week 5 Patient’s Spiritual Needs: Case Analysis

In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

1. In 200-250 words, respond to the following:      Should the physician allow Mike to continue making decisions that seem to      him to be irrational and harmful to James, or would that mean a disrespect      of a patient’s autonomy? Explain your rationale.
2. In 400-450 words, respond to the following: How      ought the Christian think about sickness and health? How should a      Christian think about medical intervention? What should Mike as a      Christian do? How should he reason about trusting God and treating James      in relation to what is truly honoring the principles of beneficence and      nonmaleficence in James’s care?
3. In 200-250 words, respond to the following: How      would a spiritual needs assessment help the physician assist Mike      determine appropriate interventions for James and for his family or others      involved in his care?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. You are required to submit this assignment to LopesWrite.

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Rubric:

1. Decisions that need to be made by the physician and the father are analyzed from both perspectives with a deep understanding of the complexity of the principle of autonomy. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. 20%

2. Decisions that need to be made by the physician and the father are analyzed with deep understanding of the complexity of the Christian perspective, as well as with the principles of beneficence and nonmaleficence. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. 20%

3. How a spiritual needs assessment would help the physician assist the father determine appropriate interventions for his son, his family, or others involved in the care of his son is clearly analyzed with a deep understanding of the connection between a spiritual needs assessment and providing appropriate interventions. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. 30%

4. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 7%

5. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 8%

6. Writer is clearly in command of standard, written, academic English. 5%

7. All format elements are correct. 5%

8. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 5%

There are three different parts to this paper:

· Part one deals with Mike’s decision-making capabilities. 

· Part two deals with how to think issues related to sickness and health.

· Part three deals with a spiritual assessment.

Read “Doing a Culturally Sensitive Spiritual Assessment: Recognizing Spiritual Themes and Using the HOPE Questions,” by Anandarajah, from AMA Journal of Ethics(2005).

https://journalofethics.ama-assn.org/article/doing-culturally-sensitive-spiritual-assessment-recognizing-spiritual-themes-and-using-hope/2005-05

Read “End of Life and Sanctity of Life,” by Reichman, from American Medical Association Journal of Ethics, formerly Virtual Mentor (2005).

http://journalofethics.ama-assn.org/2005/05/ccas2-0505.html

Introduction

Ethical decision-making in healthcare often involves balancing professional responsibility with patients’ personal beliefs and values. The Case Study: Healing and Autonomy highlights this tension through the situation between Mike, his ill son James, and the attending physician. The case raises critical questions about autonomy, beneficence, nonmaleficence, and the role of faith in medical decisions. From a Christian worldview, illness and healing are not merely physical experiences but also deeply spiritual ones, requiring sensitivity to both moral and theological dimensions. This paper examines the ethical implications of Mike’s decision-making, explores how Christians should view sickness, health, and medical intervention, and discusses how a spiritual needs assessment can guide compassionate and appropriate care.

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Shadow Health Mental health

Professional Development

• Write a 1000-word APA reflection essay of your experience with the Shadow Health virtual assignment(s). At least two scholarly sources in addition to your textbook should be utilized. Answers to the following questions may be included in your reflective essay:
  • What went well in your assessment?
  • What did not go so well? What will you change for your next assessment?
  • What findings did you uncover?
  • What questions yielded the most information? Why do you think these were effective?
  • What diagnostic tests would you order based on your findings?
  • What differential diagnoses are you currently considering?
  • What patient teaching were you able to complete? What additional patient teaching is needed?
  • Would you prescribe any medications at this point? Why or why not? If so, what?
  • How did your assessment demonstrate sound critical thinking and clinical decision making?

Introduction

The Shadow Health virtual simulation serves as an essential learning platform for developing and refining advanced clinical assessment, diagnostic reasoning, and patient communication skills in a safe, interactive environment. Through this simulation, students are able to integrate theoretical knowledge with practical application, enhancing their ability to think critically and make informed clinical decisions. The virtual patient encounters replicate real-world nursing and advanced practice scenarios, allowing students to practice collecting subjective and objective data, identifying differential diagnoses, and formulating effective care plans based on evidence-based practice.

