Lyme Legislative Forum Survey Comments

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natcaplyme

Health & Medicine

IN THEIR OWN WORDS WHAT LYME PATIENTS WANT

A sample of the range and variety of comments submitted to the Legislative Forum

Treatment Flexibility Support for Research Additional funding for research Funding to create better treatments and therapies a better blood test Education all health care workers including the states health department workers

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This lecture is based on the Saudi Code of Ethics regarding the ethical and legal aspects related to the financial issues in health care, namely: Healthcare Practitioner’s Fee, Practicing in Private Sector, Participation in the Media, Gifts and Benefits, and the Relationships with Pharmaceutical and Medical Equipment and Companies. This was presented to Alfarabi Medical College level 5 students as part of the Medical Ethics & Professionalism Course (30-4-2017)

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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 ...

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Running Head: LEADERSHIP IN PUBLIC HEALTH PROGRAMS 1 1 1 1 LEADERSHIP IN PUBLIC HEALTH PROGRAMS 3 Leadership in public health programs Name Institution Professor Course Date Important leadership characteristics needed for public health promotion program A doctor patient relationship is the basis of medical practice and thus of medical ethics. Therefore, several patients are in general not able or reluctant to make choices about their healthcare, therefore, patient autonomy is at times extremely challenging. Equally challenging are additional conditions of the relationship, for instances the doctor’s obligation to keep patient confidentiality in a time of computerized medical records and managed care, and the duty to maintain life in the face of petitions to hurry, and or speed up death. If patients feel the doctor’s kindheartedness, they will be others likely to belief the doctor to act in their best interests, and This belief can be instrumental to the healing pathway (Pate, 1995). Having such individuals who may or may not forsake their right to value and equal care, or are doctors expected to formulate more, maybe even noble, attempts to develop and keep good relationships with them? Those specific patients, doctors should balance their liabilities for his or her-own safety and protection and the same for their employees with their responsibility to increase the safety of the patients. They ought to try to find methods to honor both responsibilities (Wright & Rowitz, 2000). If not possible, they must try to develop another plan for the treatment of the patients. Additional disputes to the standards of dignity and equal care for each patient evolves in the treatment of infectious patients. In this case, there should be very big cohesion relationship between the doctors and the potential patient within the hospitals and nursing homes. Doctors and nurses as potential leaders in public health promotion program of choice I have chosen doctors and the nurses as the potential leaders in y health program following the fact that a healthcare acquired infection (HAI) is one that a patient occurs while receiving treatment in a healthcare facility. In this promotion nursing care program, doctors in cooperation with the nurses will be the leaders of focus. The institution or the organization focused can be a hospital, nursing home, surgery center, dialysis clinic or free clinic. It is estimated that on average one in twenty hospitalized patients will contract and HAI. These infections are a major public health concern not only because they cost billions of dollars to treat, but because they can be contracted from routine care, surgical procedures, catheters or ventilators and from overusing antibiotics (Israel, Schulz, Parker, & Becker, 1998). With the increasing rise of drug-resistant bacteria finding antibiotics to treat bacterial infections are becoming harder to find. At least one antimicrobial drug is resistant to 70 perc ...

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5 The Physician–Patient Relationship Learning Objectives After completing this chapter, you will be able to: · 1. Define the key terms. · 2. Describe the rights a physician has when practicing medicine and when accepting a patient. · 3. Discuss the nine principles of medical ethics as designated by the American Medical Association (AMA). · 4. Summarize “A Patient’s Bill of Rights.” · 5. Understand standard of care and how it is applied to the practice of medicine. · 6. Discuss three patient self-determination acts. · 7. Describe the difference between implied consent and informed consent. Key Terms Abandonment Acquired immune deficiency syndrome (AIDS) Advance directive Against medical advice (AMA) Agent Consent Do not resuscitate (DNR) Durable power of attorney Human immunodeficiency virus (HIV) Implied consent Informed (or expressed) consent Incompetent patient In loco parentis Living will Minor Noncompliant patient Parens patriae authority Privileged communication Prognosis Proxy Uniform Anatomical Gift Act THE CASE OF DAVID Z. AND AMYOTROPHIC LATERAL SCLEROSIS (ALS) David, who has suffered with ALS for 20 years, is now hospitalized in a private religious hospital on a respirator. He spoke with his physician before he became incapacitated and asked that he be allowed to die if the suffering became too much for him. The physician agreed that, while he would not give David any drugs to assist a suicide, he would discontinue David’s respirator if asked to do so. David has now indicated through a prearranged code of blinking eye movements that he wants the respirator discontinued. David had signed his living will before he became ill, indicating that he did not want extraordinary means keeping him alive. The nursing staff has alerted the hospital administrator about the impending discontinuation of the respirator. The administrator tells the physician that this is against the hospital’s policy. She states that once a patient is placed on a respirator, the family must seek a court order to have him or her removed from this type of life support. In addition, it is against hospital policy to have any staff members present during such a procedure. After consulting with the family, the physician orders an ambulance to transport the patient back to his home, where the physician discontinues the life support. · 1. What were the primary concerns of the hospital? · 2. What was the physician’s primary concern? · 3. When should the discussion about the patient’s future plans have taken place with the hospital administrator? Introduction Few topics are as important as the physician–patient relationship. This relationship impacts the entire healthcare team. All healthcare professionals who interact with the patient must understand their responsibilities to both the patient and the physician. The patient’s right to confidentiality must always be paramount. The first physicians were “medicine men,” witch doctors, or sorcerers. The physician–pa.

