Q1(lisa)
Part A
This week, you will begin to think about the goals, skills, and accomplishments you want to achieve in your professional life. Working toward your goals, however, happens in the real world where rent is due, family members get married, babies need to be fed, overtime at work is required, and a million other details compete for your attention. With this in mind, describe your concerns.
In at least one paragraph (5-7 sentences), describe your greatest fears related to getting your degree and achieving your career goals.
Part B
Click the link below for David Kelly’s TED Talk, How to build your creative confidence.
- Kelly, D. (2012, March). How to build your creative confidence
Links to an external site.. https://www.ted.com/talks/david_kelley_how_to_build_your_creative_confidence?language=en
Click to access the “How to build your creative confidence
- Links to an external site.” transcript
In Part A of this discussion, your revision journey began. On this path, it is necessary to get outside of your own perspective. You make yourself vulnerable to others because your thoughts and ideas are sitting on the page for anyone to critique. However, there are many fearful experiences that are both necessary and rewarding. In David Kelley’s TED Talk, he outlines a process to navigate fears and unlock creativity. Think about these things, as you listen to Kelley’s talk.
In at least one paragraph (5-7 sentences), please do the following:
- Introduce the TED Talk by author and title and tell what it is about in your own words.
- Think back to the fears you describe in Part A and reflect on what you can do to change the way you see and/or deal with them. In the TED Talk, the inventor of the MRI machine re-designed the experience for children, to help alleviate their fears. How can you re-design or revise your own thoughts, ideas, and perceptions to see this journey in the most positive and empowering way?
Q2
Darr describes social responsibility in three different contexts. Describe some of the challenges associated with one of them.
Q3
This is a theoretical case taken from VHA Intensive Ethics Advisory Committee Training, 1998, as presented by Arthur R. Derse MD, JD. An 87-year-old woman widowed for six years, who is otherwise healthy, was visiting another city and abruptly became ill. She was seen in the emergency department of the local VA and admitted to the on-call physician. The on-call physician (who has not previously seen her) made the diagnosis of bowel obstruction arid made arrangements for a surgeon to evaluate her. The surgeon recommended surgery and obtained her consent for surgery. The surgeon expects an uneventful recovery. She is told that she will be on a ventilator for a short time after surgery. The patient tells the surgeon that is OK as long as it is for a short time. She tells the surgeon that she does not want to be dependent upon machines. She was asked upon admission whether she had an advance directive. She replied that she has a living will and a power of attorney for health care which names her daughter (who does not live in the area) as her health care agent. The patient undergoes surgery, which is successful in treating the underlying problem and does not show any malignant causes, but in the recovery room she has a cardiopulmonary arrest and is resuscitated. She is transferred to the ICU in the care of the on-call physician. The physician attempts to wean her gradually from the ventilator, but this is unsuccessful. Three days later, she has regained consciousness but is still intubated. Though she cannot speak because of the ventilator, she is able to write and asks that the tube be removed. The attending physician tells her that she is dependent upon the ventilator and the patient needs to remain on the ventilator until she can breathe on her own. She writes that she understands that she may die, but she does not want to be on machines. Her only children — a daughter and son — – have arrived. She repeats her wish to them that she wants the tube removed. She writes to her daughter that “I don’t want to die, but we all have to die sometime, and I don’t want to have to live on a machine. I know that whatever the outcome, God will take care of me.” Her daughter tells the physician that her mother is adamant that she be off of machines and she respects her mother’s wishes, even if she cannot breathe on her own. She says this is consistent with her previously expressed wishes and her religious beliefs. Her son tells the physician that he disagrees with his sister — since his mother does not have a terminal condition, he can not see why she should not be forced to put up with the ventilator until she can be weaned from it. He feels that she is being shortsighted, and she will be thankful to have been kept on the ventilator when she is finally able to be weaned. Describe the criteria for giving “legal” consent. Were all elements met in this case? In other words, did the patient demonstrate decision-making capacity? Explain
Q4
Based on case study above: Is this patient requesting to be euthanized or for her physician to assist in her suicide (PAS)? In your answer describe how the two terms differ
Q5
A managed care group may want to market their organization as being “the best” or “a leader” in providing certain services/ treatment. How can this type or marketing effect quality of care and utilization of services, hence costs?
Q6
According to Darr, MCO enrollees can be described as either light/moderate users or heavy users. What are some of the strategies that management uses to turn “heavy” users into light/ moderate users? In your personal opinion, what positives or negatives may result
Q7
Describe the constraints/challenges that physicians experience as being service providers affiliated with a Managed Care Organization
Q8
Give a very brief “real-life” example/instance where drugs/ medical treatment/services were microallocated. And give a “real-life” example of macroallocation
Q9
Read the case of Karen Ann Quinlan Explain why this is a case involving medical futility. (Include in your an answer the definition of medical futility). Darr) writes, “[the] futility theory has quantitative and qualitative aspects.” What is meant by these terms? Present arguments for each as it relates to this case.
Reference:
Darr, K. (2011). Ethics in Health Services
Management. (Fifth Edition).
Baltimore, MD: Health
Professions Press, Inc.
Q10
Having just completed this class Moral Issues in Healthcare, what do you now know that you did not know before?
Q11
Congratulations; you have reached Week 8! Getting to the final week of COMM120 is a great achievement and you should be proud. For this week’s forum, please answer Parts I and II but you do not have to answer every single question.
Part I: Reflection
- Reflect on your use of the Big6 Research Model (CO2).
- What step was the most challenging? How did you overcome the challenge?
- Using the steps in the Big 6 Research Model, consider your process of locating sources, categorizing, organizing, critiquing, and presenting information for the project. What worked well for you?
Part II: Connecting to Career
- How will you use information and digital literacy in your place of work and future career (CO1)?
- How will you sustain your new knowledge in order to support your career goals?
- Why is civility important at your place of work and in politics (CO7)?
Q12
Sport biomechanics includes five important components: motion, force, momentum, levers, and balance. Using the skill you have chosen for your final project, briefly explain how these five components apply.
Q13
With any intimate relationship comes conflict. What matters most in a relationship is how conflict is resolved. Do some research on conflict resolution other than what you have read in our textbook. What additional information can you provide that would help to promote conflict resolution.
Q14
Develop a hypothetical small business (or use your own). Give a brief description of the company and apply the following questions to your small business:
- How will you prioritize content creation and planning while staying within budget?
● Which key performance indicators (KPIs) will you focus on to measure the success of your social media efforts, and why?
Q15
In recent years, there have been a variety of libel cases heard across the United States. One case from 2019 found the jury awarding the plaintiffs $44.4 million and the defendant was a college campus. Read more about the decision against Oberlin College here:
Then, discuss your opinion on this case. Do you think this was an accurate ruling? Do you think the judgment was fair? Argue your position with at least two sources or two additional cases as precedents
Q16
Who are the key stakeholders in your project? What research tools are helpful to determine geography, local, economic, political and other characteristics of your selected community? Identify the main healthcare needs within the community and any cultural and ethnic groups with special healthcare needs.
Q17
what is your perspective on the question of legalization of drugs, including marijuana?
