I need help to create 10-12-slide, 20-minute presentation for my NURSING course
HoneyBeeYoself
4050A2infozip.zip4050 A2 info/4050 A2 Activity.docx
4050 A2 ACTIVITY
Ethical Decision Making
I. Introduction
II. A Tale of Two Babies
III. Decision Making
IV. Who Gets Dialysis?
V. Conclusion
I. Introduction
Health care professionals have to make decisions about patient care every day. Sometimes those decisions are straightforward. But often they face decisions that are not clear-cut, where one or more factors have to be balanced against others. At times like these, health care professionals need the support of ethical principles that can help guide better, more ethical decisions.
In this activity, you will explore two situations that call for careful consideration before a decision can be made.
II. A Tale of Two Babies
At St. Anthony Medical Center, a large hospital in Minneapolis, Minnesota, two women have been in labor for most of the day in the Labor and Delivery unit. Anna Jiang and Brittany Clinton, two nurses who are involved in both patients’ care, talk outside the birthing center after both births are complete.
Anna Jiang starts the conversation.
Anna Jiang: How’s Crystal doing?
Brittany Clinton: Okay, I guess. I mean, medically, just fine. But this is her eighth child! And she already can’t afford the other seven. She works at Walmart and her husband is a police officer, and they are just pushed to the limit. How about Elizabeth?
Jiang: [Sighs] She’s fine, but the baby isn’t. She lived for about 14 minutes. She was in respiratory distress right from the beginning and they just couldn’t get her stabilized.
Clinton: Oh, that’s so sad. This was her first, wasn’t it?
Jiang: It was. She’s sleeping now but she’s got a hard road ahead of her. She wanted that baby so much, and it’s going to take awhile to get used to the fact that she’s not going home with her.
Clinton: It’s such a shame. Meanwhile, Crystal is going home with a baby she’s just not excited about. I saw the crowd waiting for Elizabeth. But Crystal was alone—not even her husband came in with her! It’s a really awful thing to say, but I’ll bet Crystal would change places with Elizabeth in a heartbeat.
Jiang: Wait a minute! What if she could? If she’s really not that invested, what if Elizabeth adopted Crystal’s baby?
Clinton: Whoa. I didn’t even think of that!
Jiang: I’ll bet it wouldn’t be hard to get all the paperwork coordinated for them. If they agree, I mean. Wouldn’t that be amazing if it worked out? It’s such a win-win!
III. Decision Making
The proposal is made to both mothers, and the adoption proceeds. But a week after the adoption is initiated, the hospital’s Ethics Committee meets to discuss what happened. While the two mothers both seem satisfied and no questions about their medical treatment have been raised, the committee wants to consider whether proposing the adoption was ethical.
Harold Liss (Vice President of Medical Services)
The first thing that troubles me about this is the woman who gave up her baby. Was there an effort made to assess her emotional state? Her ability to make such a significant decision while recovering from delivery?
Faith Olson (Nurse Manager, Labor and Delivery)
She looked so relieved when we suggested this to her. I have to say, when I saw that, I felt like we’d really taken a bad situation and turned it into a good one.
Emilia Martinez (Patient Advocate, Labor and Delivery)
But this woman was vulnerable in more than one way. We know she’s living near the poverty line, but what do we know about her husband? The other children? What’s going to be the effect on them, and what might happen to her as a result?
Emily Parker (Social Worker)
I’m equally concerned about the mother whose baby died. She may be in better shape economically, with a better support system, but she had such a serious loss that she may or not be able to grieve appropriately. She may feel guilty about replacing her own baby with another one, or resent the baby she adopted, or both. And she was in an emotional state too, following the loss. Are we sure that she was in a mental state that would enable her to make an informed decision?
Tammy Holt (Chaplain)
I know this will sound strange coming from me, but what about the hospital’s liability if the mother who adopted changes her mind? This won’t be an easy situation to unravel if either mother decides that (a) she made the wrong decision and (b) the hospital put her in a position of making that decision when she wasn’t able to.
