Mrs. B. is 97 years old, and was admitted to your LTC facility 6 years ago. Shortly after
becoming a resident, she suffered a cardiac arrest and was found to be unresponsive by the staff;
CPR was initiated for a total of 20 minutes prior to return of spontaneous circulation. She has an
advanced directive stating that she agrees to transfer to an acute care facility, but other options,
such as CPR and intubation, were not explicitly addressed in this document. She has no formal
Power of Attorney.
Initially, Mrs. B. had lived at your facility watching TV for most of the day. She was wheelchair
bound and required assistance with most activities of daily living (ADLs). Her husband lives at
your facility with her and is quite frail with moderate dementia. Mrs. B. is frequently visited by
her large extended family, which comprises 4 children and 5 grandchildren. She is known to
have cancer throughout much of her body, moderate dementia, a very bad heart, and type-2
diabetes.
After her cardiac arrest and a short stay in the Hospital ICU, Mrs. B. is brought back to your
facility able to breathe on her own, but with a moderate -severe brain injury caused by lack of
oxygen after her cardiac arrest; this has left her unable to communicate in any meaningful way
with others. She is receiving thickened fluids as her source of nutrition and hydration but is only
able to consume about half of the calories that would be needed to keep her at her current weight.
Unfortunately, her health begins to decline further shortly after returning.
The team decides to hold a family conference with the residents children and proposes a plan of
treatment that would focus on comfort care only, excluding CPR if needed again. The patients
eldest daughter does not agree and states that her mother is a fighter and wanted to live to be 100
years old so that she could receive a letter from the Queen. The daughter asks that her mother be
transferred back to the acute care hospital to receive the care of experts
1 of 3
HLTH9224
SPRING 2020
and so that she could be seen by a surgeon for surgery and chemotherapy for her cancer.
The treating physician discusses the case with the intensivist on call at the hospital over the
telephone. The intensivist agrees that the prognosis is extremely poor and likely the resident
would not benefit from further invasive treatment. The intensivist at Hospital holds a family
conference with the family and team at the LTC home over the telephone. He identifies himself
as an expert in the field. The older daughter reiterates their requests to the intensivist.
Modified from: http://champlainethics.ca/case-studies-consent-and-capacity/
Part 1
Summary of Facts (In point form is fine) (1 page Maximum) Simply use APA heading to
designate. A suggested opening might be:
Summary of Facts
The summary of facts for Mrs. Bs case are as follows: (1 page maximum)
Mrs. B. was.....
The...
The family....
Mrs. B. is 97 years old, and was admitted to your LTC facility 6 y.
Description For the case provided, read the information and answer .pdfsumyad25
Description: For the case provided, read the information and answer the associated questions as a
group.
Mrs. B. is 97 years old, and was admitted to your LTC facility 6 years ago. Shortly after
becoming a resident, she suffered a cardiac arrest and was found to be unresponsive by the staff;
CPR was initiated for a total of 20 minutes prior to return of spontaneous circulation. She has an
advanced directive stating that she agrees to transfer to an acute care facility, but other options,
such as CPR and intubation, were not explicitly addressed in this document. She has no formal
Power of Attorney.
Initially, Mrs. B. had lived at your facility watching TV for most of the day. She was wheelchair
bound and required assistance with most activities of daily living (ADLs). Her husband lives at
your facility with her and is quite frail with moderate dementia. Mrs. B. is frequently visited by
her large extended family, which comprises 4 children and 5 grandchildren. She is known to
have cancer throughout much of her body, moderate dementia, a very bad heart, and type-2
diabetes.
After her cardiac arrest and a short stay in the Hospital ICU, Mrs. B. is brought back to your
facility able to breathe on her own, but with a moderate -severe brain injury caused by lack of
oxygen after her cardiac arrest; this has left her unable to communicate in any meaningful way
with others. She is receiving thickened fluids as her source of nutrition and hydration but is only
able to consume about half of the calories that would be needed to keep her at her current weight.
Unfortunately, her health begins to decline further shortly after returning.
The team decides to hold a family conference with the residents children and proposes a plan of
treatment that would focus on comfort care only, excluding CPR if needed again. The patients
eldest daughter does not agree and states that her mother is a fighter and wanted to live to be 100
years old so that she could receive a letter from the Queen. The daughter asks that her mother be
transferred back to the acute care hospital to receive the care of experts
1 of 3
HLTH9224
SPRING 2020
and so that she could be seen by a surgeon for surgery and chemotherapy for her cancer.
The treating physician discusses the case with the intensivist on call at the hospital over the
telephone. The intensivist agrees that the prognosis is extremely poor and likely the resident
would not benefit from further invasive treatment. The intensivist at Hospital holds a family
conference with the family and team at the LTC home over the telephone. He identifies himself
as an expert in the field. The older daughter reiterates their requests to the intensivist.
Part 3
Recommendations for Actions (1 page maximum)
Provide your evaluations and recommendations with rationale. Recommendations should be
supported by findings from the analysis..
Respecting Patient/Family Choice Through Authentic PresenceKaiser Permanente
A story shared by two home health caregivers about how they - along with the team that included the ED, the physician, the paramedics and Apria - were able to respect a family's wishes for treatment that allowed the patient (a gentleman) to stay at home and not be transferred to the Hospital.
Description For the case provided, read the information and answer .pdfsumyad25
Description: For the case provided, read the information and answer the associated questions as a
group.
Mrs. B. is 97 years old, and was admitted to your LTC facility 6 years ago. Shortly after
becoming a resident, she suffered a cardiac arrest and was found to be unresponsive by the staff;
CPR was initiated for a total of 20 minutes prior to return of spontaneous circulation. She has an
advanced directive stating that she agrees to transfer to an acute care facility, but other options,
such as CPR and intubation, were not explicitly addressed in this document. She has no formal
Power of Attorney.
Initially, Mrs. B. had lived at your facility watching TV for most of the day. She was wheelchair
bound and required assistance with most activities of daily living (ADLs). Her husband lives at
your facility with her and is quite frail with moderate dementia. Mrs. B. is frequently visited by
her large extended family, which comprises 4 children and 5 grandchildren. She is known to
have cancer throughout much of her body, moderate dementia, a very bad heart, and type-2
diabetes.
