Examine at least three key points that were made in the presentation. Did these elements make sense? Could they be accepted by the hospital?

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Compliance Presentation

Imagine that you are a hospital’s compliance officer, and you are charged with making a presentation to your hospital’s board of directors regarding the moral right to healthcare. Your presentation should include at least three of the elements learned throughout this course, which could include, but are not limited to: the Code of Ethics, resource allocation, Stark Law, medical malpractice, and cultural competency. For this discussion, begin by creating a PowerPoint presentation that addresses the issue of the moral right to healthcare.  Then, utilize the PowerPoint and create a presentation using a screencast program. Your presentation must include at least five slides (not including a cover slide and reference slide), utilize at least two scholarly sources, and be between 3 and 5 minutes long. Please post your references either on your last slide or within the discussion post. Please also post your link to your screencast as well as your actual PowerPoint presentation in the discussion forum.

Required Response I (Due by Day 5): Imagine that you are one of the board members listening to your compliance officer’s presentation. Respond with a minimum of 150 words to at least two colleagues’ cases in an appropriate matter by addressing the following:

  • Give your overall impression of the presentation. Was it clear and understandable?
  • Examine at least three key points that were made in the presentation.  Did these elements make sense?  Could they be accepted by the hospital?
  • Challenge your colleague regarding his or her presentation by questioning one or more of the key points in the presentation. Your question should not be able to be answered with a yes or no. Use phrases such as, “How can we…” “What do you think the response would be to…” and similar notations.

Required Response II (Due by Day 7): Your classmates will have posted questions to your original post. You are required to respond to their question in a scholarly manner. Use your research to support your response to the comments and question(s) they posed. Your response should be at least 100 words.

You may use Screenr, Jing, Screencast-O-Matic, or any other screencast program, however the use of a screencast program is required.

Using Screenr.com

Review the Screenr Quick-Start Guide and visit the Screenr.com website to get started.  You may view the Screenr demonstration video or contact Screenr Help directly for assistance using the software program.  If you find using Screenr to be difficult, you may elect to use a different screencast program.  Jing and Screencast-O-Matic are other good screencast resources that are free.  You may also search on your own to locate a program of your choice.  The use of a screencast program is required.

Examine the differences and similarities between the AMA’s Code of Medical Ethics requirements and the code requirements of the three hospitals that you researched.

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Review the three scenarios below. Choose one of them and address the questions asked within your selected scenario in the form of a written analysis.

Scenario No. 1: HIPAA Privacy Rule

Case Study: Imagine that you are the privacy officer for a small town hospital. You receive a report that there is a breach of privacy. You are informed that a 15-year-old girl is received at the emergency with an emergency labor. The baby is delivered in the emergency room as there is no time to move the patient to the obstetrics (OB) department. In addition to the emergency delivery, the baby is born with multiple medical problems. Once the mother and baby are moved to obstetrics and neonate, care is given to both.

The OB nurse who took care of the mother and baby completes her shift, and she goes home to her own daughter to have a talk with her. She sits her daughter down and pleads with the girl to tell her if she ever has any problems, especially when it comes to pregnancy. The nurse tells her daughter the story about the young patient who delivered that evening, and she accidentally mentions the patient’s name. The patient’s name is one of those odd names that immediately triggers the nurse’s daughter to relay that she knows the patient. The mother/nurse, realizing that she made a big mistake by mentioning the patient’s name, pleads with her daughter not to say anything. Needless to say, word shoots through the four high schools in the town the next day.

The nurse returns to work the following evening, and she contacts you to hand in her badge and keys, stating that she knows she made a mistake by breaching the young patient’s privacy and she knows she is going to be fired. In addition to the breach of the obstetrics nurse, you learn that the patient hid her pregnancy from her family, and to make matters worse, her aunt and mother are both nurses at the hospital. You know both of these nurses on a professional and personal level.

