The Potential Causes Of Dr. Jones

Authors Note: This paper is being submitted on the 18th of March 2013 for the winter semester of Medical Law and Ethics section 05.

For this week’s discussion I have read the article assigned this week regarding HIPAA violations. I will summarize the case against the physician and what the HIPAA law states. I will also discuss what the penalties are for a HIPAA violation and if this physician could have faced further charges.

Mr. Jones displays several of these mania symptoms in the movie. Once he is released from the psychiatric institution after being incorrectly diagnosed as paranoid schizophrenia, he goes to the bank and withdraws over $12,000 from his account that he just open five days earlier and charms the bank teller, Susan, into joining him for the day. Then Mr. Jones gives a $100 bill to Susan, because she “will need it to

M was taking a look at his leg that was injured but seemed to be healing. All was thought to be well until one office visit the doctor went across the hall to check on another patient who seemed to have an infected leg. The doctor left the door open where confidentiality here was obviously not being taking into consideration for the patient he was seeing as well as others who were able to hear them. Since the door was open, his parents noticed that he did not change his gloves while entering that other room and came back to check on their son with no gloves on. Dr. M was concerned about Jacobs leg and told him to come back the following week while treating it with antibiotics. The following week he comes back only to see that he has developed osteomyelitis. This was the same infection that the other patient developed while under the care of his supervision. Jacobs delay in his recover cost him the opportunity to play football and a college scholarship. Jacobs’s parents then resorted to suing Dr. M because of his negligence and lack of medical

Make an initial speculation about Suzie’s condition at this time. Assuming that your speculation is true, what do you think the doctor will find in the results of Suzie’s physical examination?

According to Wester, Trepal, and Myers (2009, p. 91), “well counselors are more likely to produce well clients.” Thus, the mental, physical, and emotional health of the counselors has the ability to affect their clients. ACA (2005) states that “Counselors act to avoid harming their clients”. Moreover, counselors have an ethical obligation to evaluate, address, and improve their wellness when necessary (Wolf, Thompson, Thompson, & Smith-Adcock, 2014). Research shows that higher organizational stress was associated with lower client participation in the treatment program (Landrum, Knight, & Flynn, 2012). In addition, the working alliance between the counselor and the client is diminished due to high stress and burnout (O’Sullivan, 2012). A counselor who experiences burnout may lack empathy, respect, positive feeling, therapeutic gridlock, and or boundary violations (Wallace, Lee, & Lee, 2010). Therefore, it is vital for counselors to remediate their impairments when they occur. Counselors have to be aware of the signs and symptoms related to their own mental or emotional problems (ACA, 2005). Likewise, counselors should build resiliency against burnout. Resiliency is built by a continuation of healthy decision making (Wester, Trepal, & Myers, 2009). Counselors should seek help or assistance when they observe warning signs of personal impairment, not just for themselves, but for the wellbeing of

In a similar case where a hospital was required to provide a timely peer review hearing before suspending a physician’s medical staff privileges, the results were not in favor of the plaintiff. The Encino Tarzana Regional Medical Center (ETRMC) was allegedly charged with abusing the peer review process. An obstetrician/gynecologist had his medical privileges suspended without prior notice and became involved in a surplus of disputes with the hospital. Under California law, the hospital has the right to suspend a physician’s staff privileges without a hearing if it finds the doctor as a danger to a patient’s health or safety. Dr. Mileikowsky’s reputation has presented a listing of complaints dated back 10 years so they hospital made a decision

At first glance, this case might appear to be ethically sound and the conduct of Dr. Fox was that of a normal Western doctor. However, upon further analysis a large number of issues arise. The debate over whether to inform

The meeting began with the chairman recounting the claims against the psychologist, the rules for identifying the complainant, and that the focus of this meeting was to determine if the potential that legal or ethical violations had occurred. All board members were in possession of copies of the information that was available at the time. The complainant was referred to by the initials R. G. for the purpose of maintaining confidentiality during the open meeting. All R. G.’s interactions were conducted by conference call with the board members.

If additional clinical data are supportive of the MCMI-III's hypotheses, it is likely that Mr. Jones’ difficulties can be handled with Cognitive Behavioral Therapy, a current comprehensive medical examination, and career counseling. As previously mentioned, Mr. Jones appears to be motivated to attend therapy, and it is likely that he will respond well to treatment. However, it is important to note that Mr. Jones reports his past therapy to be ineffective, so it is likely that he will present to future therapy with some resistance to building rapport with the therapist and therapeutic suggestions the therapist provides despite being willing to change. In addition, Mr. Jones appears to show interest in others but fears rejection, therefore his

Working as a therapist can be exhausting, but yet, rewarding at the same time. As a therapist we deal with daily encounters of other people’s lives, issues, problems etc. Taking multiple cases of providing therapeutic interventions has an effect on the human body and the psyche. The wear and tear over time begins to haunt us without recognizing how neglectful we can be towards ourselves because our focus is for the sake of other people’s sanity. The profession is hard, and can be detrimental to professionals who do not take care of themselves. Self-care is an important aspect when working as a therapist. Our health, mental health, spiritual values, etc. should matter just as the client’s health, mental health and spiritual values matters

To begin, the first intervention will focus on reducing the burn out and absenteeism, employing three different interventions. The first intervention is to hire more staff, including per diem and part time employees, to reduce the caseload of the existing clinicians. This will be measured by increasing staff by 20 percent. A second intervention, to address burnout, is to increase supervision, as measured by reducing the ratio of supervisee’s to supervisors to three to one. The third intervention is to create staff process groups, where counselors can discuss concerns, general information, and even their cases. With the creation of this group, CII will have greater transparency and communication among staff and Dr. Wachtel. It is clear that the influx of clients has caused strain on the staff as they are taking on many more cases and are becoming overwhelmed. The purpose of these interventions is to increase support for the staff in a variety of ways so that everyone is able to provide quality services.

Everyone in Dr. Jones class hates doing their homework. This is a type of consensus because most people feel that way. Jackie hates all horror movies unless it deals with a monster, then she really likes them. Jackie is showing distinctiveness because she likes the movie depending on what it is. No matter how many times Tommy goes through a hunt house, he always gets scared. Tommy’s behavior is consistent regarding haunted houses because he always acts the same.

I agree with you Kimberly, that Dr. Douglas was angry throughout the entire letter and he had every right to feel that way. Smallpox killed many men, women and children, leaving people afraid because they did not know how to cure it once contracted. For people to use smallpox for the own personal or selfish gain or evilness is unethical. Dr. Douglas had the strength to speak out against inoculating people smallpox. Physicians are supposed to help people, not hinder them, but some physicians will abuse their authority because they feel that they can.

Licensed professional counselors have a unique occupation in that not only do they interact with their clients on a highly personal level, but they also momentarily share their client’s burdens, worries, and concerns. This vicarious aspect of counseling creates the possibility for a counselor to continue sharing the client’s troubles long after the session has ended. According to Norcross and Guy (2007), “The person of the psychotherapist is inextricably intertwined with treatment success” (p. 2) meaning that if we desire more positive outcomes than negative ones we must figuratively become one with our clients. Due to this fact, “self-care is not simply a personal matter but also an ethical necessity, a moral imperative” (p. 6). If we fail to leave work at work at the day’s end, then other facets of our lives are in jeopardy of becoming tainted.