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HCA415 Healthcare Ethics

Module 1 Assignment

Assignment:

For this assignment, the student will create a Power Point Presentation on a cultural group.

Pick a cultural or religious group (different from yours) that you commonly encounter at workplace. You can select a group discussed in Chapter 1 of Pozgar or a different group. Research the answers to the following…

Title Slide with your name (1 slide)

Health beliefs and practices (1-2 slides)

Family patterns (1 slide)

Communication style (1-2 slides)

Space orientation (1-2 slides)

Time orientation (1-2 slides)

Nutritional Patterns (1-2 slides)

Pain Responses (1-2 slides)

Childbirth and perinatal care (1-2 slides)

Death and Dying (1-3 slides)

Spirituality, religion, and faith (include holy days) (1-2 slides)

Prayer and meditation (1-2 slides)

What knowledge did you gain about this group that you were not aware of? (2-3 slides)

Identify at least two ethical healthcare issues might arise when caring for this cultural group? (2-3 slides)

Reference slides (1-2 slides)

For this section, insure information is referenced and cited in your slides. The presentation should start with a title slide and end with a reference slides. At least 2 references are required for this assignment. If you include pictures, your pictures should also be referenced and cited.

 

HCA415 Healthcare Ethics

Module 2 Assignment

Assignment:

This week, students will be completing a paper to address the following two case studies.

Greg Case Study:

Peggy and Gary had been married for five years, and had been trying to have a child. They had undergone artificial insemination and in vitro fertilization, but each pregnancy had resulted in a miscarriage. Peggy and Gary decide that surrogacy was their best option and placed an advertisement in the local college newspaper.

Josephine, a 21-year-old college student, answered the advertisement. At the time, she was dating a man named Jerry who she loved very much and hoped to marry. But Jerry had recently broken up with Josephine. Hoping to trick Jerry into marrying her, Josephine agreed to be the surrogate for Peggy and Gary. Using Peggy and Gary’s zygote, Josephine underwent in vitro fertilization and became pregnant. During the pregnancy Josephine underwent routine medical examinations, as required by the surrogacy contract. During one of the examinations, a genetic screening test was performed and it was discovered that the child had Down Syndrome. Peggy and Gary did not desire to have a child with Down Syndrome and in accordance with the surrogacy contract paid Josephine to undergo an abortion. In addition, Josephine contacted Jerry, telling him that she was carrying his child. Not wanting to be a husband or father at a young age, Jerry paid Josephine for an abortion as well. He then transferred to another school in a different state.

As a college student who could use the cash, Josephine gladly took the money for the abortion. But because of religious reasons she did not have an abortion and carried the child to term. She never told Peggy, Gary, or Jerry that she delivered a child. Unfortunately, being a single mother and college student was too much for Josephine. At three months, she took the child, whom she called Greg, to the local hospital and surrendered him under the state’s Safe Haven law. 

Address the following questions:

Shortly after the child was surrendered, Jerry found out that Josephine had delivered a child, which he thought was his. Jerry’s parents completed the paperwork necessary to adopt Greg, because they could not fathom the idea of someone else raising their grandchild. Should Jerry’s parents be allowed to adopt Greg? Explain and support your answer.

Shortly after the child’s second birthday, Greg needed to have minor surgery to correct an intestinal problem. Part of the pre-surgery laboratory work involved determining the child’s blood type. The blood typing indicated that it was biologically impossible for Jerry to have fathered Greg. Jerry and Jerry’s parents are now suing Josephine. Should Josephine have to pay the amount of money it cost to raise and support Greg? Explain and support your answer.

As part of her testimony in the lawsuit, Josephine discloses the truth about Greg and the surrogacy pregnancy. Although enraged, Jerry’s parents felt it necessary to contact Peggy and Gary. When Peggy and Gary learn that their biological child had actually been born, they petitioned the court to have their child returned to them and to award them custody. How should the court decide? Should the child remain with Jerry’s parents or be given to Peggy and Gary? Explain and support your answer.

Baby Fae Case Study

On October 14, 1984, Baby Fae was born two weeks premature, with hypoplastic left heart syndrome (a condition that at the time was 100 percent fatal). Baby Fae’s mother, Teresa Beauclair, was presented with two options; keep the child in the hospital or take the child home. Teresa opted to take the child home, and was preparing to go through the dying process until Dr. Leonard Bailey presented her with a third option. The highly experimental surgery involved replacing Baby Fae’s heart with that of a baboon. Dr. Bailey had been investigating the possibility of cross-species transplantation and discussed his research with Teresa, gaining her consent to the operation. As you can image, the medical procedure was publicized across the United States and animal rights activists were outraged and protested.

