HLT 520 Experience Tradition/newtonhelp.com - PowerPoint PPT Presentation

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HLT 520 Experience Tradition/newtonhelp.com

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For more course tutorials visit www.newtonhelp.com A patient is in a coma that appears irreversible. His mother, who is his surrogate, firmly believes that he will recover and that God is taking a hand to work a miracle if everyone will just wait long enough. She wants everything done for the patient, including resuscitation if he arrests. She insists – PowerPoint PPT presentation

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Title: HLT 520 Experience Tradition/newtonhelp.com


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HLT 520 Experience Tradition/newtonhelp.com
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HLT 520 Week 1 Discussion 1
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  • A patient is in a coma that appears irreversible.
    His mother, who is his surrogate, firmly believes
    that he will recover and that God is taking a
    hand to work a miracle if everyone will just wait
    long enough. She wants everything done for the
    patient, including resuscitation if he arrests.
    She insists that he stay in the hospital, and is
    very upset that he was transferred out of the ICU
    and his care was moved to comfort measures,
    rather than aggressive treatment.

3
HLT 520 Week 1 Discussion 2
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  • In this time of limited financial resources and
    reduced government payments for health care
    services, what are the ethical issues of limiting
    care? How much uncompensated care can hospitals
    absorb? Where do people with no resources go for
    care? What is the states responsibility to
    ensure health care services? What are the ethical
    considerations that should be taken into account?

4
HLT 520 Week 1 Ethical Study Review
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  • Details
  • Scenario A 96-year-old male patient is admitted
    to the ICU with terminal liver cancer. He is
    confused and disoriented, very skinny and appears
    underfed, and is covered with bruises, which are
    common in patients with liver disorders.

5
HLT 520 Week 2 Assignment Negligence
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  • Details
  • Scenario A patient had surgery and the
    nurse-anesthetist administered the anesthesia.
    The patient subsequently arrested and died while
    under anesthesia. An investigation concluded that
    the patient was not receiving the needed amount
    of oxygen and the nurse-anesthetist missed the
    changes in the vital signs until the patient was
    close to cardiac arrest.

6
HLT 520 Week 2 Discussion 1
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  • Discuss the four components of a valid contract
    and apply them to a contract with a vendor to
    purchase a new CT scanner. What would you include
    in the contract? How would you be sure it would
    be valid?

7
HLT 520 Week 2 Discussion 2
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  • Since the hospital/patient relationship is
    considered a contract of sorts, how is it
    affected if the patient decides to disconnect
    himself from telemetry and leave the hospital for
    4 hours to go score some cocaine on the street?
    What would you do as a hospital administrator in
    this situation?

8
HLT 520 Week 2 Law Suit Recommendation Paper
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  • Details
  • Scenario A physician is claiming injury and
    damages from a hospital that notified him they
    were not renewing his contract for services
    provided. The hospital gave him a 4-month notice
    and stated that they were exercising this right
    because they wanted the department in which the
    physician functioned to go in a new direction.
    The physician has filed notice of intention to
    sue.

9
HLT 520 Week 3 Assignment Hospitals Duty to
Ensure Competency (Candler v. Persaud Case Study)
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  • Details
  • 1) Read the case study, Hospitals Duty to
    Ensure Competency on pages 183-184 in the
    textbook.
  • 2) Write a paper (1,250-1,500 words) that
    addresses the case studys two Discussion
    prompts. Include a detailed rationale for your
    answers.

10
HLT 520 Week 3 Discussion 1
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  • If a physician develops a history of disruptive
    behavior, belittling staff, cursing at coworkers,
    and being rude and curt to patients, what are the
    responsibilities of the medical staff, the
    hospital, and the other professionals involved?
    Why do you believe that so many staff may be
    reluctant to report a poorly behaving physician?

11
HLT 520 Week 3 Discussion 2
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  • What do you see as the pros and cons of obtaining
    fair market value analyses on the compensation
    paid to physicians, especially when the market
    rates are benchmarked against national standards?
    How could this information be used in negotiating
    rates with physicians?

12
HLT 520 Week 4 Assignment EMTALA
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  • Scenario You are the administrator on call for a
    local hospital and you receive a call at 200
    a.m. from another local hospital regarding a
    patient with a broken upper arm. The ED
    physicians assistant is calling to arrange an
    EMTALA transfer from his hospital to yours, but
    the orthopedic physician on call at your hospital
    is refusing to accept the transfer, stating that
    the patient doesnt need a higher level of care.

