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Code of Ethics for Nurses

. I believe that the Code of Ethics for Nurses with Interpretive Statements provides guidance for this situation. Christine has witnessed on multiple occasions the fear Sylvia has instilled in her residents and lacking compassion towards them. Which leads to the first provision which states, “The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person” (Butts & Rich, 2016, pg. 463). Leaving an aware and oriented resident, in restraints, lying in their own excrement does not show compassion or respect for human dignity. As a nurse in a long-term care center these things are the most important. The residents are here to be taken care of not neglected and that is what Sylvia is doing. They are people with rights to a good caregiver who gives them their all and it is obvious Sylvia is not doing this but instead instilling fear. You’re patients should trust you and feel safe in your care.

As for Christine in this case, she should report the lack of treatment Sylvia is giving her residents. The fourth provision state, “The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care” (Butts & Rich, 2016, pg. 473). This provision shows guidance for Christine in this situation because it is her obligation to provide optimal care. Even though these residents are not under Christine’s care it is still her responsibility as a nurse to see what is happening and act on it. These residents are not receiving optimal care and Christine should do something about it. Whether it be go to whoever is in charge and report Sylvia or speak to Sylvia herself but something has to be done because no resident should fear their caregiver. (BAKER)

2. The Code of Ethics does provide guidance for this situation. Sylvia broke the code of ethics which can be met different ways however is not negotiable. She did not have respect for human dignity nor did she preserve her patient’s integrity. Allowing her patient to lay in her own excrements and leaving her patient tightly restrained to her bed shows no respect to her. Although I am aware that restraints can be used, there is a proper way to use them and Sylvia appears to be abusing her power. Letting her patient lay in her own feces also shows no respect to her patient because she is not taking her patient’s feeling into consideration. That can be a very embarrassing moment for the patient. Sylvia’s treatment of her patient will also hinder her relationship with them. She is not allowing her patient’s their autonomy by being paternalistic which will not allow them to receive the best care possible if they do not have a good patient- nurse relationship. 

Patients have the right to self-determination which is being violated with Sylvia’s actions. The right to self-determination means that they determine what can be done to their selves. By restraining them, she is taking away that right. According to the Code of Ethics, if patients cannot make their own decisions, a surrogate decision maker should be appointed therefore if Sylvia believes that her patient could not make their own decisions, she should have taken the appropriate steps to find someone who could do it for the patient. 

Lastly, Sylvia did not maintain integrity of the profession through her actions. The nursing code of ethics states that “nursing must continually emphasize the value of respect, fairness, and caring within the national and global nursing communities in order to promote health in all sectors of the population”. Her behavior is not displaying the strong moral values necessary to be in the care of patients. Her patients and their families trusted her to care for her patients and
Sylvia broke that trust. (NLEND)

**FOR THE POST BELOW VIEW VIDEO AND STATE WHETHER OR NOT THE BELOW ANSWER IS CORRECT AND IF SO WHY**

1. Blood sugar levels vary throughout the day. Insulin and glucagon help to keep these levels normal. When the body does not convert enough glucose for use, the blood sugar levels in the body remain high. Insulin helps the body absorb glucose, lowering blood sugar and providing cells with the energy they need. When blood sugar is too low, the pancreas releases glucagon. Glucagon forces the liver to release stored glucose, which thus causes blood sugar to rise. (COMER)

** READ THE QUESTION & ANSWER BELOW STATE & WHETHER OR NOT YOU AGREE WITH ANSWER GIVEN OR YOU DON’T AGREE AND STATE WHY**

This week pick a scenario or situation that illustrates either a sympathetic or parasympathetic response.  Explain what happens to the body during this situation and how the body will respond to return to homeostasis. 
 
1. Vasovagal syncope happens when you faint due to certain emotion triggers. A common example of this is when people faint from seeing blood. This happens because your heart rate and blood pressure rapidly decrease, causing you to faint. Aside from potentially hurting yourself from falling, the actual process of fainting is usually harmless. 

Before you faint, you may experience going very pale and breaking out into a cold sweat. Nausea also is very common during this process. If the stimulus is not removed these early symptoms typically progress into actually fainting. The person effected is usually only unconscious for a few minutes at most. 

