HSM542
Mike Mike
Wk5discussions.docxQ.1 Death with Dignity Act D
Discuss the legal and moral implications of physician-assisted suicide (PAS) as related to Oregon’s Death with Dignity Act. Although other states have passed similar PAS legislation, why haven't all 50 states (or federal legislation) occurred? (Make sure to discuss financial, ethical, moral/religious, and other reasons
Q.2 End-of-Life Dilemmas
High-profile complex cases such as Terri Schiavo, Karen Quinlan, and Brittany Maynard have been in the news for years as end-of-life issues and decision making in the absence of clear advanced directives being on file. Most of these complex cases ultimately rely on an ethics committee, and/or legal, court, and judge recommendations on how to proceed. If you were the CEO of the organization that cared for a patient similar to Terri Schiavo, Karen Quinlan, or Brittany Maynard, what issues would you consider most critical for your ethics committee to consider in that case and why?
Q.3 You decide
Read the scenario and assignment instructions in the You Decide Overview. You have been asked by the hospital CEO to give her a briefing on the patient situation and alternative actions that may be taken to ensure both that the rights of the patients are preserved and that the risks to the hospital are minimized. Prepare a 500-word summary of the important components of this case, the laws that may have an impact on this case, and alternative course of action that the hospital may pursue to satisfy the parties involved with the scenario. The strategies and recommendations should be as specific as possible and should include the resources needed for implementation. Your primary text and journal and/or website research must be used as a reference to support your analysis.
You Decide Overview
Scenario Summary
You are the new director of risk management at Little Falls Hospital, which is a 450-bed tertiary care facility in a major urban area in the Northeast. The hospital is an integrated health system that provides the full array of inpatient and outpatient services. The hospital enjoys a reputation for quality care in the area. As the new risk manager, you have been briefed about a patient care case that needs your attention.
· The patient is a 45-year-old woman, Lydia, who is currently paralyzed and can only communicate through head nods as a result of a car accident over 6 months ago.
· The patient is currently on a ventilator for respiratory assistance and receives tube feedings.
· The professionals in the hospital are uncertain as to whether the patient is capable of understanding information and making her own decisions.
· It is reported that the patient has an advance directive, but no one has been able to secure a copy of the document.
Your Assignment
You have been asked by Felicia Larue, the hospital CEO, to give a briefing on the patient situation and alternative actions that may be taken by the hospital to ensure that the rights of the patients are preserved and the risks to the hospital are minimized. Prepare a 500-word summary of the important components of this case, the laws that may have an impact on this case, and alternative course of action that the hospital may pursue to satisfy the parties that are involved with the scenario. The strategies and recommendations should be as specific as possible and include the resources needed for implementation. Your primary text and journal and website research must be used as a reference to support your analysis.
Key Players
Mr. Bevins—Patient's Spouse
Lydia and I have been married for 4 years, and I know that she would not want to be kept alive in this fashion. She and I have had many conversations and discussions about end-of-life decisions, and living like this would not be her choice. I do not know the whereabouts of the advance directive, because she did this prior to our marriage, and my attempts to obtain a copy have failed. I am her guardian, and therefore the decision should be mine.
Eileen Redfield—Patient's Mother
I am Lydia's mother and it hurts me to see my daughter laying there so incapacitated. Ending her life is not the answer. A couple of the physicians have implied that she might get better and live a better life, although others have given me little hope for recovery. A miracle is always possible, and I want to give my child every chance she can to live.
Dr. Bob Pritchard—Patient's Physician
I have been taking care of Lydia for the past 90 days. Although she does demonstrate progress in very small increments, her level of functioning has not significantly improved. This is compounded by the fact that Lydia also suffers from breast cancer—a condition diagnosed and treated successfully before the accident. I am not sure what advice to give the family about the patient's long-term survival.
