Describe a method for providing both the patient and family with education and explain your rationale

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Case Study 2

Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.

Question

Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following:

• Describe your approach to care.

• Recommend a treatment plan.

• Describe a method for providing both the patient and family with education and explain your rationale.

• Provide a teaching plan (avoid using terminology that the patient and family may not understand).

In a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions.

Create a personal philosophy of leadership. Address what role you believe a health care leader should play, what leadership theory they should follow, and why leaders should follow that theory.

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Resource: “Leadership Style Survey” in Ch. 10 of Organizational Behavior in Health Care (2nd ed.)
Write a 1,050- to 1,400-word analysis that addresses the following:
• Create a personal philosophy of leadership. Address what role you believe a health care leader should play, what leadership theory they should follow, and why leaders should follow that theory.
• Describe your current sphere of influence. Explain how you are a leader in your current position and how you apply the philosophy you described in this capacity.
• Address how you envision the use of informal, formal, positive, and negative power as it applies to your personal philosophy of leadership.
• Complete the “Leadership Style Survey” at the end of Ch. 10 of Organizational Behavior in Health Care (2nd ed.). Discuss your results and how they support your personal philosophy of leadership.

Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:

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Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:
1. Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?
2. Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?
3. According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?
4. According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?

Discuss the above scenario in respect to ethics, cost and cost-effectiveness.

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Assignment
Scenario:
An impoverished 69-year-old man is diagnosed with cancer of the pancreas. There is no hope for cure, but radiation and chemotherapy, which could cost more than $150,000, may extend his life for a few months. If this patient unambiguously requests treatment, his doctors may struggle with the decision but will probably provide the treatment, ignoring the cost as a matter of principle.
On the other hand, a health department — or a hospital — proposes an action that would prevent many cases of some forms of pancreatic cancer. It could be offering free education on the effects of alcohol on the pancreas.
In both instances, health experts must make tough decisions that entail weighing the costs of an action against its benefits in extending human life. Why is the value of extending human life the determining factor in the first example and the cost of the intervention the determining factor in the second? These two scenarios expose tangled issues of ethics, cost, and cost-effectiveness and highlight a troubling structural bias against prevention.
Many people reject any attempt to put a dollar value on human life. From such a perspective, any withholding of potentially life-extending interventions on the basis of their costs is unethical. But within every organization and throughout society, limits on funding make it impossible to pay for every conceivable intervention. That reality forces health leaders to make painful decisions about what to pay for.
In a complete 2-3 pages paper, address the following:
1. Discuss the above scenario in respect to ethics, cost and cost-effectiveness.
2. What should a physician do in this case?
3. If the treatment is refused, how would you go about finding a way to obtain treatment for this man?