HLT 312 Assignment Applying Ethical Decision Making in Health Care
HLT 312 Assignment Applying Ethical Decision Making in Health Care
Details:
In preparation for this assignment, read the assigned article, “Making the Case for Ethical Decision-Making Models,” and the following case study:
Case Study
Carrie, a 26 year-old female, is admitted to the hospital following a major motor vehicle accident. She is unresponsive and on life-support machines. The physicians and staff have expressed concerns regarding her ability to recover, as she is now in a persistent vegetative state with no brain activity. Her parents believe that she will recover given time and are insistent that she continue to receive aggressive treatment. Carrie’s husband, Bob, is at her bedside. He is requesting that the physicians stop providing treatment and is adamant that keeping her on the machines is against her wishes. The patient does not have a living will or a medical power of attorney identified. As a member of the ethics committee, you have been contacted to determine the best course of action.
Assignment
Based on the article’s discussion, apply the four key aspects of decision-making models to the case study.
Write a 1-2 page letter to the attending physician and family in which you:
- Describe the ethical dilemma.
- Offer your recommendation for the best course of action.
- Provide rationale for your recommendation.
- Identify the ethical problem.
- Gather relevant facts and information, considering others in terms of impact, views, and opinions.
- Identify different possible options and choose and justify one option.
- Implement the decision.
APA format is not required, but solid academic writing is expected.
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While procedural values inform the decision-making process, substantive principles inform the development of criteria for priority-setting. Substantive principles are foundational values that stakeholders consider when identifying criteria and implementing a priority-setting framework. Bedrock principles of biomedical ethics (beneficence/non-maleficence, autonomy, and equity/consistency) were included in the framework as they are principles familiar to the major users and stakeholders in the tool, namely physicians, health partners and the government. Although these principles are generally invoked in the context of patient-specific decisions, we found that they could, with appropriate specification, be rendered applicable to our context. These principles were nuanced over the course of several iterative meetings of CART to suit the context and to ensure that stakeholders had a shared understanding of the meaning of these terms.7 8 For example, an elaboration of the principle of autonomy was required; due to resource constraints, respect for autonomy was understood to imply empowering patients with the information needed to make decisions about their care options rather than offering access to all desired services. Stakeholders affirmed additional principles (many of which had been recommended by a ministry-led bioethics table) as relevant to our work in the context of the pandemic.
Applying Ethical Principles Scoring Guide
CRITERIA | NON-PERFORMANCE | BASIC | PROFICIENT | DISTINGUISHED |
---|---|---|---|---|
Summarize the facts of a case study using peer-reviewed journal articles as evidence to support analysis of the case. | Does not summarize the facts of a case study using peer-reviewed journal articles as evidence to support analysis of the case. | Identifies the facts of the case study using peer-reviewed journal articles as evidence to support analysis of the case. | Summarizes the facts of a case study using peer-reviewed journal articles as evidence to support analysis of the case. | Assesses the facts of the case study using peer-reviewed journal articles as evidence to support analysis of the case, including reasons why the chosen articles support the analysis. |
Discuss the effectiveness of the communication approaches present in a case study. | Does not discuss the effectiveness of the communication approaches present in a case study. | Describes the communication approaches present in a case study. | Discusses the effectiveness of the communication approaches present in a case study. | Discusses the effectiveness of the communication approaches present in a case study, explaining which approaches should be used more and which should be avoided. |
Discuss the effectiveness of the approach used by the professional in a case study as it relates to the three components of the ethical decision-making model. | Does not discuss the effectiveness of the approach used by the professional in a case study as it relates to the three components of the ethical decision-making model. | Describes the approach used by the professional in the case study as it relates to the ethical decision-making model. | Discusses the effectiveness of the approach used by the professional in a case study as it relates to the three components of the ethical decision-making model. | Discusses the effectiveness of the approach used by the professional in the case study as it relates to the ethical decision-making model, including consequences of using effective and noneffective approaches. |
Apply ethical principles to a possible solution to the proposed problem or issue from a case study. | Does not identify ethical principles related to the possible solution to the proposed problem or issue from the case study. | Identifies ethical principles related to the possible solution to the proposed problem or issue from the case study. | Applies ethical principles to a possible solution to the proposed problem or issue from a case study. | Applies ethical principles to a possible solution to the proposed problem or issue from the case study, explaining why the proposed solution is based in ethical principles. |
Produce text with minimal grammatical, usage, spelling, and mechanical errors. | Produces text with significant grammatical, usage, spelling, and mechanical errors, making text difficult to follow. | Produces text with some grammatical, usage, spelling, and mechanical errors, making text difficult to follow at times. | Produces text with minimal grammatical, usage, spelling, and mechanical errors. | Produces text free of grammatical, usage, spelling, and mechanical errors. |
Integrate into text appropriate use of scholarly sources, evidence, and citation style. | Does not integrate into text appropriate use of scholarly sources, evidence, and citation style. | Integrates into text mostly appropriate use of scholarly sources, evidence, and citation style, but there are lapses in style use. | Integrates into text appropriate use of scholarly sources, evidence, and citation style. | Integrates into text appropriate use of scholarly sources, evidence, and citation style without errors and uses current reference sources. |
Lopes Write Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Important information for writing discussion questions and participation
Welcome to class
Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to
I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.
Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.
If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.
Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.
Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource