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Write a 750-1000 word analysis of “Case Study: Fetal Abnormality.” Be sure to address the following questions:

Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? Explain.
How does the theory determine or influence each of their recommendation for action?
What theory do you agree with? How would that theory determine or influence the recommendation for action?
Prepare this assignment according to the guidelines found in the APA Style Guide.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin.

Case Study: Fetal Abnormality

Jessica is a 30-year-old immigrant from Mexico City. She and her husband Marco have been in the U.S. for the last three years and have finally earned enough money to move out of their Aunt Maria’s home and into an apartment of their own. They are both hard workers. Jessica works 50 hours a week at a local restaurant and Marco has been contracting side jobs in construction. Six months before their move to an apartment, Jessica finds out she is pregnant.

Four months later, Jessica and Marco arrive at the county hospital, a large, public, nonteaching hospital. A preliminary ultrasound indicates a possible abnormality with the fetus. Further scans are conducted and it is determined that the fetus has a rare condition in which it has not developed any arms, and will not likely develop them. There is also a 25% chance that the fetus may have Down syndrome.

Dr. Wilson, the primary attending physician, is seeing Jessica for the first time, since she and Marco did not receive earlier prenatal care over concerns about finances. Marco insists that Dr. Wilson refrain from telling Jessica the scan results, assuring him that he will tell his wife himself when she is emotionally ready for the news. While Marco and Dr. Wilson are talking in another room, Aunt Maria walks into the room with a distressed look on her face. She can tell that something is wrong and inquires of Dr. Wilson. After hearing of the diagnosis, she walks out of the room wailing loudly and praying aloud.

Marco and Dr. Wilson continue their discussion, and Dr. Wilson insists that he has an obligation to Jessica as his patient and that she has a right to know the diagnosis of the fetus. He furthermore is intent on discussing all relevant factors and options regarding the next step, including abortion. Marco insists on taking some time to think of how to break the news to Jessica, but Dr. Wilson, frustrated with the direction of the conversation, informs the husband that such a choice is not his to make. Dr. Wilson proceeds back across the hall, where he walks in on Aunt Maria awkwardly praying with Jessica and phoning the priest. At that point, Dr. Wilson gently but briefly informs Jessica of the diagnosis, and lays out the option for abortion as a responsible medical alternative, given the quality of life such a child would have. Jessica looks at him and struggles to hold back her tears.

Jessica is torn between her hopes of a better socioeconomic position and increased independence, along with her conviction that all life is sacred. Marco will support Jessica in whatever decision she makes, but is finding it difficult not to view the pregnancy and the prospects of a disabled child as a burden and a barrier to their economic security and plans. Dr. Wilson lays out all of the options but clearly makes his view known that abortion is “scientifically” and medically a wise choice in this situation. Aunt Maria pleads with Jessica to follow through with the pregnancy and allow what “God intends” to take place, and urges Jessica to think of her responsibility as a mother.

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case_study_on_moral_status_rubric.docx

he discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.

To support your work, use your course and text readings and also use outside sources. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Discussion Question

Review Healthy People 2020 Global Health Initiatives. Choose one disease process and discuss the disease process, the goal of Healthy People 2020, and how the CDC plays a role in meeting the goal.

Search the South University Online Library for caregiver role strain. What is the most important factor that causes caregiver role strain? What can be done to prevent it?

This Assignment targets this course outcome:

MN502-3: Evaluate the application of models of practice to the advanced nurse roles.

What is the difference between a model and a theory?

A model demonstrates the researcher’s interpretation of how concepts are related to one another and is developed based on qualitative research. A theory is a hypothesis tested and measured to explain, predict, describe, and prescribe relationships between concepts and is developed through quantitative research.

In short, the difference between a model and a theory is the amount of proof that exists in demonstrating the outcomes they predict.

What do models and theories have in common?

Both models and theories show relationships between concepts. Models often are precursors to theory development.

Directions

Locate a model of practice that you could apply to nursing. It does not need to be a nursing model. Models of practice can be found in leadership, business, education, and technology. Explain how you will use the model you chose in your advanced practice role.

Use the table template to organize your thoughts and present them for this Assignment. In the first column, list the characteristics of the model of practice you chose. In the second column, list your application to your advanced nursing practice role upon graduation. In the first row, in the first column, write the name of your chosen model. An example has been provided in the first rows to guide you. Please remove the examples when entering your information.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements

Before finalizing your work, you should:

Minimum requirement of at least 5 sources of support
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; and
utilize 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; and
use APA 6th Edition

Create an 8- to 10-slide PPT presentation discussing your cultural background (in addition, you should include a title slide and reference slide in your presentation). When discussing your culture, consider components of yourself such as race, ethnicity, religion, spiritual heritage, gender, sexual orientation, disabilities, socio-economic status, traditions, and family heritage. You are not required to include any information you do not feel comfortable sharing.

Include the following in your presentation:

Communication styles of your culture (verbal and nonverbal)
Parts of your culture you are proud of
Parts of your culture that you would like to improve
Stereotypes toward your culture
Stereotypes held within your culture
How your culture perceives substance use. Are there any traditional uses of substances that are deemed culturally acceptable?
How your culture perceives counseling
How your cultural background will influence your ability to counsel someone from your culture and someone from another culture
Speaker notes that indicate what would be said if giving the presentation live
APA format is required for any information not originated by the student. Include at least two scholarly references in your presentation.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turni