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Pages:
3 pages/≈825 words
Sources:
3 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
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MS Word
Date:
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Topic:

Case Study: Fetal Abnormality Health, Medicine, Nursing Essay

Essay Instructions:

Write a 750-1000 word analysis of "Case Study: Fetal Abnormality." Be sure to address the following questions:
Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? Explain.
How does the theory determine or influence each of their recommendation for action?
What theory do you agree with? How would that theory determine or influence the recommendation for action?
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
Case Study: Fetal Abnormality
Jessica is a 30-year-old immigrant from Mexico City. She and her husband Marco have been in the U.S. for the last three years and have finally earned enough money to move out of their Aunt Maria’s home and into an apartment of their own. They are both hard workers. Jessica works 50 hours a week at a local restaurant and Marco has been contracting side jobs in construction. Six months before their move to an apartment, Jessica finds out she is pregnant.
Four months later, Jessica and Marco arrive at the county hospital, a large, public, nonteaching hospital. A preliminary ultrasound indicates a possible abnormality with the fetus. Further scans are conducted and it is determined that the fetus has a rare condition in which it has not developed any arms, and will not likely develop them. There is also a 25% chance that the fetus may have Down syndrome.
Dr. Wilson, the primary attending physician, is seeing Jessica for the first time, since she and Marco did not receive earlier prenatal care over concerns about finances. Marco insists that Dr. Wilson refrain from telling Jessica the scan results, assuring him that he will tell his wife himself when she is emotionally ready for the news. While Marco and Dr. Wilson are talking in another room, Aunt Maria walks into the room with a distressed look on her face. She can tell that something is wrong and inquires of Dr. Wilson. After hearing of the diagnosis, she walks out of the room wailing loudly and praying aloud.
Marco and Dr. Wilson continue their discussion, and Dr. Wilson insists that he has an obligation to Jessica as his patient and that she has a right to know the diagnosis of the fetus. He furthermore is intent on discussing all relevant factors and options regarding the next step, including abortion. Marco insists on taking some time to think of how to break the news to Jessica, but Dr. Wilson, frustrated with the direction of the conversation, informs the husband that such a choice is not his to make. Dr. Wilson proceeds back across the hall, where he walks in on Aunt Maria awkwardly praying with Jessica and phoning the priest. At that point, Dr. Wilson gently but briefly informs Jessica of the diagnosis, and lays out the option for abortion as a responsible medical alternative, given the quality of life such a child would have. Jessica looks at him and struggles to hold back her tears.
Jessica is torn between her hopes of a better socioeconomic position and increased independence, along with her conviction that all life is sacred. Marco will support Jessica in whatever decision she makes, but is finding it difficult not to view the pregnancy and the prospects of a disabled child as a burden and a barrier to their economic security and plans. Dr. Wilson lays out all of the options but clearly makes his view known that abortion is “scientifically” and medically a wise choice in this situation. Aunt Maria pleads with Jessica to follow through with the pregnancy and allow what “God intends” to take place, and urges Jessica to think of her responsibility as a mother.
70.0 %Content

25.0 %Determination of Moral Status
Theory/Theories that determine the moral status of the fetus are incorrectly identified.
Theory/Theories are identified that determine the moral status of the fetus for at least a few of the people listed in the case study, but explanation is lacking.
Theory/Theories are identified that determine the moral status of the fetus for at least a few of the people listed in the case study. Some explanation is provided.
Theory/Theories are identified that determine the moral status of the fetus for all of the people listed in the case study, including adequate explanation.
Theory/Theories are identified that determine the moral status of the fetus for all of the people listed in the case study, including a detailed explanation.
25.0 %Recommendation for Action
Recommendation for action shows little to no relevance to the case study.
Recommendation for action is present, but lacks explanation.
Recommendation for action is present, with some explanation.
Recommendation for action is present, with explanation.
Recommendation for action is present, with detailed explanation that shows a deep understanding of the subject.
20.0 %Personal Response to Case Study
Personal response to the case study shows little to no relevance, and does not detail how the theory determines or influences the recommendation for action.
Personal response to case study includes if you agree or disagree but does not detail how the theory determines or influences the recommendation for action.
Personal response to case study includes if you agree or disagree and an explanation on how the theory determines or influences the recommendation for action.
Personal response to case study includes if you agree or disagree and a detailed explanation on how the theory determines or influences the recommendation for action.
Personal response to case study includes if you agree or disagree and a detailed explanation that shows a deep understanding of the subject including how the theory determines or influences the recommendation for action.
20.0 %Organization and Effectiveness

7.0 %Thesis Development and Purpose
Paper lacks any discernible overall purpose or organizing claim.
Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.
Thesis and/or main claim are apparent and appropriate to purpose.
Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.
Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.
8.0 %Argument Logic and Construction
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) and/or word choice are present. Sentence structure is correct but not varied.
Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.
Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.
Writer is clearly in command of standard, written, academic English.
10.0 %Format

5.0 %Paper Format (use of appropriate style for the major and assignment)
Template is not used appropriately, or documentation format is rarely followed correctly.
Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.
Appropriate template is used. Formatting is correct, although some minor errors may be present.
Appropriate template is fully used. There are virtually no errors in formatting style.
All format elements are correct.
5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
Sources are not documented.
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
100 %Total Weightage

Essay Sample Content Preview:

Case Study – Fetal Abnormality
Your Name
Subject and Section
October 8, 2018
In 1973, a landmark decision of the United States Supreme Court, during the trial of Roe v. Wade, has set the foundation for current rules and regulation about abortion (CNN.com, 2018). Due to this decision, abortion has been legalized within the country, while each of the different states adopts it to varying extent. However, despite the legality of abortion, cases these days show that the perception and decisions of people are mostly affected by both internal (i.e., personal beliefs and morals) and external (i.e., social stigma, cultural norms, financial constraints, and parental decisions) factors (Rice et al., 2017). To understand these differences in perceptions about abortion, this article would focus on a case example of spouses Jessica and Marco, who are both deciding whether to terminate the fetus or not. Each of the parties within the case would be analyzed based on their standpoint. In doing this, the author believes that the differences in the way that each of party (during cases of abortion) decides is due to a variety in the ‘point-of-view’ that they are looking from.
As stated earlier, despite the legality of termination within the whole United States, different rules and regulations govern whether the process of assessment and termination is legal or not. In most cases, the differences lie in proving whether there are sufficient grounds for abortion, based on the requirements placed by state laws (such as the fetus’ health and future well-being). In the case presented, adherence to state laws could be seen in the decision and the actions of Dr. Wilson. As a medical professional, he should not only be inclined, but also obliged to abide by the rules of assessment, evaluation, and treatment as prescribed by the stringent rules of the system. Specifically, Dr. Wilson’s reasoning and decision stem from the Hippocratic Oath that they took, saying that it is the doctor’s professional obligation to assess the patient (and her unborn child), disclose everything about her condition, and provide the best level of care based on those assessments. Consequently, if he either (1) keeps it a secret to Jessica about her condition and (2) do not suggest all possible solutions (including abortion) to prevent greater risks, considering that the spouses cannot support the pregnancy and the child’s future well-being, then he is apparently breaching this oath (Kaye, et al., 2014).
In contrasts to the decision of Dr. Wilson, which is based on an objective framework, Marco’s decision is based on a subjective point-of-view, which is explained by Stress Theory (aka Coping Theory) (Curley, 2010). Particularly, Marco believes that it would be best to keep the condition of their future child to her wife, as knowing it could place both of them into more significant risks. It was presented earlier in the ...
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