Consider the “Four Topics Approach” (or Four Box method) to ethical decision making on page 61, Table 2.1 in Butts (below).  Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.

In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way?  Does this seem like a valid process for you to apply in your practice?

Your paper should be 1-2 pages. Adhere to APA formatting throughout and cite any outside sources you may use.

All the question should be answer in an essay format (no bullet)

Medical Indications: The Principles of Beneficence and Nonmaleficence

1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal? 2.  What are the goals of treatment? 3.  In what circumstances are medical treatments not indicated? 4.  What are the probabilities of success of various treatment options? 5.  In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?

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Read chapter 26 and 27 of the class textbook and review the attached PowerPoint presentations. Read Content chapter 26 & 27 in Davis Plus Online Website.  Once done answer the following questions;

1.   Which countries are known as the Baltic nations?

2.    Discuss how the Baltic nations view the delivery of evidence-based healthcare and their beliefs related to health and disease.

3.   Give an overview of the Brazilian heritage, how do they see health and disease and if there is any similarity between them and the Baltic nations.

You must cite at least 3 evidence-based references no older than 5 years excluding the class textbook. A minimum of 800 words must be presented excluding the first and reference page.

Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.

This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment in Topic 3.

Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

1.  Values/Health Perception

2.  Nutrition

3.  Sleep/Rest

4.  Elimination

5.  Activity/Exercise

6.  Cognitive

7.  Sensory-Perception

8.  Self-Perception

9.  Role Relationship

10.  Sexuality

11.  Coping

Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.

Upon completion of the interview, write a 750-1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment.

Include the following in your paper:

1.  Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.

2.  Summarize the overall health behaviors of the family. Describe the current health of the family.

3.  Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.

4.  Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.