A case of acute abdomen in a non-splenectomised patient with hereditary spherocytosis

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Write an essay titled: A case of acute abdomen in a non-splenectomised patient with hereditary spherocytosis

You are required to construct a fictitious case study of a patient presenting with acute abdominal symptoms and a markedly elevated plasma lipase level. The patient has a history of hereditary spherocytosis and has not been splenectomised.
You will need to consider the most likely cause of the acute abdominal pain and elevated plasma lipase level in a patient with this medical history. 
Word limit approximately 1500 words

Requirements: 

• Abstract
• Clinical presentation including presenting symptoms, past medical history and relevant current pathology results which include a markedly elevated plasma lipase level.
• Treatment and disease progression and clinical outcome.
• Discussion including a brief overview of the pathogenesis of hereditary spherocytosis and a clear explanation of the link between HS, the current pathology results and the patient’s current acute abdominal symptoms.
• Conclusion and recommendations, summing up the case with a recommendation of how the risk of developing this critical medical condition may be minimised in patients with hereditary spherocytosis.

Describe the Value Stream in words and a block (process) diagram. Observe and discuss how each of the process element helps or impedes flow (for example, is it a batching operation?).

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For this assignment you must go to a business, workplace or process of your choosing (pick the next place you are going). This can be a business for food service (restaurant); manufacturing; medical care (medical office); retail (Walmart, Whole Foods, Best Buy, Lowes, etc.) or other. Observe a Value Stream (pick one if there is more than one) and how it flows. Take some notes and maybe some pictures.

Describe the Value Stream in words and a block (process) diagram. Observe and discuss how each of the process element helps or impedes flow (for example, is it a batching operation?). How well does the Value Stream flow and can you suggest some improvements (you do not be detailed in how to solve problems but you certainly can make some insightful suggestions)? Make sure to apply the academic principles and concepts from Chapter 3 on Flow.

Post your completed assignment into this section. If your work is copied then you, and the other person(s) will receive 0 credit for the assignment. These assignments are not difficult and the thinking process required to answer these questions will help you to understand this material.

Remember, these assignments are intended to improve your understanding of the key concepts in the course. You have one homework assignment each week for this Graduate-level course and I would expect some complete and thoughtful discussion, not quick and superficial.

How do ideas about individualism and collectivism impact on this case?

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A3 Description – 1,500 words 
Case : A Shot in the Arm?

The Federal Government recently introduced the following measures regarding vaccination of children:
From 1 January 2016, families with children who are not immunised (and do not have an approved exemption) will not receive the FTB Part A end of year supplement and child care subsidies (subject to the passage of legislation). 
Vaccine objection will no longer be an exemption category. Families with children that do not have a medical exemption (medical contraindication or natural immunity certified by an immunisation provider) will not receive CCB, CCR, and the FTB Part A end of year supplement for that child (except for children under 12 months for the FTB Part A supplement).
Is it justifiable to impose financial penalties on people who are ‘conscientious objectors’?

You will analyse this case study from two ethical frameworks studied this semester and discuss how each position offers a way of understanding the issue and of responding to it. 
Ethical frameworks include = 
Consequentialism = Act consequentialism 
Nonconsequentialism 
Freedom
Absolutism 
Relativism 
Determinism 

In your introduction briefly identify which case study you are using. 
Introduce the two frameworks you are using to analyse the case study and briefly describe them.
In the body of your paper you will be required to apply them to the case study. 
This means critically analyzing how aspects of the case study might be understood from the two different theoretical frameworks you have chosen. 
Your conclusion should address the implications of these two positions for the case study, the people involved and the broader community.

