5. How would this case have been different if the attending physician had been the one asking for an ethics consultation
Ans) Limiting treatment of critically ill patients, including removal of life support, is the most common reason for ethics consultations in ICUs at CUMC, and the majority of consultations involve end-of-life discussions.
- As such, guidance from physicians and ethics consultants is critically important to the emotional well-being of families who struggle with these decisions. The hectic pace of an ICU with its chronic shortage of time for communicating with families; frequent turnover of attending physicians, fellows and residents; and the inexperience of many of the young physicians in dealing with end-of-life issues all contribute to the need for ethics consultants who have the time and experience to help physicians deal with ethically complex issues and distraught families.
- As medical technology becomes ever more sophisticated and physicians become ever more specialized, the need for medical ethics consultations in the ICU will almost certainly continue to increase.
- Ourethics consultation service has seen an increase in requests. This increase in ethics consultant-physician interaction is interpreted as a positive outcome of the mandatory policy at CUMC.
- The mandatory ethics consultation policy has possibly increased exposure to ethics consultant-physician interactions, increased learning for physicians, and raised awareness among physicians and nurses of potential ethics assistance.
5. How would this case have been different if the attending physician had been the one...
explain how two decisions you have made would have been different had one or more of the ceteris paribus assumptions involved been different?
After Julien was stabilized and had been given antivenom, the attending physician explained that the mechanism of action for Chironex fleckeri, commonly known as the box jellyfish, is not well understood. One component of the toxin is thought to function as a calcium pore-forming protein that is inserted into the membrane of autorhythmic cells (and possibly other cells). Tanya remembered that intracellular calcium concentrations are much lower than extracellular concentrations. She knew that this ion plays a large role in...
A forty-five-year-old man with a three-year history of cardiovascular disease has entered the hospital with a stroke that has paralyzed his right side and caused him to aspirate food of any consistency. His mental status is clouded and there is disagreement as to whether or not he has decisional capacity. His language capacity is only “yes” and “no,” and his responses are inconsistent. The attending physician is convinced that the patient has lost decisional capacity while two family members are...
A forty-five-year-old man with a three-year history of cardiovascular disease has entered the hospital with a stroke that has paralyzed his right side and caused him to aspirate food of any consistency. His mental status is clouded and there is disagreement as to whether or not he has decisional capacity. His language capacity is only “yes” and “no,” and his responses are inconsistent. The attending physician is convinced that the patient has lost decisional capacity while two family members are...
8. Had you been performing this experiment in the lab you would have been provided with one of the following mixtures. Indicate which compound is neutral in each case. (5 pts.) a) 4-Nitroaniline/Naphthalene b) 4-Nitroaniline/Biphenyl c) Benzoic acid/Biphenyl d) Benzoic acid/Naphthalene
Case 5-8 Physician Query Policy You have suspected there are problems in the physician query process for a while now, and you have planned to review the policy and query form to look for any compliance issues. You would rather find the problems yourself before the Office of the Inspector General (OIG) finds them. Your task today is to evaluate the physician query process at your facility. Figures 5-1 and 5-2. Evaluate Figure 5-1 on all aspects including the following:...
You work for a private health care facility with one physician owner. A patient is suing the physician for injuries that occured after receiving a commonly prescribed vaccination for the prevention of influenza. The patient claims that the physician did not provide information about possible side effects and adverse events, and if that information had been provided, they would have opted to not receive the vaccination. The physician and his attorney would like you to provide a statement defending the...
is there anything that should have been done differently? I Slaying at an acute care facility for over 3 months now. She has uveral years from chronic obstructive pulmonary disease and was placed on mechanical ventilation last fall. She was initially admitted to your facility for a weaning trial from the mechanical ventilator. For the past 3 months, she has failed several trials of weaning. Last night, the physician informed her that she was to leave the acute facility, connected...
Cash flows with different risk profiles would likely have: CHOOSE ONE: A Similar causes. B Been derived in similar currencies. C Been derived in different countries. D Different discount rates.
Case 2 A 26-year-old man reports to his physician in late October, complaining of a sudden onset of fever, a dry couch, headache, and body aches. The man states that he received his flu shot 10 days prior and must have gotten the flu from the immunization. He also states that he had just returned two days before from a weeklong trip to Hong Kong. He mentions that a highlight of his trip was a visit to the farmers' market...