13
HLT 520 Week 4 Discussion 1
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  • Discuss your opinion of the Stark laws, what they
    are designed to do, the impact of the exceptions,
    and whether you think they are successful in
    preventing unethical behavior.

14
HLT 520 Week 4 Discussion 2
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  • What kinds of fraudulent or abusive behavior
    relating to health care services can occur in
    hospital operations? How does the role of the
    compliance committee help to monitor and prevent
    these?

15
HLT 520 Week 5 AssignmentContract Violates
Antitrust Laws (Otiz V. St. Peter's Case Study)
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  • www.newtonhelp.com
  • Details
  • 1) Read the case study (Contract Violates
    Antitrust Laws) on pages 100-101 in the textbook
    and answer the two discussion questions.

16
HLT 520 Week 5 Discussion 1
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  • www.newtonhelp.com
  • You are a hospital administrator, and you receive
    a call from a colleague at another hospital. Your
    colleague, who is a friend, informs you that he
    has received a demand for a stipend from the
    ophthalmologists who take ED calls at his
    hospital, and they want a sizeable raise.

17
HLT 520 Week 5 Discussion 2
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  • Do you think that hospitals who engage in group
    purchasing organizations are engaging in a form
    of price-fixing? If yes, then why? If no, then
    why not?

18
HLT 520 Week 6 Chapter 20 Review Questions
Additional ch. 21
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  • Details
  • Case Study 2
  • Mr. P is a 76-year-old male with cardiomyopathy
    and congestive heart failure who has been
    hospitalized frequently to treat CHF symptoms. He
    has difficulty maintaining diet restrictions and
    managing his polypharmacy. He has 4 pitting
    edema, moist crackles throughout lung fields, and
    labored breathing.

19
HLT 520 Week 6 Discussion 1
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  • Examine the concept of employment at will and
    the public policy exceptions to it. How does it
    fit with the issue of wrongful discharge?

20
HLT 520 Week 6 Discussion 2
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  • What do you see as the pros and cons of a
    unionized environment in a health care facility?
    How can the right to collective bargaining by
    employees and the mandate to provide care to
    patients be reconciled?

21
HLT 520 Week 7 Brain Death Scenario Assignment
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  • Details
  • Scenario You are the hospital administrator and
    are told by your ICU unit director of a patient
    in the unit that has suffered serious brain
    damage, but is not currently meeting the criteria
    for complete brain death. Half of the family is
    insisting that the patient wouldnt want to live
    this way and the other half is accusing them of
    wanting to kill the patient.

22
HLT 520 Week 7 Discussion 1
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  • Explore the issues of how to determine if a
    patient is mentally competent to make his or her
    own decisions, especially in situations where the
    decisions do not appear to make sense.

23
HLT 520 Week 7 Discussion 2
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  • What are the differences between a permanent
    vegetative state and a coma? How do these
    differences affect the ethical choices faced by
    the family and caregivers of the patient? What
    impacts should the patients own wishes have? How
    would the presence of a living will impact the
    decision?

24
HLT 520 Week 8 Bioethics Interview Assignment
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  • www.newtonhelp.com
  • Details
  • 1) Contact the chair of a local hospitals
    bioethics committee and interview him/her
    regarding the use of the committee at that
    facility, how the committee functions, how it
    makes https//www.coursehero.com/file/18671384/Bio
    ethics-Committee/

25
HLT 520 Week 8 Discussion 1
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  • www.newtonhelp.com
  • A baby is born with anencephaly, or absence of
    the entire brain above the brainstem. The
    brainstem is intact, which means that the baby
    can breathe and have a heart beat and blood
    pressure, but there is no chance for any human
    brain function or cognition, due to this birth
    defect.

26
HLT 520 Week 8 Discussion 2
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  • A 94-year-old woman is admitted to your hospital
    with dehydration, trouble breathing, and possible
    kidney failure. She is clearly in advanced
    Alzheimers, weighs about 95 pounds, and shows
    multiple bruises on her body. She cannot talk.

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HLT 520 Experience Tradition/newtonhelp.com
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