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This reflective essay explores my experience completing the Shadow Health virtual assignments, focusing on what aspects of the assessment process went well, the challenges encountered, and the insights gained for future improvement. It also examines key findings, effective questioning strategies, and the use of diagnostic tests to support accurate clinical judgments. The reflection further discusses the development of patient-centered education, potential medication management, and the demonstration of critical thinking throughout the assessment process.

Engaging in this virtual learning experience allowed for the application of professional competencies consistent with advanced nursing standards, including the ability to synthesize patient information, evaluate health patterns, and tailor interventions that promote holistic care. This reflection not only highlights my progression in assessment skills but also emphasizes how virtual simulations like Shadow Health foster self-awareness, clinical reasoning, and decision-making confidence.

Supported by scholarly literature and course resources, this paper provides a structured reflection on the assessment process, identifying both strengths and areas for continued growth. Ultimately, the experience reinforces the value of simulation-based education in bridging the gap between theory and clinical practice, thereby enhancing readiness for direct patient care in real-world settings.

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soap note “Hypertension”

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

Example:

PATIENT INFORMATION

Name: Mr. W.S.

Age: 65-year-old

Sex: Male

Source: Patient

Allergies: None

Current Medications: Atorvastatin tab 20 mg, 1-tab PO at bedtime

PMH: Hypercholesterolemia

Immunizations: Influenza last 2018-year, tetanus, and hepatitis A and B 4 years ago.

Surgical History: Appendectomy 47 years ago.

Family History: Father- died 81 does not report information

Mother-alive, 88 years old, Diabetes Mellitus, HTN

Daughter-alive, 34 years old, healthy

Social Hx: No smoking history or illicit drug use, occasional alcoholic beverage consumption on social celebrations. Retired, widow, he lives alone.

SUBJECTIVE:

Chief complain: “headaches” that started two weeks ago

Symptom analysis/HPI:

The patient is 65 years old male who complaining of episodes of headaches and on 3 different occasions blood pressure was measured, which was high (159/100, 158/98 and 160/100 respectively). Patient noticed the problem started two weeks ago and sometimes it is accompanied by dizziness.He states that he has been under stress in his workplace for the last month.

Patient denies chest pain, palpitation, shortness of breath, nausea or vomiting.

ROS:

CONSTITUTIONAL: Denies fever or chills. Denies weakness or weight loss. NEUROLOGIC: Headache and dizzeness as describe above. Denies changes in LOC. Denies history of tremors or seizures.

HEENT: HEAD: Denies any head injury, or change in LOC. Eyes: Denies any changes in vision, diplopia or blurred vision. Ear: Denies pain in the ears. Denies loss of hearing or drainage. Nose: Denies nasal drainage, congestion. THROAT: Denies throat or neck pain, hoarseness, difficulty swallowing.

Respiratory:Patient denies shortness of breath, cough or hemoptysis.

Cardiovascular: No chest pain, tachycardia. No orthopnea or paroxysmal nocturnal

dyspnea.

Gastrointestinal:Denies abdominal pain or discomfort.Denies flatulence, nausea, vomiting or

diarrhea.

Genitourinary: Denies hematuria, dysuria or change in urinary frequency. Denies difficulty starting/stopping stream of urine or incontinence.

MUSCULOSKELETAL: Denies falls or pain. Denies hearing a clicking or snapping sound.

Skin: No change of coloration such as cyanosis or jaundice, no rashes or pruritus.

Objective Data

CONSTITUTIONAL: Vital signs: Temperature: 98.5 °F, Pulse: 87, BP: 159/92 mmhg, RR 20, PO2-98% on room air, Ht- 6’4”, Wt 200 lb, BMI 25. Report pain 0/10.

General appearance: The patient is alert and oriented x 3. No acute distress noted.NEUROLOGIC: Alert, CNII-XII grossly intact, oriented to person, place, and time. Sensation intact to bilateral upper and lower extremities. Bilateral UE/LE strength 5/5.

HEENT:Head: Normocephalic, atraumatic, symmetric, non-tender. Maxillary sinuses no tenderness. Eyes: No conjunctival injection, no icterus, visual acuity and extraocular eye movements intact. No nystagmus noted. Ears: Bilateral canals patent without erythema, edema, or exudate. Bilateral tympanic membranes intact, pearly gray with sharp cone of light. Maxillary sinuses no tenderness. Nasal mucosa moist without bleeding. Oral mucosa moist without lesions,.Lids non-remarkable and appropriate for race.

