08 Apr DQ 1A patient is in a coma that appears irreversib
DQ 1A patient is in a coma that appears irreversible. Hismother, who is his surrogate, firmly believes that he will recover and that Godis taking a hand to work a miracle if everyone will just wait long enough. Shewants everything done for the patient, including resuscitation if he arrests.She insists that he stay in the hospital, and is very upset that he wastransferred out of the ICU and his care was moved to comfort measures, ratherthan aggressive treatment. The mother does not speak English and is strong inher religious beliefs. The physicians for the patient are very upset andconcerned about continuing to provide care that they believe is futile. Thepatient is developing a serious pneumonia, and the mother wants it treatedaggressively. The physicians are reluctant. Analyze this case from the ethicalprinciples of justice, benevolence, non-malfeasance, and autonomy.DQ 2In this time of limited financial resources and reducedgovernment payments for health care services, what are the ethical issues oflimiting care? How much uncompensated care can hospitals absorb? Where dopeople with no resources go for care? What is the state’s responsibility toensure health care services? What are the ethical considerations that should betaken into account?HLT 520 Week 2 Discussions 1 & 2DQ 1Discuss the four components of a valid contract and applythem to a contract with a vendor to purchase a new CT scanner. What would youinclude in the contract? How would you be sure it would be valid?DQ 2Since the hospital/patient relationship is considered acontract of sorts, how is it affected if the patient decides to disconnecthimself from telemetry and leave the hospital for 4 hours to go score somecocaine on the street? What would you do as a hospital administrator in thissituation?HLT 520 Week 3 Discussions 1 & 2DQ 1If a physician develops a history of disruptive behavior,belittling staff, cursing at coworkers, and being rude and curt to patients,what are the responsibilities of the medical staff, the hospital, and the otherprofessionals involved? Why do you believe that so many staff may be reluctantto report a poorly behaving physician?DQ 2What do you see as the pros and cons of obtaining fairmarket value analyses on the compensation paid to physicians, especially whenthe market rates are benchmarked against national standards? How could thisinformation be used in negotiating rates with physicians?HLT 520 Week 4 Discussions 1 & 2DQ 1Discuss your opinion of the Stark laws, what they aredesigned to do, the impact of the exceptions, and whether you think they aresuccessful in preventing unethical behavior.DQ 2What kinds of fraudulent or abusive behavior relating tohealth care services can occur in hospital operations? How does the role of thecompliance committee help to monitor and prevent these?HLT 520 Week 5 Discussions 1 & 2DQ 1You are a hospital administrator, and you receive a call from a colleague atanother hospital. Your colleague, who is a friend, informs you that he hasreceived a demand for a stipend from the ophthalmologists who take ED calls athis hospital, and they want a sizeable raise. He asks you what you pay for thattype of call, and suggests that you could both benefit by coming up with astandard rate of pay over which neither of you will go in response to physiciandemands. It could save your hospitals $300,000 to do this. What is yourresponse, and what is the rationale for it?DQ 2Do you think that hospitals who engage in group purchasingorganizations are engaging in a form of price-fixing? If yes, then why? If no,then why not?HLT 520 Week 6 Discussions 1 & 2DQ 1Examine the concept of employment at will andthe public policy exceptions to it. How does it fit with the issue ofwrongful discharge?DQ 2What do you see as the pros and cons of a unionizedenvironment in a health care facility? How can the right to collectivebargaining by employees and the mandate to provide care to patients bereconciled?HLT 520 Week 7 Discussions 1 & 2DQ 1Explore the issues of how to determine if a patient ismentally competent to make his or her own decisions, especially in situationswhere the decisions do not appear to make sense.DQ 2What are the differences between a permanent vegetativestate and a coma? How do these differences affect the ethical choices faced bythe family and caregivers of the patient? What impacts should the patient’s ownwishes have? How would the presence of a living will impact the decision?HLT 520 Week 8 Discussions 1 & 2DQ 1A baby is born with anencephaly, or absence of the entirebrain above the brainstem. The brainstem is intact, which means that the babycan breathe and have a heart beat and blood pressure, but there is no chancefor any human brain function or cognition, due to this birth defect. The healthcare team begins to educate the mother, since children with this deficitgenerally die shortly after birth. However, the mother is devoutly religious,and her minister has told her that if she prays hard enough to God, that Godwill work a miracle and her baby’s brain will heal itself. She is insistentthat all possible care be given to her baby, including a months-long stay inthe ICU, constant care by a caregiver, regular brain scans, and other