Marcia W is a 40-year-old female with multiple myeloma, who upon diagnosis shows great interest in having all the information necessary to make a decision about further treatment. Dr. C tells her that the response rates for chemotherapy with this disease are very good and that recent research has shown that 50 percent of all patients can hope for long-term survival rates, which are tantamount to cure. The other 50 percent of patients die within a year or two. What Dr. C neglects to tell her is that preliminary studies are showing that, over a 20-year period subsequent to chemotherapy, 10 percent of those who survive the myeloma will contract a form of leukemia that is highly resistant to treatment. When her treatment is discussed in a staff meeting, Dr. C says he does not want to tell Marcia W about the 10 percent because he is afraid that it might unduly alarm her and cause her not to take treatment, thereby spoiling her chances for long-term survival. Moreover, he states (1) that the research is not conclusive enough to suit him and (2) that 10 percent is such a low figure that he is not morally required to communicate the risk. After all, he suggests, one cannot inform a patient of every risk.
(a) To what extent is Dr. C being paternalistic if he withholds the risk of leukemia?
(b) If Dr. C withholds the risk of leukemia from Marcia, is he trying to deceive her? Is it always deception in cases where one withholds information that is considered unreliable?
(c) Would withholding the risk of leukemia from Marcia be justified under either of the exceptions to disclosure outlined in Canterbury v. Spence? Why or why not?
(d) What should Dr. C do in this case? Would withholding the risk of leukemia be justified from either a utilitarian or deontological perspective? Be sure to explain either the hedonic calculus or the categorical imperative in your answer.
Author: admin
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Title: Ethical Dilemma in Withholding Information from a Patient: A Case Study of Dr. C and Marcia W
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“Interdisciplinary Approaches to Addressing Organizational Issues in Healthcare: An Interview Analysis and Proposal for Change” Introduction In recent years, the healthcare industry has faced numerous challenges and issues that have highlighted the need for a more collaborative and interdisciplinary approach to
For this assessment, you will report on the information that you collected in your interview, analyzing the interview data and identifying a past or current issue that would benefit from an interdisciplinary approach. This could be an issue that has not been addressed by an interdisciplinary approach or one that could benefit from improvements related to the interdisciplinary approach currently being used. You will discuss the interview strategy that you used to collect information. Your interview strategy should be supported by citations from the literature. Additionally, you will start laying the foundation for your Interdisciplinary Plan Proposal (Assessment 3) by researching potential change theories, leadership strategies, and collaboration approaches that could be relevant to issue you have identified. Please be certain to review the scoring guide to confirm specific required elements of this assessment. Note that there are differences between basic, proficient and distinguished scores.
Summarize an interview focused on past or current issues at a health care organization.
Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
Describe potential change theories and leadership strategies that could inform an interdisciplinary solution to an organizational issue.
Describe collaboration approaches from the literature that could facilitate establishing or improving an interdisciplinary team to address an organizational issue.
Communicate with writing that is clear, logically organized, and professional, with correct grammar and spelling, and using current APA style. -
“Ethical Considerations in Aged Care: Exploring Principles, Challenges, and Solutions”
Bioethics of Aged Care: A Comprehensive Overview
Definition and Views on Aged Care
Aged care, also known as eldercare or senior care, encompasses a broad range of services and support systems designed to assist older adults in maintaining their independence, well-being, and quality of life. These services can include:
Activities of daily living (ADLs): Assistance with bathing, dressing, eating, toileting, and other daily tasks.
Healthcare management: Medication administration, monitoring vital signs, managing chronic conditions.
Companionship and social support: Engaging in conversations, providing company, facilitating connections with family and friends.
Household chores: Cooking, cleaning, shopping, and errands.
Residential care: Living arrangements in nursing homes, retirement communities, or assisted living facilities.
Principles and Perspectives
Bioethical considerations in aged care involve examining the ethical implications of decisions and practices related to older adults’ care. Four key perspectives inform bioethical frameworks:
Medical Ethics: Emphasizes the patient’s best interests, informed consent, and the non-maleficence principle (do no harm).
