Patient Care Delivery Dilemma

As you assume your advanced nursing role (major in adult gerontology acute care), regardless of your level of experience or specific role, you’ve encountered patient care delivery dilemmas. A dilemma is a predicament or quandary where various factors and strategies need to be considered to resolve or improve the situation. The patient care delivery dilemma can be major or minor. The dilemma may involve an individual patient’s concern or be more systemic involving the way in which care is delivered relative to a problem. The examples below are for your reference. Please do not use these examples in the paper;
Example 1: A patient with a terminal illness has to decide whether or not to take a new medication that can possibly extend his life for several months. The treatment has a chance of causing serious side effects. His granddaughter is getting married in three months.
Example 2: Your unit is understaffed. You have your usual number of four nurses this evening, but two nurses are from the float pool staff. These nurses have limited knowledge about the patient population and are less familiar with unit routines. As a charge nurse, how do you make assignments in order to provide the best care for patients?
Overview of Patient Care Delivery Dilemma

1. Provide a description of the dilemma including precipitating factors and barriers to resolution. (Please base it in an Adult ICU Setting)
2. How does your bias impact how you can evaluate the dilemma?
3. What ethical principles are relevant to this problem? Does one principle take precedence over any others?
4. Identify two theories or models that can be used to evaluate and propose solutions to the dilemma. At least one of the models should be one presented in Denisco’s book (pdf attached) of this course (Chapters to reference from our Chapters 4,5,23,24,25,26 and 27). This can be a model of your own choosing.
5. Identify at least TWO concepts from each model and how they are relevant to the dilemma.
6. Analyze the dilemma using the theories / models and propose solutions for resolution or change specific to your advanced nursing role.
7. Write a five-page essay in APA format. The five pages are your written ideas and do not include the cover page or references. An abstract is not required for this assignment.

Grading rubrics are attached as well. Please refer to Advanced Practice Nursing PDF by
Denisco . Chapters to reference from our (Chapters 4,5,23,24,25,26 and 27 primarily). I have also attached several attachments we can site from.