Neck: supple without cervical lymphadenopathy, no jugular vein distention, no thyroid swelling or masses.

Cardiovascular:S1S2, regular rate and rhythm, no murmur or gallop noted. Capillary refill < 2 sec.

Respiratory:No dyspnea or use of accessory muscles observed. No egophony, whispered pectoriloquy or tactile fremitus on palpation. Breath sounds presents and clear bilaterally on auscultation.

Gastrointestinal:No mass or hernia observed. Upon auscultation, bowel sounds present in all four quadrants, no bruits over renal and aorta arteries. Abdomen soft non-tender, no guarding, no reboundno distention or organomegaly noted on palpation

Musculoskeletal:No pain to palpation. Active and passive ROM within normal limits, no stiffness.

Integumentary:intact, no lesions or rashes, no cyanosis or jaundice.

Assessment

Essential (Primary) Hypertension (ICD10 I10): Given the symptoms and high blood pressure (156/92 mmhg), classified as stage 2. Once the organic cause of hypertension has been ruled out, such as renal, adrenal or thyroid, this diagnosis is confirmed.

Differential diagnosis:

Ø Renal artery stenosis(ICD10 I70.1)

Ø Chronic kidney disease(ICD10 I12.9)

Ø Hyperthyroidism (ICD10 E05.90)

Plan

Diagnosis is based on the clinical evaluation through history, physical examination, and routine laboratory tests to assess risk factors, reveal identifiable causes and detect target-organ damage, including evidence of cardiovascular disease.

These basic laboratory tests are:

· CMP

· Complete blood count

· Lipid profile

· Thyroid-stimulating hormone

· Urinalysis

· Electrocardiogram

Ø Pharmacological treatment:

The treatment of choice in this case would be:

Thiazide-like diuretic and/or a CCB

· Hydrochlorothiazide tab 25 mg, Initial dose: 25 mg orally once daily.

 

Ø Non-Pharmacologic treatment:

· Weight loss

· Healthy diet (DASH dietary pattern): Diet rich in fruits, vegetables, whole grains, and low-fat dairy products with reduced content of saturated and trans l fat

· Reduced intake of dietary sodium: <1,500 mg/d is optimal goal but at least 1,000 mg/d reduction in most adults

· Enhanced intake of dietary potassium

· Regular physical activity (Aerobic): 90–150 min/wk

· Tobacco cessation

· Measures to release stress and effective coping mechanisms.

Education

· Provide with nutrition/dietary information.

· Daily blood pressure monitoring at home twice a day for 7 days, keep a record, bring the record on the next visit with her PCP

· Instruction about medication intake compliance.

· Education of possible complications such as stroke, heart attack, and other problems.

· Patient was educated on course of hypertension, as well as warning signs and symptoms, which could indicate the need to attend the E.R/U.C. Answered all pt. questions/concerns. Pt verbalizes understanding to all

Follow-ups/Referrals

· Evaluation with PCP in 1 weeks for managing blood pressure and to evaluate current hypotensive therapy. Urgent Care visit prn.

· No referrals needed at this time.

References

Domino, F., Baldor, R., Golding, J., Stephens, M. (2017). The 5-Minute Clinical Consult 2017 (25th ed.). Print (The 5-Minute Consult Series).

Codina Leik, M. T. (2014). Family Nurse Practitioner Certification Intensive Review (2nd ed.). ISBN 978-0-8261-3424-0

Introduction

The SOAP note assignment provides an essential opportunity to demonstrate clinical reasoning, patient assessment, and evidence-based decision-making within a structured documentation format. This exercise emphasizes accuracy, professional integrity, and the ability to synthesize subjective and objective data into a meaningful clinical plan. All documentation is expected to reflect the student’s own analysis and language to ensure originality and compliance with the College’s Academic Misconduct Policy.

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For this submission, the patient information and clinical data were gathered and organized according to the SOAP (Subjective, Objective, Assessment, and Plan) framework. The goal is to document patient encounters thoroughly while applying clinical judgment to identify differential diagnoses, justify the primary diagnosis, and design an appropriate management plan. Additionally, the reflection section offers an opportunity to evaluate the clinical encounter and identify strategies for improvement in future assessments.

This process strengthens essential skills in patient-centered care, clinical documentation, and diagnostic reasoning while reinforcing professional accountability. Maintaining a Turnitin score below 50% underscores the commitment to ethical scholarship and original work in clinical practice.