Grading Rubric
|
Category |
Points |
Description |
|
Understanding |
20 |
Demonstrate a strong grasp of the problem at hand. Demonstrate understanding of how the course concepts apply to the problem. |
|
Analysis |
20 |
Apply original thought to solving the business problem. Apply concepts from the course material correctly toward solving the business problem. |
|
Execution |
10 |
Write your answer clearly and succinctly using strong organization and proper grammar. Use citations correctly. |
|
Total |
50 |
A quality paper will meet or exceed all of the above requirements. |
Q.1
Death
with
Dignity Act
D
Discuss the legal and moral implications of physician
-
assisted suicide (PAS) as related to
Oregon’s Death with Dignity Act. Although other states have passed similar PAS legislation,
why haven't all 50 states (or federal legislation) occurred? (Make sure t
o discuss financial,
ethical, moral/religious, and other reasons
Q.2
End
-
of
-
Life Dilemmas
High
-
profile complex cases such as Terri Schiavo, Karen Quinlan, and Brittany Maynard have
been in the news for years as end
-
of
-
life issues and decision making
in the absence of clear
advanced directives being on file. Most of these complex cases ultimately rely on an ethics
committee, and/or legal, court, and judge recommendations on how to proceed. If you were the
CEO of the organization that cared for a patie
nt similar to Terri Schiavo, Karen Quinlan, or
Brittany Maynard, what issues would you consider most critical for your ethics committee to
consider in that case and why?
Q.3 You decide
Read the scenario and assignment instructions in the You Decide Overview. You have been
asked by the hospital CEO to give her a briefing on the patient situation and alternative actions
that may be taken to ensure both that the rights of the patients are p
reserved and that the risks to
the hospital are minimized. Prepare a 500
-
word summary of the important components of this
case, the laws that may have an impact on
this case, and alternative course of action
that the
hospital may pursue to satisfy the par
ties involved with the scenario. The strategies and
recommendations should be as specific as possible and should include the resources needed for
implementation. Your primary text and journal and/or website research must be used as a
reference to support y
our analysis
.
You Decide
Overview
Scenario Summar
y
You are the new director of risk management at Little Falls Hospital, which is a 450
-
bed tertiary
care facility in a major urban area in the Northeast. The ho
spital is an integrated health system
that provides the full array of inpatient and outpatient services. The hospital enjoys a reputation
for quality care in the area.
As the new risk manager, you have been briefed about a patient care
case that needs your
attention.
·
The patient is a 45
-
year
-
old woman, Lydia, who is currently paralyzed and can only
communicate through head nods as a result of a car accident over 6 months ago.
·
The patient is currently on a ventilator for respiratory assistance and receives tube
feedings.
·
The professionals in the hospital are uncertain as to whether the patient is capable of
understanding information and making her own decisions.
Q.1 Death with Dignity Act D
Discuss the legal and moral implications of physician-assisted suicide (PAS) as related to
Oregon’s Death with Dignity Act. Although other states have passed similar PAS legislation,
why haven't all 50 states (or federal legislation) occurred? (Make sure to discuss financial,
ethical, moral/religious, and other reasons
Q.2 End-of-Life Dilemmas
High-profile complex cases such as Terri Schiavo, Karen Quinlan, and Brittany Maynard have
been in the news for years as end-of-life issues and decision making in the absence of clear
advanced directives being on file. Most of these complex cases ultimately rely on an ethics
committee, and/or legal, court, and judge recommendations on how to proceed. If you were the
CEO of the organization that cared for a patient similar to Terri Schiavo, Karen Quinlan, or
Brittany Maynard, what issues would you consider most critical for your ethics committee to
consider in that case and why?
Q.3 You decide
Read the scenario and assignment instructions in the You Decide Overview. You have been
asked by the hospital CEO to give her a briefing on the patient situation and alternative actions
that may be taken to ensure both that the rights of the patients are preserved and that the risks to
the hospital are minimized. Prepare a 500-word summary of the important components of this
case, the laws that may have an impact on this case, and alternative course of action that the
hospital may pursue to satisfy the parties involved with the scenario. The strategies and
recommendations should be as specific as possible and should include the resources needed for
implementation. Your primary text and journal and/or website research must be used as a
reference to support your analysis.
You Decide Overview
Scenario Summary
You are the new director of risk management at Little Falls Hospital, which is a 450-bed tertiary
care facility in a major urban area in the Northeast. The hospital is an integrated health system
that provides the full array of inpatient and outpatient services. The hospital enjoys a reputation
for quality care in the area. As the new risk manager, you have been briefed about a patient care
case that needs your attention.
The patient is a 45-year-old woman, Lydia, who is currently paralyzed and can only
communicate through head nods as a result of a car accident over 6 months ago.
The patient is currently on a ventilator for respiratory assistance and receives tube
feedings.
The professionals in the hospital are uncertain as to whether the patient is capable of
understanding information and making her own decisions.
