Dr. Anna Pou was charged with murdering patients at Memorial Medical Center in New Orleans during Hurricane Katrina. The hospital had been without power or water for days, and conditions were extremely difficult with over 100 patients trapped inside. Dr. Pou injected lethal drugs into some patients to ease their suffering, and was accused of hastening the deaths of up to 20 people. While a grand jury did not find her guilty, this case raises difficult ethical questions about how healthcare workers should care for patients during disasters when resources are limited and conditions dangerous.
Overall health and well-being are greatly impacted by the communities in which patients live and work. Access to care is influenced by economic, social, and political issues. Depending on the needs of the individual and the population, it may be a major factor in determining physical, emotional, and mental health as well as morbidity and mortality.
Hurricane katrina 2005 (uploaded from the NOAA Libraries Catalog at www.lib.n...mqcumber
The Power Point slide show of digital images captured an impact of Hurricane Katrina, August 29, 2005 on the Mississippi Gulf Coast area. The slide show incorporates digital images and song "Delicate" by Damien Rice. It was presented on November 3, 2005 at the NOAATech 2006 Conference by Sharon Mesick, Susan Gottfried, Stacy Ladnier, and Kathy Martinolich, all from the National Coastal Data Development Center, Stennis Space Center, Mississippi as the Conference closing event.
Overall health and well-being are greatly impacted by the communities in which patients live and work. Access to care is influenced by economic, social, and political issues. Depending on the needs of the individual and the population, it may be a major factor in determining physical, emotional, and mental health as well as morbidity and mortality.
Hurricane katrina 2005 (uploaded from the NOAA Libraries Catalog at www.lib.n...mqcumber
The Power Point slide show of digital images captured an impact of Hurricane Katrina, August 29, 2005 on the Mississippi Gulf Coast area. The slide show incorporates digital images and song "Delicate" by Damien Rice. It was presented on November 3, 2005 at the NOAATech 2006 Conference by Sharon Mesick, Susan Gottfried, Stacy Ladnier, and Kathy Martinolich, all from the National Coastal Data Development Center, Stennis Space Center, Mississippi as the Conference closing event.
Passionate about economics, Mark Klinedinst serves as Emeritus Professor of Economics at the University of Southern Mississippi in Hattiesburg, MS. Involved in economics research in other U.S states such as Maryland, Mark Klinedinst has written a book Katrina Ten Years After, exploring the economic impact of Hurricane Katrina.
Secondary Education students created a Powerpoint Presentation to provide documentation of the sociological affects of catastrophic disasters such as Hurricane Katrina.
1. What was the reasoning for enacting the EMTALA2. Should medi.docxpaynetawnya
1. What was the reasoning for enacting the EMTALA?
2. Should medical advice be dispensed on the telephone? Explain your opinion.
3. Discuss why you think the prescribing, control, administration, and monitoring of medications has become a major area of legal concern for health care professionals.
4. Describe the difference between the certification and licensing of a health care professional.
1. Describe the organization, responsibilities, duties, and legal risks of a governing body.
2. List some of the major provisions of SOX
3. Describe the meaning of the legal doctrine respondeat superior.
4. Describe the term corporate negligence.
5. Why is the Darling case described as a benchmark case?
6. Does the legal doctrine respondeat superior apply to an independent contractor? Explain your answer.
Chapter 11
Hospital Departments & Allied Health Professionals
LEARNING OBJECTIVESDescribe a variety of negligent errors by allied health professionals.Discuss the purpose of certification, licensure, and reasons for revocation of licenses.Describe helpful advice for caregivers.
PROFESSIONAL ETHICS Standards or codes of conduct by specific profession. Created in response to actual or anticipated ethical conflicts.ExamplesFalsifying recordsSexual improprietiesSharing confidential patient information
ChiropractorStandard of care requireddegree of care, judgment, & skill exercised by other reasonable chiropractors under like or similar circumstances.
Emergency DepartmentObjectives of Emergency Caretreatment must begin as rapidly as possiblefunction is to be maintained or restoredscarring & deformity are to be minimizedtreatment regardless of ability to pay.
Jury Returns Largest Medical Malpractice Verdict A man arrived at the ER with severe neck pain and numbness in his arms and legs. A doctor diagnosed his condition as neck strain and released the man from the hospital. A few hours later, the man became completely paralyzed from the chest down… The jury awarded the plaintiff $15 million; $10 million of which was for non-economic damages. −Mark Bello, The Legal Examiner, December 30, 2012
No Duty to Patient
Who Left ED UntreatedIn a wrongful death medical malpractice action alleging negligence, the trial court properly granted summary judgment because under Ohio law, an emergency room nurse had no duty to interfere with an individual who left the ED without telling anyone and who refused treatment.
