HCA 322 Week 1 DQ 1 Ethical Concerns and Considerations

HCA 322 Week 1 DQ 1 Ethical Concerns and Considerations

Ethical Concerns and Considerations. On Day 1 of this course, your instructor will assign you to one of the three options listed below. For your initial post, address the discussion questions associated with option you were assigned. For your responses, select two classmates who were assigned different options than you. Respond to at least two classmates using the required response prompt for their option (e.g., if your initial post was Option 1, then respond to posts from Option 2 and 3 or if your initial post was Option 2, then respond to posts from Option 1 and 3). Your initial post should be at least 250 words; your response post should be at least 100 words.

• •   Review each of the six IRB case studies from Yale University.

• •   Select one case and describe it in your discussion post. Indicate in your post which case number you are 
using.

• •   Discuss why you believe the determination was made and whether you believe it was the right or wrong 
decision.

• •   Support your view with at least two scholarly sources from the Ashford University Library. Your initial
response should be at least 250 words.

Required Response to Option 1: In a substantive post, explain why you agree or disagree with your colleague’s discussion as to whether the determination was right or wrong. Provide additional supportive evidence as to your agreement or disagreement. Your responses should be at least 100 words.


John, a 32 year-old lawyer, had worried for several years about developing Huntington’s chorea, a neurological disorder that appears in a person’s 30s or 40s, bringing rapid uncontrollable twitching and contractions and progressive, irreversible dementia. It leads to death in about 10 years. John’s mother died from this disease. Huntington’s is autosomal dominant and afflicts 50% of an affected parent’s offspring. John had indicated too many people that he would prefer to die rather than to live and die as his mother had. He was anxious, drank heavily, and had intermittent depression, for which he saw a psychiatrist. Nevertheless, he was still a productive lawyer. John first noticed facial twitching three months ago and two neurologists independently confirmed a diagnosis of Huntington’s. He explained his situation to his psychiatrist and requested help committing suicide.

When the psychiatrist refused, John reassured him that he did not plan to attempt suicide any time soon. However, when he went home, John pinned a note to his shirt to explain his actions and to refuse any medical assistance that might be offered, then, ingested all of his antidepressant medication. His wife, who did not yet know about his diagnosis, found him unconscious and rushed him to the emergency room without removing the note.

• •   What should the care team at the emergency room do?

• •   Discuss this question using the following topics and analyzing how these issues are applied to the
decision made by the emergency room care team. Use at least two scholarly sources to support your
discussion. Your initial post should be a minimum of 250 words.

• •   Review of the topics within this case: 
− Medical Indications: There are two diagnoses/prognoses that merit consideration. The underlying chronic disease of Huntington’s has no available treatment and a bleak long term prognosis. However, there are effective treatments available for the acute diagnosis of drug overdose.

o How does the chronic diagnosis affect the team’s response to the acute condition? − Patient Preferences: We know from the patient’s suicide note that he is refusing all medical

treatment. However, what do we know about these statements of preference? o Weretheyinformed?
oWasthepatientcompetenttomakethatdecision?

The answers to these questions remain unclear, but we do know that the patient does not have decision making capacity for the present decision of whether to proceed with the gastric emptying.

o Isthereasurrogatedecision-makeravailable?
− Quality of Life: Life with Huntington’s can be difficult with the onset of spasms and dementia.

John was familiar with the quality of life associated with living with Huntington’s as he watched his mother die of this disease. On the other hand, John does have a supportive family and continues to be able to work for the time being.

o Howshouldthediminishedqualityoflifethatisanticipatedinthefutureaffectthe current decision?

− Contextual Features: Several factors in the context of this case are significant. While the patient has a legal right to refuse treatment, he is currently unconscious and his surrogate (his wife) is requesting treatment. There are also certain emergency room obligations to treat emergent conditions.

o How should the emergency staff weigh the various competing legal and regulatory duties?

Required Response to Option 2: Review your classmates’ discussion of the issues that were applied to the decision making process. Explain whether you agree or disagree with all of the ethical considerations they provided, and provide additional notations on the potential positive and negative outcome(s) based on that decision. Your responses should be at least 100 words.


Find five hospital or health care organization’s mission, vision and value statements. Discuss the ethical concerns and considerations that were or were not included in these statements. Explain what elements should have been included or excluded. Use at least two scholarly sources to support your explanation. Your original post must be a minimum of 250 words.

Required Response to Option 3: Review the mission, vision and value statements of your classmate’s selected health care organization. Explain whether you agree or disagree with their assessment of the ethical concerns and considerations that were included and/or excluded from the statements. Rewrite one of these statements to better reflect ethical considerations. Your responses should be at least 100 words.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires alot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you sahould get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

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I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class.

Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

HCA 322 Week 1

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource