Ethics Case Study #3 Nursing homework help

Case Study 3: The Pregnant Teenager with a Genetic Problem


Case Study Assignments (45 points each, see rubric)

Melinda Eades was a 14-year-old adolescent diagnosed at an outpatient neurology clinic with the gene for neurofibromatosis-type 2 (NF2), an autosomal-dominant disorder that causes nervous system tumors that usually demonstrate symptoms during the late-teen years or early 20’s. At the time of diagnosis, genetic counseling was recommended to Melinda’s mother because any children born to Melinda would have a 50% chance of also carrying the NF2 gene. Melinda was quite upset about the genetic testing results and did not seem to comprehend the information, so Mrs. Eades decided to wait a few weeks before making the appointment with the genetic counselor to discuss future issues, such as childbearing decisions, with Melinda. There was no reason to believe that Melinda was sexually active, so it was agreed that Mrs. Eades would contact the clinic for genetic counseling in a month or so.

Before this appointment was made, however, Melinda went to an OB/GYN clinic on her own for problems with menstruation. Testing revealed that she was approximately 7 weeks pregnant. She was counseled by the clinic nurse about abortions options and was advised to discuss her pregnancy with her parents. When Melinda mentioned that she was recently identified as having the gene for a genetic disorder, the clinic nurse recommended that she return to the neurology clinic for follow up and counseling. Melinda did not seem to understand that her disease was genetically transmissible to her offspring.

After several days of agonizing over her pregnancy, Melinda told her mother. Mrs. Eades was very upset with Melinda and immediately decided that Melinda should have an abortion. When Melinda seemed uncertain whether she wanted to abort the pregnancy, Mrs. Eades told her that any of her offspring would have a 50% chance of having NF2. Melinda was surprised by this information but was still uncertain what she should do. She also wondered why she had not been informed of this earlier.

When Melinda showed up for her appointment at the neurology clinic, she was very confused. She asked Jane Goldstein, the nurse practitioner she previously saw in the clinic, why someone did not tell her that she needed to be careful about becoming pregnant. When she realized that her mother had decided to withhold this information from her for a period of time, Melinda became angry.

1. Did Melinda have the right to this information, even though she was a minor? Also, why had the nurse conveyed this information to her mother and not to her? Could her mother control her in that manner, even to the point of forcing her to have an abortion, a course of action that Melinda would not likely choose under other circumstances?

2. How should Ms. Golstein proceed with this situation? Given Melinda’s anger and confusion about her situation, what actions should Ms. Goldstein take to provide Melinda with the information she needs to make important choices about her pregnancy

NM410 Unit 3 Week 5 Assignment: Case Study 3 Rubric

NM410 Unit 3 Week 5 Assignment: Case Study 3 Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeContent

15 pts

5

Demonstrates the ability to construct a clear and insightful problem statement/thesis statement/topic statement with evidence of all relevant contextual factors.

13.5 pts

4

Demonstrates the ability to construct a problem statement, thesis statement/topic statement with evidence of most relevant contextual factors, and problem statement is adequately detailed.

12 pts

3

Begins to demonstrate the ability to construct a problem statement/thesis statement/topic statement with evidence of most relevant contextual factors, but problem statement is superficial.

10.5 pts

2

Demonstrates a limited ability in identifying a problem statement/thesis statement/topic statement or related contextual factors.

9 pts

1

Demonstrates the ability to explain contextual facts but does not provide a defined statement.

0 pts

0

There is no evidence of a defined statement.

15 pts

This criterion is linked to a Learning OutcomeAnalysis

15 pts

5

Organizes and compares evidence to reveal insightful patterns, differences, or similarities related to focus.

13.5 pts

4

Organizes and interprets evidence to reveal patterns, differences, or similarities related to focus.

12 pts

3

Organizes and describes evidence according to patterns, differences, or similarities related to focus.

10.5 pts

2

Organizes evidence, but the organization is not effective in revealing patterns, differences, or similarities.

9 pts

1

Describes evidence, but it is not organized and/ or is unrelated to focus.

0 pts

0

Lists evidence, but it is not organized and/ or is unrelated to focus.

15 pts

This criterion is linked to a Learning OutcomeWriting

10 pts

5

The paper exhibits a excellent command of written English language conventions. The paper has no errors in mechanics, grammar, or spelling.

9 pts

4

The paper exhibits a good command of written English language conventions. The paper has no errors in mechanics, or spelling with minor grammatical errors that impair the flow of communication.

8 pts

3

The paper exhibits a basic command of written English language conventions. The paper has minor errors in mechanics, grammar, or spelling that impact the flow of communication.

7 pts

2

The paper exhibits a limited command of written English language conventions. The paper has frequent errors in mechanics, grammar, or spelling that impede the flow of communication.

6 pts

1

The paper exhibits little command of written English language conventions. The paper has errors in mechanics, grammar, or spelling that cause the reader to stop and reread parts of the writing to discern meaning.

0 pts

0

The paper does not demonstrate command of written English language conventions. The paper has multiple errors in mechanics, grammar, or spelling that cause the reader difficulty discerning the meaning.

10 pts

This criterion is linked to a Learning OutcomeAPA

5 pts

5

The required APA elements are all included with correct formatting, including in-text citations and references.

4.5 pts

4

The required APA elements are all included with minor formatting errors, including in-text citations and references.

4 pts

3

The required APA elements are all included with multiple formatting errors, including in-text citations and references.

3.5 pts

2

The required APA elements are not all included. AND/OR there are major formatting errors, including in-text citations and references.

3 pts

1

Several APA elements are missing. The errors in formatting demonstrate limited understanding of APA guidelines, in-text-citations, and references.

0 pts

0

There is little to no evidence of APA formatting. AND/OR there are no in-text citations AND/OR references.

5 p

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