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Medical Geriatric Case Study, 2006. This paper is a medical case of a 66 year old male, referred for home care evaluation due to poly-pharmacy and multiple medical conditions with poor control. 3,965 words (approx. 15.9 pages), 5 sources, APA, $ 107.95 »
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Abstract This paper indicates that the patient's past medical history includes poorly controlled type 2 diabetes and hypertension and significant obesity; however, at the home visit, he was in no apparent distress. The author points out that the Calgary Family Assessment Model (CFAM) is a method of providing a thorough family assessment in a healthcare setting, utilizing three major categories: 1) The structural dimension of family life, 2) the developmental dimension of the family life and 3) the functional dimension of the family life. The paper concludes that, on the surface, it would seem that all the pathology in this family lies solely in the range of the patient's medical problems; however, the Calgary Assessment Model indicates that many of the issues surrounding his poor diabetic control, weight gain and high blood pressure were related to family dynamics and lack of education surrounding disease state and disease management.
Table of Contents
Presenting Problem
Past Medical History
Past Surgical History
Review of Systems
Current Medications
Social History
Objective Data
HEENT
CV
Neuro
GU/Rectal
Mental Status Exam
Assessment
Plan
Calgary Family Assessment Model (CFAM)
Calgary Family Intervention Model
Problem List and Discussion
Relative Lack of Knowledge of Diabetes
Relative Lack of Knowledge of Hypertension
Relative Social Isolation
Critique of the Calgary Assessment Model
From the Paper "Home visit was accomplished on 2 April 2005. The visit was accomplished in the midmorning and present at the visit were the patient, Mr. Schelley, his wife of 40 years, Mrs. Annette Schelley, and their 38 year old son, Thomas, who lives in the household with Mr. and Mrs. Schelley. The family lives in a 1200 square foot ranch house in a middle class neighborhood. It is a two bedroom, one bathroom house purchased by the Schelley's five years ago when Mr. Schelley took early retirement from a local manufacturing plant. Thomas returned home about a year ago after separating from his wife. He is currently unemployed and living in the extra bedroom. His presence in the house is a source of significant stress and the cause of many arguments between Mr. and Mrs. Schelley. This write-up was done from information obtained over the course of two home visits.."
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Systems Development Case Study: the Case of PepsiCo, 2005. A case study looking at PepsiCo's implementation of a new procurement tracking and data-keeping system. 900 words (approx. 3.6 pages), 1 source, $ 35.95 »
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Abstract The paper looks at PepsiCo's recent decision to implement a new procurement tracking and data-keeping system for its international operations. It paper examines the objective that drove the change, the factors at play which made it desirable, the main participants in the new design, and the systems development cycle approach which would have worked best had it been implemented at the start of the entire process.
Finally, the paper looks at the problems and opportunities that would have been considered by the student if he had been in charge of the design and implementation of the new procurement system.
From the Paper "The following paper will briefly review five questions which invariably arise when assessing why a particular systems arrangement is adopted by an organization. Specifically, the paper will look at PepsiCo's objectives for any Purchase to Pay system modification it undertakes, what factors were present to motivate the company to implement the project, who were the main participants PepsiCo had to involve so as to develop the corporation's revamped Purchase to Pay system, which systems development cycle approach would have been best for the PepsiCo project and, not least of all, what problems and opportunities should have been considered in conducting the initial systems investigation? This is a fairly complex topic, but the underlying truth it reveals are not especially complex at all; to wit, the case study of PepsiCo underscores how important it is to examine every option and scenario before making detailed changes.."
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Medical Ethics, 2004. This paper discusses, by assailing deontological ethics and virtue ethics and defending utilitarianism, a medical ethics case in which the medical professionals must decide whether or not to perform gender-altering surgery. 2,485 words (approx. 9.9 pages), 8 sources, APA, $ 75.95 »
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Abstract The paper explains that utilitarianism states that the morality of a surgical gender assignment can be derived as an outcome that would be considered either good or bad; the overall morality of the philosophy and procedure would then be determined based on the positive or negative outcome. The author points out that medical ethics does not fall under deontological ethics because the philosophy states that there are absolute right and wrong answers for every case. The paper relates that, in a situation like surgical procedures, the solution to any problem must be derived on a case-by-case basis and, therefore, cannot have one universal truth; doctors do not have the freedom to decide the future of the newborns without statistical proof that their decision will benefit the child.
