Integrative Health Practices
Integrative Health Practices
Instructions: 1. This is a leadership and management assignment. Review case study. Answer questions. Write a summary and upload a copy.
2. Envision being the RN experiencing the situation and comment on how you would handle the situation. Post focusing on leadership and management critical thinking and strategies.
Chapter 25: Integrative Health Practices
Lasandra first visited the very busy Woman’s Free Clinic in a large metropolitan city when she was 24 years old and 8 weeks pregnant. This was the first child for her and her husband
Benito, who had recently arrived from a small central American country and spoke very little English. LaKisha, the nurse midwife who volunteered at the clinic two days a week, performed the initial assessment and ultrasound which showed a normal fetus at 8 weeks gestation. She spoke to the couple in Spanish, although the dialect was different from what the couple spoke in their small rural town.
The couple expressed a high level of fear that the child might be born with downsyndrome since one of Benito’s brothers had the condition. However, when it was explained to them that there was a 1 in 500 chance that an amniocentesis could result in a miscarriage, they opted not to undergo the procedure. They were assured by the nurse midwife that there was a
99.9% chance that the child would not have any form of mental disability.
Lasandra missed several of her follow up appointments at the clinic, but showed up for her six month appointment. A repeat ultrasound was performed and it was reported to the couple that the fetus was doing well and was completely normal.
The baby, Jana, was delivered by a normal vaginal birth at full term at a local hospital by the nurse midwife, however the child was born with only one leg, and no arms. The deformities obviously were not the fault of LaKisha, but Jana’s parents accused her of negligence and malpractice for not properly detecting the birth defects when she performed the ultrasounds. The parents stated that they would have aborted their daughter if they had known she would only have one limb.
LaKisha argued that she was not to blame. The parents refused the amniocentesis which would have clearly shown the genetic markers that were indicative of a condition that could cause a defect in the limbs. Also, the parents were concerned about a mental disability and Jana appeared to have normal mental development and showed no signs of any mental disability.
- What key legal principles are involved in this case?
- Do you agree with the parents or with the nurse midwife? Why?
- What is the standard of care that a health care provider such as a nurse midwife should be held to in evaluating a pregnant patient?
- Are all the key elements for a malpractice suit present in this case study? What was the harm that resulted directly from LaKisha’s actions?
- Was there any contributory harm by the parents? What was it?
- What ethical principles are involved with this case?
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score. Integrative Health Practices
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Integrative Health Practices
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. Integrative Health Practices