Legal Ethics: Focuses on legal rights, informed consent, and patient autonomy within the boundaries of the law.
Religious Ethics: Draws guidance from religious principles, values, and beliefs to inform care decisions and respect spiritual needs.
Social Ethics: Considers the broader social context, including resource allocation, social justice, and the impact of care decisions on society.
Eligibility for Aged Care Facilities
The criteria for eligibility to access aged care facilities vary depending on the specific facility, location, and funding sources. Generally, eligibility is based on an assessment of an individual’s functional needs, cognitive abilities, and overall health status.
History and Case Studies
The history of aged care is marked by evolving approaches to care, from institutionalization in the early 20th century to the emphasis on home-based and community-based care in recent decades. Case studies provide valuable insights into the ethical dilemmas and challenges faced in providing aged care.
National and International Legal Framework
Aged care is governed by a complex web of national and international laws, regulations, and standards. These frameworks aim to protect the rights of older adults, ensure quality care, and promote ethical practices.
Implementation in Indonesia and International References
Indonesia’s aged care system is undergoing development, with a focus on community-based care and strengthening social support networks. International references, such as the United Nations Principles for Older Persons, provide guidance for policy development and service delivery.
Challenges and Solutions
Aged care faces various challenges, including:
Resource scarcity: Limited funding, staffing shortages, and inequitable access to services.
Ethical dilemmas: Balancing autonomy and paternalism, end-of-life care decisions, and allocation of scarce resources.
Cultural sensitivities: Respecting diverse cultural values, beliefs, and practices.
Solutions to address these challenges include:
Increased investment: Expanding funding for aged care services and infrastructure.
Workforce development: Training and retaining qualified healthcare professionals in aged care.
Ethical guidelines: Developing clear and comprehensive ethical guidelines for aged care practices.
Culturally sensitive care: Providing culturally competent care that respects individual preferences and beliefs.
Conclusion
Bioethics plays a crucial role in ensuring that aged care is provided in a way that upholds the dignity, autonomy, and well-being of older adults. By considering the principles and perspectives of medical, legal, religious, and social ethics, healthcare professionals, policymakers, and society as a whole can work towards creating an ethical and just system of aged care. -
Title: “The Dangers of Cross-Contamination: How Improper Evidence Collection Procedures Can Compromise an Investigation”
Give examples of how cross-contamination of articles could occur if clinical staff is not aware of proper evidence collection procedures. How could cross-contamination of evidence be detrimental to an investigation?
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Title: Identifying and Addressing Organizational Challenges in Healthcare: A Case Study on Improving Coding Compliance and Quality
Overview
First, you will identify a problem in a healthcare organization. You may use a problem from your organization or a problem from a fictional organization.
Prompt
As you develop this first part of the assignment, include the following details:
What Is the Organizational Problem?
Provide details about the organizational problem. How does this problem fail to meet quality or other regulatory requirements?
State organizational challenges posed by the problem (e.g., interdepartmental conflicts, communication failure, budgeting issues).
Evidence-Based Support
Provide data that supports the existence of the problem. You may use public sources to find data related to your problem. Be sure to de-identify any patient data if you are using your organization’s problem.
How has this problem been addressed in the past? What information management systems or patient care technologies have been used when addressing this problem? Be sure to use peer-reviewed literature to support your answer.
Discuss relevant accreditation standards, safety standards, compliance standards, and quality initiatives. How do these standards promote a culture of safety within the department? Be sure to cite the appropriate standards within your answer.
Quality and Performance Improvement Ideas for Final Project
Clinical documentation
Coding compliance
Coding productivity
Coding quality
Data collection or capture
Health Insurance Portability and Accountability Act (HIPAA) compliance procedures (examples: physical safeguards, release of information)
Hospital-acquired infection rates
Medical errors
Order entry and charting
Patient identity management
Patient safety (example: fall prevention)
Patient satisfaction
Physician query process
Readmission rates
Reducing accounts receivable (A/R) days
Return to surgery rates
Telehealth services and privacy considerations
Wait times (examples: emergency department, clinic, urgent care)
Workflow improvement for any health information management (HIM) function -
“The Evolution of America: Discoveries and Perspectives from Parts One and Two”
Topic #2: Early America
Discussion Board Topic #2: Early America
From the earliest days of colonization to the birth of the nation in the Revolutionary War and up through World War I, America grew from scattered settlements into 13 colonies, and finally into 48 states. What began as a wilderness became a country, at first small and weak, but evolving quickly into a world power.
What did you learn in Parts One and Two that you didn’t already know about
American history,
American culture, and
American music?
Give examples or citations from our studies to support or illustrate your statements – one each for history, culture, and music.
How has this changed your view of America or American history?
That’s 7 items to include in your initial post. -
Patient Safety Patient Safety In the Institute of Medicine’s report, To Err is Human, it was stated that between 44,000 and 98,000 patients die in hospitals each year due to medical errors. This number is alarming because
Patient Safety (Links to Websites Available Below)
Read the Institute of Medicine’s To Err is Human ( https://nap.nationalacademies.org/resource/9728/To-Err-is-Human-1999–report-brief.pdf )
Review The Joint Commission’s Core Measures (https://www.jointcommission.org/measurement/measures/ )
Review The Joint Commission’s 2024 Hospital National Patient Safety Goals ( https://www.jointcommission.org/-/media/tjc/documents/standards/national-patient-safety-goals/2024/hap-npsg-simple-2024-v2.pdf )
Review Florida’s Nurse Practice Act ( http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0464/0464.html )
After reading and reviewing the above sources, please answer all the following questions:
In To Err Is Human, the summary of the report published in 1999 stated that between 44,000 and 98,000 patient dies in hospitals each year. Were you alarmed by this number?
Per the report, what is the cause of these deaths?
Do all hospitals have to follow the Joint Commissions’ Core Measures and National Patient Safety Goals? Support your yes or no answer with evidence.
Using the Joint Commission’s Core Measure, what guidelines can a nurse check for in a patient’s chart to determine if the attending physician is following the Core Measures for Cardiac Care? Please list the measures that should appear in the patient’s chart?
Using the Joint Commission’s National Patient Safety Goals, what steps can a nurse take to ensure that he or she does not commit a medication error? Please list the steps.
According to Florida’s Nurse Practice Act, what would happen to a RN who witnessed another nurse committing a medication error but did not report the infraction?
Guidelines:
Initial post: Respond to the discussion questions posted in Discussion board, must be at least 200 words in length to earn credit for the assignment
The initial and response posts must each have a minimum of two (2) outside references (i.e., textbook, medical/nursing resources, etc.) to earn credit for assignment
Use the standard English grammar and spelling
Be substantial and add to the conversation
Do not answer question(s) by just listing answer(s) in bullet points. Answers must be written in paragraph form to earn credit.
Do not make personal comments such as “I agree”, “Good point”, etc. These comments will not count towards your minimum word requirement.
Must cite references using APA 7th edition format -
Title: “Addressing the Mental Health Crisis in College Students: The Case for Increased Resources in Nebraska” Source 1: “The Mental Health Crisis on College Campuses: Challenges and Solutions” by Sara Gorman and Jack Turban (201
I need 4 credible sources for my persuasive paper.One 5-10 sentence paragraph per source discussing and assessing the topic. My topic is the need for more mental resources for college students, particularly in Nebraska. I think I already have 2 sources. I have attached some information that will be helpful. My thesis is also attached, but it needs to be revised a little.
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“Exploring the Primary Care NP Role and Comparing it to Other APN Roles: Similarities, Differences, and Effective Communication Strategies”
Primary Care NP Role vs. APN Roles Compare the primary care NP role with other APN roles. What are the similarities among the roles, what are the differences, and how would you communicate the role to a healthcare provider and a consumer? Submission Instructions: • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.