After her cardiac arrest and a short stay in the Hospital ICU, Mrs. B. is brought back to your
facility able to breathe on her own, but with a moderate -severe brain injury caused by lack of
oxygen after her cardiac arrest; this has left her unable to communicate in any meaningful way
with others. She is receiving thickened fluids as her source of nutrition and hydration but is only
able to consume about half of the calories that would be needed to keep her at her current weight.
Unfortunately, her health begins to decline further shortly after returning.
The team decides to hold a family conference with the residents children and proposes a plan of
treatment that would focus on comfort care only, excluding CPR if needed again. The patients
eldest daughter does not agree and states that her mother is a fighter and wanted to live to be 100
years old so that she could receive a letter from the Queen. The daughter asks that her mother be
transferred back to the acute care hospital to receive the care of experts
1 of 3
HLTH9224
SPRING 2020
and so that she could be seen by a surgeon for surgery and chemotherapy for her cancer.
The treating physician discusses the case with the intensivist on call at the hospital over the
telephone. The intensivist agrees that the prognosis is extremely poor and likely the resident
would not benefit from further invasive treatment. The intensivist at Hospital holds a family
conference with the family and team at the LTC home over the telephone. He identifies himself
as an expert in the field. The older daughter reiterates their requests to the intensivist.
Part 3
Recommendations for Actions (1 page maximum)
Provide your evaluations and recommendations with rationale. Recommendations should be
supported by findings from the analysis..
Respecting Patient/Family Choice Through Authentic PresenceKaiser Permanente
A story shared by two home health caregivers about how they - along with the team that included the ED, the physician, the paramedics and Apria - were able to respect a family's wishes for treatment that allowed the patient (a gentleman) to stay at home and not be transferred to the Hospital.
Topic 2TIdentify an experience where you had to assess the .docxrowthechang
Topic 2/T
Identify an experience where you had to assess the needs, interests, and goals of a patient with an ethnic background, different from yours, that resulted in a positive learning experience. How did you turn the situation into a positive learning experience? Did you personally have to deal with any stereotypical beliefs?
When I was working in SICU (Surgical Intensive Care Unit), I was assigned to a patient who was admitted to ICU after an episode of bradycardia and loss of consciousness on the medical surgical floor. A rapid response was initiated and she was intubated and brought to our unit. She was Haitian and came from a very different ethnic background. At the time I was not familiar with their culture or beliefs nor did I know her health history and what originally brought her to the hospital or the reason for her admission.
After a couple days of being assigned to her and taking care of her and her family, I began to understand a little more. She had been diagnosed with breast cancer the previous year and had undergone chemotherapy which unfortunately was unsuccessful. The cancer had spread throughout her body including her esophagus which was later found out to be the reason for the intubation. A tumor had attached itself to her airway and she was unable to breath on her own.
I instantly became attached to the patient and family and enjoyed learning about their culture and belief system. Many people including doctors, nurses and other medical professionals couldn’t understand why a patient who was terminal would want everything done and continue aggressive treatment. Many gave up on her and the family which is why I believe they requested that I take care of her every shift I worked. Special arrangements were made between the family and my director to accommodate their wishes.
Each shift I worked, I took care of her. Her daughter and her husband never left her side other than for bathing or other emergent matters that couldn’t be handled without them. Eventually the primary physicians would stop rounding on her daily and healthcare professional started discussing her prognosis, treatment and plan of care. No one understood why we were continuing to treat this individual as they called the treatment "futile".
As time went on, the hospital decided to call in Risk Management as they had a different belief and understanding regarding by patient's wishes and medical management. This is when I realized I did, I understood her and her family and knew I needed to be her patient advocate and her voice. I fought for her treatment and plan of care which was aggressive not palliative. She expressed to me she wanted to live, even if it meant her last days were spent in the hospital. She would lay there and listen to her children laugh and tell stories about their day and her husband's voice telling her how much he loved her. She was a mother of 10 and had the most beautiful family I had ever met.
Before I met her, I may have ha ...
2 page paper double spaced...The patient is a 45 year old woman .docxsandibabcock
2 page paper double spaced...
The patient is a 45 year old woman who presented at the Emergency room at St Martha’s hospital with acute abdominal pain and some rectal bleeding. Pain medication were given and a lower GI series of test were ordered.Test indicates a blockage in her Transverse colon which could be cancerous tumor or non-cancerous Polyp. A gastroenterologist named Dr. Smith was consulted and evaluated the Patient. Dr Smith recommended a Colonoscopy to evaluate and possibly treat the patient. A colonoscopy was performed a day later and a sizeable Polyp was removed; a Pathology report was ordered to identify if the Polyp was cancerous or not. The report confirmed the the Polyp was precancerous. The patient’ medical history contained nothing remarkable. She came through the anesthesia without incident and the likely prognosis of a complete recovery was excellent.
Mary R and her husband and their two daughters were visiting United States from Thailand. Robert R works for a large oil company headquarters in the US and they come here from time to time mixing business with some sightseeing. Robert R is the medical power of Attorney.
It was decided to keep the patient overnight from observation with the likely discharge in the morning. Slightly after midnight the patient began to complain of acute abdominal pain, the night nurse noted a drop in her blood pressure (65/45) the patient became less responsive and was
taken to the ICU unit. Blood work indicated a very elevated white blood cell count and anemia. The patient was given blood transfusion with a signed permission from her husband.She was also put on antibiotic and given medication to increase her blood pressure. Because of the pain the patient was heavily sedated and put on the ventilator her immediate critical situation was somewhat stabilized.
A perforated Bowel was suspected as the cause of the event. A general surgeon was contacted to consult on the case and evaluate the patient treatment. Doctor Johnson’s evaluation confirmed the opinion by the medical residents and the staff that the patient was septic and that without the surgery the patient will die. Dr Johnson felt that is was quite likely that the patient would require at least a resection of her Colon but also could end up with a colostomy. Dr Johnson felt that the surgery needed to be done right away.
The husband was contacted by the staff and a meeting was held with Dr Johnson and the resident of the case. All the possibilities were discussed with the husband. His response to request to fill out paperwork for the surgery shocked the Medical Team. Robert R was not sure if his wife wants the surgery. In his country having a Colostomy was not acceptable, both in his religion and his culture. He would not be able to take her home in the condition to her relatives and friends, She would nt want to live with such daily reminder f her sorry condition. If DR Johnson could guarantee that he could simply repair the per.
