Joseph E. Fiegoli, President of National Health Administrators, Inc. (NHAI), in Peekskill, New York, has a solid record of negotiating with insurance companies on behalf of patients with severe and chronic illnesses.
Shaken Baby Syndrome: A Comprehensive Review of Manifestation, Diagnosis, Man...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care.
Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice
AssignmentThis week, students will be completing a paper to.docxnormanibarber20063
Assignment:
This week, students will be completing a paper to address the following two case studies.
Greg Case Study:
Peggy and Gary had been married for five years, and had been trying to have a child. They had undergone artificial insemination and in vitro fertilization, but each pregnancy had resulted in a miscarriage. Peggy and Gary decide that surrogacy was their best option and placed an advertisement in the local college newspaper.
Josephine, a 21-year-old college student, answered the advertisement. At the time, she was dating a man named Jerry who she loved very much and hoped to marry. But Jerry had recently broken up with Josephine. Hoping to trick Jerry into marrying her, Josephine agreed to be the surrogate for Peggy and Gary. Using Peggy and Gary’s zygote, Josephine underwent in vitro fertilization and became pregnant. During the pregnancy Josephine underwent routine medical examinations, as required by the surrogacy contract. During one of the examinations, a genetic screening test was performed and it was discovered that the child had Down Syndrome. Peggy and Gary did not desire to have a child with Down Syndrome and in accordance with the surrogacy contract paid Josephine to undergo an abortion. In addition, Josephine contacted Jerry, telling him that she was carrying his child. Not wanting to be a husband or father at a young age, Jerry paid Josephine for an abortion as well. He then transferred to another school in a different state.
As a college student who could use the cash, Josephine gladly took the money for the abortion. But because of religious reasons she did not have an abortion and carried the child to term. She never told Peggy, Gary, or Jerry that she delivered a child. Unfortunately, being a single mother and college student was too much for Josephine. At three months, she took the child, whom she called Greg, to the local hospital and surrendered him under the state’s Safe Haven law.
Address the following questions:
Shortly after the child was surrendered, Jerry found out that Josephine had delivered a child, which he thought was his. Jerry’s parents completed the paperwork necessary to adopt Greg, because they could not fathom the idea of someone else raising their grandchild. Should Jerry’s parents be allowed to adopt Greg? Explain and support your answer.
Shortly after the child’s second birthday, Greg needed to have minor surgery to correct an intestinal problem. Part of the pre-surgery laboratory work involved determining the child’s blood type. The blood typing indicated that it was biologically impossible for Jerry to have fathered Greg. Jerry and Jerry’s parents are now suing Josephine. Should Josephine have to pay the amount of money it cost to raise and support Greg? Explain and support your answer.
As part of her testimony in the lawsuit, Josephine discloses the truth about Greg and the surrogacy pregnancy. Although enraged, Jerry’s parents felt it necessary to contact Peggy and Gary. W.
Running head 1 BIO-PYSCHO-SOCIAL ASSESSMENT 12 BIO-PSCHO-SOCIAL.docxjeffsrosalyn
Running head: 1 BIO-PYSCHO-SOCIAL ASSESSMENT 1
2 BIO-PSCHO-SOCIAL ASSESSMENT 9
Bio-Psycho-Social Assessment
Karidja Gohoure
Walden University
2 Bio-Psycho-Social Assessment
Bio-psycho-social assessment is a vital social tool in social work practice. A bio-psycho-social assessment helps social work professionals to understand clients’ problems. Usually, the assessment entails three dimensions of the problem; biological, psychological, and social (Melchert, 2015). The bio-psycho-social assessment facilitates the sharing of client’s information between the social workers and other professionals in the mental health environment. The tool helps in outlining various issues about the client, including their current health situation, potential issues that may affect the client in the future. This project focuses on the assessment of adolescent pregnancy.
Part A: 2 Bio-Psycho-Social Assessment
Presenting Issue
The case study presents adolescent pregnancy as a social problem. 3Eboni Logan is a 16-year-old biracial student in the 11th grade. 4Eboni is an honors student and hopes to major in nursing once she joins college. 5 Eboni met Darian, a 17-year-old student four months ago and started dating. They become sexually active and but didn’t use protective methods. 6 Eboni and Darian used withdrawal for birth control. She discovered that she is 2-months pregnant after taking a pregnancy test recently. Now, she is a dilemma of whether to abort or keep the baby.
