prompt 1 : Identify three components of the Patient Protection and Affordable Care Act that went into effect in 2014 and discuss their impact or potential impact on the practice of nursing and medicine.
PROMPT 2 : Describe a type of health care spending that you consider wasteful or services that you consider have little or no benefit. Explain why you find the spending wasteful, and if eliminated, what impact it may have on the American public.
PROMPT 3 : iscuss the potential controversy when considering a patient’s right to know whether a caregiver has AIDS, and the caregiver’s right to privacy and confidentiality.
Consider the following: A physician cut his hand with a scalpel while he was assisting another physician. Because of the uncertainty that blood had been transferred from the physician’s hand wound to the patient through an open surgical incision, he agreed to have a blood test for HIV. His blood tested positive for HIV and he withdrew himself from participation in further surgical procedures.
Discuss the ethical and legal issues.
PROMPT 4 : The following questions refer to your experience in this week’s exercise, Conducting Moral and Ethical Dialog in Clinical Practice. Describe your overall experience with the moral and ethical dialog exercise, and address at least three (3) of the following:
Did you find any of the scenarios more difficult to deal with than others?
Did you feel any internal conflict with any of the scenarios?
How did your personal and professional background impact how you decided to interact with the patient?
Do you feel the responses the patient gave to the practitioner’s response were reasonable or typical?
Were you taken aback by any of the patient reactions?
How might this activity contribute to your role as a nurse advocate in a moral and ethical practice?
Did you utilize an ethical decision making model to explore a systematic way to evaluate any of these ethical dilemmas? If so, describe the effectiveness.
