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NRS 437V Week 5 Assignment -Analysis of an Ethical Dilemma (Part Two)

NRS 437V Week 5 Assignment -Analysis of an Ethical Dilemma (Part Two)

The documentary The Invisible Patients follows a nurse practitioner called Jessica who faces several challenges caring for home-limited patients. In the process, Jessica encountered several ethical challenges. One of the ethical dilemmas she encountered involved an older couple called Wink and Patty Sherrill. The couple was under narcotics medication to manage pain linked to arthritis. However, during the process of urine drug screen, Jessica that Patty does not use her medications but her narcotic prescription is refilled regularly. Therefore, an issue of medication diversion was established, which is an infringement of her pain contract. Moreover, Patty is barred from primary care MD’s practice, making her to have challenges in getting another provider. Although Jessica feels that it is her responsibility to provide care for these patients, she faces dilemma whether she should continue prescribing narcotics to Patty who is suspected for medication diversion, which can probably lead to injuries to the person who is illicitly taking narcotics.  This problem can be handled by creating a drug diversion monitoring program.

A disruptive innovator is a person who delivers convenient and affordable services to customers, which results into a competition between with bigger corporations and ultimately scale down prices for the bigger firms (Cassel, 2018). Consequently, the NP in the documentary is a disruptive innovator because she has changed the manner of providing health care to patients by ensuring cost-effectiveness, accessibility, convenience, and simplicity in the health care provision which is often characterized by complexities and high cost. The NP encounters dilemma of providing health care to the economically underprivileged while being aware that they have issues of insurance schemes. However, the NP is determined to use every means to ensure that home-limited patients get quality health care even if it means contradicting NP code of ethics (US Department of Health & Human Services, 2005).

Personally, I believe that every person has a right to safe and quality healthcare, thus, I concur with the NP in the documentary to make effort in ensuring that every patient, irrespective of the social class or economic status gets the right health care despite lacking insurance schemes. Although the NP was in a situation where she had to choose between providing health care or not to provide health care to deserving patients due to factors that were above the capabilities of the patients, she was determined to ensure that all home-limited patients received good health care. Essentially, if I face the exact situation as the NP in the documentary, this would be the same position I would take in caring for the deserving patients.

The mechanism to overcome the barrier is to reevaluate health insurances provide to make certain that they affordable to all citizens including economically disadvantaged and that they are considerate to the patient concerns in all aspects (Bauchner, 2017). The best way to ensure that all patients can easily access health care is to remove any possible barrier that may present challenges while providing care to patients.

The potential cost of this barrier is that the government may be forced to spend more on health care to ensure that all patients have health insurance schemes to enable them access health care for all manner of health conditions. However, the potential benefit is ensuring accessibility to quality health care, which is critical in reducing the suffering from various health issues among the patients.

 

References

Bauchner, H. (2017). Health care in the united states: a right or a privilege. Jama, 317(1), 29-29. doi:10.1001/jama.2016.19687

Cassel, C. K. (2018). Can retail clinics transform health care?. Jama, 319(18), 1855-1856. doi:10.1001/jama.2018.2172

US Department of Health & Human Services. (2005). The Nuremberg code. Retrieved from http://www.hhs.gov/ohrp/archive/nurcode.html

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Describe two external stressors that are unique to adolescents. Discuss what risk-taking behaviors may result from the external stressors and what support or coping mechanism can be introduced.

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Introduction

Bullying is defined as seeking to harm, intimidate, or coerce someone perceived as vulnerable. Bullying within the adolescent community affects about 20-30 % of students who admit being the perpetrator or victim of such harassment (Faulkner, 2018).

Describe two stressors that are unique to adolescents

Bullying and identity confusion are two stressors affecting adolescent population. Bullying in any form can lead to teen depression or suicide (Falkner, 2018). Educating students, parents, professionals and communities on effects of bullying such as teen suicide and depression is imperative to stop the trend. Signs and symptoms of depression are: loss of interest in activities, sadness or hopelessness, irritability, withdrawal from friends and family, changes in eating and sleeping habits, feeling of guilt, lack of motivation/enthusiasm, fatigue and suicidal ideation..

Risk taking behaviors resulting from the external stressors and the coping mechanism

Low socioeconomic status, being pessimistic, cognitive factors, and gender are contributing factors that can lead to higher risk of adolescent depression (Kislitsyna, 2010). Females may be at a greater risk for developing depression because girls are more socially oriented, more dependent on positive social relations and more vulnerable to loss of such relations. Adolescents living with guardians that are depressed may also become depressed. The coping mechanisms are eating healthily, adequate exercising, sleeping adequately and building adequate relaxation time into busy schedules for teenagers. In addition, parents and caregivers should learn to listen carefully to teenager`s problems and support them in sports and other pro-social activities.

Conclusion

People who force and those who are bullied have been found have suicidal ideation, physical injury, somatic problems, anxiety, loe self esteem, depression and school absenteeism than those not involved with bullying (Klein, Myhre, & Ahrendt, 2013).

References

Falkner, A. (2018). Adolescent Assessment. Health Assessment: Foundations for Effective Practice. Retrieved from: https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/3

Kislitsyna, O. (2010). The social and economic risk factors of mental disorders of adolescents. Russian Education and Society. 52(10). 66-84 DOI:10.2753/RES1060-9393521005

Klein. D.A, Myhre. k.k..& Ahrendt. D.M. (2013). Bullying Among Adolescents: A Challenging in Primary Care. Am Fam Physician. Vol 88(2):87-92.Retrieved from https://www.aafp.org/afp/2013/0715/p87.html

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Thomas Leen

Posted Date

Feb 13, 2022, 9:58 PM

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Describe two external stressors that are unique to adolescents. Discuss what risk-taking behaviors may result from the external stressors and what support or coping mechanism can be introduced.

According to Falkner, “Teenagers are often considered part of a vulnerable population group. Vulnerable populations as individuals who require special attention related to well-being and safety” (2018). Many external stressors exist in the world today, but two stressors that are unique to the adolescent population is peer pressure to engage in sexual activity, as well as social acceptance by peers which helps develop positive or negative self-image. Understanding the stages of this developmental period is important to provide further support when teenager and adolescents are asking for help.

 

Bullying is one of the unfortunate truths many admit to experiences in his or her life. This impacts one’s feeling of self-esteem, as well as impacts the value the hold toward themselves. When social acceptance plays such a large part in who you become, it is likely to bring negative opinions as well. Becoming one’s own source of positive reinforcement and positive talk will take the reliance of other’s and caring about other’s opinions will play less and less of a role in the development of self. When adolescents listen to opinions from others it can result in many negative outcomes, such as self-injury, withdrawal, or possible suicide. Jantzer, Haffner, Parzer, Resch, & Kaess states, “Bullying within the adolescent community is a growing concern, affecting nearly 20–30% of students who admit to being the perpetrator or victim of such harassment” (2015).

 

Though separate, bullying and peer influence plays a big factor in sexual partners. Though often sexual partners are by choice, there may be sometimes when “friends” force others to engage in sexual activity with someone who he or she is not intending to. There is a fine line here between consensual and forced, but when peer image plays such a substantial part in how you develop, listening to your “friends” and what they think of you makes a huge impact on the wellbeing. Encouraging individuals to think positive thoughts and have positive self-image will remove many of these external stressors faced by many.

 

References:

Falkner, A. (2018). Grand Canyon University (E.D). Age-Appropriate Approach to Pediatric Health Care

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