davenport hcmg730 full course latest 2015 [ all discussion all reflection and all case and final ]

davenport hcmg730 full course latest 2015 [ all discussion all reflection and all case and final ]

Question # 00119618 Posted By: spqr Updated on: 10/18/2015 08:16 AM Due on: 11/12/2015
Subject Business Topic General Business Tutorials:
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week 1 discussion

You are the facility counsel at Pierce General Hospital. You have been contacted by an attorney whose client is a former inpatient whose hospitalization at Pierce General resulted in harm. The ‘harm’ was documented in an incident report prepared by hospital staff. Your review of the incident report indicates that the ‘harm’ described by the patient’s attorney is consistent with the ‘harm’ described in the incident report. Based on your conversations with the patient’s attorney, you believe a lawsuit is imminent. Because you believe it is in the best interest of all concerned to avoid the cost of litigation, you want to consider alternative methods of dispute resolution. Discuss the advantages and disadvantages of each of the 3 methods. Which one would you select for this case and why?

You are required to have at least 3 academic references, cited in-text and referenced in proper APA format. Initial discussion responses must be a minimum of 500 words or more. Two peer responses are required, each must be 250 - 300 words or more in length and include at least 1 reference. Important - you will not be able to see your peers posts until you post your own.

Post your answer to the discussion question in the Weekly Forum by day 3, and respond to your peers no later than day 6.





week 1 reflection



Reflect on the topics discussed this week including your thoughts on the legal system and the court system of the United States.

Remember: this reflection should be a minimum of 300 words in length, proper APA format, supported with references and in-text citations.





Reflection

Due Day 7. Reflect on the topics discussed this week including your thoughts on the legal system and the court system of the United States andHas it improved or are some of the "old" ways - "better" ways?

Remember: this reflection should be a minimum of 300 words in length, proper APA format, supported with references and in-text citations.













week 2
week 2 reflection

Due Day 7. Reflect on the topics discussed this week including your thoughts on how you would reduce negligence claims in your facility.

Remember: this reflection should be a minimum of 300 words in length, proper APA format, supported with references and in-text citations.




week 3 reflection


due Day 7.Reflect on the topics discussed this week including your thoughts on the "I'm Sorry Statues".

Remember: this reflection should be a minimum of 300 words in length, proper APA format, supported with references and in-text citations.




week 3 discussions





Has the legal standard of care become so capricious that the healthcare system offers no clear guidelines for how physicians can avoid liability? Explain your answer. ‘Defensive Medicine’ is commonplace in medical practice. Give a current [2015] documented example of defensive medicine practice. Explain if this example was done to reduce medical uncertainty, to starve off potential lawsuit, or strictly for financial incentive. Again, defend your answer.


RE-STATE EACH QUESTION PRIOR TO ANSWERING. You are required to have at least 3 academic references, cited in-text and referenced in proper APA format. Initial discussion responses must be a minimum of 500 words or more. Two peer responses are required, each must be 300 words or more in length and include at least 1 reference. Important - you will not be able to see your peers posts until you post your own.

Post your answer to the discussion question in the Weekly Forum by day 3, and respond to your peers no later than day 6.



week 4

Due Day 7. Reflect on the topics discussed this week including your thoughts on why physician incompetency often goes unreported.

Remember: this reflection should be a minimum of 300 words in length, proper APA format, and supported with appropriate references and in-text citations.






week 5 reflection



Due Day 7.Reflect on the topics discussed this week including your thoughts on Is there a valid reason for routine infant male circumcision

Remember: this reflection should be a minimum of 300 words in length. Your thoughtsshould be supported with appropriate references and in-textcitations.



week 5 disscussion



How would you teach the abortion issue in medical school? Are there differences between a physician refusing to perform an abortion and a physician refusing to participate in assisted suicide? Consider medial reasons for abortion for mother and/or child. Also consider the quality of life and rationale for the person wishinw


g to end their life. Defend your answer and research all recent legislation on both.


You are required to have at least 3 academic references, cited in-text and referenced in proper APA format. Initial discussion responses must be a minimum of 500 words or more. Two peer responses are required, each must be 250 - 300 words or more in length and include at least 1 reference. Important - you will not be able to see your peers posts until you post your own.