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Sabrina Ragland, a medical assistant with 12 years’ experience, works for a gastroenterologist, Dr. Tim Taylor. She comes from a family heavily involved in the medical fi eld. Her father was a surgeon and her mother was his offi ce assistant. Two of Sabrina’s sisters are nurses, and her brother is a respiratory therapist. Her husband, Joe, is a biomedical technician, and his mother, Elsa Ragland, has been an RN for 40 years. For more than half of her career, Elsa has worked for a local internist, Dr. Royce Berry. A casual comment at the Ragland family picnic resulted in a medical professional liability lawsuit based on violation of patient privacy. Sabrina and Elsa’s careers were jeopardized by a simple exchange of what seemed to be innocent information. Vivian Adams, a 42-year-old hospital insurance biller, saw Dr. Berry in his offi ce for pain located in her lower left quadrant. Ms. Adams was not a new patient but had not visited the offi ce in approximately 2 years. When she arrived for her visit, she was presented with the offi ce privacy policy and was asked to sign the document. Vivian glanced through it, signed it, and saw the doctor. He performed an examination and found that Vivian was likely suffering from irritable bowel syndrome and prescribed medication. Ms. Adams called the physician 1 week later complaining that she was no better. Dr. Berry changed her medication without seeing her and did not hear from her again, other than her requests for refi lls of the medication. After 6 months with no improvement, Ms. Adams went to Dr. Taylor; after several diagnostic tests, she was told that she had colon cancer and was given a bleak prognosis. She told Dr. Taylor that she blamed Dr. Berry for not being more thorough in his testing. Sabrina was in the room and heard the comment. That weekend at the picnic, Sabrina mentioned Ms. Adams to her mother-in-law and stated that the patient might sue Dr. Berry, although the patient never said those words. Elsa defended Dr. Berry and proclaimed that he was a good doctor, then expressed her hope that Ms. Adams would not sue her employer. One week later, Elsa was in a grocery store and saw Ms. Adams. Elsa immediately expressed her sympathy about her diagnosis, and then asked if there was anything she could do. Her intent was to be kind and try to avert litigation against Dr. Berry. Her gesture might have been well received had Ms. Adams’ daughter, Terri, not been standing with her. Terri was not yet aware that her mother had been diagnosed with cancer. Ms. Adams had told no one about her illness at that point. After the incident at the grocery store the fi rst person Ms. Adams told was her attorney. While studying this chapter, think about the following questions: 291 16 SCENARIO Privacy in the Physician’s Offi ce • When can the medical assistant discuss a patient, and with whom, and under what circumstances? • What has HIPAA done for the medical industry and the pati.

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Medicare, Medicaid, and the Health Insurance Portability and Accountability Act (HIPAA) have had significant impacts on the healthcare industry. Consider the most significant benefits that Medicare, Medicaid, and (HIPAA) have brought to the healthcare industry and the most significant challenges they have presented to decision making in the industry. Research Medicare, Medicaid and HIPAA. Identify two benefits as well as two challenges. Peer Response 1: Erika Corbett posted CONS Disclosure to relatives. This means that hospitals will not reveal information over the phone to relatives of admitted patients (U.S. Department of Health & Human services, n.d.). I do agree with this, however in cases where a patient may be out of state and is injured, unable to speak on their behalf, families are left to wonder where they are and what has happened to them. I agree that everyone has a right to privacy but if you look at it from a standpoint of an injured loved one and no way to contact them and find out what has happened, this can be a bad part of HIPAA laws in my opinion. Victims of abuse, neglect, or domestic violence. While thissection of the HIPAA privacy rule is good, it could also be bad. If the allegation does not look to be in the favor of the person it was meant to protect, the worry of retaliation is of great concern to the patient. If CPS or Police do not have enough to deem neglect or abuse the child or person being abused may fear retaliation from their abuser. This puts them in a difficult position. PROS Right to access your PHI. I think this is great because it allows patients to review their conditions, labs, imaging, and treatment plans. It can help keep them on track with caring for themselves and participate fully in the provider’s care. Patients can also request that their records be transferred to someone else that is caring for them, keeping with continuity of care. Victims of abuse, neglect, or domestic violence. The HIPAA privacy rule allows providers to disclose PHI to authorities regarding victims. By having this in place, it helps protect children of neglect and abuse as well as domestic violence victims who are unable to speak out for themselves. By allowing us to share healthcare information that can help get them to a safe place and/or protect them from their abuser. PROS Medicare/Medicaid: These health plans are regulated by the Government; therefore, certain standards of care must be met by the providers in order to be reimbursed. I think this is good for the patients because if they receive poor care, hospitals/Doctors are fined, and it makes them want to improve their standards. An example of this is hospital-acquired infection rates. If a patient is admitted and develops a bed sore, or pneumonia, that is the hospital’s cost not the patient’s insurance. Medicare/Medicaid provides care to patients who may not be able to afford it. Seniors and American’s with disabilities do not have to go without insurance because.

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