NUR 3020 - QUANTITATIVE RESEARCH METHODS CASE STUDY -ASSESSMENT

Pleasereadthecasestudybelowandrespondtothequestionsprovidedthroughyourposterpresentation.Thecasestudyhighlightskeyareaswherebreachesin ethicalprinciples occur.

CaseStudy

Molly is a 29-year-old with advanced cancer. She has decided, in consultation with close family membersandfriendsthatdespitetheseverityofherillnessanditssymptoms,shedoesnotwantanytreatment.Toensure that her wishes are respected if she loses the capacity to make choices and consent torecommended treatments and care, Molly has prepared an advanced health directive. In her advanceddirective, she has outlined a comprehensive list of medical treatments and nursing care that she does notwant and, if she were competent to decide, would refuse. The healthcare team involved in her care isunanimous that, at the time of preparing her advanced health directive, Molly was competent to makedecisionsand knewwhat shewasdoing.

You are a community nurse visiting Molly at home and notice, with concern, progressive deterioration ofher condition. She has noticeable difficulty walking and is at risk of falls. You arrange for her to have apersonal alarm system in place, but she refuses any additional support services. She also refuses a range ofessential nursing interventions that would help to make her more comfortable, including mouth care for amouth infection, bowel care for constipation and wound care for various superficial cuts and abrasions thatshe sustained following a recent fall, which have become infected. Workers from other services who comein to assist Molly are also becoming increasingly concerned about her condition, and report this to yourteam.

1. Outlinetwo keyethicalprinciplesraisedbythiscasestudy?
2. Considering the duty of care of the registered nurse in this situation and justify your reasons,should you and the team override or respect Mollys wishes? This section must be supported bythe
3. In either case, discuss the reasons you would use to justify your critical thinking and decisions.Thissection must besupported bytheliterature
4. Discuss strategies to address the ethical issues raised in the case study in order to work throughthe Thissectionmust be supportedby theliterature.

Guidelines/structure

YourassessmentisrequiredtobedevelopedinthestyleofavisualCANVAposterwithincludedaudiopresentationand script.

Thepresentation istocontainthefollowingsections:

• Introduction The introduction should provide an outline of your intended poster discussionbased on the case study and the two chosen ethical principles for investigation. Thepresenternotesprovidethesynopsisofyourdiscussioninascriptofyour voiceover.
• Synopsis of Ethical Principles arising - This section requires a synopsis of the two (2) ethicalprinciples of concern arising from the case study, your decisions considering Mollys wishes.Thissection mustbelinked to the
• Justification of ethical principles and RN decision making practice This section requires asummary that specifically shares the decision making and critical thought in upholding theethical principles as the registered nurse and in alignment with the situation identified in thecase Thesection mustbesupported bytheliterature.

Strategies This section requires you to consider a minimum of 3 strategies that relate to thecase study and the registered nurses ethical responsibility with respect to the ethicalprinciples arising. A rationale for each strategy, referenced to credible, contemporaryliteratureisrequired.