Post your answer to the discussion question in the Weekly Forum by day 3, and respond to your peers no later than day 6.






week 6



Due Day 7.Reflect on the topics discussed this week including your thoughts on "Whistle-Blowers.

Remember: this reflection should be a minimum of 300 words in length.

week 7



Reflect on the last seven [7] weeks of this class and post your thoughts. Include any epiphanies as well as any drudgery. What was your most interesting topic? Why? This reflection should be a minimum of 300 words in length. Remember no Posts will be accepted after 11:59 pm October 19th.Due Day 5 [Last day of class}




















Case Study #1:Failure to adequately assess and monitor the patient post operatively resulting in the patient’s death

NOTE: There were multiple co-defendants in this claim who are discussed in this scenario. While there may have been errors/negligent acts on the part of other defendants, the case, comments, and recommendations are limited to the actions of the defendant; the nurse.

The decedent/plaintiff was a 67 year old male who underwent a right total knee replacement. Following the procedure, the plaintiff was treated in the post-anesthesia care unit where an epidural catheter was inserted for postoperative pain management.

Following one episode of hypotension which was treated successfully with ephedrine, the plaintiff was discharged to an inpatient medical-surgical care nursing unit with the epidural in place. Although the defendant nurse customarily worked on the post-acute critical care unit, she had been re-assigned to the medical-surgical nursing care unit. The defendant nurse stated that she understood her assignment at the time of the plaintiff’s admission to this unit was to provide oversight of the patient care on the entire floor for that shift.

The defendant nurse assessed the plaintiff upon his admission to the unit and found him to be stable. The defendant nurse understood that the direct care of the plaintiff was assigned to a c-defendant licensed practical nurse (LPN). Approximately three hours after arriving on the unit, the plaintiff was unable to tolerate ordered respiratory therapy due to nausea and vomited shortly thereafter. According to the defendant nurse, approximately ten minutes after the episode of vomiting, the LPN found the plaintiff cyanotic and unresponsive and immediately called a code.

The defendant nurse responded, as did the code team, and the plaintiff was intubated and transferred to ICU. This account of events was disputed by the LPN and two other staff on the unit who understood that the defendant nurse was responsible for the direct care of the plaintiff.

The LPN stated that it was the defendant nurse who found the plaintiff to be unresponsive at some point after the episode of vomiting and called the code herself. The elapsed time between the episode of vomiting and the code is also disputed. The eventual diagnosis was anoxic encephalopathy due to the time that elapsed before CPR was initiated. The prognosis was poor and life support was withdrawn. The plaintiff breathed independently and was transferred to hospice care where he subsequently expired.

Ordered vital signs and checks of the xyphoid process were not documented. The fact that the plaintiff had experienced hypotension in the recovery room should have warranted even closer observation. The episode of nausea and vomiting should have resulted in additional observation and notice to the physician.

Resolution

Experts determined that the defendant nurse had breached the standard of care.

Discussion

1. Summarize the case and the verdict.

2. Based on your review and summation, do you agree with the court’s decision? Defend/discuss your answer.

3. What practice-related legal and/or ethical issues as they pertain to Health Care management were breached? How? By whom? Include the nurse as well as ALL other possible defendants. DEFEND your answer.

4. Identify and document a risk management action plan to prevent this type of issue(s) from reoccurring.












Case Study #2:Alleged improper admission orders resulting in morphine overdose and death

There were multiple co-defendants in this claim who are not discussed in this scenario. Monetary amounts represent only the payments made on behalf of the nurse practitioner. Any amounts paid on behalf of the co-defendants are not available. While there may have been errors/negligent acts on the part of other defendants, the case, comments, and recommendations are limited to the actions of the defendant; the nurse practitioner.

The decedent patient (plaintiff) was a 72 year old woman who had been receiving hospital care for acute back pain resulting from a fall. Her past history included chronic pain management and end-stage renal disease for which she received hemodialysis. She was to be transferred to the co-defendant nursing facility for reconditioning and physical therapy prior to returning to her home.

The nurse practitioner (defendant) was on-call at the time of the patient’s transfer, and the nursing facility contacted her and read the orders to the defendant nurse practitioner over the telephone. The defendant nurse practitioner questioned the presence of two morphine orders for different dosages with both dosages administered twice daily. She instructed the nurse to clarify the correct morphine dosage with the transferring hospital’s pharmacist and to admit the patient only after the pharmacist clarified and approved the morphine orders. The defendant nurse practitioner had no further communication with the facility and no other involvement in the patient’s care. The facility nurse telephoned the hospital pharmacist who approved both morphine orders, and the patient was admitted to the nursing facility.

