Jan 17, 2018 sample paper

What do you see as the most pressing ethical issue in healthcare today?

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devry hsm542 week 1 discussion dq
1& dq 2 latest 2016 may

dq 1

Intentional
Torts in Healthcare (graded)

Select one of the intentional torts discussed in your text and
provide an example of how this tort takes place in healthcare. As leader of
your own healthcare facility, what steps could you take and what processes
could you implement to reduce the risk of this tort occurring in your own
facility?

dq 2

Most
Pressing Ethical Issues (graded)

What do you see as the most pressing ethical issue in healthcare
today? Tell us why you see this issue as particularly compelling from an
ethical perspective.

devry hsm542 week 2 discussion dq
1& dq 2 latest 2016 may

dq 1

Delineation
of Clinical Privileges (graded)

How does a hospital medical staff determine that a physician
applicant is qualified and competent to perform all procedures requested on his
or her delineation of clinical privileges? By way of process, what happens next
once the medical staff has completed this assessment process? Why is regular
reappointment to the medical staff important for patient safety?

dq 2

Ethics
Committee (graded)

Identify an issue that an institutional ethics committee may have
to face in a healthcare setting. Discuss what the ethics committee might do in
that scenario and how its decision might impact the operations and policies of
the healthcare organization.

devry hsm542 week 3 discussion dq
1& dq 2 latest 2016 may

dq 1

Roe
v. Wade (graded)

What were the key elements of the court’s holding in Roe v. Wade? Should the stage of
pregnancy determine a woman’s right to an abortion? What are the rights of
fathers? Regardless of your personal opinions and religious beliefs on
abortion, try to identify the legal principles and parameters outlined in your
readings; we’ll refer to these as we continue our discussion this week.

dq 2

New
Reproductive Technologies (graded)

Advances in reproductive technology have brought about new
opportunities for prospective parents, but they also pose some significant
ethical challenges. Select any one of these new reproductive technologies to
discuss. Do you feel that this approach is an appropriate and ethical way to
achieve parenthood? Support your view. What are some potential pitfalls of your
selected technology, and how might these be avoided?

devry hsm542 week 4 discussion dq
1& dq 2 latest 2016 may

DQ 1

Informed
Consent (graded)

Explore what is meant by informed consent, from a legal
perspective. What are the key elements that must be covered in order to obtain legal
informed consent? And why is this concept so important to patients, providers,
and healthcare organizations?

DQ 2

Mandatory
Reporting and Patient Self-Determination Act (graded)

What are the key provisions of the Patient Self-Determination Act
(PSDA)? Why was this legislation enacted and what were the goals? What must
hospitals and other healthcare providers do to ensure their compliance with
PSDA?

devry hsm542 week 5 discussion dq
1& dq 2 latest 2016 may

DQ 1

Death
With Dignity Act (graded)

Discuss the legal and moral implications of physician-assisted
suicide. What are the key provisions of Oregon’s Death with Dignity Act? What
has been the experience with this process in Oregon since passage of the act in
1997?

DQ 2

Schiavo
Case (graded)

Read the account of the 2003 Terri Schiavo case in your
supplemental textbook. If you were the CEO of the organization that cared for
Terri Schiavo, what issues would you consider most critical for your ethics
committee to consider in that case?

devry hsm542 week 6 discussion dq
1& dq 2 latest 2016 may

DQ 1

Professional
Liability (graded)

How does the existing U.S. legal system, as well as the need for
professional liability insurance coverage, impact patient care, physician
behavior, and healthcare costs?

DQ 2

Risk
Management (graded)

You’ve been appointed as chair of your hospital’s risk management
committee. Describe the most pressing issues that should be considered by your
committee related to risk management, corporate liability, ethical compliance,
and medical error prevention. What strategies would you adopt to minimize
organizational exposure to risk in each of these areas?

devry hsm542 week 7 discussion dq
1& dq 2 latest 2016 may

dq 1

Managed Care (graded)

Describe some of the initiatives that have been
used by managed care companies to control costs and to maintain the quality of
care? Has managed care been successful in reducing costs for patients,
employers, and our healthcare system as a whole? What is the future of managed
care?

Dq 2

Future Reforms and Healthcare War Rooms (graded)

What are the future reforms which must occur in
the U.S. healthcare system in order to improve access, costs, and quality of
care to all Americans?

What is a healthcare war room?
As CEO of your own healthcare facility, how would you go about creating your
own war room, and how would you utilize this place in the leadership of your
facility?

devry hsm542 week 2 Written Assignment latest 2016 may

Please
Just Turn This Thing Off!

A nursing assistant wheels Margie Whitson back to her room at
Golden Oaks Rehabilitation Center and helps her back into bed. Golden Oaks is
located on the grounds of Marion General Hospital, owned and operated by the
hospital board of directors.