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Managed Care Organizations (MCOs) vs. Accountable Care Organizations (ACOs)

Discuss the differences and similarities between Managed Care Organizations (MCOs) vs. Accountable Care Organizations (ACOs). Given the current health care environment, provide a solid speculation to how MCOs and ACOs may transform to meet the needs of its consumers. Be sure to support your thoughts and analysis with scholarly sources.

*Will also need to respond to 3 classmate’s post, will send that after you turn in assignment.

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Introduction

The U.S. healthcare system continues to evolve toward models that emphasize cost efficiency, quality improvement, and coordinated care delivery. Two major frameworks that have shaped this transformation are Managed Care Organizations (MCOs) and Accountable Care Organizations (ACOs). Both models were designed to improve health outcomes while controlling rising healthcare costs, yet they differ in structure, goals, and operational strategies. Understanding their similarities and differences is essential for evaluating their current roles and predicting how they might adapt in response to the dynamic healthcare landscape.

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MCOs emerged as a response to the escalating costs of healthcare in the late 20th century, primarily focusing on managing utilization, provider networks, and payment systems to ensure cost containment. In contrast, ACOs developed under the Affordable Care Act (ACA) with a greater emphasis on value-based care, promoting accountability among healthcare providers for the quality, cost, and overall outcomes of patient populations. Despite their distinct origins, both models share a common objective—enhancing the coordination of care while maintaining financial sustainability.

In today’s healthcare environment, marked by technological advancement, patient-centered care expectations, and policy reform, both MCOs and ACOs must evolve. Future transformations may include stronger integration of digital health tools, expanded use of data analytics, and increased focus on preventive and population health management. By comparing these two models and exploring their potential evolution, this discussion aims to highlight how they can better meet consumer needs, improve health equity, and sustain long-term value within the healthcare system.

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Shadow Health Focused exams

• Complete the ShadowHealth© Focused Exams – Special Populations: Chest Pain, Cough and Abdominal Pain assignments

After you have achieved at least 80% on the assignment(s) download, save and upload your LabPass document to the dropbox.

Professional Development

• Write a 500-word APA reflection essay of your experience with the Shadow Health virtual assignment(s). At least two scholarly sources in addition to your textbook should be utilized. Answers to the following questions may be included in your reflective essay:
  • What went well in your assessment?
  • What did not go so well? What will you change for your next assessment?
  • What findings did you uncover?
  • What questions yielded the most information? Why do you think these were effective?
  • What diagnostic tests would you order based on your findings?
  • What differential diagnoses are you currently considering?
  • What patient teaching were you able to complete? What additional patient teaching is needed?
  • Would you prescribe any medications at this point? Why or why not? If so, what?
  • How did your assessment demonstrate sound critical thinking and clinical decision making?

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Introduction

The Shadow Health Focused Exams – Special Populations: Chest Pain, Cough, and Abdominal Pain assignments provided an invaluable opportunity to strengthen my clinical reasoning, diagnostic accuracy, and patient communication skills in a virtual, evidence-based environment. These simulations allowed me to assess complex and often high-priority patient presentations that required careful history-taking, targeted questioning, and systematic physical assessment. Through this experience, I was able to practice integrating theoretical knowledge with clinical decision-making while identifying appropriate diagnostic pathways and interventions for patients presenting with acute and chronic conditions.

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The purpose of this reflective essay is to evaluate my learning experience during the Shadow Health virtual simulations, focusing on what aspects of my assessment went well and which areas require improvement. This reflection will examine the accuracy of findings, the effectiveness of the questions asked, and the clinical reasoning behind potential differential diagnoses. Additionally, it will discuss the diagnostic tests that would be appropriate based on the findings, as well as the patient education and possible pharmacological interventions considered during the assessment process.

Engaging in these focused exams not only enhanced my technical assessment skills but also deepened my understanding of patient-centered care, especially for individuals with complex or overlapping symptoms. The virtual platform encouraged the application of critical thinking, clinical judgment, and communication strategies that are essential for accurate diagnosis and effective treatment planning.

Ultimately, this reflection highlights how the Shadow Health simulations served as a bridge between theory and clinical practice, reinforcing the importance of continuous learning, self-assessment, and adaptability in providing safe, competent, and holistic care.

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