From the Paper "In this scenario, the surgery for many years was considered as a good alternative to going thorough life deformed. In the case study, it was uncovered that the twin John/Joan, as she aged, was not at all happy with her situation after it was documented in medical journals as a highly successful pro-surgery example. The results of the case study for the twin John/Joan was completely wrong and could even be considered a serious act of malpractice. The twin?s brother even said that his medically altered sister was very manly throughout her early years and even suggested that she always wanted to be a garbage man. ?At the age of six or seven, Joan told her brother she wanted to be a garbage man: "Easy job, good pay."? Since the twin John/Joan?s case was the basis for surgery in the majority of cases, it also should be the basis to not perform the surgery from this point forward. The utilitarianism moral issue now says the medical community should not perform the surgery in the bulk of the cases and it is also morally wrong to withhold the fact that the surgery was performed."
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Medical Microbiology, 2006. A summary of several medical microbiology case studies. 5,750 words (approx. 23.0 pages), 1 source, APA, $ 135.95 »
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Abstract This paper presents and summarizes nineteen medical microbiology case studies. For each case, the paper gives the following data: patient profile, chief complaint, signs/symptoms, tests, diagnosis, treatment and remarks.
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Medical Ethics, 2006. A case study of a medical ethics dilemma and how a physician might respond to such a dilemma. 771 words (approx. 3.1 pages), 3 sources, APA, $ 27.95 »
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Abstract This paper illustrates a medical ethics dilemma by examining a case study of a women suffering from both Alzheimer's disease and diabetes. The paper describes the medical situation of the woman as well as her family's and doctor's opposing responses to the medical situation, which are creating the ethical dilemma. In addition, the it discusses some of the possible approaches that can be taken towards resolving the dilemma, but also points out that there is no solid resolution for this particular dilemma.
From the Paper "In essence, what is one to do in such a situation? Although the physician, being a highly-trained medical specialist/surgeon, fully realizes that Ms. Alexander will die from the gangrene infection in her feet if the amputation is not performed, the question is whether he is bound by ethical considerations to yield to the wishes of his patient and her family members or use his better judgment as a physician and perform the operation without their consent."
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Medical Ethics, 2005. A medical ethics case study using Faith Community Hospital as an example. 2,250 words (approx. 9.0 pages), 0 sources, APA, $ 79.95 »
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Abstract This paper presents a case study in medical ethics. The paper deals with patient rights and the role of the health care provider in finding a middle ground between patients rights, legal duties and the ethics of the health care provider.
From the Paper "Faith Community Hospital is facing a group of questions or problems dealing with religious freedom on one hand and medical ethics on the other. Faith Community Hospital (FCH) is facing a crisis of conscience and the hospital administration must formulate a policy and business model to address the ethical issues that health care professionals face on a daily basis. The hospital's administrator recognizes that allowing staff, medical personnel and patients to set policies for the hospital is inappropriate and can have unexpected and serious repercussions..."
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Medical Ethics, 2007. A presentation of a medical case study involving an ethical dilemma and the options for action. 1,394 words (approx. 5.6 pages), 2 sources, MLA, $ 46.95 »
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Abstract This paper presents a case study of a woman who is in premature labor and whose husband is refusing to consent to a c-section. The paper presents the facts of the case and then discusses the ethical dilemmas and considerations that need to be taken into account. It concludes by discussing the possible options for action in this case.
Table of Contents:
Gather Relevant Information
Identify the Practical Problem
Ethical Issues and Questions
Ethical Principles
Analysis and Justification
Options for Action
Select Action
From the Paper "4. Given the nature of the issues involved and the need for the informed consent of the patient and of her husband, if this can be achieved. A way to accomplish this is to bring in an outside Chinese speaker to translate for the woman, by-passing the husband, who might be telling her something different than the doctors are telling her or who might be mistranslating what she says so as to impose his point of view. The various ethical issues still pertain, but at least it is the woman who is making the decision for herself and not the husband. The custom in China may be different, but the actual right rests with the individual and not with a substitute unless the patient says so."
