HCA 415 Assignment Neurofibromatosis

HCA 415 Assignment Neurofibromatosis

HCA 415 Assignment Neurofibromatosis

 

HCA 415 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.

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: HCA 415 Assignment Neurofibromatosis

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

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.