• For this week’s assignment respond to one of the following options, and include Option 1, 2, or 3 as part of your heading.
  Option 1: The first option is to name and describe in detail a key specific and recent healthcare technology. What are at least two key moral problems this technology creates? What are the proper moral guidelines for dealing with it in your view? Compare your approach to what a utilitarian and ethical egoist would say (each independently). Consider whether differing ethical beliefs globally might or not agree with what you say.
  Option 2: In the second option, name and describe in detail a key specific and recent social technology. What are at least two key moral problems this technology creates? What are the proper moral guidelines for dealing with it in your view? Compare your moral approach to what a utilitarian and social contract ethicist would say (each independently). Consider whether differing ethical beliefs globally might or not agree with what you say.
• Option 3: John Doe, Patient One, is in late stage of kidney disease. If he does not receive a new kidney, then he is predicted to die within a week. Doe is 45, single, and has no children. Doctors theorize that Doe damaged his kidney by not following a low-salt diet. Doe inherited one million dollars and is known for giving money to charity. Without a transplant, he will probably be forced to spend all his money searching for a kidney outside of the usual legal channels. Patient Two is Jane Doe (no relation to John). Patient Two is a mother of two children (ages 21 and 24). She is divorced and 55 years old. She developed kidney problems due to eating a high-fat and high-sugar diet.

• genetic condition

• If she does not receive a kidney within one month, doctors believe she will die. Patient Three is an orphan. This orphan lives in a state facility. She was born with a genetic condition that constantly damages her kidney. The only known approach to her condition is to provide her with a kidney transplant every so often. She is 11 and has already undergone two kidney transplants. She will perish in two months if she does not receive another transplant.
  All three patients are at the same hospital. The hospital only has one kidney to give out. The orphan’s birth parents were known to be of a religion that is opposed to organ donation. The other patients come from religions that do not oppose organ donation. Who should get the kidney? Why should that candidate receive it over the others? Devise a course of social action and a solution for this case by using the ethics of egoism and then utilitarianism to a key moral conflict involving health care in this case.
• Appraise the interests of diverse populations (in terms of ethnicity, race, religion, sexual orientation, etc.) and how they relate to the case. Consider whether differing ethical beliefs globally might or not agree with what you say.
  For all the options:
  Cite the textbook and incorporate outside sources, including citations.
  You should not be using any text you used in a discussion board or assignment for this class or any previous class.
  Consider whether differing ethical beliefs globally might or not agree with what you say.
  You will submit the following:

• audiovisual presentation

  • An audiovisual presentation that presents one of the options above. Be sure to give equal time to each element. Doing a PowerPoint presentation with audio recorded on the slides is preferred. Please refer to the Narrated PowerPoint Tutorial located in the Required Resources in this assignment.
  • Please provide a transcript of anything said in the recording aloud that does not appear as text on a slide. This transcript can be provided as a Word document or placed in the Notes section on the PowerPoint slides.
  • The link or a scan of the article mentioning any health technology, social technology, or case you are reporting on. If you made up the case, please indicate that in your report. If you choose to do option #3 (the case about a shortage of transplant kidneys), your article would likely be an article about the shortage of transplant organs, or a shortage of people signing up to be transplant donors, or the status of educating people about being donors, etc.
  • PRESENTATION REQUIREMENTS
  • Length: 4-6 minutes narrated presentation
  • Slide length: 4-6 slides (not including title slide, conclusion slide, or references slide)
  • Title slide
  • Conclusion slide
  • References slide (minimum of 2 scholarly sources cited in APA format; not narrated)
  • you can pick the option and provide the PowerPoint without the audio and one with audio narration
    Requirements: 4-6 slides not including reference or titel
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This is a Master Degree Nurse Practioner program minimum of 350 words. With at least 2 peer review reference in 7 the edition apa style.  Please do not use international references.

Mrs. P. has been in the ICU for several days, has made gradual progression, and appears to be doing well with laboratory findings and arterial blood gases indicating normal readings. The enteral feeds were held overnight for anticipation of extubation. Describe the process for weaning the patient from the ventilator and discuss when it is appropriate to remove ventilator support as the patient has improved. What are the risks to monitor for as this process is implemented for the patient? Support your answer with two or three peer-reviewed resources.

Number 1 post: CF

Nurse practitioners (NPs) look beyond routine screenings to anticipate a patient’s health needs in the future. By providing relevant educational information. And encouraging regular follow-up visits to assess progress. And alter wellness plans, NPs can not only assist patients in managing their existing problems. But also to avoid future conditions (Edelman & Kudzma, 2018).

Health promotion and prevention

Based on their educational level, NPs have the skills and knowledge to communicate effectively. Plan individualized care with team members, and use shared decision making to determine treatment which is very important in health promotion and prevention in the community (Georgiev et al., 2019). APNs can provide lifestyle modification, treatment regimens, care coordination, tailored patient care, and health promotion, among other things to promote health in the community. (Edelman & Kudzma, 2018). Community nursing is very important to help promote good health and prevention of disease. It is important for the APN to discuss topics that is relevant to the individual patient and create individual goals.

Health promotion and prevention in the community includes promoting vaccines, healthy diet and lifestyles as well as important health screenings such as prostate exams, colonoscopies, mammograms, PAP smears, screening for diabetes, etc. A lot of diseases are preventable and/or can be reversed with proper health promotion and lifestyle changes. As diseases are a burden on our healthcare and financial system. Nurses have a unique role in building trust and rapport with patients to help achieve individual goals, quality of life for the individual as well as the community.

Number 2 post: MS

Community nursing is not just health teaching or preventative medicine in a place other than an office setting, but has been developed from a social model of health generated from community models of practice (St John & Keleher, 2020). These services include epidemiology, public health, social science, health promotion, and general nursing knowledge. Community nursing does not necessarily mean caring for someone in their home, but rather caring for the community as a whole and exploring what obstacles, barriers, and needs of the community are and helping to address those needs.

local health issues

A nurse practitioner can help to establish initiatives, respond to the community’s needs, and create an environment that addresses local health issues (Mathieson, Grande, & Luker, 2019). These services include preventative care and education as well as interventional care. Nurse practitioners working in a community health role also advocate for the community and research policy developments that can help to eliminate healthcare disparities. Examples of community health nursing include addressing poverty and hunger, promote primary education, reduce child mortality, combat HIV/AIDS and other diseases, ensure environmental sustainability, and develop a global partnership for development (Anderson & McFarlane, 2020).

Earlier in this class we learned about health disparities and how certain populations are more susceptible to sub-par care and higher disease rates, such as in the LGBT community. When implementing community-based programs, it is important to be informed on the culture you are working with to ensure culturally appropriate and culturally sensitive care. Rather than focusing on disease-specific problems, we should develop new programs with the goal of primary prevention. People in communities “deserve comprehensive nursing care aimed at improvement of health for all” (Anderson & McFarlane, 2020). The community as well as the nurse practitioner should have common goals in healthcare with accessibility and services available to all.

Required Resources
Read/review the following resources for this activity:

• Textbook: Chapter 8, 9, 17 (Introduction); review Chapter 7
• Lesson

Introduction
Remember – your actual journal entry should be somewhat brief; most of your time should be spent thinking about the questions asked and the issues raised. Your thoughts should then be distilled into a mini-argument that will respond affirmatively to the four tests for evaluating arguments: truthfulness of premises, logical strength, relevance, and non-circularity.

Instructions
For this journal assignment, briefly answer each of the following prompts:

Civic Responsibility

• Inference: The differing meanings of “valid inference” and “warranted inference” are closely related to the differing purposes of deductive and inductive arguments – the purpose of deductive being to prove; the purpose of inductive to make the conclusion most probable.
  • Look up the words “valid” and “warranted.” Each of these words, you will find, has what is known as a lexical definition – that is just the dictionary definition of the word. Words also have a certain connotations – meanings that go beyond their lexical definitions; associated ideas and concepts – think of terms such a “fur baby” as the name for a pet.
  • Briefly discuss how the lexical definitions and connotations of “valid” and “warranted” can help us understand the differing purposes of deductive and inductive arguments.
• Civic Responsibility: In Section 8.2, the text states that there are “fallacious argument templates” (Facione & Gittens, p. 167) and then gives a number of examples. The authors further state: “Analysis of the meanings of the terms used and the grammatical rules of the language reveal the source of error” (p.167).

  • Denying the Consequent

  • Choose one of the fallacies in this section, such as Denying the Antecedent or False Classification and pair it with the valid argument template. For example, if you choose Denying the Antecedent, the valid argument template will be Denying the Consequent. False Classification would pair with one of the fallacies in Reasoning About Classes of Objects.
  • Explain, in your own words, how the fallacy is revealed through analysis of the valid argument template. Think of it this way – if you know how the heart works, you will know that certain malfunctions will prevent it from working.  For example, if you know that the coronary arteries supply the heart with blood, then you can reason that a blockage will stop that vital flow. So this journal prompt asks you to explain, in your own words, how one of the valid argument templates work – and how that exposes the fallacy connected with that type of argument.

  • Civic Responsibility

• Civic Responsibility: At the end of Chapter 9 there is a Bonus Exercise that asks you to research and analyze the 2009 debate over the healthcare public option. If you were actually to complete that exercise, it would take quite a bit of time and effort.
  • Do you think that completing such an exercise would be time well spent or time wasted? If well-spent, why? If time wasted, why?
  • Is there any issue on which you think a comparable amount of time and effort would be worthwhile?
  • As a critical thinker, do you believe that citizens have an obligation to be informed on topics of current interest? If yes, why, if no, why not?

If you include references to outside sources (beyond the textbook), make sure you cite them properly.

Writing Requirements (APA format)

• Length: 1 ½ -2 pages (not including prompts, title page or references page)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page
• References page (as needed)

Grading
This activity will be graded using the Journal Grading Rubric.

Course Outcomes (CO): 3, 4, 5, 6