HCR202 v6Reimbursement and Coverage WorksheetHCR202 v6PageJeanmarieColbert3
HCR/202 v6
Reimbursement and Coverage Worksheet
HCR/202 v6
Page 2 of 2
Reimbursement and Coverage Worksheet
Resources: Ch. 8 and 12 of
Medical Insurance: A Revenue Cycle Process Approach (7th ed.)
Imagine you are a billing supervisor at a local health facility. You have been asked to determine the expected reimbursement and coverage determination on the following claims:
1. You reviewed the claim 1500 form for patient Kevin Luke. You realize it is a new calendar year and he had not met his deductible. You had an authorization on file for treatment. Total billed charge amount is $1,100.00. His benefits are as follows:
PPO-Medical Care for diagnostic testing
In-network benefit preauthorization required. Pays at 100% after deductible is met.
Must meet deductible. Annual family deductible is $500.
Calculate the expected reimbursement from insurance and what the patient will owe.
2. You review the claim form for Lisa Smith for treatment of hyperglycemia. You discover she received treatment from a non-network provider. She has met her annual deductible. Total charges for the date of service are $170. The plan pays at usual and customary, which is exactly what was billed. Her benefits are as follows:
PPO-Medical care office visits
In-network benefit-Office visit copayment: $10.00
Out-of-network deductible and coinsurance of 20%.
Calculate the expected reimbursement from insurance and her coinsurance.
3. You are reviewing a claim for Maria Johnson, a 45-year-old who received a well check and flu shot from her in network provider. Her benefits are as follows:
PPO-Medical Care office visits
In-network benefit- copayment: Office visit $10.00 and Injections $25.00
Out-of-network Deductible and Coinsurance of 20%.
Mrs. Johnson called the office because she thought she had overpaid during her visit. What was Mrs. Johnson’s copay the date of the visit?
4. You are reviewing the vision exam benefits for Zach Bergman. He presented for an eye exam stating he needed new glasses. He had an examination 13 months prior and notes he can have an exam every year. His benefits are as follows:
PPO-Medical care office visits
In-network benefit-One vision exam every 2 calendar years.
Out-of-network Deductible and Coinsurance of 20%. Covered every 2 calendar years.
What is Mr. Bergman’s benefit?
5. Lisa Smith called your office noting she had to be transported to the hospital by ambulance while on vacation for food poisoning. She was concerned about what she will need to pay out-of-pocket. She was not admitted. Her benefits for emergency treatment are as follows:
PPO-Emergency treatment
In-network benefit-Copay $100. Waived if admitted. Ambulance services no charge.
Out-of-network Copay $100. Waived if admitted. Ambulance services no charge.
What should Lisa Smith expect to pay out-of-pocket?
Part B: Insurance Process Discussion
Choose one of the above cases and imagine the following scenario:
1. You received a call ...
You Decide - Choices and Consequences Transcript Ok, L.docxjeffevans62972
You Decide - Choices and Consequences
Transcript
Ok, Lead Surgeon, it is time to do what you do best!
You are the Lead Surgeon in a major hospital, and by virtue of your seniority you
are also the key decision maker for transplant cases. Right now you have three
people who are waiting and hoping for a suitable heart to become available.
Your call phone rings suddenly, and you are notified that a heart has become
available—meaning that you need to make a quick yet sound decision about
which patient will receive the heart and then schedule surgery for today.
There is a lot at stake. The decision must be made almost immediately. Like all
actions, you will need to write your decision into medical documentation before
you begin. Yes, that means YOU!
In the limited time before you would begin surgery, you need to consider the
cases; the technical issues involved also, and write a Memorandum for the
Record to document what decision you made and what considerations you
included in your process. This will be on the record, so it needs to be thorough in
case it needs to justify your actions at a later date.
Jerry – Male, 55 years old family man, mid-level manager
Jerry, a father of 3 children and at the age of 55, is in the Ward awaiting a
suitable heart for transplanting. His wife Joanie is a stay at home mother with no
education beyond high school and no career. Jerry is the middle level manager
at a carpet distributing business and 5 year short of his retirement eligibility. Jerry
and Joanie have three teenage children aged 14, 16, and 19. The 19 year old is
a sophomore at college; the 14 year old is mildly autistic, and the 16 year old is
an astronaut wannabe. If Jerry gets the heart, his chances of living another 10-
15 years are very high. His heart is damaged due to the use of steroids in his early
20s when he was involved with bodybuilding before the dangers of steroid use
were fully known.
Lisa – Female, 12 years old lifelong health issues
Lisa is one of those precocious girls – a doll-like girl at the edge of becoming a
teenager. She reads voraciously and yet likes the activities of a younger girl
playing with her Barbie Doll. She has suffered health issues all her life due to
various viral infections and a lupus-like immune deficiency. Her heart was
damaged during a nasty bout with pneumonia last year and actually stopped
for a brief period. Her mother knew to begin CPR on her or she would have died
there. Even with a transplant, her chances of surviving into her 20s are not good.
She is the only child in the family, and they cannot bear more children. Her
parents will do anything for her, and they have offered to donate $2 million to
the hospital’s construction of specialized facilities if she can get a heart soon
enough. Her father is also a noted oncologist working in the same hospital but in
a different department.
Ozzy -- Male, 38 years old homeless drug .
One unit of A is made of three units of B, one unit of C, and two un.pdfaliracreations
One unit of A is made of three units of B, one unit of C, and two units of D. B is composed of
two units of E and one unit of D. C is made of one unit of B and two units of E. E is made of one
unit of F. Items B, C, E, and F have one-week lead times; A and D have lead times of two weeks.
Assume that lot-for-lot (L4L) lot.
One of the methods that astronomer use to detect the presence of pla.pdfaliracreations
One of the methods that astronomer use to detect the presence of planets around other stars is
called the transit method. Describe what observations astronomers actually make and why this
observation provides evidence for planets around other stars..
More Related Content
Similar to Mrs. B. is 97 years old, and was admitted to your LTC faci.pdf
Topic 2TIdentify an experience where you had to assess the .docxrowthechang
Topic 2/T
Identify an experience where you had to assess the needs, interests, and goals of a patient with an ethnic background, different from yours, that resulted in a positive learning experience. How did you turn the situation into a positive learning experience? Did you personally have to deal with any stereotypical beliefs?
