Analyze the role of professional regulation, the standard of care, and codes of ethics in determining healthcare providers’ wide-ranging accountability to self, their profession, their patients, and the public

Determine ethical theories and decision-making models appropriate for healthcare providers to use for providing a safe, quality healthcare experience for the patient  Analyze the role of professional regulation, the standard of care, and codes of ethics in determining healthcare providers’ wide-ranging accountability to self, their profession, their patients, and the public

Prompt In this project, you will analyze a court case involving medical malpractice. Using your analysis of the case, you will address the facts pertaining to the medical standard of care, breach of care, and causation. Further, you will use the facts from the original case to identify an ethics issue, determine an ethical theory that would help provide a safe and quality healthcare experience for the patient, apply a clinician–patient shared decision-making model, and augment or vary the facts of the case to change the outcome.

You will use the following case to analyze for Final Project I:

 Surgery: Iturralde v. Hilo Medical Center USA

Specifically, your case study must address the following critical elements:

I. Introduction: A. Summarize the selected case, including information on the stakeholders involved, the problem, and the time period the incident occurred.

II. Medical Malpractice Component: In this section, you will evaluate the case to address the legal components, the malpractice policies similar to this case, and the standard of care given to the patient and how it was breached. Then, you will draw connections to how this malpractice case impacted stakeholders and healthcare consumers outside of the case. A. Explain the key legal components of the case, including the nature of the issue and the rules that applied. B. Determine relevant malpractice policies in place for addressing the issues within the case. C. Analyze the malpractice case for the standard of care provided to the victim. Be sure to apply what the law states about standard of care to support whether or not it was breached in the case. D. Analyze how the malpractice case would impact healthcare consumers from different cultural backgrounds. For example, would this case have a similar impact on a person from a culture different from the one in the case? How could this incident change the views of these healthcare consumers toward the healthcare system? E. Assess the malpractice case for accountability based on its severity. To what extent was the healthcare provider held accountable?

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III. Ethical Component: In this section, you will evaluate the case to identify the specific ethical issues and determine ethical theories and shared decision- making models that would help resolve the issue and provide a safe, quality healthcare experience. Then, you will propose and defend ethical guidelines for healthcare providers to follow in order to avoid future incidents. A. Describe the ethical issues that led to the malpractice case and explain why the issues are credited with causing the incident. Support your response with research and relevant examples from the case. B. Describe an ethical theory that would help resolve the issue and provide a safe, quality healthcare experience for the patient. Support your response with research and relevant examples from the case. C. Select a physician–patient shared decision-making model and explain how it would provide a safe, quality healthcare experience for the patient D. Propose ethical guidelines that would have helped prevent the incident and would help the organization prevent future incidents. E. Defend how your proposed ethical guidelines will hold healthcare providers accountable to themselves, their profession, their patients, and the public.

II. Recommendations: In this section, you will utilize the knowledge you gained from your malpractice and ethical analyses to recommend and defend strategies that would help improve medical practices and avoid future liability. A. Recommend preventative strategies the healthcare provider could implement to avoid liability in the future. B. Defend how your recommended preventative strategies would assist the healthcare provider in avoiding liability and provide a safe, quality healthcare experience for the patient.

Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?

Write a 1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:

Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?

Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?

According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?

According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?

Physician-hospital organizations (PHOs) are also called _______ organizations.

11. People who receive Medicare

A. are never eligible to receive Medicaid.
B. may be eligible to receive Medicaid if they meet the age requirement.
C. may be eligible to receive Medicaid coverage.
D. can combine Medicare with TRICARE.

12. Ralph is assigning diagnosis and procedure codes for a 35-year-old patient from New Mexico, who has hypertension and end-stage renal disease. Would this patient qualify for Medicare?

A. Yes, because the patient has end-stage renal disease
B. No, because the patient resides in New Mexico
C. No, because the patient is under age 65
D. Yes, because the patient has hypertension

13. The first prepaid health insurance plans in the United States were

A. TRICARE and workers’ compensation.
B. CHAMPUS and CHAMPVA.
C. Blue Cross and Blue Shield.
D. Medicare and Medicaid.

14. Which of the following is the largest privately underwritten health insurance contract in the world?

A. Harless program
B. SCHIP
C. Federal Employee Program (FEP)
D. CHAMPVA program

15. A provider is classified as a/an

A. biller who submits claims to insurance carriers.
B. coder who provides medical record data.
C. individual or group of individuals that provide a health care service.
D. beneficiary that provides information for insurance coverage.

16. Tom is billing an emergency room visit for a Medicaid patient who’s being seen for a wellness visit. Which one of the following statements is true as a result of the Balanced Budget Act?

A. There are new surgical treatments available.
B. No new applications are required for TAFT recipients.
C. Patients have expanded preventive-care benefits.
D. There are new standards for TRICARE.

17. Dr. Singer is working within a reimbursement system in which the insurance is billed after all the treatment has been given to the patients. What is the main reason that the doctor orders more tests, exams, and procedures under this system?