Reflection Questions
Now that you have reviewed the adoption situation, consider the following questions. Your answers may be helpful in completing your assessment.
1. What ethical principles are involved in this situation?
2. What is the ethical dilemma?
3. What role does the nurse have in promoting ethical care for the patient?
4. Do you think that the nurses acted in an ethical manner in this situation?
5. What resources do you have to help you make ethical decisions in your facility?
IV. Who Gets Dialysis?
In a dialysis unit at St. Anthony Medical Center, all slots for treatment are taken for the day except one. Two patients come to the hospital through the ER, and it’s determined that each would benefit from dialysis. But there’s only one spot for dialysis left.
Emilio Boggio raises a patient prioritization issue.
Emilio Boggio: Denise, we’ve got a problem.
Denise McGladrey: Okay, tell me about it.
Boggio: I’ve got two patients here that the ER sent up for dialysis. Margaret Fitzgerald is 65, she had a kidney transplant 20 years ago, and she’s in acute kidney failure secondary to transplant failure. I’ve also got Bob Karnow, also 65. He contracted rhabdomyolysis after he ran a marathon, and developed acute kidney failure.
McGladrey: What’s our time frame?
Boggio: They’re similarly acute.
McGladrey: Nearby hospitals?
Boggio: I’ve been calling around. Nope.
McGladrey: I’d be inclined to go with the one who has children…
Boggio: …but they both have children.
McGladrey: Any chance one of them is a career criminal?
Boggio: Funny. Fitzgerald is a philanthropist and serves on a couple of nonprofit boards. Karnow is a grocery store manager. But we wouldn’t really make the choice based on their profession, would we?
McGladrey: Well, let’s get back to medical matters. Which of them is most likely to survive if they get dialysis?
Boggio: Karnow probably is in better overall health, what with the marathon running, but Fitzgerald isn’t in poor health. I guess on the whole I’d say Karnow has the better prognosis.
McGladrey: Based on what?
Boggio: Uh, we don’t know why Fitzgerald’s transplant kidney failed. But it may be an underlying pathology that would undercut the effectiveness of the dialysis. On the other hand, rhabdomyolysis is reversible, so I think he’s got a better shot at stabilization and recovery.
McGladrey: Wait. Do they both want dialysis? What do the patients say?
Boggio: Hm. They both want to live, of course. But I’d say Karnow was a bit less enthusiastic. It’s hard to tell, because he might just be somewhat depressed from his diagnosis. But I got the feeling he was reserving judgment on what he’d do if he had to stick with the dialysis long term. He said, “That’s not much of a life for a marathon runner.”
McGladrey: They both have other family, I’m assuming?
Boggio: Yep. Fitzgerald is married, two children, three grandchildren. Same number of children and grandchildren for Karnow, but he’s divorced.
Reflection Questions
Now that you have reviewed the adoption situation, consider the following questions. Your answers may be helpful in completing your assessment.
1. What ethical principles are involved in this situation?
2. What is the ethical dilemma?
3. What role does the nurse have in promoting ethical care for the patient?
4. Do you think that the nurses acted in an ethical manner in this situation?
5. What resources do you have to help you make ethical decisions in your facility?
V. Conclusion
As you saw in this activity, it’s important to take into account many different factors when attempting to make an ethical decision about a medical situation. While some situations are relatively clear-cut, others require a good deal of analysis and consideration before it’s possible to make a genuinely ethical decision.
4050 A2 info/4050 A2 instructions.docx
4050 A2 instructions
1. Select a community organization or group that you feel would be interested in learning about ethical and policy issues that affect the coordination of care
2. Then, develop a 10-12-slide, 20-minute presentation
3. Create a detailed narrative script OR speaker notes for your presentation, 4-5 pages in length.
Introduction
This assessment provides an opportunity for you to develop a presentation for a local community organization, which provides an overview of ethical standards and relevant policy issues that affect the coordination of care. Completing this assessment will strengthen your understanding of ethical issues and policies related to the coordination and continuum of care, and will empower you to be a stronger advocate and nursing professional.