When I was working in SICU (Surgical Intensive Care Unit), I was assigned to a patient who was admitted to ICU after an episode of bradycardia and loss of consciousness on the medical surgical floor. A rapid response was initiated and she was intubated and brought to our unit. She was Haitian and came from a very different ethnic background. At the time I was not familiar with their culture or beliefs nor did I know her health history and what originally brought her to the hospital or the reason for her admission.
After a couple days of being assigned to her and taking care of her and her family, I began to understand a little more. She had been diagnosed with breast cancer the previous year and had undergone chemotherapy which unfortunately was unsuccessful. The cancer had spread throughout her body including her esophagus which was later found out to be the reason for the intubation. A tumor had attached itself to her airway and she was unable to breath on her own.
I instantly became attached to the patient and family and enjoyed learning about their culture and belief system. Many people including doctors, nurses and other medical professionals couldn’t understand why a patient who was terminal would want everything done and continue aggressive treatment. Many gave up on her and the family which is why I believe they requested that I take care of her every shift I worked. Special arrangements were made between the family and my director to accommodate their wishes.
Each shift I worked, I took care of her. Her daughter and her husband never left her side other than for bathing or other emergent matters that couldn’t be handled without them. Eventually the primary physicians would stop rounding on her daily and healthcare professional started discussing her prognosis, treatment and plan of care. No one understood why we were continuing to treat this individual as they called the treatment "futile".
As time went on, the hospital decided to call in Risk Management as they had a different belief and understanding regarding by patient's wishes and medical management. This is when I realized I did, I understood her and her family and knew I needed to be her patient advocate and her voice. I fought for her treatment and plan of care which was aggressive not palliative. She expressed to me she wanted to live, even if it meant her last days were spent in the hospital. She would lay there and listen to her children laugh and tell stories about their day and her husband's voice telling her how much he loved her. She was a mother of 10 and had the most beautiful family I had ever met.
Before I met her, I may have ha ...
2 page paper double spaced...The patient is a 45 year old woman .docxsandibabcock
2 page paper double spaced...
The patient is a 45 year old woman who presented at the Emergency room at St Martha’s hospital with acute abdominal pain and some rectal bleeding. Pain medication were given and a lower GI series of test were ordered.Test indicates a blockage in her Transverse colon which could be cancerous tumor or non-cancerous Polyp. A gastroenterologist named Dr. Smith was consulted and evaluated the Patient. Dr Smith recommended a Colonoscopy to evaluate and possibly treat the patient. A colonoscopy was performed a day later and a sizeable Polyp was removed; a Pathology report was ordered to identify if the Polyp was cancerous or not. The report confirmed the the Polyp was precancerous. The patient’ medical history contained nothing remarkable. She came through the anesthesia without incident and the likely prognosis of a complete recovery was excellent.
Mary R and her husband and their two daughters were visiting United States from Thailand. Robert R works for a large oil company headquarters in the US and they come here from time to time mixing business with some sightseeing. Robert R is the medical power of Attorney.
It was decided to keep the patient overnight from observation with the likely discharge in the morning. Slightly after midnight the patient began to complain of acute abdominal pain, the night nurse noted a drop in her blood pressure (65/45) the patient became less responsive and was
taken to the ICU unit. Blood work indicated a very elevated white blood cell count and anemia. The patient was given blood transfusion with a signed permission from her husband.She was also put on antibiotic and given medication to increase her blood pressure. Because of the pain the patient was heavily sedated and put on the ventilator her immediate critical situation was somewhat stabilized.
A perforated Bowel was suspected as the cause of the event. A general surgeon was contacted to consult on the case and evaluate the patient treatment. Doctor Johnson’s evaluation confirmed the opinion by the medical residents and the staff that the patient was septic and that without the surgery the patient will die. Dr Johnson felt that is was quite likely that the patient would require at least a resection of her Colon but also could end up with a colostomy. Dr Johnson felt that the surgery needed to be done right away.
The husband was contacted by the staff and a meeting was held with Dr Johnson and the resident of the case. All the possibilities were discussed with the husband. His response to request to fill out paperwork for the surgery shocked the Medical Team. Robert R was not sure if his wife wants the surgery. In his country having a Colostomy was not acceptable, both in his religion and his culture. He would not be able to take her home in the condition to her relatives and friends, She would nt want to live with such daily reminder f her sorry condition. If DR Johnson could guarantee that he could simply repair the per.
HCR202 v6Reimbursement and Coverage WorksheetHCR202 v6PageJeanmarieColbert3
HCR/202 v6
Reimbursement and Coverage Worksheet
HCR/202 v6
Page 2 of 2
Reimbursement and Coverage Worksheet
Resources: Ch. 8 and 12 of
Medical Insurance: A Revenue Cycle Process Approach (7th ed.)
Imagine you are a billing supervisor at a local health facility. You have been asked to determine the expected reimbursement and coverage determination on the following claims:
1. You reviewed the claim 1500 form for patient Kevin Luke. You realize it is a new calendar year and he had not met his deductible. You had an authorization on file for treatment. Total billed charge amount is $1,100.00. His benefits are as follows:
PPO-Medical Care for diagnostic testing
In-network benefit preauthorization required. Pays at 100% after deductible is met.
Must meet deductible. Annual family deductible is $500.
Calculate the expected reimbursement from insurance and what the patient will owe.
2. You review the claim form for Lisa Smith for treatment of hyperglycemia. You discover she received treatment from a non-network provider. She has met her annual deductible. Total charges for the date of service are $170. The plan pays at usual and customary, which is exactly what was billed. Her benefits are as follows:
PPO-Medical care office visits
In-network benefit-Office visit copayment: $10.00
Out-of-network deductible and coinsurance of 20%.
Calculate the expected reimbursement from insurance and her coinsurance.
3. You are reviewing a claim for Maria Johnson, a 45-year-old who received a well check and flu shot from her in network provider. Her benefits are as follows:
PPO-Medical Care office visits
In-network benefit- copayment: Office visit $10.00 and Injections $25.00
Out-of-network Deductible and Coinsurance of 20%.
Mrs. Johnson called the office because she thought she had overpaid during her visit. What was Mrs. Johnson’s copay the date of the visit?
4. You are reviewing the vision exam benefits for Zach Bergman. He presented for an eye exam stating he needed new glasses. He had an examination 13 months prior and notes he can have an exam every year. His benefits are as follows:
PPO-Medical care office visits
In-network benefit-One vision exam every 2 calendar years.
Out-of-network Deductible and Coinsurance of 20%. Covered every 2 calendar years.