Scenario No. 1 HIPAA Privacy Rule Project Assignment:

Research the HIPAA Privacy Rule here:

U.S. Department of Health and Human Services. (2002). Standards for privacy of individually identifiable health information; Final Rule. Federal Register, 67(157), 53182-53273. Retrieved fromhttp://www.hhs.gov/ocr/privacy/hipaa/administrative/privacyrule/privrulepd.pdf.

Then, perform additional research regarding the HIPAA Privacy Rule and prepare your Final Paper by analyzing the issues through these questions in regards to the above scenario:

  1. Analyze the specific requirements needed to perform this investigation.
  2. Identify whether this incident was an actual breach of privacy according to the HIPAA law.
  3. Examine the differences and similarities between the hospital’s stance and HIPAA as to whether the nurse should be fired from her job.
  4. Explain why you would fire or not fire the nurse immediately or whether you would put her on administrative leave awaiting the details of the investigation.

Scenario No. 2: DNR

Project Assignment: Review your State Government’s website and search for its official Do Not Resuscitate (DNR) Form. Along with the form will be information and instructions regarding the form. In addition, research three area hospitals to determine if they provide separate DNR forms. Then, perform additional research regarding DNR and prepare your Final Paper by analyzing the issues through these steps:

  1. Analyze the requirements of your State Government’s DNR.
  2. Identify the requirements of the three hospital’s DNRs.
  3. Examine the differences and similarities between the state’s and the three hospital’s DNR requirements, and address the following questions:
    • What are they?
    • Which one should you follow?
  4. Explain how a DNR is applied if a patient is under hospice care and EMTs are called.

Scenario No. 3: Institutional Code of Ethics

Project Assignment: Codes of ethics are standards that outline how individuals or groups of people are to act. The healthcare/medical community has its own code of ethics, which is outlined in the American Medical Association’s Code of Medical Ethics. Review the following:

  1. AMA’s Code of Medical Ethics here:American Medical Association. (2013).  AMA’s code of medical ethics. Retrieved from http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics.page.
  2. Three local or regional hospitals’ codes of ethics.
  3. Various scholarly research on healthcare codes of ethics  (at least seven additional sources).

Then, prepare your Final Paper by analyzing the issues through these steps:

  1. Analyze the specific requirements of a code of ethics.
  2. Identify three critical elements of the AMA’s code that you believe are most important.
  3. Examine the differences and similarities between the AMA’s Code of Medical Ethics requirements and the code requirements of the three hospitals that you researched.
  4. Explain why certain individuals and/or groups (please name these) should follow a hospital’s code of ethics.

Writing the Final Paper

The Final Paper:

  1. Must be eight to ten double-spaced pages in length, excluding title and reference pages, and formatted according to APA style as outlined in the Ashford Writing Center.
  2. Must include a title page with the following:
    1. Title of paper
    2. Student’s name
    3. Course name and number
    4. Instructor’s name
    5. Date submitted
  3. Must begin with an introductory paragraph that has a succinct thesis statement.
  4. Must address the topic of the paper with critical thought.
  5. Must end with a conclusion that reaffirms your thesis.
  6. Must use at least eight scholarly sources (not including the course text) that were published within the last five years, including a minimum of four sources from academic journals found in the Ashford University Library.
  7. Must document all sources in APA style, as outlined in the Ashford Writing Center.

Which theoretical model does the homework assigned by Dr. Smith match?

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Week Five Programmatic Assessment

Scenario

Abby is a 20-year-old female college student. For at least the last 3 months, Abby has experienced ongoing anxiety and worry without a specific cause for these feelings. She has been restless and has noticed that her muscles feel tense and that these symptoms are beginning to affect her behavior in a way that is causing her to become distressed and that is preventing her from being able to complete her normal tasks. Abby correctly believed that it was normal to feel a little anxious sometimes; however, as the semester has progressed, she has not begun to feel significantly more comfortable.

On the recommendation of a friend, Abby visited the university’s counseling center and talked to Dr. Smith. Dr. Smith was warm and welcoming and, after discussing the limits of confidentiality with Abby and obtaining informed consent, encouraged Abby to describe her concerns. Dr. Smith listened attentively and asked Abby a few questions. They both agreed on an appointment date and time for the next week. Dr. Smith gave Abby a homework assignment to keep a written log of the negative thoughts or assumptions she has during the week and the circumstances under which those thoughts occurred. Abby was asked to bring the log with her to her next appointment.

Short-Answer Questions

Answer the following questions based on the scenario above. Answers should be short and concise.

  1. Which DSM-5 disorder matches the symptoms Abby is reporting? Generalized Anxiety Disorder
  1. Which theoretical model does the homework assigned by Dr. Smith match?
  1. If Dr. Smith recommended medications only, which theoretical model would this match?
  1. If Dr. Smith recommended medications in addition to therapy, which theoretical model would this match?
  1. If Dr. Smith completed a free association exercise with Abby, which theoretical model would this match?
  1. If Dr. Smith used unconditional positive regard in the treatment, which theoretical model would this match?
  1. If instead of the symptoms listed in the scenario, Abby reported the following:She had been in a car accident where she feared for her life. She had sleep disturbances including nightmares and became uncomfortable at the thought of driving, to the point that she avoided driving. She now believes she is a horrible driver, although her friends assure her this is not true. If these symptoms have lasted for longer than a month, which DSM-5 disorder label might match her symptoms? PTSD
  2. If instead of the symptoms listed in the scenario, Abby reported the following:Every day for the past 2 weeks she felt down or sad for most of the day, had noticed an increase in her appetite, had been unable to sleep or concentrate, and felt tired. Additionally, this was interfering with her goals and tasks, and she reported that she had never felt manic or hypomanic. Which DSM-5 disorder label might match her symptoms?
  1. If instead of the symptoms listed in the scenario, Abby reported the following:Every day for at least the past week she felt irritable with persistently increased energy and talkativeness, was easily distracted, did not seem to need sleep, and noticed that this behavior was interfering with her job. She reported that she has felt these symptoms before in her past and that she has also felt depressed sometimes. Which DSM-5 disorder label might match her symptoms?
  1. If instead of the symptoms listed in the scenario, Abby reported the following:Throughout her life, she has always been suspicious of others. She reports that she really would like to have good relationships, but even as a child she knew that others, including family members, could not be trusted. She feels that she needs to stay on guard to protect herself. Which DSM-5 disorder label might match her symptoms?
  3. If instead of the symptoms listed in the scenario, Abby reported the following:She began drinking when she was 18 and now needs to drink more or higher concentrations of alcohol to continue to function. She reports that she has lost her part-time job because of her drinking and is in danger of failing out of college. She was hospitalized last weekend due to experiencing delirium tremens during withdrawal, and the doctor explained to her that she could die from this disorder. Abby recognized that her drinking was interfering with her life, and she knew that she did not want to die. Which DSM-5 disorder label might match her symptoms?
  1. If instead of the symptoms listed in the scenario, Abby’s former roommate reported the following:During a significant portion of the past month, Abby had talked to herself out loud and told her roommate that she had heard voices telling her to harm herself. Her roommate reported that Abby had told her that she occasionally stated that she was Joan of Arc and that the school mascot was stalking her. Her roommate asked to change rooms, and now that Abby was living alone, she did not appear to have bathed in more than a week. This was not typical behavior for Abby, as she had been known to be meticulous with her appearance and hygiene. The roommate expressed her concern for Abby and stated that although she had noticed some of these behaviors since she first met Abby more than 6 months ago, the behaviors seem to have increased over the past month. Which DSM-5 disorder label might match her symptoms?
  2. If Abby were 5 years old and, instead of the symptoms listed in the scenario, her symptoms included nightmares, physical complaints, recurrent separation-related fear, and a refusal to leave home, what DSM-5 disorder label might match her symptoms?
  1. If Abby were 67 years old, and instead of the symptoms listed in the scenario, had no major medical issues, had never been diagnosed with a neurocognitive disorder, and her symptoms included a substantial decline in the cognitive functioning areas of memory and attention that interfere with her independence, what DSM-5 disorder label might match her symptoms?
  1. Smith discussed the limits of confidentiality and required Abby to sign an informed consent form before treatment. These are examples of items used to protect the patient’s ______________.