expensivemodalities. The hospital, finding her adamant, asks the court for guardianshipof the baby, with the medical plan to provide only maintenance care with nolife-prolonging techniques until the baby dies. What are the ethical issues atplay here? How do the principles of autonomy, beneficence, nonmalfeasance, andjustice manifest themselves? If you were called as an ethical consultant, whatwould you do/recommend?DQ 2A 94-year-old woman is admitted to your hospital withdehydration, trouble breathing, and possible kidney failure. She is clearly inadvanced Alzheimer’s, weighs about 95 pounds, and shows multiple bruises on herbody. She cannot talk. Her caregiver attributes the bruises to a blood disorderthat reduces clotting. What are your thoughts about this situation? What kindof investigation would you conduct? What actions would you take to be incompliance with ethical principles?HLT 520 Week 1 Ethical Study Review AssignmentDetails:Scenario: A 96-year-old male patient is admitted to the ICUwith terminal liver cancer. He is confused and disoriented, very skinny andappears underfed, and is covered with bruises, which are common in patientswith liver disorders. His daughter, who is a naturopathic physician, insiststhat she can cure her father by administering unknown substances, some of whichsmell like feces and look like tar, down his NG tube. He is clearly in painafter she does this. She insists that these are life-saving interventions onher part, but the nursing and physician staff caring for the patient are veryupset and concerned that she is hastening his death. They have come to you forhelp.1) Write a paper (1,250-1,500 words) that describes how touse the method of ethical decision making, reviewed in the module, to helpresolve this ethical dilemma. Address the following to generate yourconclusions about how you would proceed:a) What are the dimensions of the ethical dilemma?b) What are the issues?c) Apply the four core ethical principles and the process ofethical decision making.2) Prepare this assignment according to the APA guidelinesfound in the APA Style Guide, located in the Student Success Center. Anabstract is not required.3) This assignment uses a grading rubric. Instructors willbe using the rubric to grade the assignment; therefore, students should reviewthe rubric prior to beginning the assignment to become familiar with theassignment criteria and expectations for successful completion of theassignment.HLT 520 Week 2 Law Suit Recommendation Paper AssignmentDetails:Scenario: A physician is claiming injury and damages from ahospital that notified him they were not renewing his contract for servicesprovided. The hospital gave him a 4-month notice and stated that they wereexercising this right because they wanted the department in which the physicianfunctioned to go in a new direction. The physician has filed noticeof intention to sue.1) As the hospital administrator, write a paper(750-1,000-words) that explores the options for defending the suit in court,going to arbitration, going to mediation, or structuring a settlement. Includethe pros and cons of each option and end with a recommendation to your board ofdirectors on which avenue to pursue.2) Prepare this assignment according to the APA guidelinesfound in the APA Style Guide, located in the Student Success Center. Anabstract is not required.3) This assignment uses a grading rubric. Instructors willbe using the rubric to grade the assignment; therefore, students should reviewthe rubric prior to beginning the assignment to become familiar with theassignment criteria and expectations for successful completion of theassignmentHLT 520 Week 2 Respondeat Superior Paper AssignmentDetails:Scenario: A patient had surgery and the nurse-anesthetistadministered the anesthesia. The patient subsequently arrested and died whileunder anesthesia. An investigation concluded that the patient was not receivingthe needed amount of oxygen and the nurse-anesthetist missed the changes in thevital signs until the patient was close to cardiac arrest. The surgeoninitially had assisted in positioning the patient and had helped to administersome of the initial anesthetic.1) Write an analysis (750-1,000 words) of the situation andargue whether the doctrine of respondeat superior would cause thesurgeon to have vicarious liability for the patient’s death.2) Prepare this assignment according to the APA guidelinesfound in the APA Style Guide, located in the Student Success Center. Anabstract is not required.3) This assignment uses a grading rubric. Instructors willbe using the rubric to grade the assignment; therefore, students should reviewthe rubric prior to beginning the assignment to become familiar with theassignment criteria and expectations for successful completion of theassignmentHLT 520 Week 3 AssignmentDetails:1) Read the case study, Hospital’s Duty to EnsureCompetency on pages 183-184 in the textbook.2) Write a paper (1,250-1,500 words) that addresses the casestudy’s two Discussion prompts. Include a detailed rationale for your answers.3) Prepare this assignment according to the APA guidelinesfound in the APA Style Guide, located in the Student Success Center. Anabstract is not required.4) This assignment uses a grading rubric. Instructors willbe using the rubric