What is Mr. Bergman’s benefit?
5. Lisa Smith called your office noting she had to be transported to the hospital by ambulance while on vacation for food poisoning. She was concerned about what she will need to pay out-of-pocket. She was not admitted. Her benefits for emergency treatment are as follows:
PPO-Emergency treatment
In-network benefit-Copay $100. Waived if admitted. Ambulance services no charge.
Out-of-network Copay $100. Waived if admitted. Ambulance services no charge.
What should Lisa Smith expect to pay out-of-pocket?
Part B: Insurance Process Discussion
Choose one of the above cases and imagine the following scenario:
1. You received a call ...
You Decide - Choices and Consequences Transcript Ok, L.docxjeffevans62972
You Decide - Choices and Consequences
Transcript
Ok, Lead Surgeon, it is time to do what you do best!
You are the Lead Surgeon in a major hospital, and by virtue of your seniority you
are also the key decision maker for transplant cases. Right now you have three
people who are waiting and hoping for a suitable heart to become available.
Your call phone rings suddenly, and you are notified that a heart has become
available—meaning that you need to make a quick yet sound decision about
which patient will receive the heart and then schedule surgery for today.
There is a lot at stake. The decision must be made almost immediately. Like all
actions, you will need to write your decision into medical documentation before
you begin. Yes, that means YOU!
In the limited time before you would begin surgery, you need to consider the
cases; the technical issues involved also, and write a Memorandum for the
Record to document what decision you made and what considerations you
included in your process. This will be on the record, so it needs to be thorough in
case it needs to justify your actions at a later date.
Jerry – Male, 55 years old family man, mid-level manager
Jerry, a father of 3 children and at the age of 55, is in the Ward awaiting a
suitable heart for transplanting. His wife Joanie is a stay at home mother with no
education beyond high school and no career. Jerry is the middle level manager
at a carpet distributing business and 5 year short of his retirement eligibility. Jerry
and Joanie have three teenage children aged 14, 16, and 19. The 19 year old is
a sophomore at college; the 14 year old is mildly autistic, and the 16 year old is
an astronaut wannabe. If Jerry gets the heart, his chances of living another 10-
15 years are very high. His heart is damaged due to the use of steroids in his early
20s when he was involved with bodybuilding before the dangers of steroid use
were fully known.
Lisa – Female, 12 years old lifelong health issues
Lisa is one of those precocious girls – a doll-like girl at the edge of becoming a
teenager. She reads voraciously and yet likes the activities of a younger girl
playing with her Barbie Doll. She has suffered health issues all her life due to
various viral infections and a lupus-like immune deficiency. Her heart was
damaged during a nasty bout with pneumonia last year and actually stopped
for a brief period. Her mother knew to begin CPR on her or she would have died
there. Even with a transplant, her chances of surviving into her 20s are not good.
She is the only child in the family, and they cannot bear more children. Her
parents will do anything for her, and they have offered to donate $2 million to
the hospital’s construction of specialized facilities if she can get a heart soon
enough. Her father is also a noted oncologist working in the same hospital but in
a different department.
Ozzy -- Male, 38 years old homeless drug .
One unit of A is made of three units of B, one unit of C, and two un.pdfaliracreations
One unit of A is made of three units of B, one unit of C, and two units of D. B is composed of
two units of E and one unit of D. C is made of one unit of B and two units of E. E is made of one
unit of F. Items B, C, E, and F have one-week lead times; A and D have lead times of two weeks.
Assume that lot-for-lot (L4L) lot.
One of the methods that astronomer use to detect the presence of pla.pdfaliracreations
One of the methods that astronomer use to detect the presence of planets around other stars is
called the transit method. Describe what observations astronomers actually make and why this
observation provides evidence for planets around other stars..
One of the important uses of portfolio management tools isa. to .pdfaliracreations
One of the important uses of portfolio management tools is
a.
to effectively allocate capital to the different businesses in the portfolio.
b.
to identify strategic linkages between the businesses in the portfolio.
c.
to show SBU managers of underperforming businesses where they stand.
d.
to show analysts the structure of the conglomerate in a way that could be easily understood.
One common result of phospholipid signaling pathways downstream of G.pdfaliracreations
One common result of phospholipid signaling pathways downstream of G-protein activation is a
phenomenon by which waves and oscillations of calcium ions can be produced that sweep across
a cell. The statements below are characteristic of these calcium ion waves EXCEPT:
A. They are much slower than diffusion of calcium ions through the cytoplasm.
B. They maintain the same strength (i.e., calcium ion concentration peaks) throughout the wave.
C. They move in a directional pattern due to both positive and negative feedback mechanisms.
D. They occur due to opening and closing of phospholipid-gated ion channels in the ER
membrane.
E. They can be compared to how an action potential will travel along the membrane of an axon..
Once you have completed your Exploratory research you have decided t.pdfaliracreations
Once you have completed your Exploratory research you have decided to use a Quantitative
approach. Define Quantitative research and, explain why a Quantitative approach as your
research method would be an appropriate way to proceed to address your research objectives..
Once you have your list, respond to the followingList the current.pdfaliracreations
Once you have your list, respond to the following:
List the current events you selected in Weeks 14. Write a one-sentence summary of each current
event.
Week 1-
This week's current event is about water policy and environmental health. The article discusses
the EPA's recent approval of chromium-6 in drinking water.
Week 2- The topic of the article is the overfishing and climate change-related decline in the
North Sea fish population.
Week 3- The article focuses on the significant rise in sea level and its causes.
Week 4- world has failed to meet any of the biodiversity targets set for 2020 is the current event
that I have chosen to highlight the urgent need for action to protect the planet's ecosystems.
Discuss the scientific accuracy of the statements within the selected current event articles and
how they might impact public environmental science literacy. Be specific and explain your
thinking.
How has searching for and synthesizing these current event articles impacted the way you think
about your role as environmental scientist? Explain your thinking.
How has your awareness of processes and practices that enable organizations to reduce
environmental impacts influenced your thinking on how to manage the current events?.