Demographic Information Eboni, who is the client, in this case, is a biracial female student. 7 Her father, Anthony, is a Caucasian while her mother, Darlene, is a biracial African American/Caucasian. Eboni is 16 years old adolescent while both her parents are 34 years old. She an excellent 11th-grade student, and her dream is to become a nurse. 8 Eboni is a member of the student council, National Honors Society and an active choir member. 4 She has taken her driving test and works at the fast-food restaurant ten hours a week.
3 Current Living Situation Currently, Eboni lives with her mother Darlene and her grandmother May. 9 May is 55 years old and works as a paraprofessional in one of the elementary schools while her mother is an administrative assistant at the manufacturing company.1 Eboni lives in the same apartment where her grandmother raised her mother. 10 Although Eboni lives with her mother, she visits her father, who lives with every weekend. 9 Eboni’s father pays child support to Darlene.
11 Birth and Developmental History Eboni was born when her mother was 17 years old. 12 Darlene dated with Anthony for a month and discovered that she was pregnant after they had broken up. She decided to keep the pregnancy and May helped her to raise Eboni. Eboni spends most of the time with her mother and grandmother. She started dating Darian at age 16, and they became sexually active. 13She found out that she is pregnant four months later.
2 School and Social Relationships
Eboni Logan an eleventh gra.
Essence Magazine
February 2007
SPECIAL REPORT
The New York City AIDS Experiment
By Kristal Brent Zook, Photography by Nitin Vadukul
Inside New York City's Administration for Children's Services headquarters on
William Street in Manhattan, there is a vaulted room known to staffers as the
Bubble. Hundreds of records are housed there: fat file folders containing vital
information about each of the foster children, most of them African-American and
Latino, ages 6 months and younger, who were enrolled in experimental HIV/AIDS
clinical trials conducted from 1988 to 2001. The records, overflowing with
information about the well-being of the children, fill about 60 lateral file
cabinets.
Dig deeper and it's quite possible that these files also contain answers to many
other questions that are now being asked --- or,
in some cases, shouted angrily --- by parents, children's advocates, community
activists and local politicians: questions about whether the experimental drugs
harmed the children and how, or if, some died as a result of the treatments. The
fact that some of the files were destroyed in a fire, ESSENCE learned, could mean
there is a possibility that many questions may never be answered.
Clinical Trials and Tribulations
In the late 1980's and early 1990's, hundreds of children in New York City were
dying of AIDS. A total of 321 newborns were infected with HIV in 1990, the year the
virus soared among infants. Something had to be done. "We fought to get people of
color into clinical trials," recalls Debra Fraser-Howze, founding president and CEO
of the National Black Leadership Commission on AIDS, the oldest agency addressing
AIDS in Black communities. "At that time they only had gay White men enrolled, and
activists rightfully argued for inclusion," says Fraser-Howze, who now chairs an
advisory committee investigating the clinical trials. In response, some doctors,
aware that AZT for adults had just been approved, began testing foster children ---
mostly from the poor communities of Harlem and the Bronx, where many of the children
were dying --- in clinical trials during the early 1990's.
Not everyone was happy with this arrangement. For years foster parents and
biological family members alleged that some children were being enrolled against
their will and without proper parental permission. Other families claimed they were
bullied into giving their children HIV drugs, and when parents no longer felt it was
safe to continue administering medicine, they stood to lose their children.
"Something seriously went wrong, well-intentioned though it may have been," said New
York City Council Member Bill Perkins during public hearings held in 2005. "We can't
duck it. We can't sugarcoat it." Sharman Stein, the director of communications for
the Administration for Children's Services (formerly known as the Bureau of Child
Welfare), says: "This is an issue that took place almost 20 years ago, long before
th.
Shaken Baby Syndrome: A Comprehensive Review of Manifestation, Diagnosis, Man...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care.
Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice
AssignmentThis week, students will be completing a paper to.docxnormanibarber20063
Assignment:
This week, students will be completing a paper to address the following two case studies.