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Community Health Medical Centre, 2005. A case study analyzing issues within a community health medical center. 2,925 words (approx. 11.7 pages), 9 sources, $ 115.95 »
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Abstract This case analyzes a community health medical center with statistics and information based in 1995. A detailed analysis of the case highlights three central issues: recruitment of qualified physicians, the need to reach out into the community and the potential expansion into additional facilities. The paper proposes a central solution set that incorporates all of these issues and a new electronic medical records network.
From the Paper "Executive Summary Based on the mission statement: "To promote a healthier future for our community by consistently providing excellent accessible health care with pride, compassion, and respect" (Ginter, Swayne & Duncan, 2002) this document will provide a strategic plan to address the various issues currently facing C. W. Williams Health Center. C. W. Williams is facing numerous issues. The primary issues synthesized from the data as presented include: staff recruitment, expansion opportunities and strategic alliances. This case study presents an analysis based on these three central issues. It is this writer's belief that several unique solutions all aimed at effectively combining the concepts behind strategic alliances and satellite locations can combine to achieve the goals and objectives identified for C. W. Williams. All solutions presented are also consistent with identified conceptual goals cited in literature for managed care, alliance formation, strategic partnerships, community health programs, etc."
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Medical Malpractice from a Legal Perspective, 2006. A discussion of the basic legal issues involved in medical malpractice. 2,831 words (approx. 11.3 pages), 8 sources, MLA, $ 84.95 »
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Abstract This paper explains that medical malpractice only falls within the realms of negligence that occurs in the context of medical or health care, even though the basic legal issues involved in medical malpractice coincide with the legal elements that encompass common negligence. The paper further explains that there are four basic factors comprising medical malpractice that mirror those which define common negligence, but that there are additional requirements involved that expressly apply to negligence in a medical context. The paper then points out that, as a result of these additional requirements, medical malpractice cases also present many unique, complex and confusing issues that are exclusive to the medical profession. Next the paper elucidates on the issues, concluding that ultimately everything boils down to the question of which is more important;the rights of patients to expect quality treatment, or the obligation of physicians to provide it.
From the Paper "Medical malpractice is commonly defined as negligence on the part of a physician, hospital or other health care professional that results in physical or emotional damage to that health care professional's patient. The negligent failure in medical malpractice cases can occur under many different circumstances. These include, but are not limited to: an unnecessary delay in, or the complete failure to diagnose a particular disease or ailment, a surgical error during an operative procedure, failure on the part of the physician to gain the informed consent of the patient to perform surgery, and/or a failure to properly treat an ailment once it has been diagnosed. Improper use of a medical device or implant can also be grounds for a medical malpractice suit (Robertson, 1985)."
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Medical Marijuana, 2002. An argument for the case of marijuana to be legalized for medical purposes. 1,939 words (approx. 7.8 pages), 15 sources, MLA, $ 61.95 »
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Abstract This paper discusses the issues of marijuana, currently classified in the U.S. as an illegal substance. It examines the case for making it legal by prescription for medical purposes and why it is unethical to deny a sick person of the medical benefits. In persons undergoing cancer therapy, marijuana can ease the nausea, vomiting and loss of appetite caused by chemotherapy treatment. It describes its constituents, its effect on humans and the avid campaign over the years to have it decriminalized.
From the Paper "Marijuana is derived from the flowers and dried leaves of the cannabis plant, which at varied potencies contains the non-narcotic chemical called Tetrahydrocannabinol, also known as THC. The different strengths of this herb produce various physical effects, ranging from a tranquilizer to a stimulant. Preceding to the 1930s, when marijuana was believed to be a problem it was a legal substance for over one hundred and thirty years. (Grinspoon) The potential unsafe effects of marijuana usage became public knowledge when Harry J. Anslinger, the commissioner of the Federal Bureau of Narcotic wrote the book Marijuana Assassin of Youth. Anslinger's book gave examples of Mexican and Negro criminals, as well as young boys of other races, who, while under the influence of marijuana, became serial killers. Some of the serious adverse side effects Anslinger mentioned included premature cancer, hostility, depression, coordination and perceptional reproductive disabilities, memory loss, and impairment to both the respiratory system and the immune system."