One day, Alex got tired of climbing in a gym and decided to take a v.pdfaliracreations
One day, Alex got tired of climbing in a gym and decided to take a very large group of climber
friends outside to climb. The climbing area where they went, had a huge wide boulder, not very
tall, with various marked hand and foot holds. Alex quickly determined an allowed set of moves
that her group of friends can perform to get from one hold to another. The overall system of
holds can be described by a rooted tree T with n vertices, where each vertex corresponds to a
hold and each edge corresponds to an allowed move between holds. The climbing paths
converge as they go up the boulder, leading to a unique hold at the summit, represented by the
root of T. Alex and her friends (who are all excellent climbers) decided to play a game, where as
many climbers as possible are simultaneously on the boulder and each climber needs to perform
a sequence of exactly k moves. Each climber can choose an arbitrary hold to start from, and all
moves must move away from the ground. Thus, each climber traces out a path of k edges in the
tree T, all directed toward the root. However, no two climbers are allowed to touch the same
hold; the paths followed by different climbers cannot intersect at all.
Describe and analyze an efficient dynamic programming algorithm to compute the maximum
number of climbers that can play this game. State and prove the recurrence relation and also give
the bottom-up implementation..
On November 1, 2021 a company sign a $200,000.12 percent six-month n.pdfaliracreations
On November 1, 2021 a company sign a $200,000.12 percent six-month note payable with the
amount borrowed plus occurred interested to six months later on May 1, 2022. What is the
amount of interest expense report in 2022?.
On January 1, Year 2, Kincaid Companys Accounts Receivable and the .pdfaliracreations
On January 1, Year 2, Kincaid Company's Accounts Receivable and the Allowance for Doubtful
Accounts carried balances of $73,200 and $3,400, respectively. During the year, Kincaid
reported $201,000 of credit sales. Kincaid also wrote off $1,900 of receivables as uncollectible in
Year 2. Cash collections of receivables amounted to $246,700. Kincaid estimates that it will be
unable to collect one percent (1%) of credit sales. Kincaid's entry required to recognize the
uncollectible accounts expense for Year 2 will.
On January 1, 2021, Daniel Corp. acquired 80 of the voting common s.pdfaliracreations
On January 1, 2021, Daniel Corp. acquired 80% of the voting common stock of Phillips Inc.
During the year, Daniel sold to Phillips for $315,000 goods that cost $210,000. At year-end,
Phillips owned 30% of the goods transferred. Phillips reported net income of $305,000, and
Daniels net income was $986,000. Daniel decided to use the equity method to account for this
investment. What amount of intra-entity gross profit would be deferred in 2021?.
On December 31, Year 3, Mueller Corp. acquired 80 of the outstandin.pdfaliracreations
On December 31, Year 3, Mueller Corp. acquired 80% of the outstanding shares of Wilson Inc.
for a total cost of $274,000. The carrying amount of Wilsons assets, liabilities, and equity was
equal to fair value except for the following: Carrying Amount Fair Value Inventory $ 61,500 $
71,000 Equipment, net 285,000 291,000 Patent 43,000 Long-term debt 195,000 163,000
Common shares 190,000 ? Retained earnings 45,000 ?.
No plagiarism. At least 250 wordsWhat is the relationship be.pdfaliracreations
***No plagiarism. At least 250 words***
What is the relationship between a persons skill and assumptions related to the test? Write a brief
narrative explaining.
Box Plot Score for Skill. Note: Frequency scores for all skill variables.
On August 1, 2024, Trico Technologies, an aeronautic electronics com.pdfaliracreations
On August 1, 2024, Trico Technologies, an aeronautic electronics company, borrows $21 million
cash to expand operations. The loan is made by FirstBanc Corporation under a short-term line of
credit arrangement. Trico signs a six-month, 9% promissory note. Interest is payable at maturity.
Tricos year-end is December 31. Required: 1. to 3. Record the necessary entries in the Journal
Entry Worksheet below for Trico Technologies. (If no entry is required for a particular
transaction/event, select "No Journal.
On April 1, Mathis purchased merchandise on account from Reece with .pdfaliracreations
On April 1, Mathis purchased merchandise on account from Reece with credit terms of 2/10,
n/30. The selling price of the merchandise was $3,600, and the cost of the merchandise sold was
$2,450. On April 1, Mathis paid freight charges of $100 cash to have the goods delivered to its
warehouse. On April 8, Mathis returned $1,000 of the merchandise, which had originally cost
Reece $700. On April 10, Mathis paid Reece the balance due..
On 1 January 2021, Alpha Ltd sold inventory to Beta Ltd for $90 000..pdfaliracreations
On 1 January 2021, Alpha Ltd sold inventory to Beta Ltd for $90 000. The original cost of the
inventory was $60 000. Beta Ltd treats the inventory in its accounts as a non-current asset. The
consolidation entry to eliminate the intragroup sale is:.
New York State, county, city, school district, and other government .pdfaliracreations
New York State, county, city, school district, and other government employees in New York
State have the option to participate in the pension system, New York State & Local Retirement
System (NYSLRS) a. What are the financial reporting requirements related to the amount that
these government entities must meet? b. What account type do you think is used to manage the
employees matching contributions while they are in the employers control, before they are
moved to the state pension fund?.
Objective The purpose of this exercise is to create a Linked List d.pdfaliracreations
Objective: The purpose of this exercise is to create a Linked List data structure that mimics the
behavior of the Java Standard Library Version (Java API). The outcomes/results of using the
library features should be identical with your own version (My API). However, the underlying
implementation should follow with the descriptions listed below.
Instructions : Create the following Linked List Data Structure with the given description below
in your utils package and use "for loops" for your repetitive tasks.
Where to find starter code in my-api
package.class : utils.LinkedList
package.class : tests.console.week04.LinkedListTest
Where to find your JUNIT test in my-api
package.class : tests.junit.LinkedListJUnitTest
Nested Class that has to be added to LinkedList class
package.class : utils.LinkedList.Node
Task Check List
ONLY "for" loops should be used within the data structure class. There is an automatic 30%
deduction, if other loops are used.
The names of identifiers MUST match the names listed in the description below. Deductions
otherwise.
Complete coding Assignment in your "my-api" GitHub Repository. You will not be graded
otherwise and will receive a 0, if not uploaded there.
Run JUNIT TEST and take a SNAPSHOT of results. Upload PDF of snapshot of your JUnitTest
results to Canvas.
Description
The internal structure of the Linked List is a doubly linked Node data structure and should have
at a minimum the following specifications:
data fields: The data fields to declare are private and you will keep track of the size of the list
with the variable size and the start of the list with the reference variable data.
first is a reference variable for the first Node in the list.
last is a reference variable for the last Node in the list.
size keeps track of the number of nodes in the list of type int. This will allow you to know the
current size of the list without having to traversing the list.
constructors: The overloaded constructors will initialize the data fields size and data.
