A Nagging Uneasiness Assignment Help
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A Nagging Uneasiness Assignment Help
You are a nurse on a pediatric unit. One of your patients is a 15-month-old girl with a diagnosis of failure to thrive. The mother says that the child is emotional, cries a lot, and does not like to be held. You have been taking care of the child for 2 days since her admission, and she has smiled and been receptive to being held by you.
She has also eaten well. There is something about the child’s reaction to the mother’s boyfriend that bothers you. The child appears to draw away from him when he visits. The mother is very young and seems to be rather immature but appears to care for the child.
This is the second hospital admission for this child. Although you were not on duty for the first admission 6 weeks ago, you check the records and see that the child was admitted with the same diagnosis. While you are on duty today, the child’s father calls and asks about her condition.
He lives several hundred miles away and requests that the child be hospitalized until the weekend (it is Wednesday) so that he can “check things out.” He tells you that he believes the child is mistreated. He says he is also concerned about his ex-wife’s 4-year-old child from another marriage and is attempting to gain custody of that child in addition to his own child.
From what little the father said, you are aware that the divorce was bitter and that the mother has full custody. Because of Health Insurance Portability and Accountability Act, you tell the father that you cannot provide any information about the child.
You talk with the physician at length. He says that after the last hospitalization, he requested that the community health agency and Child Protective Services call on the family.
Their subsequent report to him was that the 4-year-old child appeared happy and well and that the 15-month-old child appeared clean, although somewhat underweight. There was no evidence to suggest child abuse. However, the community health agency plans to continue following the children.
He says that the mother has been good about keeping doctor appointments and has kept the children’s immunizations up to date. The pediatrician proceeds to write an order for discharge. He says that although he also feels somewhat uneasy, continued hospitalization is not justified, and Medicaid will not pay for additional days. He also says that he will follow up once again with Child Protective Services to make another visit.
When the mother and her boyfriend come to take the baby home, the baby clings to you and refuses to go to the boyfriend. She also seems reluctant to go to the mother. All during the discharge, you are extremely uneasy. When you see the car drive away, you feel very sad.
After returning to the unit, you talk with your supervisor, who listens carefully and questions you at length. Finally, she says, “It seems as if you have nothing concrete on which to act and are only experiencing feelings. I think you would be risking a lot of trouble for yourself and the hospital if you acted rashly at this time. Accusing people with no evidence and making them go through a traumatic experience is something I would hesitate to do.”
You leave the supervisor’s office still troubled. She did not tell you that you must do nothing, but you believe that she would disapprove of further action on your part. The doctor also felt strongly that there was no reason to do more than was already being done.
The child will be followed by community health nurses. Perhaps, the ex-husband was just trying to make trouble for his ex-wife and her new boyfriend. You would certainly not want anyone to have reported you or created problems regarding your own children. You remember how often your 5-year-old bruised himself when he was that age. You go about your duties and try to shake off your feeling. What should you do?
ASSIGNMENT:
Solve the case in small groups by using the traditional problem-solving process. Identify the problem and several alternative solutions to solve this ethical dilemma. What should you do and why? What are the risks? How does your value system play a part in your decision? Justify your solution. After completing this assignment, solve the second part of this assignment below.
Assume that this was a real case. Twenty-four hours after the child’s discharge, she is readmitted with critical head trauma. Police reports indicate that the child suffered multiple skull fractures after being thrown up against the wall by her mother’s boyfriend. The child is not expected to live.
Does knowing the outcome change how you would have solved the case? Does the outcome influence how you feel about the quality of your group’s problem solving?
A Nagging Uneasiness Assignment Help
RUBRIC
Excellent Quality
95-100%
Introduction 45-41 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Literature Support
91-84 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Methodology
58-53 points
Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score
50-85%
40-38 points
More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.
83-76 points
Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.
52-49 points
Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality
0-45%
37-1 points
The background and/or significance are missing. No search history information is provided.
75-1 points
Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.
48-1 points
There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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A Nagging Uneasiness Assignment Help