1,500 words 
Must use at least 5 academic references. 
May use other references than those listed. 
Harvard Style of referencing = http://library.uws.edu.au/uws_library/sites/default/files/pdf/cite_Harvard.pdf

Specific questions to think about
What is the impact of freedom of choice?
How do ideas about individualism and collectivism impact on this case?
Is a particular view of vaccination relevant?
Make a note of any questions that arise in your tutorial discussions

Additional readings and resources
Federal Government policy:
https://www.dss.gov.au/our-responsibilities/families-and-children/benefits-payments/strengthening-immunisation-for-young-children 

Government health data on immunisation:
http://www.health.gov.au/internet/immunise/publishing.nsf/content/uci-myths-guideprov 
Australian Vaccination Skeptics: *
http://avn.org.au/ 
*N.B. This website is included as a representation of different sides in the vaccination debate – it is not intended to promote an anti-vaccination position. In terms of evidence it is the equivalent of including a position opposed to the idea of human influenced climate change. This statement is not intended to discredit people’s rights to particular views on vaccination. The case is about the policy action of the government, not the preferred view on vaccination.
Thiroux, J. P. and Krasemann, K.W. (2012) Ethics Theory and Practice 11th Ed
London, England: Pearson International Edition. (chapter 12)

One of the residents has woken up and is heading toward the kitchen next to the lockers. He recognises David who grabs him by the throat and says, ‘don’t you ever tell anyone I was here Ok?

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Criminal Law

Please read the following facts:
Anna and David are employed to care for residents of a shared support facility for persons with intellectual disabilities. As part of their responsibilities, Anna and David take residents on outside activities. One day, when they have been allocated caring for Brendan for the day, Anna and David take Brendan to a local soccer game. David is also the field referee, which means that Anna is Brendan’s sole carer for the duration of the game. At the start of the game, Brendan needs to visit the men’s toilet. Anna takes Brendan to the men’s changing rooms and waits outside. While Brendan was inside the changing room, he is thirsty and decides to drink from a water bottle standing next to the bag of one of the players. The bottle, however, contains a cleaning fluid used for equipment and is highly poisonous. There is a handwritten label on the bottle with a skull and cross bones and the word ‘POISONOUS’ written on it but Brendan is unable to read. It is immediately apparent that Brendan is not feeling well when he emerges from the changing rooms. When Anna asks him what was wrong, Brendan says he has pains in his stomach after he drank something ‘yukky’ in the changing rooms.
Anna presumes that Brendan has a gastric condition and gives him water to drink, saying that they will go to a doctor once the game is over if Brendan still feels sick. Anna does not ask Brendan what he has had to drink. Brendan’s condition worsens and 30 minutes later, Anna consults David at half time. David suggests that they see the club doctor, who is watching the game. There is a large crowd at the game, and it takes Anna at least 15 minutes to find the doctor. The doctor sends someone to retrieve the bottle Brendan drank from in the changing room, takes one look at the label and then calls an ambulance. Brendan begins to suffer from seizures while they wait for the ambulance and dies shortly after arrival at hospital. A medical examination reveals that Brendan would have survived if he had received medical treatment shortly after consuming the poison.
Anna and David have been suspended with no pay from their jobs at the shared support facility while there is an internal investigation into Brendan’s death. As this may take a while, they are told they can come and collect their belongings at any time. David has heavy mortgage payments and needs money. He knows that a large amount of cash is held at the care facility in a safe in the manager’s office to pay for the day-to-day needs of the residents.
One night, David uses his key to enter through the back door while everyone is sleeping. The manager’s door is locked and his key does not fit. He removes a ceiling panel in the hallway outside and uses a chair to hoist himself into the ceiling space. When he judges himself to be just above the office, he removes another ceiling panel and jumps down onto the manager’s desk. He knows the combination of the safe and opening it, he removes all the cash. He also takes a ladies’ handbag, and places it on the desk intending to see if there was any money inside. He starts to open it when his attention is diverted by papers in a nearby rubbish bin with his name attached.
These are draft recommendations resulting from the inquiry and are marked ‘confidential’. David decides to read these at home so he removes the papers and closes the safe. Forgetting the bag on the desk, he leaves the room the same way, replacing the panels and walks down the hall to his locker where he collects his personal belongings. One of the residents has woken up and is heading toward the kitchen next to the lockers. He recognises David who grabs him by the throat and says, ‘don’t you ever tell anyone I was here Ok? I’ll fix you up if you do.’ He then orders the resident to give him all the money that he has in his bedroom. David then leaves the building.

You are required to write a response to this scenario using any relevant cases and legislation advising Anna and David as to their respective criminal liability for any offences.