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Patient Care: Evidence-Based Practice and Ethical Considerations (Coursework Sample)


Explain how you would respond to all three scenarios below using evidence-based practice guidelines and applying ethical considerations. Use six credible resources.
Scenario 1:
The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines.
Scenario 5:
A 17-year-old boy has come in for a check-up after a head injury during a football game. He has indicated that he would like to be able to play in the next game, which is in 3 days.
Scenario 7:
A 57-year-old man who was diagnosed with motor neuron disease 2 years ago is experiencing a rapid decline in his condition. He prefers to be admitted to the in-patient unit at a hospice to receive end-of-life care, but his wife wants him to remain at home.
Class room resources:
• Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel's
guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby. Chapter 23
• Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and
clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby
• Tingle, J. & Cribb, A. (2014). Nursing law and ethics (4th ed. ). Chichester, UK: Wiley Blackwell. Retrieved from https://site.ebrary.-com/lib/waldenu/reader.action?docID=10774345
• Maron, B. J., Friedman, R. A., & Caplan, A. (2015). Ethics of preparticipation cardiovascular screening for athletes. Nature Reviews Cardiology, 12(6), 375-378. Doi:10.1038/nrcardio.2015.21 Retrieved from the Walden Library Databases.
• May, K. H., Marshall, D. L., Burns, T. G., Popoli, D. M. & Polikandriotis, J. A. (2014). Pediatric sports specific return to play guidelines following concussion. The International Journal of Sports Physical Therapy, 9(2), 242-255. PMCID: PMC4004129. Retrieved from
• American Academy of Pediatrics. (2008). Recommendations for preventative pediatric health care (periodicity schedule). Retrieved from


Patient Care
Evidence-based practice is important in the field of nursing because it helps to integrate clinical expertise with the most suitable external clinical evidence emanating from research. For this reason, Evidence-based practice integrates research with patient values which is imperative in decision-making processes for proper patient care. Conversely, ethical considerations in nursing help in promoting different social and moral values. The values include compliance with the law, patient welfare, human rights, patient safety, and social responsibility. This essay attempts to respond to three scenarios using evidence-based practice guidelines and applying ethical considerations.
Scenario 1:
In this scenario, the parents of a small boy due to join kindergarten accompany their son for the required examinations. However, the parents are opposed to the idea of their son receiving vaccines. In this case, it is evident that the parents are not aware of evidence-based practice guidelines in relation to vaccines. Research proves that vaccination protects a child from serious

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