Is Parental Smoking Neglect of an Asthmatic Child?

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Nursing-Contemporary issue position essay

Choose a case from the AMA Journal of Ethics Case Index and take a position. Identify the potential legal arguments (consider current federal guidelines), indicate any potential professional code conflicts you foresee, and support your position with an explanation of your own ethical/moral foundation.
In your 2 page paper:

  • Identify the issue and state your ethical position.
  • How might this scenario play out or impact you in your role as a nurse practitioner?
  • Defend your position with legal, ethical, and professional evidence.
  • As part of your position, propose strategies and solutions for addressing the issues.
  • What other ethical issues does this case bring to light, if any?

Support your position with at least one scholarly source (it may be your text).  Be sure to cite the article you choose, use APA format, and include a title page and reference page.
Article:Is parental smoking neglect of an asthmatic child?
Position: Parental smoking is neglect of an asmatic child
link to article: http://journalofethics.ama-assn.org/2014/04/ecas3-1404.html
The article:
Is Parental Smoking Neglect of an Asthmatic Child?
Commentary by Bahareh Keith, DO, and Kimberly B. Handley, MSW, LCSW
A mother carrying a coughing child walks into the emergency room. She hysterically flags down a triage nurse and tells her that her daughter, Rose, is having trouble breathing. The nurse directs mother and child to a bed in the emergency room cordoned off by a light blue curtain. Less than five minutes later, Tricia, a third-year medical student on her pediatrics rotation, shows up to do a thorough history and physical of the patient. The first thing Tricia notices is that both mother and daughter are saturated in the scent of cigarettes. Upon questioning, the mother admits to smoking two packs a day in the house.
“Have you tried quitting?” Tricia asks.
The mother scowls. “The smoking’s not a problem. I keep all the windows open.” At that moment, her daughter has a severe coughing fit. She scoops Rose into her arms, and rubs soothing circles on her back. “My daughter has asthma. That’s why we’re here,” she tells the student.
Tricia jots a note in the patient’s record and sees Rose has been admitted multiple times in the past for asthma. After flipping through these notes, Tricia sees that the mother has been counseled repeatedly about the need to stop smoking for the sake of Rose’s health. Tricia goes to find her attending and presents Rose’s case, highlighting signs of neglect. She then asks whether or not this would be grounds to notify child protective services.

Description of Nuclear Family or Variant Family Form

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nursing essay

Family Analysis Project Submit by 2359 Saturday of Module 5. NOTE: You will create and upload an original Word file for this assignment instead of typing directly into this document. Overview Select one (1) family based on personal/professional acquaintance, to complete a comprehensive, written assessment/analysis using the criteria listed below (based on class notes and readings). DO NOT use your family of orientation (family of origin) or your nuclear (conjugal) family. (For definitions, see the Glossary of Terms in Friedman et al, Family Nursing textbook. Objectives • Examine the impact of functional patterns and role structure on the family. • Examine family relationships and communication patterns.
• Identify influences on family health promotion. N3352 Legacy of the Family ©2013 University of Texas at Arlington Page 2 of 5 Grading Rubric Family Analysis Project Target 60 points max Acceptable At least 42 points Unacceptable Less than 42 points Introduction (5 points) Introduction is present and forecasts content of the paper.
(4-5 points) Introduction is present and forecasts the content of the paper. (3-4 points) Introduction is present. (0-1 point) Description of Nuclear Family or Variant Family Form (8 points) Comprehensive description of nuclear family or variant family form; demographic trends (composition, form, ages, educational level); developmental stage (7-8 points) Adequate description of nuclear family or variant family form; demographic trends (composition, form, ages, educational level); developmental stage (4-6 points) Minimal description of nuclear family or variant family form; demographic trends (composition, form, ages, educational level); developmental stage. Some elements may be missing. (0-3 point) Sociocultural Data: Cultural/Ethnic Asessment; Social Class Status (5 points) Comprehensive description of the sociocultural data, including an assessment of cultural/ethnic and social class status (4-5 points) Adequate description of the sociocultural data, including an assessment of cultural ethnic and social class status (2-3 points) Minimal description of the sociocultural data, including an assessment of cultural ethnic and social class status (0-1 point) Genogram & Ecomap (14 points)

Identify two (2) cognitive skills used in critical thinking the RN should have applied in this scenario

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Nursing

Review the article Critical thinking at the bedside: Providing safe passage to patients (Robert & Petersen, 2013).
Scenario:
Adam is a 10-year-old scheduled for discharge from the Emergency Department after a bicycle incident resulted in a fractured right ulna and radius. His arm has been casted, is immobilized and in a sling. Adam states, “My arm feels better now, and I am sleepy. The pain medicine makes me feel like I will vomit.” The RN is reviewing medications with Adam and his mother when the mother states, “We have a two (2) hour drive home from this emergency room. Can you give Adam something for nausea so he does not throw up in the car?” The RN has already completed the discharge paperwork, and the orthopedic physician who casted the arm has left the Emergency Department. The RN states, “No orders are available for Adam to have nausea medicine. I can give him another dose of pain medicine if you think that will help him sleep on the way home. Then he might not vomit.”
Initial Discussion Post:

  • Identify two (2) cognitive skills used in critical thinking the RN should have applied in this scenario
  • Provide an alternative nursing intervention to ensure safe patient care in this scenario.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

What are the tough choices that parents have to make based on income and health insurance when it comes to the health needs of their children?

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Discussions

Note: I need 250 words answer for each discussion below, but 300 words answer for the last discussion. Must support your each answer with 2-3 credible sources cited in APA. Must provide 100% original Answer.
HS Discussion 1 (250 words, 2-3 credible references cited in APA)
Discuss whether or not you feel health planners, government officials, and healthcare organizations are using social issues/pressures or health statistics to determine strategies? Which is more reliable?
Readings:
•         http://www.nlm.nih.gov/nichsr/usestats/importance.html
•         http://www.nlm.nih.gov/nichsr/usestats/uses.html
HDS DISCUSSION 2 (250 words, 2-3 credible references cited in APA)
What are the tough choices that parents have to make based on income and health insurance when it comes to the health needs of their children? Do you feel that many parents delay or deny their children medical care? Is there any argument you can use to justify either of these courses of action?
CC DISCUSSION 3 (250 words, 2-3 credible references cited in APA)
According to Airhihenbuwa, “negative enablers” are sociocultural factors that impede the adoption of a desired health behavior.
Please share with the class which cultural group you chose for your SLP (My selected cultural group is African American, and health issue is diabetes) and provide some examples of negative enablers that might influence the health behaviors of members of that cultural group. How might they lead to health disparities? Be specific — provide an example
HRM Discussion 4 (300 words, 2-3 credible references cited in APA)
For the employee handbook, create a policy for employee use of technology because new sources of social media and more advanced electronic devices are regularly being introduced to the market. In your policy, discuss the following:

  • 1.      Refraining from workplace commentary on social media
  • 2.      Maintaining a professional image
  • 3.      What can be shared and what not to share on social media
  • 4.      Harassment
  • 5.      Privacy
  • 6.      IT security