Greg Case Study:
Peggy and Gary had been married for five years, and had been trying to have a child. They had undergone artificial insemination and in vitro fertilization, but each pregnancy had resulted in a miscarriage. Peggy and Gary decide that surrogacy was their best option and placed an advertisement in the local college newspaper.
Josephine, a 21-year-old college student, answered the advertisement. At the time, she was dating a man named Jerry who she loved very much and hoped to marry. But Jerry had recently broken up with Josephine. Hoping to trick Jerry into marrying her, Josephine agreed to be the surrogate for Peggy and Gary. Using Peggy and Gary’s zygote, Josephine underwent in vitro fertilization and became pregnant. During the pregnancy Josephine underwent routine medical examinations, as required by the surrogacy contract. During one of the examinations, a genetic screening test was performed and it was discovered that the child had Down Syndrome. Peggy and Gary did not desire to have a child with Down Syndrome and in accordance with the surrogacy contract paid Josephine to undergo an abortion. In addition, Josephine contacted Jerry, telling him that she was carrying his child. Not wanting to be a husband or father at a young age, Jerry paid Josephine for an abortion as well. He then transferred to another school in a different state.
As a college student who could use the cash, Josephine gladly took the money for the abortion. But because of religious reasons she did not have an abortion and carried the child to term. She never told Peggy, Gary, or Jerry that she delivered a child. Unfortunately, being a single mother and college student was too much for Josephine. At three months, she took the child, whom she called Greg, to the local hospital and surrendered him under the state’s Safe Haven law.
Address the following questions:
Shortly after the child was surrendered, Jerry found out that Josephine had delivered a child, which he thought was his. Jerry’s parents completed the paperwork necessary to adopt Greg, because they could not fathom the idea of someone else raising their grandchild. Should Jerry’s parents be allowed to adopt Greg? Explain and support your answer.
Shortly after the child’s second birthday, Greg needed to have minor surgery to correct an intestinal problem. Part of the pre-surgery laboratory work involved determining the child’s blood type. The blood typing indicated that it was biologically impossible for Jerry to have fathered Greg. Jerry and Jerry’s parents are now suing Josephine. Should Josephine have to pay the amount of money it cost to raise and support Greg? Explain and support your answer.
As part of her testimony in the lawsuit, Josephine discloses the truth about Greg and the surrogacy pregnancy. Although enraged, Jerry’s parents felt it necessary to contact Peggy and Gary. W.
Running head 1 BIO-PYSCHO-SOCIAL ASSESSMENT 12 BIO-PSCHO-SOCIAL.docxjeffsrosalyn
Running head: 1 BIO-PYSCHO-SOCIAL ASSESSMENT 1
2 BIO-PSCHO-SOCIAL ASSESSMENT 9
Bio-Psycho-Social Assessment
Karidja Gohoure
Walden University
2 Bio-Psycho-Social Assessment
Bio-psycho-social assessment is a vital social tool in social work practice. A bio-psycho-social assessment helps social work professionals to understand clients’ problems. Usually, the assessment entails three dimensions of the problem; biological, psychological, and social (Melchert, 2015). The bio-psycho-social assessment facilitates the sharing of client’s information between the social workers and other professionals in the mental health environment. The tool helps in outlining various issues about the client, including their current health situation, potential issues that may affect the client in the future. This project focuses on the assessment of adolescent pregnancy.
Part A: 2 Bio-Psycho-Social Assessment
Presenting Issue
The case study presents adolescent pregnancy as a social problem. 3Eboni Logan is a 16-year-old biracial student in the 11th grade. 4Eboni is an honors student and hopes to major in nursing once she joins college. 5 Eboni met Darian, a 17-year-old student four months ago and started dating. They become sexually active and but didn’t use protective methods. 6 Eboni and Darian used withdrawal for birth control. She discovered that she is 2-months pregnant after taking a pregnancy test recently. Now, she is a dilemma of whether to abort or keep the baby.
