Week 8 Discussion

The posts/references must be in APA format. 

Please review the clinical case study below and answer the questions that follow:

 Clinical Case Scenario

An 11-month-old girl, well-known to your clinic since birth, arrives for a well-child visit. The parents report that their baby drags her legs rather than crawling on both hands and legs. They are concerned that this is abnormal. The father says that the child only recently began crawling and she does not pull to a stand. You noted at her 6-month visit that she was not rolling over or sitting; previous visits were unremarkable as was the mother’s pregnancy and vaginal delivery. While examining the baby, you note that when she is held by the axillae her legs are extended and crossed (i.e. the “scissoring” posture).

1: What is the most likely diagnosis? Why?

2: What would be three differentials in this case? Why?

3: What developmental milestones are expected at this age?

4: What do you believe is your best course of action/treatment plan for this appointment? Why?

Introduction
Each person owes a duty to himself or herself and to the world to study ethics and to engage in thoughtful debate about what is right, and what is wrong. It is this habit of thinking about and reflecting on ethics that will help you determine the right choices when faced with an ethical dilemma.

Initial Post Instructions
Articulate a moral dilemma wherein one has to show a specific virtue or virtues (it can be any virtue or virtues including honesty, courage, charity/generosity, compassion, etc.)

• What is the moral dilemma about?
• What virtue or virtues should be shown? (You are here selecting the best course of action)
• Why is that virtue or those virtues to be shown?
• How should the virtue or virtues be expressed, and why in that manner?
• Apply Aristotle’s golden mean to the dilemma.
• Tell us how the dilemma involves conflict moral duties (loyalty to community versus to self, professional versus familial duties, national or personal obligations).

The dilemma must be a situation in which a choice has to be made.

Be sure you told us why your chosen course of action was best.

Writing Requirements

• Minimum of 2 sources cited (assigned readings/online lessons and an outside scholarly source)
• APA format for in-text citations and list of references

Reflective Analysis: Risk Management and the Role of Managed Care

The purpose of this assignment is to analyze the role of managed care organizations within health care and risk management programs.

Reflect on and evaluate the role that the managed care organization (MCO) plays in today’s health care environment by developing a 250‐500-word response that addresses the following:

What is a health care organization’s administrative role in executing risk management policies and ensuring compliance with managed care organization (MCO) standards?

What value do the regulatory statutes of a typical MCO provide to a health care organization? Consider how strategies pertaining to policies such as conflict resolution and risk management affect patients as well as employees and employers.

What MCO responsibilities relevant to the Patient Protection and Affordable Care Act (ACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?

In addition to your textbook, you are required to support your analysis with a minimum of two peer‐reviewed references.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required

Shawna, a new staff member, has been working from 7 a.m. to 3 p.m. on an infectious disease floor since obtaining her RN license 4 months ago. Most of the staff members with whom she works with have been there since the unit opened 5 years ago. On a typical day, the staffing consists of a nurse manager, two RNs, an LPN, and one technician for approximately 40 patients. Most patients are HIV-positive with multisystem failure. Many are severely debilitated and need help with their activities of daily living. Although the staff members encourage family members and loved ones to help, most of them are unavailable because they work during the day. Several days a week, the nursing students from Shawna’s community college program are assigned to the floor.

Tina, the nurse manager, does not participate in any direct patient care, saying that she is “too busy at the desk.” Laverne, the other RN, says the unit depresses her and that she has requested a transfer to pediatrics. Lynn, the LPN, wants to “give meds” because she is “sick of the patients’ constant whining,” and Sheila, the technician, is “just plain exhausted.” Lately, Shawna has noticed that the other staff members seem to avoid the nursing students and reply to their questions with annoyed, short answers. Shawna is feeling alone and overwhelmed and goes home at night worrying about the patients, who need more care and attention. She is afraid to ask Tina for more help because she does not want to be considered incompetent or a complainer. When she confided in Lynn about her concerns, Lynn replied, “Get real-no one here cares about the patients or us. All they care about is the bottom line! Why did a smart girl like you choose nursing in the first place?”

Respond to each question in 150 to 200 words per question and include 4 reference in APA 7th format. 

1. Identify at least 5 problems in the case study. 

2. Explain why these are problems and what types of dilemma they present *

3. Determine the additional information needed to develop a solution for the problems. *

4. Include bias that each person in the scenario might have which could affect the problems and solutions. *

5. List and explain at least 4 solutions to the problems. *

6. Discuss both positive and negative outcomes for each solution solutions.

7. Determine the best possible FINAL solution. [stated clearly] *