INSTRUCTIONS:1. Read the pdf file titled “Censorship: The First Amendment Encyclopedia” located in the Paper Topics folder.
2. After reading the article, determine your position on the issue of censorship.
3. Make a logical outline of your argument stating your position/conclusion and the reasons/premises you will develop in the paper in support of your position. Submit the outline as page 1 of your paper, but do not count it toward the word count of the paper.
4. Write the paper being sure to clearly set out and develop an argument for your position.
5. The paper is due no later than 11:59 PM on the date listed on the Syllabus.
LAYOUT OF PAPER:
The paper should be a minimum of 500 words and no more than 600 words (not including the outline). The paper should be written in 12 point font (Times New Roman or similar font) double spaced with 1” margins. You do not need a title page. Place your Name, Phil 2306, and Paper 1 across the header. Start your paper on the first line of the page (after the header) so that you have a full three pages to write. If you use sources, please cite them in the paper. You can use the citation style of your choice but be consistent throughout the paper.

Please read the file name Paper topic censorship for for more instructions and the file name Censorship The First Amendment Encyclopedia (article). And 3 files name What Is A Position Paper and How to Write It, Sample Guide for Writing Ethical Arguments, and Suggestions for Writing Papers for reference and know more about my professor’s guide.

A 26-year-old woman, with a history of metabolic syndrome, hypertension, and type 2 diabetes mellitus, is visiting the health care provider’s office to discuss weight loss options. She reports that she has been overweight since she was a teenager, and that she has tried many diets but has been unsuccessful. She is upset that she has gained 10 pounds since her last visit to her HCP. The nurse documents these findings as part of today’s assessment: Height: 5 ft 5 inches; weight 314.5 lbs (143 kg). Weight last visit was 304.2 lbs (138.3 kg). BMI: 52.3. Vital signs: Blood pressure 177/98 mm Hg, pulse 88 bpm, respirations 12 breaths/min, temperature 98.2°F (36.8°C). Waist circumference: 39.8 inches; Waist-to-hip ratio: 1.0; Reflexes 3 overall; no edema noted in the ankles. Fasting lab work reveals HDL 35 mg/dL; LDL 150 mg/dL mg/dL; total cholesterol 270 mg/dL; triglycerides 173 mg/d; blood glucose 185 mg/dL; BUN 15 mg/dL; creatinine 9 mg/dL; hemoglobin 11 g/dL; hematocrit 35%. She reports that her menstrual cycles are irregular, and she has not had a normal period for 6 months. She also reports that she tries to go on walks with her husband but can’t walk very far without getting short of breath.

1. NGN Item Type: Highlighting/Enhanced Hot Spot

Highlight the assessment findings that require follow-up by the nurse.

Rationale:

Cognitive Skill: Recognize Cues

2. NGN Item Type: Cloze

Choose the most likely options for the information missing from the statement, below, by selecting from the list of options provided.

The nurse recognizes that, based on the assessment data and patient’s history, the patient is currently at risk for complications, including __________, __________, __________, _________, and __________.

Options

Cardiovascular disease

Depression

Infertility

Liver cirrhosis

Lymphoma

Lumbar disk disease

Colorectal cancer

Rationale:

Cognitive Skill: Analyze Cues

Scenario: The patient discusses her options with her health care provider, her family and

her boyfriend, and ultimately decides to have bariatric surgery. Six months later, she undergoes Roux-en-Y gastric bypass surgical procedure. After the surgery, she is admitted to the bariatric surgery unit. She has a dressing over the abdominal wound, and has intravenous fluids infusing via a PICC line. She is awake and alert and asking for something to drink. She is awake and alert and asking for something to drink. Her pain level is 4/10 on a 10-point scale.

Image transcription text

GASTRIC BYPASS Food Stomach Stomach Pouch Esophagus Digestive Juice Duodenum -Jejunum Bypassed
Jejunum Duodenum

1. NGN Item Type: Extended Multiple Response

Based on the patient’s current treatment plan, the patient’s priority needs will be to prevent which of the following? Select all that apply.

_____ 1. Swallowing problems

_____ 2. Dehydration

_____ 3. Electrolyte imbalances

_____ 4. Dumping syndrome

_____ 5. Balloon deflation

_____ 6. Chronic anemia

_____ 7. Thrombus formation

_____ 8. Infection

Rationale:

Cognitive Skill: Prioritize Hypotheses

2. NGN Item Type: Extended Drag and Drop

Use an X (or drag and drop) to indicate which actions listed in the left column would be included in the plan of care for this patient.

Rationale:

Cognitive Skill: Generate Solutions

Scenario: On postoperative day 5, the patient is preparing for discharge soon. She is now eating a low fat, full liquid diet, and has been able to walk down the hallways with the physical therapist several times a day. The abdominal incision is dry and intact, and she had a loose bowel movement yesterday. She is looking forward to leaving the hospital and her parents have said they will help her for a few weeks while she recovers.

1. NGN Item Type: Matrix

Use an X for nursing actions listed below that are Indicated (necessary), Contraindicated (could be harmful), or Nonessential (not necessary). Only one selection can be made for each nursing action.

Rationale:

Cognitive Skill: Take Action

2. NGN Item Type: Extended Multiple Response

The nurse evaluates the effectiveness of actions. Which of the following findings indicate effectiveness? Select all that apply.

_____ 1. The patient has lost weight since being admitted for surgery.

_____ 2. The patient’s abdominal incision is reddened with some gaps noted at the edges.

_____ 3. The patient takes the multivitamin supplements daily.

_____ 4. The patient states that she will go to postoperative clinic visits if she does not lose weight.

_____ 5. The patient eats 6 small meals a day.

_____ 6. The patient consumes fluids with her meals.

_____ 7. The patient states that she plans to get pregnant within 4 months.

_____ 8. The patient states that she will eat slowly and stop when she feels full.

Rationale:

Cognitive Skill: Evaluate Outcomes

1. Explain how to determine correct placement of a nasogastric tube for a patient during the insertion process
2. What is the purpose of Salem sump versus Dobbhoff tube?

A Postpartum woman has developed mastitis. At a previous physician appointment, it was noted that she was experiencing postpartum blues, but she assured Finesse snap out of it. However, I do follow up appointments, do not notice that symptoms of depression has progressed. Identify how did nurse should proceed and discussed the medical management of this patient. What can be done if the woman refuses to seek treatment or help?

For patients with nutritional deficits and nutritional counseling done by a registered dietician helps the patient understand which foods are safe and nutrient-dense in order to gain the most nutritional values. The overall well-being of the patient depreciates once the loss of bulk begins. Dietary counseling benefits the total well-being of the patient as it is their fuel to enable the other therapies to be successful. Speech therapy can be ordered to work with dietary to provide swallowing tests and instructions as to what alternative nutrition intake methods are available and most suitable for the patient. How have you incorporated other therapies into your educational practices?

You have been assigned the case of a 98-year old women who was recently admitted with a diagnosis of pneumonia. She has a history of cardiac disease and takes a number of medications. She had been fairly active until the past few days, when her cough worsened and fever developed. You note that her pulse has become weak and threat like and that her resps are increasingly laboured. Patient is now to weak to respond to you. When you mention to the family that you may need to call the physician and even take heroic life- saving measures. The PT’s son and daughter become distraught, saying that they do not want their mother to be kept alive on machines. They report that they have discussed the situation with their mother. You find that her wishes have not been documented in her chart. The family members have not discussed this situation with the pts family physician. What actions would you consider taking at this moment? Take into account the ethical principals of Autonomy and Beneficence and the idea of futile care. What are your personal values about interventions at the end of life?