A. Fear of being sued
B. To increase resource utilization
C. To make a profit
D. Because no one has to pay for it

18. With a PPO, the beneficiary has the ability to

A. choose a hospital within a 50-mile radius only.
B. choose a physician or hospital from the designated provider list.
C. select a dentist within a 10-mile radius.
D. select an add-on policy for supplemental unemployment benefits

19. Physician-hospital organizations (PHOs) are also called _______ organizations.

A. medical staff-hospital
B. health management
C. individual provider
D. preferred provider

20. Mrs. Fang is a 72-year-old retired school teacher who has been hospitalized for pneumonia. What type of insurance is most likely being used to pay for her hospital stay?

A. Medicare Part D
B. Medicare Part B
C. Medicare Part A
D. Medicare Part C

Explain why you selected these theories

As a future advanced practice nurse, it is important that you can connect your classroom experience to your practicum experience. By applying the concepts, you study in the classroom to clinical settings, you enhance your professional competency. Each week, you complete an Assignment that prompts you to reflect on your practicum experiences and relate them to the material presented in the classroom. This week, you begin documenting your practicum experiences in your Practicum Journal.

Learning Objectives

Students will:

· Analyze nursing and counseling theories to guide practice in psychotherapy*

· Develop goals and objectives for personal practicum experiences*

· Create timelines for practicum activities*

In preparation for this course’s practicum experience, address the following in your Practicum Journal:

· Review the media Clinical Interview: Intake, Assessment, & Therapeutic Alliance in your Learning Resources.

· Select one nursing theory and one counseling theory to best guide your practice in psychotherapy.

Note: For guidance on nursing and counseling theories, refer to the Wheeler textbook in this week’s Learning Resources.

· Explain why you selected these theories. Support your approach with evidence-based literature.

· Develop at least three goals and at least three objectives for the practicum experience in this course.

· Create a timeline of practicum activities based on your practicum requirements.

Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.

Benchmark: 5.1. Understand the human experience across the health-illness continuum.

Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:

Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.

Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.

Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

What is the purpose of      your existence?

Based on the required topic study materials, write a reflection about worldview and respond to following:

  1. In 250-300      words, explain the Christian perspective of the nature of spirituality and      ethics in contrast to the perspective of postmodern relativism within      health care.
  2. In 250-300      words, explain what scientism is and describe two of the main arguments      against it.
  3. In 750-1,000      words, answer each of the worldview questions according to your own      personal perspective and worldview: (a) What is ultimate reality? (b) What      is the nature of the universe? (c) What is a human being? (d) What is      knowledge? (e) What is your basis of ethics? (f) What is the purpose of      your existence?

Remember to support your reflection with the topic study materials. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines.

Rubric 

· Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is clear, detailed, and demonstrates a deep understanding of the subject. Explanation is supported by topic study materials.

· Explanation of scientism is clear and accurate. Explanations of two main arguments against scientism are clear and insightful. Details are clearly supported by topic study materials.

· Each of the worldview questions is answered clearly and with deep personal insight.

· Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

· Writer is clearly in command of standard, written, academic English.

· Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

· All format elements are correct.

· Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Where do instruments take over the melody or a solo passage?

it is a assignment 3 in C4elink.org. I need to you login and listen to the pieces of music that just is 4:08. The principles of unity & variety apply to all music, regardless of compositional style or historical period.

Now that you are familiar with the concepts in the first section of the course (Basic Musical Concepts), and you have seen how they work on different pieces of music, try your hand, mouse, and ears at how they operate in a music selection that you may not have heard yet.

Cherry Pink and Apple Blossom White (4:08)

Your analysis should include:

The number of different musical ideas in the piece (for example, can we say that there are two ideas A and B? Or is there only one?)

The timings (start and stop times) of the different sections of the piece. (Hint: Listen for changes in musical ideas and timbre, for example, points when different instruments come in or give way to others.)

How unity and variety are exemplified in those sections through the use of:

a) Dynamics: Where does the music get louder or softer? Is there any apparent reason for those changes?

b) Timbre: Where do instruments take over the melody or a solo passage?

c) Pitch: What is the general pitch level of the piece? Are there wide variations in pitch level?

Although there are sections that feature one instrument over others, whether you think this is a piece for a solo performer or for an ensemble

A list of the characteristics of the musical style closest to the one this piece exemplifies. (Hint: Look at the last lecture in the first section of the course)

Whether you think this piece serves (or could serve) a specific purpose.

Whether or not it has any specific connotation(s) for you.

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What details did the patient provide regarding her personal and medical history?

Gynecologic Health

Select a patient that you examined as a nurse practitioner student during the last three weeks of clinical on OB/GYN Issue. With this patient in mind, address the following in a SOAP Note 1 OR 2 PAGES :

Subjective: What details did the patient provide regarding her personal and medical history?

Objective: What observations did you make during the physical assessment?

Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?

Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters for this patient , as well as a rationale for this treatment and management plan.

Very Important: Reflection notes: What would you do differently in a similar patient evaluation?