The reason for this happening is that the nervous system malfunctions due to the trigger and causes your heart rate to lower. Ultimately this leads to blood leaving your head and causing you to faint. A way to stop this from happening would be to lay down. This prevents blood from not being able to reach your brain and helps potentially to stop this.After a short time, regardless if you faint or not, the body will eventually regulate itself and begin to get your heart rate back to a normal rate, fixing this issue. (COHN)

2. Top of Form Your walking down a long hallway and you look back behind you as you see a clown walking or running towards your direction. What would you do? Some people would fall to the floor in tears scared, others will prepare to fight the clown.

One symptom that occurs with the flight or fight response in the dilation of bronchioles.  According to Amerman this is caused by norepinephrine binding to the B2 receptors on the cells relaxing them. (Pg 526). This allows the body to increase the volume of air that it can hold. Bronchodilation is a is a sympathetic response that occurs to allow the body the increase air flow for the ability to stay and fight or run. Brochodilation also occurs when exercising and the body returns to homeostasis. The body will return to its homeostasis once norepinephrine is no longer being released allowing the bronchioles to constrict to its normal size.(MARTINEZ)

** READ THE ANSWER BELOW STATE & GIVE THEM GOOD RECOMMENDATIONS ON THEIR DIETS THAT COULD HELP THEM**

1. I am going to compare my diet of the dietary assignment diet with the DASH which is the Dietary Approaches to Stop Hypertension. I have family history of hypertension my Dad is hypertension, and he got diagnosis when he was young. I always wandering if I am going to have hypertension.

According to USDA Supertracker, my daily calories limit is 2,000. According to DASH diet, it is recommended to take: Grains: 6-8 serving/day; vegetables: 4-5 serving/ day; Fruits: 4-5 serving/ day; Fat-free or low-fat milk and milk products: 2-3 serving/ day; Lean meats, poultry, and fish: 6 or less/ day; Nuts, seeds and legumes 4-5per week; Fats and oils 2-3 serving/day; sweets and added sugars 5 or less per week. Compare to dietary assignment I met the calories limited per day, however, my diet was short of grains, vegetables, fruits, milks and have too much protein. The most important is sodium limit to 2300mg per day, however, I had 3555mg and 2856 mg to the two day I tracked my diet. I thought my diet should be health before the dietary tracking. I only can say I meet the calories limit per day. It is challenging for me to change the diet I used to. First, I will cut my protein intake. And I will increase my intake of both grains, vegetables, fruits, milks. The most challenging for me is to limit my sodium intake which is critical for hypertension prevention. I knew I may have too much sodium per day, but figured out that was too much after dietary assignment. I will try my best to take less sodium, and try to cook health food at home than eating out. I would say it is possible for me to modified my diet to DASH recommendation. But I do not believe most of the people can stick to the DASH. I will recommend MyFitness Pal or some of the apps we have discussed last week to track the diet. Tracking diet will let individuals acknowledge about their own diet and have the chances to modified.(WU)

2.   After analyzing my diet and comparing it to both, DASH and TLC, diets. It looks like my diet match up to DASH diet. I am already meeting grains, lean meats/poultry, and fats/oils goals. I need to work on my dairy and vegetables goals. The reason why I am not getting enough dairy is because currently I eliminated all the cheese from my diet due to recent problems with my skin. But normally I do eat cheese. Eating a lot of vegetables is definitely a challenge for me. I kind of tend to eat only cucumbers, spinach, bell peppers, and tomatoes nowadays. I normally eat plenty of fruits as well (bananas, pears, apples, blueberries, strawberries, mangoes, grapes, dragon fruit). The reason my fruit intake was low because I ran out of fruits that day.

      I think both diets are very reasonable to follow. Both diets concentrate on a variety of foods and both incorporate complex carbs, lean meats, dairy, healthy fats, fruits, and vegetables. Both diets are teaching to be smart about food and consume everything in moderation. I think in order to meet daily goals for fruits and vegetables, making smoothies each day would help. (ZINNIA)

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