A constructor that is a default constructor initializes the starting node location first and size to a
zero equivalent, that is, constructs an empty list.
methods: methods that manages the behavior of the linked nodes.
Together, the methods below give the illusion of a index or countable location. Implement these
methods within your generic Linked List class.
Method
Description
Header
public boolean add(E item)
public void add(int index, E item)
public void append( E item)
private void checkIndex(int index)
public boolean contains(E item)
public void clear()
private E detach(int index)
public E get(int index)
public int indexOf(E item)
private void insertBefore(int index, E item)
public boolean isEmpty()
private Node node(int index)
public E remove(int index)
public boolean remove(E item)
public E set(int index, E item)
public int size()
public String toString()
Node Data Structure
The generic Linked List class includes a static Node class as a nested class, i.e. a st.
nsan davranlar almasnda, rgtsel liderler insanlarn deerleri, tutumlar, alglar ve davranlar gibi
kavramlar anlamaldr. Ama, dncelerini, duygularn ve yetkinliklerini rgtsel baar ile uyumlu hale
getirmektir. Sk sk insanlarn neden ileri yaptklar gibi yaptklarn veya belirli bir ekilde
davrandklarn sorarz. Bu zellikleri aratrn ve referanslar salayn.
Aadaki sorular ele aln:.
nsan adaptasyonu genetik, geliimsel, iklimlendirme ve k�lt�rel olmak.pdfaliracreations
nsan adaptasyonu genetik, geliimsel, iklimlendirme ve kltrel olmak zere drt dzeyde gerekleir.
T/F
Scak bir ortamda bulunan bir kiinin yznn kzarmas vazokonstriksiyonun bir sonucudur. T/F
Bir rkn her birinde ve baka bir rkn hi birinde bulunmayan genetik belirteler yoktur. T/F
Modl balantlarna gre burun ekli, kafa boyutu ve ten rengi yakndan ilikili zelliklerdir. T/F
nsanlar, kltrel evre de dahil olmak zere genlerden ve evreden etkilenmitir. T/F.
Nurse is performing a vaginal exan on a patient who is in labor .pdfaliracreations
Nurse is performing a vaginal exan on a patient who is in labor and observes the umbilical cord
protruding from the vaginal. After calling for assistance, which actions should the nurse take?
-Insert two gloved fingers into the vaginal and apply upward pressure to the presenting part.
-Wrap the visible cord tightly with sterile, dry gauze.
-Apply oxygen to the client at 2 L/min via nasal cannula.
-Place the client in the lithotomy position and apply fundal pressure..
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
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.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
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.
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Chapter 3 - Islamic Banking Products and Services.pptx
Mrs. B. is 97 years old, and was admitted to your LTC faci.pdf
1. Mrs. B. is 97 years old, and was admitted to your LTC facility 6 years ago. Shortly after
becoming a resident, she suffered a cardiac arrest and was found to be unresponsive by the staff;
CPR was initiated for a total of 20 minutes prior to return of spontaneous circulation. She has an
advanced directive stating that she agrees to transfer to an acute care facility, but other options,
such as CPR and intubation, were not explicitly addressed in this document. She has no formal
Power of Attorney.
Initially, Mrs. B. had lived at your facility watching TV for most of the day. She was wheelchair
bound and required assistance with most activities of daily living (ADLs). Her husband lives at
your facility with her and is quite frail with moderate dementia. Mrs. B. is frequently visited by
her large extended family, which comprises 4 children and 5 grandchildren. She is known to
have cancer throughout much of her body, moderate dementia, a very bad heart, and type-2
diabetes.
After her cardiac arrest and a short stay in the Hospital ICU, Mrs. B. is brought back to your
facility able to breathe on her own, but with a moderate -severe brain injury caused by lack of
oxygen after her cardiac arrest; this has left her unable to communicate in any meaningful way
with others. She is receiving thickened fluids as her source of nutrition and hydration but is only
able to consume about half of the calories that would be needed to keep her at her current weight.
Unfortunately, her health begins to decline further shortly after returning.
The team decides to hold a family conference with the residents children and proposes a plan of
treatment that would focus on comfort care only, excluding CPR if needed again. The patients
eldest daughter does not agree and states that her mother is a fighter and wanted to live to be 100
years old so that she could receive a letter from the Queen. The daughter asks that her mother be
transferred back to the acute care hospital to receive the care of experts
1 of 3
HLTH9224
SPRING 2020
and so that she could be seen by a surgeon for surgery and chemotherapy for her cancer.
The treating physician discusses the case with the intensivist on call at the hospital over the
2. telephone. The intensivist agrees that the prognosis is extremely poor and likely the resident
would not benefit from further invasive treatment. The intensivist at Hospital holds a family
conference with the family and team at the LTC home over the telephone. He identifies himself
as an expert in the field. The older daughter reiterates their requests to the intensivist.
Modified from: http://champlainethics.ca/case-studies-consent-and-capacity/
Part 1
Summary of Facts (In point form is fine) (1 page Maximum) Simply use APA heading to
designate. A suggested opening might be:
Summary of Facts
The summary of facts for Mrs. Bs case are as follows: (1 page maximum)
Mrs. B. was.....
The...
The family....
Mrs. B. is 97 years old, and was admitted to your LTC facility 6 years ago. Shortly after
becoming a resident, she suffered a cardiac arrest and was found to be unresponsive by the staff;
CPR was initiated for a total of 20 minutes prior to return of spontaneous circulation. She has an
advanced directive stating that she agrees to transfer to an acute care facility, but other options,
such as CPR and intubation, were not explicitly addressed in this document. She has no formal
Power of Attorney.
Initially, Mrs. B. had lived at your facility watching TV for most of the day. She was wheelchair
bound and required assistance with most activities of daily living (ADLs). Her husband lives at
your facility with her and is quite frail with moderate dementia. Mrs. B. is frequently visited by
her large extended family, which comprises 4 children and 5 grandchildren. She is known to
have cancer throughout much of her body, moderate dementia, a very bad heart, and type-2
diabetes.
After her cardiac arrest and a short stay in the Hospital ICU, Mrs. B. is brought back to your
facility able to breathe on her own, but with a moderate -severe brain injury caused by lack of
oxygen after her cardiac arrest; this has left her unable to communicate in any meaningful way
with others. She is receiving thickened fluids as her source of nutrition and hydration but is only
able to consume about half of the calories that would be needed to keep her at her current weight.
