
2000 word essay Assignment Plan: Choose 1 of the 3 scenarios presented above to serve as the focus of your essay. From each of the scenario, please identify 3 themes/issue (i.e., 1 for each of law, ethics and values) that you will discuss in depth using the guidelines below. Indeed, each scenario highlights a lot of issues, but be mindful of the word count and your ability to discuss the issues with sufficient depth Scenario A Paul is 63-year-old fishmonger in East London. He was referred by his GP to the Memory clinic. Accompanied by his wife, Gemma, they told the doctor that Paul has been having ‘momentary lapses of memory’. There were a few occasions where Paul gave the wrong change to customers which is uncharacteristic of Paul. He has worked as a fishmonger since he was 16 years old and knows his business well. During Paul medical investigations, it turns out that Paul is now experiencing the onset of dementia. Gemma is very distressed during the conversation and has told the team that she is suffering from a range of medical issues as well (i.e., Diabetes and Hypertension). Incidentally, Paul is also referred to the cancer clinic because of an unusual lump found on his throat during the physical examination. When asked about support, Gemma said that they have an only son, but he lives in Thailand. She also did mention in passing that his son comes around every year and ‘taking money’ from them. She appears upset when asked further and refuses to share any further information about the issue. Scenario B Anne a 72-year-old lady was admitted into the Female Medical Unit. She was rushed into A&E by her family because of a recent fall. Based on the decision of the consultant, she was admitted for further investigations and monitoring. Anne only speaks Sylheti but understands rudimentary English according to her daughter, Fatima. On the ward, the nurses noticed that Anne is quite timid and ‘appears to say yes’ to all the procedures and questions of the nurses. The nurse refers to her as the ‘lovely Bengali’ during hand over. However, on day 3 of Anne’s admission, she appears distressed and distraught after the ward rounds. The nurse noticed that this happened after one of the doctors took her blood for testing. When asked, one of the other patients said, ‘Well he just took her arm and prick her arm. I’d be upset too!’. Scenario C Angela is admitted into the emergency obstetric unit because of profuse bleeding. She is 23 years old and was originally from Gambia. She arrived in the country just under a year ago. During her admission, the team found out that Angela currently has an asylum application to the Home Office. She also lives with her boyfriend, John. During her stay, Angela became comfortable with the nurses and told them that she is currently working on cash-on-hand basis. She also revealed to one of the nurses that she was ‘cut’ as a baby during a pelvic exam. Furthermore, during one of the visits from John, her boyfriend, the nurses notice a marked change in Angela’s behaviour. She would often close her curtains and remain unusually quiet around John. The team considered this as ‘odd’ but are not sure of how to proceed with this ‘oddity’. On day 5 of her admission, her case worker came around and is asking for updates and information about Angela including whether Angela has disclosed any other information apart from her medical information. Assignment Plan: Choose 1 of the 3 scenarios presented above to serve as the focus of your essay. From each of the scenario, please identify 3 themes/issue (i.e. 1 for each of law, ethics and values) that you will discuss in depth using the guidelines below. Indeed, each scenario highlights a lot of issues, but be mindful of the word count and your ability to discuss the issues with sufficient depth. Introduction: (indicative length ~200 words) Introduce your essay by clearly identifying the 3 major points that you have chosen to highlight on your essay. Also make it clear how each point corresponds to each area of the module (i.e. which one is relating to law, to ethics and to values). Body of the Essay: (indicative length ~1,600 words) 1.Discuss each of the themes identified using the relevant resources presented during the lecture and seminars as well as additional relevant resources you read. 2.Explore and discuss the role of the nurse around these issues. Relate the specific standards of the NMC code that is relevant to the issues identified. 3.Identify and discuss the legislations that are pertinent to the identified issues. This should also include any statutory reporting duties and other applicable legal principles discussed during the lectures and seminars. 4. Offer a solution from a nursing perspective. Discuss how you might prevent or mitigate the identified issues should you encounter this situation in practice. Conclusion: (indicative length ~200 words) This part summarises the key points that you have discussed in your essay. Additional information: Use the materials that have been presented in class to help you in identifying the major themes in the scenarios The references should include academic books and textbooks; peer reviewed publications from the academic journals; and reports by national and international organizations Be mindful of the word count. It is expected that within the text, you will not be able to identify all the issues within the scenario. There will be overlaps but it is important to focus on the identified 3 issues (1 for each area – law, ethics and values). The assignment word count is 2000 words (+/- 10%). If you fail to comply with the word count then the assignment will be marked and graded and a 10% deduction applied. Follow Harvard referencing standards – both in writing in-text citation and creating the reference list. Use the university guide or the more extensive guidance from Cite Them Right (https://www.citethemrightonline.com/) for each type of reference. Essays that are not appropriately referenced or reference list not included will fail. In order to demonstrate the breadth and depth of your reading it is anticipated that you would provide a substantial number of citations. Minimum 15-20 wide range of references are expected. NB: A sample of the essay has been provided in the files for guidance.