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Are Medical Malpractice Laws Fair?, 2005. A discussion of whether medical malpractice laws are fair or frivolous. 2,680 words (approx. 10.7 pages), 12 sources, MLA, $ 80.95 »
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Abstract This paper examines different types of medical malpractice and questions the fairness of laws surrounding them. It addresses such cases as unnecessary surgery, medication errors, and errors in hospitals. The paper takes a look at the reasons why the US government is so concerned with the lawsuits regarding malpractice and the effects they have on the economy, the medical profession, and the duty of medical malpractice lawyers. The paper discusses conflicting views regarding the victims and the rights they have to receive compensation, versus the abuse of such laws in frivolous law suits. Reform concerns and regulation action are being addressed by the government, however results are slow to come. The paper argues that it is important to try to understand the victims involved, both doctors and patients, and rule on case-by-case basis. It concludes that learning to recognize the fair from the frivolous and continually reviewing ethical standards for medical professionals is one way to fight malicious malpractice myths.
From the Paper "Another area of medical malpractice to consider is that of Medication malpractice. In 2004 Vioxx became the latest drug to be taken of the market due to its side effects. Vioxx has been reported to cause "blood clots, heart attacks, and strokes" (adrugrecall.com). Such lawsuits that are taken on to recover damages suffered by taking prescription drugs fall under "product liability". In most cases the manufacturer "knew the drug would cause harm" yet pushed for FDA approval despite the highly abnormal side affects (adrugrecall.com). Another example would be that of the drug Fen Phen. This example shows us the drug companies opt for making settlements rather than to sacrifice the name of their company and reputation. Fen Phen was a diet drug that was linked to cause heart valve problems. Like a gold rush in California, people rushed to claim their "pot of gold" and jump on the Fen Phen, I'm a victim bandwagon. While working in a law firm I was trained to ask people while doing an initial consultation on the phone, if their disability claims could have resulted from such diet drugs taken. If so, we would sign'em up and proceeded to make a claim in the winnings for them. At the end of the statute of limitations, we were rushing to file paperwork to ensure we met the deadline for what I called the "late bloomers". The general public get outraged when they find out a medication they were given by a professional could potentially kill them, yet with most medicines we take, there are always some risk involved."
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The Family and Medical Leave Act of 1993 (FMLA), 2005. Looks at the Family and Medical Leave Act of 1993 (FMLA), which requires employers with 50 or more employees to provide up to twelve weeks of unpaid, job-protected leave "each year for specified family and medical reasons." 1,560 words (approx. 6.2 pages), 7 sources, APA, $ 51.95 »
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Abstract This paper explains that the Family and Medical Leave Act of 1993 (FMLA) was designed to help those individuals who need to care for either a close family member with a serious medical disorder or to assist employees when a serious medical condition arrives without notice. The paper first describes some of the provisions of the FMLA, including entitlements to leave, the maintenance of health benefits during leave, job restoration after leave, and protections for employees who request or take FMLA leave. The paperalso relates the process by which an employee can use FMLA leave. The paper concludes that the success of this legislation has led many states to pass similar acts.
Table of Contents:
Introduction
Leave Entitlement
Maintenance of Health Benefits
Job and Benefits Protection/Restoration
Notice and Certification
Illegal Acts
FMLA Case Examples
Conclusion
From the Paper "As is the case with many federally-backed laws, the FMLA includes a number of items that are required by both parties. First, an employer is not allowed to "interfere with, or deny the existence of any right provided" by the FMLA. In addition, an employer is not allowed to "discharge or discriminate against any individual for opposing any practice or because of involvement in any proceeding related to FMLA," meaning that employers must adhere to all anti-discrimination laws within the United States."