While initially, the operation appeared to be successful, Baby Fae’s organs started to fail, leading to her death 21 days after the transplant surgery was performed. In announcing her death at a press conference, Dr. Bailey stated, “Infants with heart disease yet to be born will someday soon have the opportunity to live, thanks to the courage of this infant and her parents.” One year later, the first human to human heart transplant was performed in a child. Dr. Bailey credits the success, in part, to the information and experience that was gained by performing the xenotransplant (Cross-species) procedure.

Address the following questions:

What is your initial reaction to this case? What ethical concerns does this case bring up in relation to: autonomy, nonmaleficence, beneficence, fidelity, and justice? Explain and give specific examples.

The study of animal research has led to many advances in diabetes, cancer, neurological conditions, and cardiac. Currently, pig and bovine valves are still used in heart surgeries. Do you feel research on animals is necessary in the medical field? Explain your answer.

If you were caring for baby Fae, how could the following information effect your interaction with the parents, and possible care of the child? Do you feel information about the family: their past, current status, and criminal record, should be publicized or shared? Explain your answers.

After the transplant, NBC news released this information:

“NBC News has learned the identity of the child’s parents. We will respect their wishes and not name them. However, certain aspects of their past might be relevant to some of the medical controversies in this case. According to relative and court records, the couple was never married. They had separated by the time the infant was born. Both have had trouble with the law in the state they came from, the father for disorderly conduct, and the mother for passing bad checks. They had little money when the baby was born.

For each of these cases an APA formatted paper must be used, and should include a title page, level headings, references and citations.

This assignment should include at least 3 references and

Should be at least three pages in length for each case (six pages, not including title page and references).

Students should address the proposed questions providing ample detail, examples, and additional support.

 

HCA415 Healthcare Ethics

Module 3 Assignment

Assignment:

This week students will be completing a PowerPoint presentation in two parts.

Student’s State Law:

Student’s should research their state’s law and then describe the following topics :  Living Will, DNR, Power of Attorney, Spouse/Partner Rights, Euthanasia, Patient Self-Determination.  Use the following guideline for the presentation.

Title page (1 slide)

Living Will (1-2 slides)

DNR (1-2 slides)

Power of Attorney (1-2 slides)

Spouse or Partner’s Rights in decision making (1-2 slides)

Euthanasia: Active, Passive, Voluntary, and Involuntary (4-6 slides)

Patient Self-Determination Act of 1990 (1-2 slides)

For the above, students must address: who needs to sign, is a medical evaluation needed, does the document expire, what rights does the person have, what treatment options does the document cover.

For the second part of this presentation, address this Case Study:

Brittany Maynard, a 29-year-old with terminal brain cancer decides to uproot her family from California to Oregon so she could die with dignity. Brittany’s story was covered by the news and on Nov. 1, 2014 she did end her life and suffering with physician assistance suicide.

Research and provide your own background of the story (2-3 slides)

Research Oregon’s Death with Dignity Act and discuss: who is eligible, and what steps need to be followed (2-3 slides)

Do you feel Brittany opened a door to many people suffering from a terminal disease? Do you feel health professionals should discuss this option with their patients, why or why not? (2-3 slides)

Do you feel this is a personal decision that needs to be made by the individual, and that healthcare professionals need to respect the patient’s wishes? (1-2 slides)

For the presentation, insure information is referenced and cited in your slides. The presentation should start with a title slide and end with a reference slides. At least 3 references are required for this assignment. You must include at least 5 pictures or graphics. All pictures or graphics taken from outside sources must be referenced and cited.

 

HCA415 Healthcare Ethics

Module 4 Assignment

Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append.

Start by reading and following these instructions:

Quickly skim the questions or assignment below and the assignment rubric to help you focus.

Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

Consider the discussion and the any insights you gained from it.

Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment:

This week students will complete an APA paper to address the following case study.

Mr. Corley Case Study:

Walter and Sheila Corley were married on January 20, 1984.   At the time, they lived in Texarkana, Arkansas.   Their son Jerry was born in July 1985.   Later that year, the Corleys separated and were divorced.   Sometime thereafter, the Corleys reconciled and resumed living together, holding themselves out to others as a married couple.   In February 1988, the Corleys moved to Mr. Corley's hometown of Ferriday, Louisiana.   The Corleys were remarried in December 1988.