Preparation
It would be an excellent choice to complete the attached Vila Health: Ethical Decision-Making activity prior to developing the presentation. The activity provides a helpful update on the ethical principles that will help with success in this assessment.
Scenario
Your nurse manager at the community care center is well connected and frequently speaks to a variety of community organizations and groups. She has noticed the good work you are doing in your new care coordination role and respects your speaking and presentation skills. Consequently, she thought that an opportunity to speak publicly about contemporary issues in care coordination would be beneficial for your career and has suggested reaching out to a community organization or support group to gauge their interest in hearing from you, as a care center representative, on a topic of interest to both you and your prospective audience. You have agreed that this is a good idea and have decided to research a community organization or support group that might be interested in learning about ethical and policy issues related to the coordination of care.
To prepare for this assessment, you may wish to:
· Research your selected community organization or support group.
· Review the Code of Ethics for Nurses With Interpretive Statements and associated health policy issues, specifically, the ACA.
· Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete.
· Allocate sufficient time to rehearse your presentation before recording the final version for submission.
Instructions
For this assessment:
· Use the Assessment 02 Supplement: Ethical and Policy Factors in Care Coordination [PDF] to select the community organization or support group that you plan to address.
· Develop a PowerPoint with typed speaker notes (the script for your voice recording) intended for that audience.
Note: PowerPoint has a feature to type the speaker notes directly into the presentation. You are encouraged to use that feature or you may choose to submit a separate document.
Presentation Format and Length
You may use PowerPoint (recommended) or other suitable presentation software to create your slides and add your voice over. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.
Be sure that your slide deck includes the following slides:
· Title slide.
· Presentation title.
· Your name.
· Date.
· Course number and title.
· References (at the end of your presentation).
Your slide deck should consist of 10–12 slides, not including a title and references slide with typed speaker notes. Your presentation should not exceed 20 minutes.
Create a detailed narrative script for your presentation, approximately 4–5 pages in length.
Supporting Evidence
Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your presentation. Include your source citations on a references page appended to your narrative script.
Grading Requirements
The requirements outlined below correspond to the grading criteria in the Ethical and Policy Factors in Care Coordination Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.
· Explain how governmental policies related to the health and/or safety of the community affect the coordination of care.
· Provide examples of a specific policy affecting the organization or group.
· Refer to the assessment resources for help in locating relevant policies.
· Be sure influential policies include the Health Insurance Portability and Accountability Act (HIPPA).
· Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
· What are the implications and consequences of specific policy provisions?
· What evidence do you have to support your conclusions?
· Assess the impact of the code of ethics for nurses on the coordination and continuum of care.
· Consider the factors that contribute to health, health disparities, and access to services.
· Consider the social determinants of health identified in Healthy People 2020 as a framework for your assessment.
· Provide evidence to support your conclusions.
· Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included for a proficient score; both speaker notes and the audio voice over are included for a distinguished score.
· Present a concise overview.
· Support your main points and conclusions with relevant and credible evidence.
Additional Requirements
Before submitting your assessment, proofread your presentation slides and speaker notes to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your presentation.
Context
As coordinators of care, nurses must be aware of the code of ethics for nurses and health policy issues that affect the coordination of care within the context of the community. To help patients navigate the continuum of care, nurses must be proficient at interpreting and applying the code of ethics for nurses and health policy, specifically, the Affordable Care Act (ACA). Being knowledgeable about ethical and policy issues helps ensure that care coordinators are upholding ethical standards and navigating policy issues that affect patient care.
Course Competencies
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
· Competency 4: Defend decisions based on the code of ethics for nursing.
· Assess the impact of the code of ethics for nurses on the coordination and continuum of care
· Competency 5: Explain how health care policies affect patient-centered care.
· Explain how governmental policies related to the health and/or safety of a community affect the coordination of care.
· Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
· Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.
· Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group, using PowerPoint or other appropriate software. Both speaker notes and audio voice-over are included.
Effective Presentations
The following resources will help you create and deliver an effective presentation.
