Assignment 2: Medical Case Study

The acquisition and post-acquisition period for Mt. Mercy Hospital/Sister Mary Theresa’s purchase of Abbott Hospital experienced several organizational change issues. Within Dr. Belasen’s corporate communications model “CVFCC,” several quadrants became compromised. During the acquisition period, conflict arose within the realm of Investor Relations and Government Relations. Conflict continued to arise after the acquisition – specifically within the quadrant of Employee Relations.

How would Ed’s blood help protect him from a foreign invader such as the one now in his system?

Just following up on our discussion on Friday regarding Which agencies should be memo billed VS direct billed in FY 15-16. One of the action items from that meeting was you will confirm with DOB that all funds identified for FY 15-16 for ITS was already received. Please let me know the status, so I can schedule a follow up meeting to finalize this

Case Scenario 1: It has become necessary to ration a vaccine for a contagious disease. There is only enough vaccine available to cover 75% of the U.S. population. It is necessary to determine an appropriate method for doing this. Analyze this case by applying each of the theories of Utilitarianism, Rights-based, Justice-based and Virtue-based ethics as discussed in Module 2. (20 points)

On Tuesday 06/27/2017, veteran Mr. Saenz walked very angrily in my office with his wife about 11:00 AM. I greeted them and offered to sit down; Mr. Saenz and Mrs. Saenz were very upset and asked me where they need to go as they have VA examination, they both said “nobody tells them anything; they have been sitting in waiting room”. They told me that the lady on the desk told them to come to me.

• Pre-Registration - When the Patient either comes into the office or calls over the phone for the inital appoitment. If they are new Patients you will need all their insurance information prior to appoitment to confirm they infact take that insurance, co-pays, and active insurance. You then will need to know what the patient is being seen for.

On 7/27/2015, HOH and client attended to ILP meeting with their daughter Emily. Child was observed well dressed for the weather. Client explaining to cm that her floating hospital was cancel and she doesn’t know the reason.

SC completed monitoring phone call with Pa on 10/30/2015. Pa reported that she is doing well. PA reported that she is receiving services as outlined in the ISP. She remains satisfied with services and feels that they meet her current needs. No fall, hospitalizations, change in health status or medications reported by Pa. Pa reports that she is doing physical therapy evaluation and therapy at Nova Care at 2301 Broad St for: knee, neck, upper thigh, lower back joint pain, muscle weakness, and problems with balance and gait. Pa has follow up appointment with Rheumatologist and Optometrist for evaluation and treatment of vision problems. Pa last visit with PCP was on 10/29/2015. Pa reported that her electricity and gas company was scheduled to be discontented due

As seen in this case study, TM was listed as a full code and no GOC conversation was had between the physicians and the patient until the day of his discharge to home. This led to an unnecessary swallowing study in which the patient needed to be uncomfortably scoped. Due to the lack of GOC conversation the patient also chose to go home with general nursing services instead of end-of-life (EOL) hospice support. In the inpatient medical oncology floors of a large teaching hospital like this one, most patients are covered by rotating interns and residents that are not comfortable having GOC conversations with patients and leave it up to the primary physician to come and discuss.

A bill can be a public problem, a special interest group need, or important idea that impacts the masses of people or a group of people. Bills can only be submitted by a member of congress (or of a state legislature). The written proposed bill goes in a box beside the clerk’s desk inside Congress chambers. This box is known as “hopper”. (Ridenour, N. 2016). The bill goes to the appropriate committee that has authority over that area. In the case of bill 6224, it is the House Committee on Energy and Commerce committee. If the bill is picked up by committee then the congress must go out and lobby for bill. Nurses can support the bill and even testify at bill hearings to the committee members in support of the bill. While in committee,

Al has been diagnosed with a mild to profound sensorineural hearing loss. As a result, he is seriously limited in functioning in the area of Communication.

The Veterans Administration Medical Center (VA) hospital system has been in the national headlines for many years. This has generally not been in a positive way. Many issues have tarnished the reputation of the VA system including, in the distant past questions on sterilization issues reportedly resulting in veterans contracting Hepatitis C from a colonoscope (Tasker, 2011), to more current issues with access and timeliness of care for veterans ("Memo shows VA gaming appointments system to hide wait times", 2014; "Nearly 100 patients died waiting for care from los angeles VA", 2017). Our local Veterans Administration Medical Center is no different and has recently been in the spotlight for

1. Prepare a brief situational analysis of LMF for Dr. Townsend, identifying at least 3 internal issues and 3 external issue/competitive issues that are affecting LMF.

Subject line: Describe what went right and what went wrong with this venture. Add in how you would fix the identified problems, if this was your company.

Mrs. J. arrives at the emergency department with her 6 year old son, PJ, who has a history of Cystic Fibrosis (CF). He is febrile (101.7° F orally), BP 98/66, HR 122, RR 32 with the use of accessory muscles. Mother states PJ has, for the last five days, exhibited signs and symptoms of upper respiratory infection, runny nose, low grade fever, cough, and fatigue. He has lost 2 pounds over the past 5 days due to anorexia though he has not had vomiting. He weighs 36 pounds and height is 3’2”. Today, PJ became more lethargic and his fever was difficult to control with pyretics.