Neurofibromatosis, a disease of the peripheral nerves of the body, is a condition marked by the presence of numerous neurofibromas, which are tumors or growths arising from the Schwann cells which form the covering membrane or sheath of a nerve fiber.   Persons with neurofibromatosis frequently have café au lait spots of varying sizes on their bodies as well.   In addition, people afflicted with neurofibromatosis experience a significantly increased risk of developing cancer.

In 1978, Mr. Corley was diagnosed with neurofibromatosis and had four neurofibromas removed from his head, arm, hip and leg by a physician in Texarkana.   Thereafter, a few months prior to his return to Louisiana in 1988, Mr.  Corley, who had no other known health problems, began experiencing low back pain.

On February 11, 1988, Mr. Corley sought medical treatment from Dr. Maurice Gremillion, a family practitioner in Ferriday.   On that date, Mr. Corley complained that he had been experiencing low back pain and abdominal discomfort for approximately four months.   He also noted that he had intermittent right shoulder pain and trouble sleeping.   At Mr. Corley's request, Dr. Gremillion ordered a total work-up which included x-rays of the lower spine, chest, kidneys and gall bladder, as well as an upper GI series.   Dr. Gremillion also prescribed Flexeril, a muscle relaxer, and Anaprox, an anti-inflammatory pain medication.   Dr. Gremillion, feeling that Mr. Corley should be seen by a specialist, then gave him a written referral to E.A. Conway Medical Center in Monroe for an orthopedic evaluation.

E.A. Conway, which is part of the L.S.U. system, is a teaching facility staffed by permanent, full-time physicians as well as by doctors who are employed on a temporary, rotating basis as interns and residents following their graduation from medical school.   The general operating procedure of E.A. Conway at the time of Mr. Corley's presentment was that all new patients, even those who have referrals to a specific service or department, first go through the emergency room.   At that time, a patient is charted and evaluated by an emergency room physician.   From there, the patient is either treated or referred to a specific clinic for further follow-up.   In most cases, patients see different doctors each time they report to the hospital or one of its clinics.

On March 2, 1988, Mr. Corley, accompanied by Sheila Corley, reported to the E.A. Conway Emergency Room. The Corleys presented admitting personnel with all of Mr. Corley's records from Dr. Gremillion, including the x-rays and other test reports.   Dr. Bruce Fuller, an emergency room physician, took a history from Mr. Corley and reviewed Dr. Gremillion's notes and the x-ray reports.   He also conducted a routine physical examination and had x-rays made of Mr. Corley's low back.   Notwithstanding the presence of several growths and café au lait spots on Mr. Corley's back and torso, Dr. Fuller was unaware that his patient had neurofibromatosis.

Dr. Fuller found everything to be within normal limits and it was his impression that Mr. Corley was suffering from low back pain based on minimal subjective complaints of pain.   Dr. Fuller continued Mr. Corley on the medication prescribed by Dr. Gremillion and made an appointment for him with the Orthopedic Clinic on March 16, 1988.

On that date, Mr. Corley was seen in the Orthopedic Clinic by fourth year resident McIntyre Bridges.   Dr. Bridges does not recall looking at or reading the x-rays or reports from Mr. Corley's previous examinations.   Dr. Bridges conducted a physical exam, which was normal, and started Mr. Corley on a conservative course of treatment for low back pain.   Dr. Bridges' notes from this date indicate his awareness of Mr. Corley's neurofibromatosis.

 

Mr. Corley was next seen on April 20, 1988 by Dr. David Mehta.   At the time, Dr. Mehta was doing a surgical internship and was rotating through the Orthopedic Department.   Dr. Mehta's notes reflect that his physical exam of Mr. Corley was normal, but that he felt that Mr. Corley had a posture problem and referred him to physical therapy for correction of his posture.   Again, the notes do not reflect whether Dr. Mehta reviewed any of Mr. Corley's previous medical records, x-rays or reports.