· Conquering Death by PowerPoint: The Seven Rules of Proper Visual Design.
· This video is a primer on presentation design.
· Approximate run time: 45:00.
· PowerPoint Presentations Library Guide.
· This library guide provides links to PowerPoint and other presentation software resources.
· SoNHS Professional Presentation Guidelines [PPTX].
· This presentation is designed as a model to help you develop professional-quality PowerPoint presentation.
4050 A2 info/4050 A2 scoring guide.pdf
Ethical and Policy Factors in Care Coordination Scoring Guide
Ethical and Policy Factors in Care Coordination Scoring Guide
Criteria Non- performance Basic Proficient Distinguished
Explain how governmental
policies related to the health and/or
safety of a community affect
the coordination of care.
Does not provide an explanation of governmental policies related to the health and/or safety of a community.
Attempts to provide an explanation of governmental policies related to the health and/or safety of a community.
Explains how governmental policies related to the health and/or safety of a community affect the coordination of care.
Provides an articulate, insightful explanation of how governmental policies related to the health and/or safety of a community affect the coordination of care. Provides clear examples of specific policies affecting care coordination.
Identify national, state, and local
policy provisions that raise ethical
questions or dilemmas for care
coordination.
Does not identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
Attempts to identify national, state, and local policy provisions not clearly associated with questions of ethics.
Identifies national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
Identifies significant and relevant national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination. Makes a clear and persuasive argument for the ethical implications and consequences of specific policy provisions.
Assess the impact of the code of ethics
for nurses on the coordination and
continuum of care.
Does not assess the impact of the code of ethics for nurses on the coordination and continuum of care.
Attempts to assess an inconclusive assessment of the impact of the code of ethics for nurses on the coordination and continuum of care, derived from a simplistic or cursory examination of implications and consequences.
Assesses the impact of the code of ethics for nurses on the coordination and continuum of care.
Assesses the impact of the code of ethics for nurses on the coordination and continuum of care. Draws insightful evidence-based conclusions informed by careful consideration of the social determinants of health and a precise and accurate interpretation of the factors contributing to health, health disparities, and access to services.
Criteria Non- performance Basic Proficient Distinguished
Communicate key ethical and policy
issues in a presentation affecting the
coordination and continuum of care
for a selected community
organization or support group,
using PowerPoint or other
appropriate software. Both
speaker notes and audio voice-over
are included.
Does not communicate key ethical and policy issues affecting the coordination and continuum of care for a selected community organization or support group.
Communicates key ethical and policy issues in a presentation that exhibits a lack of preparation, coherence, focus, or is off-script. Speaker notes and audio voice-over recording are absent.
Communicates key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included.
Communicates key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Delivers a professional, logically coherent presentation of main points, facts, and conclusions, well- supported by relevant and credible evidence. Both speaker notes and audio voice-over are included.
4050 A2 info/4050 Assessment 02 Supplement-- Ethical and Policy Factors in Care Coordination PDF.pdf
1
Assessment 02 – Ethical and Policy Factors in Care
Coordination For this assessment, select a community organization or group that you feel would be interested in learning about ethical and policy issues that affect the coordination of care. Then, develop and record a 10–12-slide, 20-minute presentation, with audio, intended for that audience. Create a detailed narrative script or speakers notes for your presentation, 4–5 pages in length. Before you complete the instructions detailed in the courseroom, first select one of the following community organizations or groups:
• Gay and Lesbian Medical Association (GLMA): GLMA is a national leader in LGBTQ+ health issues and provides a free-to-the-public listing of LGBTQ+-friendly practices in the United States.
• Veterans Affairs (VA): The VA has an LGBTQ+ Veteran Care Coordinator (VCC) in every VA health care system to help LGBTQ+ veterans get the care they need. The VCC can answer questions, advocate for patients' right to quality care, and help patients get started with services for LGBTQ+ veterans.
After you have selected one of the problems/issues from the list above, return to the detailed instructions in the courseroom to complete your assessment.
