In this video a 12 year old girl, Briana, is struggling with morbid obesity. She weighs over 300 pounds. She has been told that being this overweight will affect her health. She also feels very self-conscious about her weight and is bullied by her classmates. Briana's parents express concern about her health as well. When her mother is interviewed about what food she serves the family she appears to be very interested in making any necessary changes. A trip to the market to find out what she purchases for family meals reveals that she does not seem to know what would be best to prepare for Briana so she can lose weight. Briana's mother appears to be "stuck" on buying what she thinks are healthy foods which includes canned vegetables and very little fresh fruit and vegetables.Here is the link to the video, "A 12 Year Old's Struggle with Morbid Obesity"Describe how Briana's mother should change meal preparations to be healthier. Describe strategies that might engage Briana in the process of preparing the meals.

Written Assignment - Right to Die, Death with Dignity Statutes Currently there are several states in the U.S that have enacted Death with Dignity Statutes. The first state to enact such a law was Oregon. These statutes were not enacted without controversy. For this week's written assignment, research one of the states that enacted a Death with Dignity statute. In your paper, summarize the applicable statute. Be sure to include information on how a patient would obtain the necessary means to end their life. For example, how do they qualify, what is the process to obtain the end of life medications, etc.? Share your thoughts about the Death with Dignity Statutes. Do you agree or disagree? Why? ------------------------------------------------------------------------------------------------------------------------------------------ ***** SOME NOTES TO HELP YOU START! ***** Please make this paper in APA format with a separate title page and reference page and make sure to use credible references: ***sources that you can use that are great sources: WHO, CDC, NIH, JAMA, NEJM, AAPA, AAFP, American Cancer Society, AAAAI, BMJ, PubMed, i.e. Peer-reviewed medical journals E-book: “Healthcare Websites” ***sources TO NOTTTT USE: yahoo answers, ehow,com, ask.com, forum-based websites, or personal random blogs from who knows where… Please make sure this is at least 3 pages (or more) if possible. Make sure to list the link for the website page with your references. MAKE SURE TO CHECK SPELLING WHEN FINISHED AND RECHECK THE WORK TO MAKE SURE EACH SENTENCE MAKES SENSE. PLEASE SUPPORT YOUR ARGUMENTS IN EACH PARAGRAPH…. Do NOT just put because and make it a repeated sentence….. I want to know because why? Or how? Who ? etc. you get what I am trying to say. ****** MY CLASS NOTES SO THIS WILL MAKE IT EASIER FOR YOU!******* Ethical and Legal Issues Related to the End of Life: Understanding the many facets of death and dying as a future healthcare professional becomes important when carrying out various rights and laws provided for all. The understanding of death and reactions to bereavement require several levels of support and staff confidence to provide support to patients and their families. This is a difficult time for all parties involved and it is important to be sensitive to the various reactions and behaviors that surround the dying process. During this time the patient, family and friends may react in ways that are not congruent to their everyday behavior. Depending on where they are in the 5 Stage of Dying, their emotions and actions may be a severe contrast to their typical demeanor. People handle death in their own way and on their own timetable. Healthcare workers should understand the stages of dying so that they can not only best assist the patient, but the loved ones who are experiencing issues related to the loss. In addition, it is important for a future healthcare professional to be knowledgeable of not only the dying process, definitions of death, and the stages of dying, but also understands quality-of-life issues, the use of medications for the dying patient, hospice care, palliative care, viatical settlements, advance directives, choices of life and death, the death certificate, and medical examiner cases. Living wills guide family and friends to respect the final wishes of the patient. These lay out what type of ordinary or extraordinary care that the patient wants or does not want. The finalization of life, medical law, and bioethics are topics that all healthcare professionals will encounter at some point in their career. Our society has many ways of dealing with the overall grieving process and loss of a family member; however, the most important thing is how we deal with and respect the process.

We will be discussing ethical issues in your final assignment. Your paper is NOT in SOAP format. You will be discussing the issue and how you would address the issue as an advance practice nurse. Choose one of the scenarios below and provide detail on what information you would still need to know, and rationale on how you would handle the situation.Scenario #1: The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines.Scenario #2: A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?In this Lab Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.To PrepareReview the scenarios provided by your instructor for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your scenarios.Based on the scenarios provided:Select one scenario, and reflect on the material presented throughout this course.What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.Write a detailed two-pages narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least five different references from current evidence-based literature.