Unfortunately, her health begins to decline further shortly after returning.
The team decides to hold a family conference with the residents children and proposes a plan of
3. treatment that would focus on comfort care only, excluding CPR if needed again. The patients
eldest daughter does not agree and states that her mother is a fighter and wanted to live to be 100
years old so that she could receive a letter from the Queen. The daughter asks that her mother be
transferred back to the acute care hospital to receive the care of experts
1 of 3
HLTH9224
SPRING 2020
and so that she could be seen by a surgeon for surgery and chemotherapy for her cancer.
The treating physician discusses the case with the intensivist on call at the hospital over the
telephone. The intensivist agrees that the prognosis is extremely poor and likely the resident
would not benefit from further invasive treatment. The intensivist at Hospital holds a family
conference with the family and team at the LTC home over the telephone. He identifies himself
as an expert in the field. The older daughter reiterates their requests to the intensivist.
Modified from: http://champlainethics.ca/case-studies-consent-and-capacity/
Part 1
Summary of Facts (In point form is fine) (1 page Maximum) Simply use APA heading to
designate. A suggested opening might be:
Summary of Facts
The summary of facts for Mrs. Bs case are as follows: (1 page maximum)
Mrs. B. was.....
The...
The family....
Mrs. B. is 97 years old, and was admitted to your LTC facility 6 years ago. Shortly after
becoming a resident, she suffered a cardiac arrest and was found to be unresponsive by the staff;
CPR was initiated for a total of 20 minutes prior to return of spontaneous circulation. She has an
advanced directive stating that she agrees to transfer to an acute care facility, but other options,
such as CPR and intubation, were not explicitly addressed in this document. She has no formal
Power of Attorney.
Initially, Mrs. B. had lived at your facility watching TV for most of the day. She was wheelchair
bound and required assistance with most activities of daily living (ADLs). Her husband lives at
your facility with her and is quite frail with moderate dementia. Mrs. B. is frequently visited by
4. her large extended family, which comprises 4 children and 5 grandchildren. She is known to
have cancer throughout much of her body, moderate dementia, a very bad heart, and type-2
diabetes.
After her cardiac arrest and a short stay in the Hospital ICU, Mrs. B. is brought back to your
facility able to breathe on her own, but with a moderate -severe brain injury caused by lack of
oxygen after her cardiac arrest; this has left her unable to communicate in any meaningful way
with others. She is receiving thickened fluids as her source of nutrition and hydration but is only
able to consume about half of the calories that would be needed to keep her at her current weight.
Unfortunately, her health begins to decline further shortly after returning.
The team decides to hold a family conference with the residents children and proposes a plan of
treatment that would focus on comfort care only, excluding CPR if needed again. The patients
eldest daughter does not agree and states that her mother is a fighter and wanted to live to be 100
years old so that she could receive a letter from the Queen. The daughter asks that her mother be
transferred back to the acute care hospital to receive the care of experts
1 of 3
HLTH9224
SPRING 2020
and so that she could be seen by a surgeon for surgery and chemotherapy for her cancer.
The treating physician discusses the case with the intensivist on call at the hospital over the
telephone. The intensivist agrees that the prognosis is extremely poor and likely the resident
would not benefit from further invasive treatment. The intensivist at Hospital holds a family
conference with the family and team at the LTC home over the telephone. He identifies himself
as an expert in the field. The older daughter reiterates their requests to the intensivist.
Modified from: http://champlainethics.ca/case-studies-consent-and-capacity/
Part 1
Summary of Facts (In point form is fine) (1 page Maximum) Simply use APA heading to
designate. A suggested opening might be:
Summary of Facts
The summary of facts for Mrs. Bs case are as follows: (1 page maximum)
Mrs. B. was.....
The...
The family....
5. Mrs. B. is 97 years old, and was admitted to your LTC facility 6 years ago. Shortly after
becoming a resident, she suffered a cardiac arrest and was found to be unresponsive by the staff;
CPR was initiated for a total of 20 minutes prior to return of spontaneous circulation. She has an
advanced directive stating that she agrees to transfer to an acute care facility, but other options,
such as CPR and intubation, were not explicitly addressed in this document. She has no formal
Power of Attorney.
Initially, Mrs. B. had lived at your facility watching TV for most of the day. She was wheelchair
bound and required assistance with most activities of daily living (ADLs). Her husband lives at
your facility with her and is quite frail with moderate dementia. Mrs. B. is frequently visited by
her large extended family, which comprises 4 children and 5 grandchildren. She is known to
have cancer throughout much of her body, moderate dementia, a very bad heart, and type-2
diabetes.
After her cardiac arrest and a short stay in the Hospital ICU, Mrs. B. is brought back to your
facility able to breathe on her own, but with a moderate -severe brain injury caused by lack of
oxygen after her cardiac arrest; this has left her unable to communicate in any meaningful way
with others. She is receiving thickened fluids as her source of nutrition and hydration but is only
able to consume about half of the calories that would be needed to keep her at her current weight.
Unfortunately, her health begins to decline further shortly after returning.
The team decides to hold a family conference with the residents children and proposes a plan of
treatment that would focus on comfort care only, excluding CPR if needed again. The patients
eldest daughter does not agree and states that her mother is a fighter and wanted to live to be 100
years old so that she could receive a letter from the Queen. The daughter asks that her mother be
transferred back to the acute care hospital to receive the care of experts
1 of 3
HLTH9224
SPRING 2020
and so that she could be seen by a surgeon for surgery and chemotherapy for her cancer.
The treating physician discusses the case with the intensivist on call at the hospital over the
telephone. The intensivist agrees that the prognosis is extremely poor and likely the resident
would not benefit from further invasive treatment. The intensivist at Hospital holds a family
conference with the family and team at the LTC home over the telephone. He identifies himself
as an expert in the field. The older daughter reiterates their requests to the intensivist.
Modified from: http://champlainethics.ca/case-studies-consent-and-capacity/
Part 1
6. Summary of Facts (In point form is fine) (1 page Maximum) Simply use APA heading to
designate. A suggested opening might be:
Summary of Facts
The summary of facts for Mrs. Bs case are as follows: (1 page maximum)
Mrs. B. was.....
The...
The family....