On September 14, 1988, Mr. Corley was seen by fourth year surgical resident Keith White.   On that date, Mr. Corley noted that his pain had worsened and was occasionally affecting his walking.   Dr. White's examination yielded no objective findings of low back pain, but he did notice several café au lait spots indicative of neurofibromatosis so he ordered a CT scan of Mr. Corley's low back to rule out any neurofibroma changes in the nerve roots.   Dr. Ellis, a radiologist at E.A. Conway, interpreted the CT scan as showing arthritis consistent with fibrosis or spinal stenosis and possible edema of the right L-5 nerve root, which, according to Dr. White, may or may not have been the cause of Mr. Corley's back pain.   As with Drs. Bridges and Mehta, Dr. White did not review any of the previous medical records, x-rays or reports.   Mr. Corley's last visit to E.A. Conway was September 21, 1988.   On that date, Dr. White reviewed the results of the CT scan with Mr. Corley, continued him on an anti-inflammatory drug and encouraged him to continue his back exercises.   Dr. White instructed Mr. Corley to return to the clinic in three months.

Thereafter, on October 26, 1988, Mr. Corley, plagued by constant back pain and beginning to experience difficulty breathing, consulted Dr. Rick Maxwell, a chiropractor, who did a full spinal x-ray which revealed a markedly diminished right lung area.   Dr. Maxwell sent Mr. Corley to his father, also a chiropractor, who confirmed that there was a potential problem with Mr. Corley's right lung and recommended that he see a pulmonary specialist.

On October 31, 1988, Mr. Corley presented to Dr. Gremillion complaining of chest congestion and shortness of breath.   Dr. Gremillion diagnosed him with bronchitis and implemented treatment accordingly.   Mr. Corley returned to Dr. Gremillion on November 14, 1988 with complaints of shortness of breath and marked weight loss.   Subsequent diagnostic testing confirmed the presence of a very large mass in Mr. Corley's right chest.

Prior to his death on January 23, 1990, Mr. Corley received radiation and chemotherapy treatment at LSU Medical Center in Shreveport.

Corley v. State Department of Health Hospitals. http://caselaw.findlaw.com/la-court-of-appeal/1071352.html

Student should address the following questions regarding this case in an APA paper

What are the facts of the case? This should include: what do we need to know, who is involved in the situation, where does the ethical situation take place, and when does it occur?

What is the precise ethical issue in regards to autonomy, nonmaleficence, beneficence, fidelity, and justice?

Identify the major principles, rules, and values of the case.  Values are sets of beliefs about good and bad, right and wrong, and about many other aspects of living and interacting in the society with others. A principle is a personal rule that governs personal behavior. A rule is generally imposed by a figure of authority, and used to guide and govern people.

Is there legal ground for this case, if so what? Who is at fault? What legal action should be taken?

Are there alternatives to the actions completed in this case by both the patient and healthcare facility? Do you feel the physicians were following hospital protocol?

If you were a member of the ethics committee at this facility, what actions or changes would you recommend changing? Why?

For the case study, an APA formatted paper should be used, and needs to include a title page, level headings, references and citations. This assignment should include at least 2 references and should be at least five pages in length. Students should address the proposed questions providing ample detail, examples, and additional support.

HCA415 Healthcare Ethics

Module 5 Assignment

Assignment:

This week students will complete an APA paper to address the following case study

Amish Case Study:

After an Ohio Medina County judge ruled that Andy and Anna Hershberger, the parents of a 10-year-old girl, had the right to choose what was medically best for her, an appeals court reversed the decision and sided with a hospital that is fighting to resume her chemotherapy after her parents terminated the treatment. The Hershbergers are a deeply religious Amish family, who chose to take a different route from modern medicine after Sarah became ill from chemotherapy in June. The girl reportedly begged her parents to stop her chemotherapy and testified in court against resuming the treatment. “Our belief is, to a certain extent, we can use modern medicine, but at some times we have to stop it and do something else,” her father told the AP. They plan on going to a wellness center and turning to natural medication such as herbs and vitamins in the hopes that they could help her without putting her in pain. Akron Children’s Hospital, where Sarah had begun her chemotherapy, strongly advocated for the girl to continue her chemo, stating that it was a matter of life or death.

Sarah has lymphoblastic lymphoma, a form of non-Hodgkin lymphoma that rarely affects adults but is most often found in people under 35. It is reported to have a five-year survival rate of 85 percent if the patient undergoes chemotherapy. Lymphoma is a blood cancer that occurs when white blood cells divide faster than regular cells, causing tumors of lymphoid cells to grow throughout the body, typically in lymph nodes. "Although there's all these dire medical predictions they (Sarah's parents) would refute that by saying this is matter beyond the province of mortal man," the Hershbergers' attorney John Oberholtzer told WKYC. "You have to have a kind of faith that a lot of us don't have...they absolutely have that faith." He added that Sarah’s parents might take the case to the Ohio Supreme Court, and that it could potentially set a legal precedence with regards to who should hold the rights over a child’s medical decisions when it’s a life or death situation. “There has never been an allegation of parental unfitness, nor has the hospital or anyone else requested legal or physical custody of this child,” Akron Children’s Hospital said in a statement. “This involves a disagreement between providers and parents over what course of treatment is best for their child.” The hospitals' chief medical officer Robert McGregor said last week that they had a moral and legal duty to ensure that Sarah receives the treatment that is in her best interest.

Bushak, L. (2013, Aug. 9). Court rules that Sarah Hershberger, Amish girl battling cancer, should be appointed legal guardian after parents stop her chemotherapy.  Medical Daily. Retrieved from http://www.medicaldaily.com/court-rules-sarah-hershberger-amish-girl-battling-cancer-should-be-appointed-legal-guardian-after

Address the following questions regarding the case study

What are the facts of the case? This should include: what do we need to know, who is involved in the situation, where does the ethical situation take place, and when does it occur?

What is the precise ethical issue in regards to autonomy, nonmaleficence, beneficence, fidelity, and justice?

Identify the major principles, rules, and values of the case.  Values are sets of beliefs about good and bad, right and wrong, and about many other aspects of living and interacting in the society with others. A principle is a personal rule that governs personal behavior. A rule is generally imposed by a figure of authority, and used to guide and govern people.

Are there alternative to the actions completed in this case by both the parents and healthcare facility?

Do you feel, in this case, the hospital is honoring the religious and cultural beliefs of the patient and her family? Can a hospital take a Jehovah Witness to court to receive a medically needed blood transfusion?  Is this case different due to the age of the patient? Explain and support your answer.

If you were a member of the ethics committee at this facility, what actions would you recommend in this case? Would you be in support of the facility or family? Explain and support your decision.

For the case study, an APA formatted paper should be used, and needs to include a title page, level headings, references and citations. This assignment should include at least 2 references and should be at least five pages in length. Students should address the proposed questions providing ample detail, examples, and additional support.

 

HCA415 Healthcare Ethics

Module 6 Assignment

Assignment:

This week students will create a powerpoint to address the following questions…

Case Study:

A mother expecting her first child miscarried at home on June 22, 2010. The pregnancy was six months along. An ambulance was called at 4:57 a.m. The EMTs helped the mother to the stretcher and then went inside to retrieve the fetus from the bathroom floor. The baby was seen moving its head. The EMTs requested ALS to the scene. The baby was placed inside a small container. The ALS personnel visually assessed the fetus and stated the fetus was “non-viable”. There was never a fetal heart check in the field. Mother and fetus were transported to the hospital arriving at 5:16 a.m.

At the hospital, a nurse noticed that the fetus was warm and had a heartbeat. The baby was raced to the special care nursery and placed on a warmer. The staff then proceeded to resuscitate the baby. The baby was dusky and noted to have a heart rate of 30 with respirations of 6-8 at 5:40 a.m., and cardiopulmonary resuscitation was initiated. The oxygen saturation was 2-10%. The baby was intubated at 5:55 a.m. At 6:05 a.m., the blood pressure was 44/24. By 6:15 a.m., the baby was on a ventilator with oxygen saturation of 96%, a heart rate of 102, but remained dusky. By 6:30 a.m., the baby’s heart rate was 120 and blood pressure 52/24.

At 7:45 a.m., the baby was transported to a Boston hospital NICU for further care and treatment. Unfortunately, the baby died on August 10, 2010 at age 1 month and 16 days, not from prematurity but rather from brain damage due to lack of oxygen.

The plaintiffs’ claimed the accepted standard of care for basic and paramedic emergency medicine technicians in Massachusetts in 2010 required basic and paramedic EMTs to provide appropriate evaluation and treatment by following established protocols. It is beyond the scope of practice for EMTs at any level to make determinations in regard to viability of a patient. As a result of the negligence, the baby was improperly designated as “non-viable”, was placed in a Pizzeria Uno’s delivery plastic bag inside of a box with a lid on it further depriving the baby of oxygen, and as a result was not resuscitated for the first several minutes of life.

