Case #1: Jane Jane is a 42-year-old G4P2103. Jane is divorced and works long, hard hours as a real estate agent. Jane was having irregular and heavy menses for 6 months, and then they abruptly stopped 3 months ago. Jane has been having nausea and vomiting for 6 weeks but attributed it to having the flu recently. She also admits to gaining about 10 pounds in the last few months and experiencing breast tenderness. Jane comes to the clinic today to discuss menopause symptoms and treatment. During the visit, a urine pregnancy test came back positive. During the exam, you palpate a 16-week-size uterus and get fetal heart tones of 165. Jane is in disbelief. Complete the following chart:MN577 Unit 9 Pregnancy Case Review ChartDescription of the case chosen: Subjective data, identify both given and needed dataObjective findings, identify both given and needed dataDiagnostic or laboratory testing needed with rationalesList of three differential diagnoses with rationalesMedications and or treatments needed with rationalesPatient education neededReferrals for collaborative care needed with rationales Make sure to address all sections. Do not leave any section blank.Include relevant subjective and physical objective findings.Identify appropriate diagnostic and laboratory testing needed.List at least three differential diagnoses with rationales for choosing.Identify usual medications, treatments, or patient education needed.Determine referrals for collaborative care.Summarize the case study and include any further research, diagnostics, procedures, or follow-up needed.Provide evidence-based references.Assignment RequirementsBefore finalizing your work, you should:be sure to read the Assignment description carefully (as displayed above);consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; andutilize spelling and grammar check to minimize errors.Your writing Assignment should:follow the conventions of Standard English (correct grammar, punctuation, etc.);be well ordered, logical, and unified, as well as original and insightful;display superior content, organization, style, and mechanics; anduse APA 6th Edition format.

Week 2 Ethical Frameworks Essay Consider the “Four Topics Approach” (or Four Box method) to ethical decision making on page 61, Table 2.1 in Butts (below). Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way? Does this seem like a valid process for you to apply in your practice? Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.Review the rubric for further information on how your assignment will be graded.Optional: You may download this pdf, complete it using correct grammar and APA, and submit it as your assignment in lieu of writing a paper. *You will need Adobe Acrobat in order to utilize this fillable .pdf form. Points: 60TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics CasesMedical Indications: The Principles of Beneficence and Nonmaleficence1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?2. What are the goals of treatment?3. In what circumstances are medical treatments not indicated?4. What are the probabilities of success of various treatment options?5. In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?Patient Preferences: The Principle of Respect for Autonomy1. Has the patient been informed of benefits and risks, understood this information, and given consent?2. Is the patient mentally capable and legally competent, and is there evidence of incapacity?3. If mentally capable, what preferences about treatment is the patient stating?4. If incapacitated, has the patient expressed prior preferences?5. Who is the appropriate surrogate to make decisions for the incapacitated patient?6. Is the patient unwilling or unable to cooperate with medical treatment? If so, why?Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy1. What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?2. On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?3. Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?4. What ethical issues arise concerning improving or enhancing a patient’s quality of life?5. Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?6. What are plans and rationale to forgo life-sustaining treatment?7. What is the legal and ethical status of suicide?Contextual Features: The Principles of Justice and Fairness1. Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?2. Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?3. What are the limits imposed on patient confidentiality by the legitimate interests of third parties?4. Are there financial factors that create conflicts of interest in clinical decisions?5. Are there problems of allocation of scarce health resources that might affect clinical decisions?6. Are there religious issues that might influence clinical decisions?7. What are the legal issues that might affect clinical decisions?8. Are there considerations of clinical research and education that might affect clinical decisions?9. Are there issues of public health and safety that affect clinical decisions?10. Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare?

exploring the research area of biostatistics where a researcher decides to analyze a specific population of interest where the researcher defines both the population and the objective of the analysis. One common approach is to select a sample of adults in a specific demographic and/or geographic area to assess whether each subject has a specific disease or not. This is known as the field of epidemiology where researchers study health and illness in human populations and disease patterns in efforts to inform the medical community about these populations. Using your understanding of biostatistical research, discuss the importance of blinding, randomization, sample size, population, and sampling in the clinical trial research setting. Explain the importance of sound methodologies in public health research.Be sure to support your statements with logic and argument, use at least two peer-reviewed new articles and cite them to support your statements. APA style.