to grade the assignment; therefore, students should reviewthe rubric prior to beginning the assignment to become familiar with theassignment criteria and expectations for successful completion of theassignment.HLT 520 Week 4 AssignmentDetails:Scenario: You are the administrator on call for a localhospital and you receive a call at 2:00 a.m. from another local hospitalregarding a patient with a broken upper arm. The ED physician’s assistant iscalling to arrange an EMTALA transfer from his hospital to yours, but the orthopedicphysician on call at your hospital is refusing to accept the transfer, statingthat the patient doesn’t need a higher level of care. When you ask him aboutthat, he tells you the fracture is not displaced, and can be splinted and seenin the office. The ED physician at your hospital is very nervous about thepossibility of an EMTALA violation.1) Write an analysis (1,000-1,500 words) of the situation,how it is impacted by EMTALA, and what decision you will make as theadministrator, along with your rationale and thought process.2) Prepare this assignment according to the APA guidelinesfound in the APA Style Guide, located in the Student Success Center. Anabstract is not required.3) This assignment uses a grading rubric. Instructors willbe using the rubric to grade the assignment; therefore, students should reviewthe rubric prior to beginning the assignment to become familiar with theassignment criteria and expectations for successful completion of theassignment.HLT 520 Week 5 AssignmentDetails:1) Read the case study (Contract Violates AntitrustLaws) on pages 100-101 in the textbook and answer the two discussionquestions.2) Write a paper (1,000-1,500 words) that addresses thediscussion questions. Include a detailed rationale for your answers.3) Prepare this assignment according to the APA guidelinesfound in the APA Style Guide, located in the Student Success Center. Anabstract is not required.4) This assignment uses a grading rubric. Instructors willbe using the rubric to grade the assignment; therefore, students should reviewthe rubric prior to beginning the assignment to become familiar with theassignment criteria and expectations for successful completion of theassignment.HLT 520 Week 6 Chapter 20 Review Questions 2-3 AssignmentDetails:1) Write a paper (500-750 words) that addresses the ReviewQuestions 2 and 3 in chapter 20 of the textbook. Include a rationale for youranswers.2) Prepare this assignment according to the APA guidelinesfound in the APA Style Guide, located in the Student Success Center. Anabstract is not required.3) This assignment uses a grading rubric. Instructors willbe using the rubric to grade the assignment; therefore, students should reviewthe rubric prior to beginning the assignment to become familiar with theassignment criteria and expectations for successful completion of theassignment.HLT 520 Week 7 Brain Death Scenario AssignmentDetails:Scenario: You are the hospital administrator and are told byyour ICU unit director of a patient in the unit that has suffered serious braindamage, but is not currently meeting the criteria for complete brain death.Half of the family is insisting that the patient wouldn’t want to livethis way and the other half is accusing them of wanting to kill thepatient. Some allegations have been raised about a substantial inheritance forsome family members upon the patient’s death. The battle is becoming intenseand it is beginning to disrupt the medical and nursing staff.1) Write an analysis (1,250-1,500 words) of the situationfrom an ethical and legal perspective. Address the following questions:a) What are the ethical issues?b) What are the legal issues?c) What are the medical care issues?d) What actions would you take? Why? How?e) What resources would you tap?2) Prepare this assignment according to the APA guidelinesfound in the APA Style Guide, located in the Student Success Center. Anabstract is not required.3) This assignment uses a grading rubric. Instructors willbe using the rubric to grade the assignment; therefore, students should reviewthe rubric prior to beginning the assignment to become familiar with theassignment criteria and expectations for successful completion of theassignment.HLT 520 Week 8 Bioethics Interview AssignmentDetails:1) Contact the chair of a local hospital’s bioethicscommittee and interview him/her regarding the use of the committee at thatfacility, how the committee functions, how it makes decisions andrecommendations, and the chair’s views on the impact the committee has had onthe facility. If possible, attend one of the committee’s meetings.2) Write a paper (1,250-1,500 words) that describes yourfindings and observations. Include additional resources that support,reinforce, or even challenge your findings and observations.3) Prepare this assignment according to the APA guidelinesfound in the APA Style Guide, located in the Student Success Center. Anabstract is not required.4) This assignment uses a grading rubric. Instructors willbe using the rubric to grade the assignment; therefore, students should reviewthe rubric prior to beginning the assignment to become familiar with theassignment criteria and expectations for successful completion of theassignment.
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