Lubin & Meyers. (2016). EMT negligence lawsuit settles for $1 million. 2011 medical Malpractice Trial Report. Retrieved from http://www.lubinandmeyer.com/cases/emt-malpractice.html

Title page (1 slide)

What are the facts of the case? This should include: what do we need to know, who is involved in the situation, where does the ethical situation take place, and when does it occur? (3-4 slides)

What is the precise ethical issue in regards to autonomy, nonmaleficence, beneficence, fidelity, and justice? (4-5 slides)

Identify the major principles, rules, and values of the case.  Values are sets of beliefs about good and bad, right and wrong, and about many other aspects of living and interacting in the society with others. A principle is a personal rule that governs personal behavior. A rule is generally imposed by a figure of authority, and used to guide and govern people. (3-4 slides)

Locate the scope of practice for EMTs in your state.  Is your scope of practice dictated by the state or facility the EMT works for? Does the scope of practice vary from state to state? Explain and support your answers (4-5 slides)

Locate your professional code of ethics for EMTs.  Does the code of ethics address autonomy, nonmaleficence, beneficence, fidelity, and justice? Explain and provide an example for each (5-6 slides)

Based on the scope of practice and code of ethics found, do you support the EMT’s decision in this case? Why or why not? Be specific with examples (3-4 slides)

If you were a member of the ethics committee at this facility, what actions or changes would you recommend changing? Why? (2-3 slides)

For the presentation, insure information is referenced and cited in your slides. The presentation should start with a title slide and end with a reference slides. At least 3 references are required for this assignment. You must include at least 5 pictures or graphics. All pictures or graphics taken from outside sources must be referenced and cited.

 

HCA415 Healthcare Ethics

Module 7 Assignment

Assignment:

This week students will be completing a narrated power point to discuss one of the following cases.

Lisa McPherson Clearwater, Florida (1995)

Terri Schiavo St. Petersburg, Florida (1990–2005)

Nadya Doud-Suleman Bellflower, California (January 2009)

Elodie Irvine v. Regents of the University of California 57 Cal.Rptr.3d 500, 149 Cal.App.4th 994 (2007) Court of Appeal State of California, Fourth Appellate District Division Three

First, students should pick one of the ethical cases above and create a power point presentation to address the following:

What are the facts of the case? This should include: what do we need to know, who is involved in the situation, where does the ethical situation take place, and when does it occur? (3-4 slides)

What is the precise ethical issue in regards to autonomy, nonmaleficence, beneficence, fidelity, and justice? (5-6 slides)

Identify the major principles, rules, and values of the case.  Values are sets of beliefs about good and bad, right and wrong, and about many other aspects of living and interacting in the society with others. A principle is a personal rule that governs personal behavior. A rule is generally imposed by a figure of authority, and used to guide and govern people. (3-5 slides)

Is there legal ground for this case, state what they are? Who is at fault? What legal action should be taken? (2-4 slides)

Are there alternative to the actions completed in this case by the parties involved? What could have been done to prevent the outcome of the case? (3-6 slides)

If you were a member of the ethics committee at the facility the event happened, what action would you take in this case? (2-4 slides)

As a healthcare professional, how did the outcome of the case make you feel? Does it align with your personal values and beliefs? Would caring for this patient be difficult? How do you separate your personal beliefs when completing your job? (4-6 slides)

For the presentation, insure information is referenced and cited in your slides. The presentation should start with a title slide and end with a reference slides. At least 3 references are required for this assignment. If you include pictures, your pictures should also be referenced and cited.

Now students will add the narrative to their power point using one of the following tools.

VoiceThread (http://voicethread.com/) – VoiceThread allows you to upload, share and discuss documents, presentations, images, audio files and videos (over 50 different types of media can be used in a VoiceThread). Within the presentation, you can comment on VoiceThread slides using one of five options: Microphone, webcam, text, phone, and audio-file upload. VoiceThreads can be used to create microlectures by:

Narrating a PowerPoint presentation

Discussing a journal article

Annotating a website or document

Reviewing a picture or graphic

For detailed information on how to use VoiceThread to create microlectures, see:

Written instructions: http://www.asu.edu/courses/tconline/Include/VoiceThread%20Instructions.htm

Video tutorial: https://youtu.be/2jVW_aAyGPE

Screencast-o-Matic (http://www.screencast-o-matic.com/) – Screencast-o-Matic is a program that allows for one-click screen capture recording. Not only does Screencast-o-Matic record all the activities on your computer screen, but it allows you to simultaneously record your voice as the narration to support your screen capture recording. Screencast-o-Matic is great for:

Narrating PowerPoint lectures (i.e., create lectures for your online courses)

Demonstrating website navigation (i.e., create how-to videos for using the library or a required web-based activity)

Demonstrating software application (i.e., create videos demonstrating how to run an analysis in SPSS)

Course overview tutorials (i.e., provide students with a visual tour of your online course)

Syllabus overview tutorials (i.e., create a video walking students through the requirements of your course)

For detailed information on how to use Screencast-o-Matic to create engaging course supplements, see:

Written instructions: http://aohs.ua.edu/cm/general/screen_o_matic.pdf

Video tutorial: https://youtu.be/jADJ_OoSnm8

 

HCA415 Healthcare Ethics

Module 8 Assignment

Assignment:

Students will complete an APA paper about the following case study.  The provided case study represents ethical issues of historical interest.

Case Study

A nurse has sued Memorial Hospital, charging that she was demoted after complaining about a heart surgeon tossing bloody tissue at her during an operation. The eight-page complaint filed Friday in U.S. District Court by Sonja Morris alleges that Dr. Bryan Mahan tossed the 4-by-6-inch piece of tissue at her, hitting her on the leg during an open-heart surgery in August 2008. She contends Mahan made a joke about it to the other surgeons, saying, "Oh (expletive), I hit her. Can we get cultures on that?" Morris said she felt humiliated as the other surgeons chuckled. Mahan could not be reached for comment Friday afternoon.

Morris claims that the incident was part of a pattern of harassing behavior by Mahan toward her. She also alleged that in June 2008, Mahan came up behind her and hit her in the head. She told him to stop, but two weeks later, he did it again, the suit alleged. Again she asked him to stop.

Chris Valentine, a spokesman for the hospital, declined to comment on the lawsuit. "Obviously, because it's in legal hands, we're not in a position to comment," he said. Mahan is the chairman of cardiac and thoracic medicine at Memorial. He is not named as a defendant in the lawsuit. Morris has worked at the hospital as a nurse since June 1999. She has been a member of the heart surgery team since October 2007.

The incident with the bloody tissue occurred on Aug. 28, 2008, after normal working hours during an operation in which doctors were doing a procedure known as a pericardiectomy. The surgery involved removing a protective layer of tissue from the heart. Morris contends that was the bloody tissue that Mahan tossed at her. She said she was standing at a work station about 15 feet away from the operating table. Because the operation was still in progress, she was unable to immediately clean the part of her leg that the tissue hit. She filed a complaint about the incident but said that resulted in no disciplinary action.

On Dec. 10, she filed a notice of claim against Mahan and the hospital. Her complaint to the U.S. Equal Employment Opportunity Commission alleged that she was subjected to a hostile work environment because of her gender. Seven days later, she said hospital administrators removed her from the heart surgery team, considered a prestigious position, and transferred her to the main operating room. The suit alleged that this action violated her First Amendment rights to petition the hospital to correct something she considered wrong.

Ensslin, J.C. (2009, June 6). Nurse sues Memorial, claims surgeon threw human tissue at her. The Gazette. Retrieved from http://gazette.com/nurse-sues-memorial-claims-surgeon-threw-human-tissue-at-her/article/57418

Morris v. City of Colorado Springs, 666 F.3d 654 (2012)  LINK

Answer the following questions:

What are the facts of the case? This should include: what do we need to know, who is involved in the situation, where does the ethical situation take place, and when does it occur?

What is the precise ethical issue in regards to autonomy, nonmaleficence, beneficence, fidelity, and justice?

Identify the major principles, rules, and values of the case.  Values are sets of beliefs about good and bad, right and wrong, and about many other aspects of living and interacting in the society with others. A principle is a personal rule that governs personal behavior. A rule is generally imposed by a figure of authority, and used to guide and govern people.

Is there legal ground for this case, if so what? Who is at fault? What legal action should be taken?

Are there alternative to the actions completed in this case by both the nurse, physician, and healthcare facility? Do you feel the physician and nurse were following hospital protocol?

If you were a member of the ethics committee at this facility, what actions or changes would you recommend changing? Why?

For the case study, an APA formatted paper should be used, and needs to include a title page, level headings, references and citations. This assignment should include at least 2 references and should be at least four pages in length. Students should address the proposed questions providing ample detail, examples, and additional support.

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