During the first evening and full day of her nursing facility stay, documentation revealed the patient to be alert and oriented. On the second day, she was found by nursing staff without vital signs. Despite immediate chest compressions and EMS additional resuscitation measures, the patient was pronounced dead. The autopsy results listed the cause of death as morphine intoxication. Surprisingly, the patient also had an elevated blood alcohol level (equal to drinking three to four alcoholic beverages). Because the source of the alcohol could not be identified, the medical examiner was unable to rule out accident, suicide or homicide and classified the manner of death as undetermined.

Resolution

Defense experts found the nurse practitioner’s actions to be within the standard of care.

Defense experts stated that the patient’s final morphine blood levels, even considering her renal disease, could not have resulted from the amount of morphine ordered, administered and recorded in the patient’s health information record. The elevated morphine and alcohol levels led experts to the opinion that the patient may have ingested morphine and alcohol from a source other than the nursing facility.

A motion for partial summary judgment for the defendant nurse practitioner was denied by the court and the decision was made to proceed to trial. After the completion of testimony but prior to receiving the verdict the co-defendants settled the case out of court with no liability attributed to the defendant nurse practitioner.

Discussion

1. Summarize the case and the verdict.

2. Based on your review, do you agree with the court’s decision? Defend/discuss your answer.

3. What practice-related legal and/or ethical issues were breached and by whom? What other defendants [personnel] may be responsible? How?

4. Identify a risk management action plan to prevent this type of issue(s) from reoccurring.


















Also see attachment.

You are running for the Presidency of the Unites States of America. The polls puts you neck-and-neck with the other party's top candidate. You must now debate the extremely "hot" topic of affordable health care. You are given the opportunity to submit recommendations or changes to the Affordable Care Act,

Given the number of low income families purchasing [or attempting to purchase] minimum health care coverage,

  • What assistance in recieving [purchasing] health care insurance would you propose for these families?
  • Explain how your changes will impact those middle income families who want and can afford premium coverage.
  • Should there be a two-tier health care insurance difference or other service options?
  • Why should the middle income family pay more [through taxes or income based insurance rates] for the same healthcare service received by low-income families?

Explore this topic only as it pertains to health care costs and services between low and middle income families. Use citations to support your position.

Remember, your answer will affect how people vote. The only thing standing between you and the Presidency are your views on this topic. Good Luck Candidate! Your Secretary of Education awaits your response!


Prepare a Power Point that explains your stance on this issue and includes your answer to each of the questions posed .

This link should assist you in preparing your Power Point for Maximum Points: http://www.ncsu.edu/project/posters

You must also critique 4 of your classmates [40 points maximum] due Day 4-Week 7




Part 1:

You are running for the Presidency of the Unites States of America. The polls puts you neck-and-neck with the other party's top candidate. You must now debate the extremely "hot" topic of affordable health care. You are given the opportunity to submit recommendations or changes to the Affordable Care Act,

Given the number of low income families purchasing [or attempting to purchase] minimum health care coverage,

  • What assistance in recieving [purchasing] health care insurance would you propose for these families?
  • Explain how your changes will impact those middle income families who want and can afford premium coverage.
  • Should there be a two-tier health care insurance difference or other service options?
  • Why should the middle income family pay more [through taxes or income based insurance rates] for the same healthcare service received by low-income families?

Explore this topic only as it pertains to health care costs and services between low and middle income families. Use citations to support your position.

Remember, your answer will affect how people vote. The only thing standing between you and the Presidency are your views on this topic. Good Luck Candidate! Your Secretary of Education awaits your response!

Part 2:

Prepare a Power Point that explains your stance on this issue and includes your answer to each of the questions posed .Post your power Point [PPT] in the Discussion Board Forum. This link should assist you in preparing your Power Point for Maximum Points:http://www.ncsu.edu/project/posters



Part 3.

You must also critique 4 of your classmates [40 points maximum] due Day 4-Week 7. The four classmates will be assigned to you.
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    Tutorial # 00114107 Posted By: spqr Posted on: 10/18/2015 08:20 AM
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