Vioxx, Celebrex, and Bextra are painkillers, and all of them are risky for heart patients. It must be the case that all painkillers are risky for heart patients

PHIL 109 WEEK 1 CHAPTER 3 QUIZ
• Question 1

2 out of 2 points

Vioxx, Celebrex, and Bextra are painkillers, and all of them are risky for heart patients. It must be the case that all painkillers are risky for heart patients.

• Question 2

2 out of 2 points

Radio host Rush Limbaugh argues that America’s foreign policy is a great success. But who is this screwball Limbaugh? He’s nothing but a fascist, sexist, homophobic, drug-addicted moron, who will say anything to stir up the ultra right. Every sane person shuts him off.

• Question 3

2 out of 2 points

Every component in this boat is made of rust-proof material. Therefore, the entire boat is rust-proof.

• Question 4

2 out of 2 points

Either you buy me a new Rolls Royce or I’ll have to walk to work in the snow. And I’m sure you don’t want me to do that.

• Question 5

2 out of 2 points

Either Thomas Edison or Samuel F. B. Morse invented the telegraph. But it wasn’t Edison. Therefore, Morse invented the telegraph.

• Question 6

2 out of 2 points

Nobody has ever seen Mr. Albie walk without crutches. We conclude that Mr. Albie needs crutches to walk.

• Question 7

2 out of 2 points

Floyd Conway has given us his reasons for unrestricted logging in our national forests. But it’s obvious why he says these things. Floyd is a lumberjack, and he just wants to ensure that he’ll have a job in the years ahead.

• Question 8

2 out of 2 points

During the five years that Clarence has worn a Rolex watch, three of his married friends have gotten a divorce. Thus, to prevent any more divorces, it is essential that he stop wearing that watch.

• Question 9

2 out of 2 points

Tom is a bit of a dunce when it comes to mathematics, and he hasn’t studied a bit for the next test. Therefore, he probably won’t do very well on that test.

• Question 10

2 out of 2 points

The idea that fast food is unhealthy is a lot of hooey. Why, 90% of America eats fast food.

• Question 11

2 out of 2 points

We know for certain that no armadillos are aardvarks. It is therefore equally certain that no aardvarks are armadillos.

• Question 12

2 out of 2 points

This brick made of 24 caret gold has been sliced into 50 pieces. Therefore, each of the pieces must be 24 caret gold.

• Question 13

2 out of 2 points

Movie star Marci Downs says in magazine ads that the new Porsche XKG is the sexiest car on the road. But you shouldn’t take what she says too seriously because she’s paid thousands of dollars to make these ads.

• Question 14

2 out of 2 points

Either you buy me a new Rolex watch, or I’ll be late for all my meetings. I’m sure you don’t want me to be late, so you’ll buy me the Rolex. How about that one with diamonds in it?

• Question 15

2 out of 2 points

Dr. Williams cheated Medicare by exaggerating expenses, and Dr. Fox cheated by submitting fees for nonexistent patients. Dr. Harris defrauded a dozen insurance companies by requiring unneeded lab tests. The apparent conclusion is that all doctors cheat.

• Question 16

2 out of 2 points

My dear, you shouldn’t hesitate a minute before buying a new mink coat. Real fur is in right now, and a full mink is the ultimate in fashion. It tells the whole world that you have exquisite taste and the wherewithal to express it.

• Question 17

2 out of 2 points

Every ingredient in this new drink concoction is highly alcoholic. Therefore, the drink is highly alcoholic.

• Question 18

2 out of 2 points

Renee Richards argues in favor of reducing the patient load of our nurses. But it’s obvious why she says this. Renee is a nurse herself, so of course she wants a reduced patient load. Nobody should pay too much attention to her pleas.

• Question 19

2 out of 2 points

Former President Bush argued in favor of privatizing Social Security. But just look at the man. He can’t even pronounce half the words in the English language, he’s a notorious liar, and his face looks like it came off the cover of MAD Magazine. Bush’s arguments are pure trash.

• Question 20

2 out of 2 points

A few days after Margi joined the Democratic Party she got pregnant and lost her job. Therefore, it’s important that you never join up with the Democrats.

• Question 21

2 out of 2 points

Professor Wilson argues that it is absolutely wrong for students to plagiarize their work. But who is she to talk? I have it on good evidence that Wilson plagiarized her own work when she was a student.

• Question 22

2 out of 2 points

After returning from a two-week vacation, Robert turned the key in his usually reliable Camry, but nothing happened. Apparently the car has a dead battery.

• Question 23

2 out of 2 points

The fallacy in which the arguer misinterprets an opponent’s argument for the purpose of more easily attacking it is:

• Question 24

2 out of 2 points

It’s never a good idea to allow your teenage kids to have a sip of champagne on New Year’s Eve. Next thing you know they’ll be drinking beer during TV football games. Then it’ll be wine every night at dinner. Then bloody Mary’s every morning. Soon they’ll be raging alcoholics, and the costs for rehab will be enormous.

• Question 25

2 out of 2 points

Hugo lost an arm in a car accident last year. But surely he will get it back. Most lost things turn up sooner or later.