...Health Rights/Responsibility 03/15/2014 Week 2 You Decide Assignment Identification After going through the case of Margie Whitson, the dilemma is the fact that Margie is looking to have her pacemaker removed which will in turn would end her life. So far, Margie Whitson has had a rough year and has come to the decision that she wants her pacemaker deactivated because she believes it is delaying her death. Her pacemaker is the only thing keeping her heart beating at this point. But even at that, her doctor, Dr. Vijay, refuses to deactivate it due to the fear of legal action/misunderstandings of the ethical and legal acceptability. Margie Whitson is very determined to have her pacemaker removed so she call for Jane Robison, the social worker who decided to bring the case to the notice of the ethics committee. The morals involved here is the patient’s right to refuse care if she chooses and also the right to die. The moral principles of ethics involved also in this case are: Beneficence- act of doing good, demonstrating kindness, showing compassion, and helping others; Non-maleficence- avoiding the infliction of harm; Justice- the duty to be fair in the distribution of risks and benefits, and; Autonomy- recognizing an individual’s right to make his or her own decisions. The morals in conflict here are justice, non-maleficence and autonomy. The doctors, nurse, social workers, and ethics committee need to be sure that non-maleficence is not being implemented while considering...
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...Week 5 You Decide Little Falls Hospital Risk Manageme June 7, 2013 HSM 542 Health Rights and Responsibilities Professor Julie Dennis Problem In the case of Lydia Bevin and Little Falls Hospital I have been asked by Felicia Larue, the hospital CEO, to give a briefing on the patients situation and alternative actions that could be taken by the hospital to ensure that the rights of the patient are preserved and the risks to the hospital are minimized (University, 2013). Summary and Recommendations Lydia Bevin is receiving support that is sustaining her life and has been receiving this support for over six-months after she was in an automobile accident. Lydia is paralyzed and unable to communicate due to the accident. It has not been confirmed whether Lydia is incapacitated, as she is unable to talk and can only nod her head. The hospital staff is not even sure that Lydia is capable of understanding information that will allow her to make health care decisions for herself. According to the New York Health Care Proxy Law, her husband has the “legal right to make decisions on behalf of his wife, since he is her legal guardian and surrogate decision maker” (New York State, ). Mr Bevin has asked that life sustaining support be withdrawn per his wife’s wishes. Lydia's mother does not support the decision to withdraw active treatment because she believes that Lydia has a chance of recovering. Lydia had prepared an advance directive but at this time the advance directive...
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...You Decide Week 6 Little Falls Hospital Risk Management HSM 542 Health Rights and Responsibilities Purpose A risk management plan is created so as to support Little Falls Hospitals mission and vision statements as it pertains to the clinical risk of the hospital, patients, visitors, volunteers, and employee safety, and any possible operational, business, and property risks. Culture Principles The Patient Safety and Risk Management program will support Little Falls Hospitals philosophy; everyone is responsible for patient safety and risk management. It is essential to have participation and teamwork among providers, management, staff and volunteers. The Patient Safety and Risk Management program will be implemented with the coordination of multiple organizational and department functions and activities. Little Falls Hospital will support the introduction of a just culture with emphasis on evidence based best practices, learning from errors, and providing feedback instead of punishment and blame. In a just culture any unsafe conditions or hazards will be identified quickly, medical or patient care errors will be reported and analysed, open discussions of mistakes and suggestions for improvements are welcome with patient safety and risk management practices. Individuals will still be held accountable for compliance. When evaluation and investigation into errors reveals there has been reckless behaviour or there has been wilful violation of policies then disciplinary...
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...MORE ADVANCE NOISE FOR QUIET “An intriguing and potentially lifealtering examination of the human psyche that is sure to benefit both introverts and extroverts alike.” —Kirkus Reviews (starred review) “Gentle is powerful … Solitude is socially productive … These important counterintuitive ideas are among the many reasons to take Quiet to a quiet corner and absorb its brilliant, thought-provoking message.” —ROSABETH MOSS KANTER, professor at Harvard Business School, author of Confidence and SuperCorp “An informative, well-researched book on the power of quietness and the 3/929 virtues of having a rich inner life. It dispels the myth that you have to be extroverted to be happy and successful.” —JUDITH ORLOFF, M.D., author of Emotional Freedom “In this engaging and beautifully written book, Susan Cain makes a powerful case for the wisdom of introspection. She also warns us ably about the downside to our culture’s noisiness, including all that it risks drowning out. Above the din, Susan’s own voice remains a compelling presence—thoughtful, generous, calm, and eloquent. Quiet deserves a very large readership.” —CHRISTOPHER LANE, author of Shyness: How Normal Behavior Became a Sickness 4/929 “Susan Cain’s quest to understand introversion, a beautifully wrought journey from the lab bench to the motivational speaker’s hall, offers convincing evidence for valuing substance over style, steak over sizzle, and qualities that are, in America, often derided. This book is brilliant...
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