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Healthcare Industry and Medical Malpractice in the U.S., 2006. Evaluates the current situation of medical malpractice and the crises in the healthcare industry in the United States. 5,460 words (approx. 21.8 pages), 23 sources, MLA, $ 133.95 »
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Abstract The massive United States healthcare system plays an important place in society. Enormous amounts of money spent on health care, fail to a large degree in terms of healthiness or life expectancy. Medical malpractice aggravates this situation due to inflating costs. This paper analyzes how the legal system in the United States is putting pressure on the healthcare system, looks at ways that healthcare delivery has gotten more expensive and potentially more harmful or wary of risk. Tort reform is examined with the potential to help reduce medical costs, but does not seem to be a sufficient long-term goal. Finally, the paper explores the idea of medical courts or tribunals, specialized medical decision makers that could help to increase fair and reasonable judgments for medical malpractice claims.
Paper Outline:
The United States' Legal System is Killing Healthcare
The Impact of the Legal System on Healthcare in the United States
Tort Reform
Medical Courts and Medical Administrative Tribunals
Benefits of Medical Courts and/or Tribunals
From the Paper "The United States legal system, at both the state and federal level, has never had the direct impact on an industry as it has on the U.S. health care industry. Currently, outside of very lax civil procedure rules, anyone can bring a medical malpractice claim and receive compensation without any factual findings made by a judge or jury. In other words, claimants may receive compensation from defendants without proving their allegations. Parties in medical liability lawsuits can hire so-called experts who routinely testify for the plaintiffs or defendants and skew their testimony towards the side who paid them to testify."
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Medical Ethics and Decision Making, 2004. An in-depth analysis of the medical profession and health care organizations, focusing on the ethics of cost control and the ensuing effects on medical decision making. 7,970 words (approx. 31.9 pages), 50 sources, MLA, $ 172.95 »
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Abstract This paper discusses the revolution of accountability and assessment in the medical field and what it means for doctors in the United Kingdom and in America. The paper contends that doctors everywhere must deal with ethics, guidelines, and responsibility to their patients. The paper examines the issue of medical insurance and describes the dilemmas facing the doctor who has to treat patients according to their financial situation.
Outline
A New Revolution in Ethics
The Importance of Quality
Guidelines, Accountability, and Rapid Expansion
Controversial Issues and Ethical Behavior
Bioethics
Informed Consent
History of the Issue
Law Versus 'Common Sense'
The Strongest Cases
The Feasibility of Ethical Accountability
Ideas for the Future
Concluding Information
From the Paper "In 1988, what many called the ?third revolution? in medical care came about (Dunevitz, 1999). The first revolution was after the Second World War, and this caused an explosion in the number of hospitals and doctors, as well as the research that went into the field (Dunevitz, 1999). Medicare and Medicaid were created and the field of medicine was growing so rapidly that it was hard to follow it and understand everything that was happening to it (Dunevitz, 1999). In the 1970?s, cost and how to contain it became more of an issue than the growth of medicine and not only employers but the government began to work against the costs that were getting out of control (Dunevitz, 1999)."
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Medical Marijuana, 2006. A review of a case in the Canadian Supreme Court regarding the use of marijuana for medical purposes. 1,559 words (approx. 6.2 pages), 7 sources, MLA, $ 51.95 »
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Abstract This paper examines the debate surrounding medical use of marijuana in Canada. The paper explores a case brought before the Supreme Court regarding the right to carry marijuana and the Canadian Charter of Rights and Freedoms to determine whether laws are broken when people carry it for their use.
Outline:
Introduction
History
Bump in the Road
Discussion
Conclusion
From the Paper "It allows for the fact that a person meeting the medical exemption guidelines may for a variety of reasons not be able to grow their own marijuana supply nor be able to locate a representative who is willing to grow only that amount, for free without any benefit for themselves. The person in question has already been deemed to have a condition that qualifies them to use the drug however, with the obstacles they face in cultivating and possessing the drug they may find themselves buying it through other means, which is against the law. In this case the judges agreed that the person's personal rights and freedoms are being violated in a manner. "
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