Demographic Information Eboni, who is the client, in this case, is a biracial female student. 7 Her father, Anthony, is a Caucasian while her mother, Darlene, is a biracial African American/Caucasian. Eboni is 16 years old adolescent while both her parents are 34 years old. She an excellent 11th-grade student, and her dream is to become a nurse. 8 Eboni is a member of the student council, National Honors Society and an active choir member. 4 She has taken her driving test and works at the fast-food restaurant ten hours a week.
3 Current Living Situation Currently, Eboni lives with her mother Darlene and her grandmother May. 9 May is 55 years old and works as a paraprofessional in one of the elementary schools while her mother is an administrative assistant at the manufacturing company.1 Eboni lives in the same apartment where her grandmother raised her mother. 10 Although Eboni lives with her mother, she visits her father, who lives with every weekend. 9 Eboni’s father pays child support to Darlene.
11 Birth and Developmental History Eboni was born when her mother was 17 years old. 12 Darlene dated with Anthony for a month and discovered that she was pregnant after they had broken up. She decided to keep the pregnancy and May helped her to raise Eboni. Eboni spends most of the time with her mother and grandmother. She started dating Darian at age 16, and they became sexually active. 13She found out that she is pregnant four months later.
2 School and Social Relationships
Eboni Logan an eleventh gra.
Essence Magazine
February 2007
SPECIAL REPORT
The New York City AIDS Experiment
By Kristal Brent Zook, Photography by Nitin Vadukul
Inside New York City's Administration for Children's Services headquarters on
William Street in Manhattan, there is a vaulted room known to staffers as the
Bubble. Hundreds of records are housed there: fat file folders containing vital
information about each of the foster children, most of them African-American and
Latino, ages 6 months and younger, who were enrolled in experimental HIV/AIDS
clinical trials conducted from 1988 to 2001. The records, overflowing with
information about the well-being of the children, fill about 60 lateral file
cabinets.
Dig deeper and it's quite possible that these files also contain answers to many
other questions that are now being asked --- or,
in some cases, shouted angrily --- by parents, children's advocates, community
activists and local politicians: questions about whether the experimental drugs
harmed the children and how, or if, some died as a result of the treatments. The
fact that some of the files were destroyed in a fire, ESSENCE learned, could mean
there is a possibility that many questions may never be answered.
Clinical Trials and Tribulations
In the late 1980's and early 1990's, hundreds of children in New York City were
dying of AIDS. A total of 321 newborns were infected with HIV in 1990, the year the
virus soared among infants. Something had to be done. "We fought to get people of
color into clinical trials," recalls Debra Fraser-Howze, founding president and CEO
of the National Black Leadership Commission on AIDS, the oldest agency addressing
AIDS in Black communities. "At that time they only had gay White men enrolled, and
activists rightfully argued for inclusion," says Fraser-Howze, who now chairs an
advisory committee investigating the clinical trials. In response, some doctors,
aware that AZT for adults had just been approved, began testing foster children ---
mostly from the poor communities of Harlem and the Bronx, where many of the children
were dying --- in clinical trials during the early 1990's.
Not everyone was happy with this arrangement. For years foster parents and
biological family members alleged that some children were being enrolled against
their will and without proper parental permission. Other families claimed they were
bullied into giving their children HIV drugs, and when parents no longer felt it was
safe to continue administering medicine, they stood to lose their children.
"Something seriously went wrong, well-intentioned though it may have been," said New
York City Council Member Bill Perkins during public hearings held in 2005. "We can't
duck it. We can't sugarcoat it." Sharman Stein, the director of communications for
the Administration for Children's Services (formerly known as the Bureau of Child
Welfare), says: "This is an issue that took place almost 20 years ago, long before
th.
The AssignmentRespond to at least two of your collea.docxtodd541
The Assignment
Respond
to at least
two
of your colleagues by recommending at least one additional way you would treat a child or adolescent client differently than you would an adult and at least one additional way you would address the legal and ethical issues involved.
Support your responses with evidence-based literature with at least two references in each colleague’s response with proper citation in APA Format.
Colleagues Response # 1
Wk 6- Adult vs. Pediatric Emergencies
Adults presenting for psychiatric emergencies are often handled quite different than children. The decision-making rights of an adult is one of the most basic human rights that must be respected whenever possible (Mental Health America [MHA], 2015). However, children and adolescents presenting for psychiatric emergencies also have rights, but these rights are sometimes different because of their inability to make some independent decisions as a result of them not being of age to grant legal consent. Take for example, Sara, a 41-year-old female presenting to the emergency department after a domestic violence dispute with her husband. Sara’s husband has been physically and emotionally abusive for years. The most recent physical assault resulted in her needing stitches in her forehead and multiple bruises are visible on her face and body. Sara was treated for her injuries, a police report was filed, and she was provided information of shelters for victims of domestic violence. However, Sara declined all offers and asked to be released from the hospital so that she could go bail her husband out of jail. This case is unfortunate, but not uncommon, with many women choosing to return to their abusive partners.
In contrast, consider a child presenting to the emergency department with similar injuries inflicted by the parents. However, this case is less obvious with the parents saying the injuries were “an accident”. When the nurse attempts to evaluate the child, without the parent in the room, the parent refuses to leave, thereby making the nurse suspicious of child abuse. This situation is quite different in that the child’s physical injuries and suspected abuse must be reported. The provider that suspects or discovers child abuse is considered a mandatory reporter and are required, by law, to report suspected child abuse (Child Welfare Information Getaway, 2019). Mandatory reporting of suspected child abuse is both a legal and moral requirement for psychiatric providers. We must advocate for our young clients and psychiatric providers have a legal and ethical duty to continually evaluate their safety in the home environment (Sadock et al., 2014). Based on this concern, I would call the police and Child Protective Service (CPS) to assist with evaluating the safety of this child’s home environment.
The child’s safety at home and mandatory reporting is quite different from that of Sara, the adult victim of domestic .
Children’s Hospital offers services to manage JoshuaJohn’s pain for him and other chronic patients. Learn more about our Pain and Palliative Care Service and read our annual report in this issue of It's About Children by East Tennessee Children's Hospital.
Myths Surrounding Adoption of Children in Foster CareJudge John Bowman
Since 2002, Judge John Bowman has served in the Circuit Court’s Juvenile Dependency Division in Florida. Complementing his work in the court, Judge John Bowman participates in National Adoption Day.
The Impact of Support - St. Jude Children’s Research HospitalJoseph Fiegoli
With more than 40 years of experience in the insurance industry, Joseph “Joe” Fiegoli has served as the president and executive third-party administrator of National Health Administrators, Inc., since 1997. As part of his commitment to his community’s health and the well-being of children across the world, Joseph E. Fiegoli supports St. Jude Children’s Research Hospital.
Kingston Teachers’ Federation Partners with Joseph Fiegoli Joseph Fiegoli
A longtime insurance and health care professional, Joseph E. Fiegoli has served as president of National Health Administrators, Inc. (NHAI), since 1997. In this capacity, Joseph Fiegoli serves a number of cities and teachers across New York State, including the Kingston Teachers’ Federation (KTF).
National Resource Defense Council - Reform Predator Control ProgramJoseph Fiegoli
Joseph (Joe) E. Fiegoli helps unions and employers with self-funded health-care plans as the president of National Health Administrators (NHAI) in New York. A dedicated philanthropist, Joseph Fiegoli also contributes to various charitable organizations, including the National Resource Defense Council (NRDC).
2. Joseph E. Fiegoli, President of National Health
Administrators, Inc. (NHAI), in Peekskill, New
York, has a solid record of negotiating with
insurance companies on behalf of patients with
severe and chronic illnesses. He has received
numerous testimonials from grateful customers
and his company has become one of the largest
Preferred Provider Organizations in New York
State.
3. In one instance, a 14-month-old boy needed
radiation treatment for an aggressive brain
tumor. The parents’ insurance refused to pay
for an out-of-network provider. They contacted
NHAI about their situation. Not only was the
situation resolved immediately, but Joe Fiegoli
called the mother to reassure her that he would
personally stay on the case.
4. This attitude of caring extends to members of
the NHIA staff. For example, the parents of a
child with bipolar disorder had selected an
excellent school for her, but initially they could
not afford it. An NHIA employee gathered the
necessary information from the parents and
kept them continuously informed on the
progress of the claim. As a result, the parents
were able to place their child in the school they
felt was best for her.