This document provides instructions for a capstone discussion assignment regarding the implications of a home health care agency assistant manager dealing with an employee, Sara, who has tuberculosis (TB). Students are asked to identify and discuss the financial, legal, and ethical implications of this situation, and designate which implication is most important and least important. The discussion must be one page and cite at least three required readings provided. The required readings discuss TB screening of healthcare workers, TB among healthcare workers, costs of TB diagnosis for patients, overcoming language barriers in healthcare, and implications of defensive medicine.