It has been a very difficult day. Margie takes a deep sigh as she
leans back into bed and says, “I’ll get into night clothes in a few minutes if
that’s alright. I’d just like to sit here and think for a little while.” The
nursing assistant nods in agreement

Margie has just attended the funeral of her son William, who died
this week after several years of poor life quality in the same nursing
facility. William’s first stroke happened 3 years prior; two more strokes
followed, and he lingered in poor health at the center over the intervening
time. Margie is now 95 years of age, and William was 73 when he passed this
week.

The last 5 years have simply been devastating for Margie. First
her husband Earl passed on at the age of 88. They had been married for 68
years, most of them wonderful and successful years together, until the medical
problems began. They had one other son, Jacob, who died in a motor vehicle
accident in his 30s.

As Margie sits in the quiet of her nursing home room, she faces
the reality that she is utterly and completely alone in the world. She and Earl
had hoped for grandchildren, but that never happened, and Margie’s family is
simply all gone now. Margie’s own health is poor. A hip fracture 10 years ago
slowed her down significantly, and a heart attack 2 years ago nearly took her
life. But she survived due to good emergency medical care and quick placement
of an electronic pacemaker. Margie’s heart rhythm is now 100% paced, meaning
that her heart will not function effectively without the pacemaker; she is completely
dependent on the pacemaker for her survival.

Margie is a woman of great personal faith, raised that way, and
she raised her sons that way. She believes strongly that Earl, William, and
Jacob are waiting for her in heaven. And as she sits alone in her nursing home
room, the realization comes to her—the only thing keeping her from joining her
family in heaven is this pacemaker. And the pacemaker is nothing more than an
electrical device. It was turned on to save her life 2 years ago, and now it can
be turned off. She should have the right to turn it off! Margie presses the
nurse call button and says, “I need to see that lady who’s in charge of this
place, and right now please.”

When Nursing Home Administrator Cindy Mackin enters the room and
listens to Margie, she can hardly believe what she is hearing. “I’m telling you
I just want you to turn it off. I’ve had enough; there is nothing left for me
here on earth and I just need to go now and be with my family.” Cindy responds,
“Now, Margie, you’ve had a terrible time lately, and naturally you are grieving
the loss of your son right now. Things will look better tomorrow.” But Margie
does not think so. She says, “Call Dr. Vijay for me; he turned this thing on,
and he can turn it off. I insist.”

Cindy realizes that Margie does have a right to discuss this or
any other matter with her doctor, and she arranges a visit for the following
week. At the cardiology clinic, Margie is increasingly insistent about her
demand to deactivate the pacemaker. Dr. Vijay comments, “Margie, I’ve practiced
cardiology for nearly 20 years now, and frankly I have never had this request.
The pacemaker is keeping you alive, and that is of course what we do in
medicine—we save lives. I do not feel that I can ethically deactivate your pacemaker.
I know that you have had some very difficult experiences lately, and perhaps
you will feel differently with a little time passing.”

Returning to Golden Oaks, Margie is absolutely fuming, and now she
is determined. The same determination that carried her through life and made
her such a great wife and mother is now rising in her to make her own decision
about how and when to end her own life. She asks to see the Golden Oaks social
worker, and Jane Robison, MSW, is summoned. After more than an hour of
discussion and exploration of every option that Jane can imagine, Margie
persists in her request. “Well, Margie, we do actually have a process to help
in difficult situations like this, when patients, families, and doctors
disagree, through the hospital ethics committee, and I think that we should
take your case there for review. I happen to know that the ethics committee
meets next Friday, and the chairman is a colleague of mine who is our director
of social services.”

Your Assignment

You are David Jamison, MHA, ethics committee chairman at Marion
General Hospital. Coming before your committee today is the case of Margie
Whitson, age 95, who wishes to have her pacemaker deactivated. Her physician,
Dr. Rana Vijay, has declined to honor her request in this matter, citing
ethical concerns with such an action. It will be your job to thoroughly analyze
the issues in this case and to make a recommendation from the ethics committee.

Key Players

Margie Whitson

Patient, Female

Rana Vijay, MD

Cardiologist, Male

Jane Robison, MSW

Social Worker, Female

Cindy Mackin, CNHA

Rehabilitation Center Administrator,
Female

David Jamison, MHA (This is your
role.)

Ethics Committee Chairman, Male

You Decide

Activity
or Assignment

Prepare a two–three page paper analyzing the key issues in this
case and stating a recommendation. Be sure to include the following steps in
your analysis.

  1. Identification

Identify the dilemma. What
morals are involved? What morals are in conflict?

  1. Information

Get as much information as
possible about the dilemma. Often this step is taken too quickly, without
enough solid and detailed information, leading to bad decisions.

  1. Communication

Talk with other healthcare
professionals on the case. Do they agree that there is a dilemma? Do they
concur with your understanding of the


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