This document contains summaries of assignments and discussions for an ethics course (HLT 520). It includes summaries of case studies, ethical dilemmas, and discussions on topics like informed consent, medical decision making, and end-of-life care. Students are asked to analyze cases, recommend solutions, and discuss issues related to ethics, law, and healthcare administration.

1. HLT 520 Week 1 Discussion 1
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A patient is in a coma that appears irreversible. His mother, who is his
surrogate, firmly believes that he will recover and that God is taking a
hand to work a miracle if everyone will just wait long enough. She
wants everything done for the patient, including resuscitation if he
arrests. She insists that he stay in the hospital, and is very upset that
he was transferred out of the ICU and his care was moved to comfort
measures, rather than aggressive treatment. The mother does not
speak English and is strong in her religious beliefs. The physicians for
the patient are very upset and concerned about continuing to provide
care that they believe is futile. The patient is developing a serious
pneumonia, and the mother wants it treated aggressively. The
physicians are reluctant. Analyze this case from the ethical principles
of justice, benevolence, non-malfeasance, and autonomy.
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HLT 520 Week 1 Discussion 2
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2. In this time of limited financial resources and reduced government
payments for health care services, what are the ethical issues of
limiting care? How much uncompensated care can hospitals absorb?
Where do people with no resources go for care? What is the state’s
responsibility to ensure health care services? What are the ethical
considerations that should be taken into account?
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HLT 520 Week 1 Ethical Study Review
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Details:
Scenario: A 96-year-old male patient is admitted to the ICU with
terminal liver cancer. He is confused and disoriented, very skinny and
appears underfed, and is covered with bruises, which are common in
patients with liver disorders. His daughter, who is a naturopathic
physician, insists that she can cure her father by administering
unknown substances, some of which smell like feces and look like tar,
down his NG tube. He is clearly in pain after she does this. She insists
that these are life-saving interventions on her part, but the nursing and
physician staff caring for the patient are very upset and concerned that
she is hastening his death. They have come to you for help.

3. 1) Write a paper (1,250-1,500 words) that describes how to use the
method of ethical decision making, reviewed in the module, to help
resolve this ethical dilemma. Address the following to generate your
conclusions about how you would proceed:
a) What are the dimensions of the ethical dilemma?
b) What are the issues?
c) Apply the four core ethical principles and the process of ethical
decision making.
2) Prepare this assignment according to the APA guidelines found in
the APA Style Guide, located in the Student Success Center. An
abstract is not required.
3) This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the
rubric prior to beginning the assignment to become familiar with the
assignment criteria and expectations for successful completion of the
assignment.
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HLT 520 Week 2 Assignment Negligence

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Details:
Scenario: A patient had surgery and the nurse-anesthetist
administered the anesthesia. The patient subsequently arrested and
died while under anesthesia. An investigation concluded that the
patient was not receiving the needed amount of oxygen and the nurse-
anesthetist missed the changes in the vital signs until the patient was
close to cardiac arrest. The surgeon initially had assisted in
positioning the patient and had helped to administer some of the
initial anesthetic.
1) Write an analysis (750-1,000 words) of the situation and argue
whether the doctrine of “respondeat superior” would cause the
surgeon to have vicarious liability for the patient’s death.
2) Prepare this assignment according to the APA guidelines found in
the APA Style Guide, located in the Student Success Center. An
abstract is not required.
3) This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the
rubric prior to beginning the assignment to become familiar with the
assignment criteria and expectations for successful completion of the
assignment

5. ===============================================
HLT 520 Week 2 Discussion 1
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Discuss the four components of a valid contract and apply them to a
contract with a vendor to purchase a new CT scanner. What would
you include in the contract? How would you be sure it would be
valid?
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HLT 520 Week 2 Discussion 2
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Since the hospital/patient relationship is considered a contract of
sorts, how is it affected if the patient decides to disconnect himself
from telemetry and leave the hospital for 4 hours to go score some

6. cocaine on the street? What would you do as a hospital administrator
in this situation?
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HLT 520 Week 2 Law Suit Recommendation Paper
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Details:
Scenario: A physician is claiming injury and damages from a hospital
that notified him they were not renewing his contract for services
provided. The hospital gave him a 4-month notice and stated that they
were exercising this right because they wanted the department in
which the physician functioned “to go in a new direction.” The
physician has filed notice of intention to sue.
1) As the hospital administrator, write a paper (750-1,000-words) that
explores the options for defending the suit in court, going to
arbitration, going to mediation, or structuring a settlement. Include the
pros and cons of each option and end with a recommendation to your
board of directors on which avenue to pursue.