Explain how you will structure your interview and the reasoning behind the structuring of the interview. Include a list of topics you plan to cover

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Interview Guide

Identify and summarize the purpose of the interview. How will the information gathered be used?

The interview was conducted to assess the client seeking help for persistent headaches and sleeping problems. The purpose of the interview is to come up with professional diagnosis to the discomfort facing the patient. The information gathered will be used to make comparisons with file records concerning the malady that the patient might be suffering from for correct diagnosis and counseling.

Explain how you will structure your interview and the reasoning behind the structuring of the interview. Include a list of topics you plan to cover

I will structure my interview by creating an optimum environment that is stress free e.g. a private room for secrecy of conversation.  Then familiarities (introductions) would follow to create the bond. I will allocate adequate time for conversations without unnecessary interruptions. Taking notes as the client gives narration of her ailment for diagnostic references. The topics I plan to cover include: sources of stress to the client, the sleeping patterns, environmental conditions at work or home, genetic problems in the family, means of body exercises and the drugs they are allergic to.

Compose a list of questions you will use to obtain information

Closed questions (Tick where appropriate)

  1. How often do you feel the headache? ( ) Occasionally ( ) Regularly
  2. When do you normally go to bed? ( ) Before 10pm ( ) After 10pm
  • How long do you sleep? ( ) 8hours ( ) Less than 8hours ( ) More than 8hours
  1. What are the environmental conditions at home or work? ( ) Clean ( ) Poor
  2. What is your relationship status? ( ) Single ( ) in a relationship
  3. How often do you exercise? ( ) Regularly ( ) Occasionally ( ) Never
  • Are you allergic to any particular drug? ( ) Yes ( ) No
  • Do you have a family genetic problem? ( ) Yes ( ) No

Open ended questions

  1. How are you feeling right now?
  2. What does your work entail on a normal day?
  • How do you engage in recreational exercises when you are free?
  1. How does your body react to particular drugs?
  2. What is your view about professional counseling?
  3. Describe your home and work environment.
  • Tell me about your diet.
  • How do you consider your relationship?

Develop a minimum of five examples of paraphrasing, summaries or reflection techniques with examples

Paraphrasing techniques:

  1. Henry (1987) ascertains that mosquitoes live in stagnant waters…..
  2. Mario (2009) disputes this feeling with a similar situation caused by tiredness
  • Mary (2003) states that stress can actually lead to headache

Summary techniques

  1. Headache is a major symptom of malaria. This is transmitted by mosquitoes living in stagnant waters.
  2. Human beings require an optimum sleep of 8hours. This relieves the pressure on the brain and makes the heart pump at optimum rate of 72beats/minute
  • Balancing between work and recreation enables the body to metabolize effectively. It will eliminate toxic wastes and improve nervous coordination.

Reflection techniques

  1. (Mirroring) Yes, I understand you. Especially the part you said that the headache is intense.
  2. (Paraphrasing) Speaker: I am feeling a lot of head ache and body pain.

Listener: That must be symptoms of a disease. You are not well.

  • Of course, it is very crucial to seek medical advice if we feel ill

Identify the opening techniques you will use to build rapport with the client

  1. Greetings and appreciate the client for realizing the important need to check on the health status
  2. Reaffirming the names of the clients to inspire them that you have accorded them full attention
  • Putting a smiling face that welcomes the clients as you prepare to commence the interview

Identify examples/types of questions you would want to avoid during the interview

How sure are you that this is malaria and not just a psychological problem?

Suppose you are sick, what is your chance of survival?

How intimate are you with your partner or colleagues?

How do you spend your salary?

References

John, N. (2001). Transparency in problem solving, New York, Vintage publishers.

Marry, B. (1996). Preparations for interviews, California, University of California press

Martin, J. (2009). Life cycle of plasmodium larvae, London, Macmillan publishers