Law and Ethics for Nursing Practice Assignment

Assignment Task

Case study

Agnes Biggs is a 70-year-old librarian who was admitted for palliative care. She was diagnosed as having metastatic cancer that had spread from her left breast to her spinal column and ribs. Her admission orders noted that she was in the terminal stages of cancer and that she was to be kept comfortable with medication (narcotic) per continuous IV infusion. As she became sicker, her bony prominences became more pronounced. A special mattress was ordered to help prevent skin breakdown, but the staff still needed to turn her several times a day to prevent bedsores and change the bed linens. Regardless of the amount of pain-killing medication they administered before the nursing care, Agnes cried out from the pain and begged the staff not to move her, so much so that the staff wondered if they were really helping this patient with their nursing interventions. Finally, the staff met to decide what they should do.

Registered Nurse Bridgette, the head nurse for four years, insisted that Miss Watkins be turned at least every 2 to 3 hours for linen changes and for observation of her skin. After all, she pointed out, that was routine and minimal nursing care for all bedridden patients, and this was the standard of the unit. Any skin breakdown and its necessary treatment would be a very serious problem for Miss Watkins in her already severely compromised condition.

Colleen, a nurse’s aide on the unit for almost 15 years, said she could not stand to see this patient cry every time she was turned. She said that she would prefer that Miss Watkins’s sedation be increased to reduce her pain and facilitate linen changes.

Registered Nurse Claire, a recent graduate, voiced her opinion that the patient should have some say regarding her care. After all, she had terminal cancer, and not turning her would hardly make a difference in the overall outcome of her illness.

Enrolled Nurse Dorothy, the evening nurse, thought that the doctor ought to be the one to decide how often Miss Watkins should be turned. Then, the nurses would not have to make a decision and could just follow their orders. The rest of the nurses strongly objected to this suggestion. Turning a patient, changing linen, and observing for skin breakdown are nursing measures, they argued, and they should decide together the appropriate nursing interventions for this patient.

Specific Financial Reporting 

Question 1

1. Lease Classification - Lessor's Perspective (IFRS 16)

Although not officially mentioned, the lease term encompasses a significant portion of the machine's operational lifespan, specifically five years. Furthermore, there is no indication of a cheap purchasing option. This implies that the lessee may assume ownership upon the expiration of the lease agreement.

2. Accountant's Treatment - Hydrocraft (IFRS 16)

The accountant's handling of the lease in Hydrocraft's financial records is deemed inaccurate in accordance with IFRS 16. It is recommended that the lease payments be segregated into two distinct components: a depreciation expense for the right-of-use asset and an interest expense for the lease liabilities. The accountant recorded the entire lease payment as an expense.

3. General Journal Entries - Hydrocraft Ltd (IFRS 16)

Question 2

Service Cost (net actuarial loss - current service cost) - R(900,000)

Net Pension Expense - R(19,400,000) (This amount will be included in the net finance cost section of the Income Statement)

This Nursing has been solved by our PhD Experts at My Uni Paper.