−Griffith v. University Hospitals of Cleveland
Failure to AdmitPhysician was found negligent in failing to hospitalize the patient or failing to inform her of the serious nature of her illness. The trial court found that had the patient been hospitalized on her first visit, her chances of survival would have been increased.
−Roy v. Gupta
Documentation Sparse & ContradictoryED physician failed to evaluate the patient & to initiate care within first few minutes of patient's entry into the emergency facility. The e ...
this is a discussion not a paper I need a paragraph under each quest.docxabhi353063
this is a discussion not a paper I need a paragraph under each question. each paragraph need to be at least 250 words with up to date references.
HAS 515 Week 8 Lecture:
Patient Rights and Responsibilities and Acquired Immunodeficiency Syndrome
Slide #
Scene/Interaction
Narration
Slide 1
Intro Slide
Slide 2
Scene 1
Professor Charles enters classroom and introduces the topics for today’s lesson and begins the lecture.
Prof Charles
: Hello everyone….welcome back to class. Today, we are going to discuss patient rights and responsibilities and acquired immunodeficiency syndrome.
The Patient Self-Determination Act of 1990 (PSDA) made a significant advance in the protection of the rights of patients to make decisions regarding their own health care. Healthcare organizations may no longer passively permit patients to exercise their rights but must protect and promote such rights. The PSDA provides that each individual has a right under state law to make decisions concerning his or her medical care, including the right to accept or refuse medical or surgical treatment and the right to formulate advance directives.
Let’s first discuss the rights of the patient. How are patient rights classified?
Casey:
Patient rights may be classified as either legal (those emanating from law) or human statements of desirable ethical principles (such as the right to healthcare or the right to be treated with human dignity). Both staff and patients should be aware and understand not only their own rights and responsibilities, but also the rights and responsibilities of each other.
Donald
: Patients also have a right to receive a clear explanation of tests, diagnoses, treatment options, prescribed medications, and prognosis; participate in healthcare decisions; understand treatment options; and discontinue or refuse treatment options. It is recognized that the relationship between the physician and the patient is essential for the provision of proper care.
Casey
: In addition to what has already been noted, I would say that legal precedent has established that not only does the institution have responsibility to the patient, but also the patient has responsibility to the institution.
Prof. Charles
: Absolutely… What does the federal and state law and the Constitution have to say about discriminatory practices?
Casey
: Most federal, state and local programs specifically require, as a condition for receiving funds under such programs, an affirmative statement on the part of the organization that it will not discriminate. For example, Medicare and Medicaid programs specifically require affirmative assurances by healthcare organizations that no discrimination will be practiced. Healthcare organizations who do not comply may lose Medicare and Medicaid certification and reimbursement.
Prof. Charles
: Excellent. What is an example of discrimination by a hospital?
Donald:
There was a case,
Stoick v. Caro Community Hospital
, where the patient brought a medical ...
i need 1 paragraph with each topic about 200 words in each paragraph.docxjewisonantone
i need 1 paragraph with each topic about 200 words in each paragraph with up to date references.
this is the scenario to use
HSA 515 Week 10 Lecture: End-of-Life Issues and Professional Liability Insurance
Slide #
Scene/Interaction
Narration
Slide 1
Scene 1
Professor Charles enters classroom and introduces the topics for today’s lesson and begins the lecture.
Prof Charles
: Hello everyone.
Welcome back to our final day of class. Today, we are going to discuss end-of-life issues and professional liability insurance.
Advances in medical technology have resulted in the power to prolong a productive life as well as delay inevitable death. A longer survival involves considerable cost and can therefore be a financial burden to the family and the government. Is it worth it?
As long as we are alive we have value.
We will discuss the patient’s autonomy and one’s right to choose when to proceed with treatment or discontinue it.
Let’s first discuss end-of-life issues.
Does medical ethics require a patient’s life be preserved at all costs and in all circumstances?
Casey:
No. The ethical integrity of the medical profession allows for competent patients to decide for themselves whether a particular treatment is in their best interest.
Donald
: I’d like to add
that competent
patients have the right to determine what shall be done with their body and a surgeon who performs surgery on a conscious competent patient must practice informed consent. Most cases dealing with euthanasia speak of the necessity that a physician diagnose a patient as being either in a persistent vegetative state or terminally ill.
Casey
: In addition to what has already been noted, I would say that court involvement would be mandated only to appoint a guardian in one of the following cases:
Family members disagree as to the incompetent’s wishes;
Physicians disagree on the prognosis; or
The patient’s wishes cannot be known because he or she always has been incompetent.