7. 2) Prepare this assignment according to the APA guidelines found in
the APA Style Guide, located in the Student Success Center. An
abstract is not required.
3) This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the
rubric prior to beginning the assignment to become familiar with the
assignment criteria and expectations for successful completion of the
assignment
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HLT 520 Week 3 Assignment Hospital’s Duty to Ensure
Competency (Candler v. Persaud Case Study)
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Details:
1) Read the case study, “Hospital’s Duty to Ensure Competency” on
pages 183-184 in the textbook.
2) Write a paper (1,250-1,500 words) that addresses the case study’s
two Discussion prompts. Include a detailed rationale for your
answers.

8. 3) Prepare this assignment according to the APA guidelines found in
the APA Style Guide, located in the Student Success Center. An
abstract is not required.
4) This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the
rubric prior to beginning the assignment to become familiar with the
assignment criteria and expectations for successful completion of the
assignment.
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HLT 520 Week 3 Discussion 1
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If a physician develops a history of disruptive behavior, belittling
staff, cursing at coworkers, and being rude and curt to patients, what
are the responsibilities of the medical staff, the hospital, and the other
professionals involved? Why do you believe that so many staff may
be reluctant to report a poorly behaving physician?
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HLT 520 Week 3 Discussion 2

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What do you see as the pros and cons of obtaining fair market value
analyses on the compensation paid to physicians, especially when the
market rates are benchmarked against national standards? How could
this information be used in negotiating rates with physicians?
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HLT 520 Week 4 Assignment EMTALA
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Scenario: You are the administrator on call for a local hospital and
you receive a call at 2:00 a.m. from another local hospital regarding a
patient with a broken upper arm. The ED physician’s assistant is
calling to arrange an EMTALA transfer from his hospital to yours,
but the orthopedic physician on call at your hospital is refusing to
accept the transfer, stating that the patient doesn’t need a higher level
of care. When you ask him about that, he tells you the fracture is not
displaced, and can be splinted and seen in the office. The ED

10. physician at your hospital is very nervous about the possibility of an
EMTALA violation.
1) Write an analysis (1,000-1,500 words) of the situation, how it is
impacted by EMTALA, and what decision you will make as the
administrator, along with your rationale and thought process.
2) Prepare this assignment according to the APA guidelines found in
the APA Style Guide, located in the Student Success Center. An
abstract is not required.
3) This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the
rubric prior to beginning the assignment to become familiar with the
assignment criteria and expectations for successful completion of the
assignment.
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HLT 520 Week 4 Discussion 2
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11. What kinds of fraudulent or abusive behavior relating to health care
services can occur in hospital operations? How does the role of the
compliance committee help to monitor and prevent these?
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HLT 520 Week 5 AssignmentContract Violates Antitrust
Laws (Otiz V. St. Peter's Case Study)
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Details:
1) Read the case study (“Contract Violates Antitrust Laws”) on pages
100-101 in the textbook and answer the two discussion questions.
2) Write a paper (1,000-1,500 words) that addresses the discussion
questions. Include a detailed rationale for your answers.
3) Prepare this assignment according to the APA guidelines found in
the APA Style Guide, located in the Student Success Center. An
abstract is not required.

12. 4) This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the
rubric prior to beginning the assignment to become familiar with the
assignment criteria and expectations for successful completion of the
assignment.
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HLT 520 Week 5 Discussion 1
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You are a hospital administrator, and you receive a call from a
colleague at another hospital. Your colleague, who is a friend, informs
you that he has received a demand for a stipend from the
ophthalmologists who take ED calls at his hospital, and they want a
sizeable raise. He asks you what you pay for that type of call, and
suggests that you could both benefit by coming up with a standard
rate of pay over which neither of you will go in response to physician
demands. It could save your hospitals $300,000 to do this. What is
your response, and what is the rationale for it?
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HLT 520 Week 5 Discussion 2

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Do you think that hospitals who engage in group purchasing
organizations are engaging in a form of price-fixing? If yes, then
why? If no, then why not?
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HLT 520 Week 6 Chapter 20 Review Questions Additional
ch. 21
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Details:
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

14. 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).
1) Write a paper (500-750 words) that addresses the Review
Questions 2 and 3 in chapter 20 of the textbook. Include a rationale
for your answers.
2) Prepare this assignment according to the APA guidelines found in
the APA Style Guide, located in the Student Success Center. An
abstract is not required.
3) This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the
rubric prior to beginning the assignment to become familiar with the
assignment criteria and expectations for successful completion of the
assignment.

15. ===============================================
HLT 520 Week 6 Discussion 1
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Examine the concept of “employment at will” and the public policy
exceptions to it. How does it fit with the issue of “wrongful
discharge?”
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HLT 520 Week 6 Discussion 2
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What do you see as the pros and cons of a unionized environment in a
health care facility? How can the right to collective bargaining by
employees and the mandate to provide care to patients be reconciled?

16. ===============================================
HLT 520 Week 7 Brain Death Scenario Assignment
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Details:
Scenario: You are the hospital administrator and are told by your ICU
unit director of a patient in the unit that has suffered serious brain
damage, but is not currently meeting the criteria for complete brain
death. Half of the family is insisting that the patient “wouldn’t want to
live this way” and the other half is accusing them of wanting to kill
the patient. Some allegations have been raised about a substantial
inheritance for some family members upon the patient’s death. The
battle is becoming intense and it is beginning to disrupt the medical
and nursing staff.
1) Write an analysis (1,250-1,500 words) of the situation from an
ethical and legal perspective. Address the following questions:
a) What are the ethical issues?
c) What are the medical care issues?

17. d) What actions would you take? Why? How?
e) What resources would you tap?
2) Prepare this assignment according to the APA guidelines found in
the APA Style Guide, located in the Student Success Center. An
abstract is not required.
3) This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the
rubric prior to beginning the assignment to become familiar with the
assignment criteria and expectations for successful completion of the
assignment.
===============================================
HLT 520 Week 7 Discussion 1
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18. Explore the issues of how to determine if a patient is mentally
competent to make his or her own decisions, especially in situations
where the decisions do not appear to make sense.
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HLT 520 Week 7 Discussion 2
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What are the differences between a permanent vegetative state and a
coma? How do these differences affect the ethical choices faced by
the family and caregivers of the patient? What impacts should the
patient’s own wishes have? How would the presence of a living will
impact the decision?
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HLT 520 Week 8 Bioethics Interview Assignment
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19. Details:
1) Contact the chair of a local hospital’s bioethics committee and
interview him/her regarding the use of the committee at that facility,
how the committee functions, how it makes
https://www.coursehero.com/file/18671384/Bioethics-Committee/
decisions and recommendations, and the chair’s views on the impact
the committee has had on the facility. If possible, attend one of the
committee’s meetings.
2) Write a paper (1,250-1,500 words) that describes your findings and
observations. Include additional resources that support, reinforce, or
even challenge your findings and observations.
3) Prepare this assignment according to the APA guidelines found in
the APA Style Guide, located in the Student Success Center. An
abstract is not required.
4) This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the
rubric prior to beginning the assignment to become familiar with the
assignment criteria and expectations for successful completion of the
assignment.
===============================================

20. HLT 520 Week 8 Discussion 1
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A baby is born with anencephaly, or absence of the entire brain above
the brainstem. The brainstem is intact, which means that the baby can
breathe and have a heart beat and blood pressure, but there is no
chance for any human brain function or cognition, due to this birth
defect. The health care team begins to educate the mother, since
children with this deficit generally die shortly after birth. However,
the mother is devoutly religious, and her minister has told her that if
she prays hard enough to God, that God will work a miracle and her
baby’s brain will heal itself. She is insistent that all possible care be
given to her baby, including a months-long stay in the ICU, constant
care by a caregiver, regular brain scans, and other expensive
modalities. The hospital, finding her adamant, asks the court for
guardianship of the baby, with the medical plan to provide only
maintenance care with no life-prolonging techniques until the baby
dies. What are the ethical issues at play here? How do the principles
of autonomy, beneficence, nonmalfeasance, and justice manifest
themselves? If you were called as an ethical consultant, what would
you do/recommend?
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HLT 520 Week 8 Discussion 2

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A 94-year-old woman is admitted to your hospital with dehydration,
trouble breathing, and possible kidney failure. She is clearly in
advanced Alzheimer’s, weighs about 95 pounds, and shows multiple
bruises on her body. She cannot talk. Her caregiver attributes the
bruises to a blood disorder that reduces clotting. What are your
thoughts about this situation? What kind of investigation would you
conduct? What actions would you take to be in compliance with
ethical principles