the key points you want to deliver. Address the following in your presentation:

    • Explain the health care policies and protocols that are in place that direct triage care in an emergency situation.
    • Explain how health care disparities impact treatment decisions.
    • Identify the health care policies that are in place that direct care for uninsured individuals. Is there a difference in how these individuals are triaged?
    • Describe the moral and ethical challenges nurses can face when following hospital policies and protocols. Is there a conflict when a severely injured person is also uninsured?
    • Recommend evidence-based strategies that should be applied for managing the care of uninsured and indigent population.

    ADDITIONAL REQUIREMENTS

    Your presentation should meet the following requirements:

    • Written communication: Written communication should be free of errors that detract from the overall message.
    • References: Include a reference section with a minimum of three references; a majority of these should be peer-reviewed sources. All resources should have been published within the last 5 years.
    • APA format: Resources and citations should be formatted according to current APA style and formatting.
    • Length: 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
    • Font and font size: Times New Roman, 12-point
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Sallie Mae Fisher's Health History and Discharge Orders

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500 words, sample is attached

Question descriptionRefer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.
Using “Home Visit With Sallie Mae Fisher findings” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:
After viewing the home visit findings, write an essay of 500-750-words in which you do the following:

  1. Identify, prioritize, and describe at least four problems.
  2. Provide substantiating evidence (assessment data) for each problem identified.
  3. Identify and describe at least four medical and/or nursing interventions.
  4. Discuss your rationale for the interventions identified.

Prepare this step of the assignment according to the APA guidelines.
Sallie Mae Fisher’s Health History
and Discharge Orders
Sallie Mae Fisher Health History
Ms. Fisher is an 82-year-old female with a history of chronic congestive heart failure (CHF), atrial fibrillation, and hypertension. During the last 6 months, she has been hospitalized four times for exacerbation of her CHF. She was discharged home last Saturday from the hospital after a 3-day stay to treat increased dyspnea, an 8-pound weight gain, and chest pain.
Ms. Fisher is recently widowed and lives alone. She has a daughter, Thelma Jean, who lives in town but works full time and has family issues of her own. Therefore, family support is limited.
Hospital Discharge Instructions

  • Mountain Top Home Health to evaluate cardio-pulmonary status, medication management, and home safety.
  • Medical Equipment Company to deliver oxygen concentrator and instruct patient in use. O2 at 2 liters per nasal prongs PRN.
  • Prescriptions given at discharge:
    • Digoxin 0.25 mg once a day
    • Lasix 80 mg twice a day
    • Calan 240 mg once a day
  • Order written to continue other home meds.
  • Zocar 50 mg once a day
  • Minipres 1 mg once a day
  • Vasotec 10 mg twice a day
  • Prilosec 20 mg once a day
  • Furosemide 40 mg once a day
  • Effexor 37.5 mg at bedtime
  • Lanoxin 0.125 mg every other day
  • Multivitamin once a day
  • Potassium 40 mEq once a day
  • Ibuprofen 400 mg q 4 hours as needed for pain
  • Darvocet N 100 mg q 4 hours as needed for pain
  • Nitroglycerin ointment, apply 1 inch every day

home visit findings

  • area rug on the floor- fall hazard
  • Door unlocked, she doesn’t answer it, just tells person to “come in” without looking to see who is there- safety hazard
  • Dehydrated- tenting present, dry mucous membranes, BP 90/56
  • No appetite- eating canned soup- lost 14 pounds in 1 week
  • Not using prescribed O2- resp rate 24,
  • No BM for 3 days, likely due to dehydration
  • Lonely, widowed and her daughter is “busy

reflect on your research process and what you learned while completing this project

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PART 5  
Length: 1 page
Instructions:
For Part 5, you will reflect on your research process and what you learned while completing this project. Think about things like: Do you have a deeper understanding of your career field? Of the research process? What led you to that understanding? What was the most difficult part of the process? What insights did you gain? What did you learn? Etc.
This is the only part of the project that should be in first person. This is your personal reflection on what you learned and how you went through the process.
FINAL DRAFT—Putting it all together
Here are some general guidelines for putting all the parts together to make the final draft of this project.

  • Heading should appear on first page only
  • Each page should have your last name and page number at top right
  • The entire document should be double spaced (go in and “remove space after paragraph” to make sure it is properly spaced)
  • Each part should be clearly titled (Part 1: History and Background of Nursing, Part 2: Process of Becoming A Nurse, Part 3: Interview with Alice Groves, R.N., Part4: Annotated bibliography, Part 5: Reflection)
  • Follow all MLA guidelines
  • All parts should be combined and should be submitted as one document

Rough Draft due april 26 (75% needs to be complete)
Final draft due May 3.

submit a detailed annotated bibliography

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PART 4—Annotated bibliography 35%
Length: 4-6 pages
Instructions:
For Part 4, you will submit a detailed annotated bibliography. The annotated bibliography is the works cited page for this project—it should include ALL sources used. Each source should have a proper MLA citation, a 4-6 sentence summary, and a 2-3 sentence evaluation of the source (how useful and/or credible the source is and how it will fit into your project).
This will require a significant amount of effort and is an integral part of the research process.
AS SOON AS YOU BEGIN YOUR RESEARCH, YOU SHOULD BEGIN THE ANNOTATED BIBIOGRAPHY. This is something you work on as you go to document your research process and help you to keep track of all your sources.
Part 4 should:

  • Include at least 5 sources minimum (10 max)
  • Provide MLA documentation for each source
  • Include a brief summary of the source IN YOUR OWN WORDS
  • Explain the usefulness of the source to your project
  • Be formatted exactly like the example provided
  • All entries should appear in alphabetical order

IMPORTANT: The summary of the source should be ALL YOUR OWN WORDS. The point of this is for you to analyze and synthesize the information you find (demonstrate critical thinking skills) as well as document your research process.