Prof. Charles:
Absolutely….Traditionally, what is the definition of death?
Casey:
The courts used
Black’s Law Dictionary
definition: cessation of respiration, heartbeat, and certain indications of central nervous system activity, such as respiration and pulse.
Now, with modern technology sustaining these systems, the present definition of death is the irreversible cessation of brain function.
Prof. Charles
: Excellent. What rights does an incompetent person have regarding end-of-life issues?
Donald:
There was a case,
Belchertown State School v. Saikewicz,
which held that such different factors as the patient’s mental impairment and his or her medical prognosis with or without treatment must be considered before judicial approval is necessary to withdraw or withhold treatment from an incompetent patient.
Saikewicz was a mentally retarded sixty-seven year old man with leukemia and a grim prognosis. The court appointed a guardian recommended to the court after the court allowed the chemothera.
AETCOM module: Bioethics for Undergraduate Medical Studentslavanyasumanthraj
The Attitude, Ethics & Communication module introduced by the National Medical Commission is being followed in Medical Colleges. Here's a simple understanding of aspects on Bioethics & solution to Phase 2 MBBS modules
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
2. Dr. Pou
Dr. Pou
Practiced for more than 15 years
Head and neck surgeon
specializing in treating cancer
patients
Charged with murdering 4
patients by injecting them with
two different drugs
A forensic pathologist
“concluded that all four deaths
were homicides, caused by
human intervention.”
Actually accused of euthanizing
at least 9 patients, as many as
20
3. Memorial Medical Center
5 days without power
before everyone was
rescued
200 people trapped
sporadic rescue efforts
34 bodies recovered
“battlefield conditions”
10 feet of water
110 degree heat
nearby violence
No powers; generators ran
out after about a day; back-up
batteries only lasted 30
minutes
No fresh water
Dwindling supplies
Stopped treatment and
focused on keeping
patients comfortable
Turned away new patients
4. Triage Procedures
Typically, medical workers try to divvy up care to achieve
the greatest good for the greatest number of people
(Utilitarianism).
What does “greatest good” mean? Is it the number of lives
saved? Years of life saved? Best “quality” years of lived
saved? Or something else entirely?
5. D.N.R.
Signed by a doctor with informed consent
Means a patient whose heartbeat or breathing has
stopped would not be revived
Different from a living will
Allows patients with a “terminal and irreversible” condition to
request in advance that “life -sustaining procedures” be
withheld or withdrawn
6. Patient Evacuation
1
Fairly good health
Can sit up or walk
NICU babies and pregnant mothers
2
Sicker
Need more assistance
3
Very ill
With D.N.R. orders
Thought “patients who did not wish their lives to be prolonged by
extraordinary measures wouldn’t want to be saved at the expense of others”
7. Evacuation Measures
Helipads on the roof of a parking structure
Had to get patients to the 2nd floor, through a 3’ x 3’ hatch, and
up a small metal ramp
Air boats from emergency room ramp
Taken to Louis Armstrong New Orleans International Airport
“Hundreds of hospital and nursing home patients had been
dropped there from across the disaster zone; they were met by
federal disaster-management teams that were so understaffed
and undersupplied that they couldn’t provide even basic nursing
care to many patients. Reflecting on the scene at the airport,
Thiele told me that the if patients he injected with drugs had
made it there, “They wouldn’t have survived.”
17. After Hurricane Katrina
Found not guilty by Grand Jury; Civil charges still pending
Helped write and pass 3 laws in Louisiana that offer
immunity the health care professionals form most civil
lawsuits for their work in future disasters, from hurricans to
terrorist attacks to pandemic influenza
Advising state and national medical organizations on
disaster preparedness and legal reform
“Informed consent is not possible during
disasters…Doctors need to be able to evacuate the
sickest or most severely injured patients last—along with
those who have D.N.R. orders>”
18. Questions to Consider
Did Dr. Pou and the nurses do the right thing in hastening
the death of some of their patients during Katrina?
Should doctors be held to different standards of care
during emergency situations?
Should the sickest be evacuated from hospitals first in
emergency situations like Katrina, or should they be last
because healthier patients have a better chance of
surviving?
19. More Questions to
Consider
How long should health care workers have to be with patients
who may not survive?
Which patients should get a share of limited resources, and who
decides?
What does it mean to do the greatest good for the greatest
umber, and does that end justify all means?
Where is the line between appropriate care and mercy killings?
How, if at all, should doctors and nurses be held accountable for
their actions in the most desperate of circumstances, especially
when their government fails them?
