INSTRUCTIONS

The Case of Marisol

Marisol is a 40-year old single female from a tight knit Puerto Rican family. She is employed full time as a data analyst for a technology company. She has steadily progressed in her career by working for relatively small companies where her role allowed her to work relatively independently. Unfortunately, working for small organizations was less stable financially so she has been working for a larger company for the past four years. Interacting with a larger work group has challenged her comfort zone. She prefers to spend time with a network of close friends she has known most of her life whom she visits with one on one. Her family lives in the area, and she sees them frequently. Her parents and older brother have always provided a support system and practical help. She enjoys quiet evenings alone or at the home of her brother and his family. Her friends and family privately wonder why she’s never dated or wanted to travel.

For each case study, you will complete a descriptive diagnosis using tools you select from the list of assessment tools provided later in the assignment. Each case requires the following information to be addressed:

• Identify presenting concerns from the client’s perspective as described in the video and accompanying narrative. Include relevant cultural and systemic considerations that frame the client’s presentation.
• Describe what information is still needed to make a differential diagnosis and evaluate how at least one assessment tool, which is listed in the List of Assessment Tools resource, will aid in obtaining that information. The Differential Diagnosis Decision Tree may be helpful to guide this process.
• Present DSM-5 and ICD-10 codes, including relevant V and Z codes.
• Provide a descriptive rationale for the DSM diagnosis that best fits the information provided including relevant ICD codes. This should be written in a narrative form using complete sentences. Support your rationale with scholarly sources. Optional readings found in the course syllabus may be particularly relevant.
• Determine if a medication consultation is appropriate and provide a rationale with support from scholarly sources.

LIST OF ASSESSMENT TOOLS AND SUPPORTING RESOURCES

• Beck, A. T., Epstein, N., Brown, G., & Steer, R. (1988). Beck Anxiety Inventory. Psyctests, doi:10.1037/t02025-000
  • Bardhoshi, G., Duncan, K., & Erford, B. T. (2016). Psychometric meta‐analysis of the English version of the Beck Anxiety Inventory. Journal of Counseling & Development, 94(3), 356–373.
    • Review this source to review how to interpret the Beck Anxiety Inventory.
• Derogatis, L. R. (1977). Symptom checklist-90–revised. Psyctests, doi:10.1037/t01210-000
  • Grande, T. L., Newmeyer, M. D., Underwood, L. A., & Williams, C. R. (2014). Path analysis of the SCL-90-R: Exploring use in outpatient assessment. Measurement and Evaluation in Counseling and Development, 47(4), 271–290.
    • Review this source to review how to interpret the SCL-90-R.
• Prevatt, F., Dehili, V., Taylor, N., & Marshall, D. (2015). Anxiety Symptom Checklist. Psyctests, doi:10.1037/t39906-000
• Beck Depression Inventory–II
  • Erford, B. T., Johnson, E., & Bardoshi, G. (2016). Meta-analysis of the English version of the Beck Depression Inventory–Second edition. Measurement and Evaluation in Counseling and Development, 49(1), 3–33.
    • This resource will help you use the Beck Depression Inventory-II if you access that assessment tool.

SUBMISSION REQUIREMENTS

• Written communication: Written communication must be grammatically correct and free of errors that detract from the overall message. Writing should be consistent with graduate level scholarship.
• APA formatting: Title page, main body, and references should be formatted according to the current APA style and formatting.
• Number of resources: Minimum of six scholarly resources. Distinguished submissions typically exceed this minimum.
• Length of paper: 5–7 typed double-spaced pages. Abstract and Table of Content pages are not necessary.
• Font: Times New Roman, 12 point.

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Now that you have selected and carefully reviewed your case study, it is time to begin analyzing the situation the healthcare organization faces. In this milestone, you will evaluate the issue it faces in light of its mission, vision, and values.

Develop an analysis of the organization’s strategic planning approaches. Be sure to address the following:

1. Based on its mission and vision statements, what can you discern about the organization’s approach to strategic planning? Be sure to provide specific examples to justify your response.
2. What is the prevailing issue in question in the case study you selected?
3. What do you see as the overall strategic planning concerns for the healthcare organization with regard to this issue?
4. What role do you feel the healthcare manager plays in terms of strategic planning around this issue? Be sure to substantiate your claims.
5. Who are the key stakeholders affected by or involved in this issue, and what role do they serve in strategic planning within the organization?

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After reading this week’s reading materials, discuss in your own words how your case study’s organizational mission, vision, and values impact how the organization addresses its directional strategies and strategic alternatives.

Submit a journal assignment that evaluates how the organization incorporates directional strategies and strategic alternatives based on its mission and vision statements. In the evaluation, be sure to address the following:

1. Summarize the directional strategies and strategic alternatives that the healthcare organization has available to it. Provide examples from the case study.
2. Discuss how the organization connected its selected directional strategies and strategic alternatives to its mission, vision, and values. Provide examples from the case study.
3. Evaluate the implementation of the directional strategies and strategic alternatives in light of the organization’s mission, vision, and values.

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Please see attached

 

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Required Reading

D’Abramo, F., Schildmann, J., & Vollmann, J. (2015). Research participants’ perceptions and views on consent for biobank research: A review of empirical data and ethical analysis. BMC Medical Ethics, 16(60). doi:10.1186/s12910-015-005305. 

Retrieved from http://bmcmedethics.biomedcentral.com/articles/10.1186/s12910-015-0053-5

Duffy, J. D. (2016). Ethical aspects of palliative medicine. Oxford American Handbook of Hospice and Palliative Medicine and Supportive Care, 287.

DeCamp, M., Farber, N. J., Torke, A. M., George, M., Berger, Z., Keirns, C.C., & Kaldjian, L.C. (2014). Ethical challenges for Accountable Care Organizations: A structured review. Journal of General Internal Medicine. 29(10)

Latham, S. R., Kipnis, K., Martin, M. W., & Gabard, D. L. (2014). Health care. In M. Davis & A. Stack (Eds.) Conflict of interest in the professions. (pp. 279-335). Oxford, England: Oxford University Press.

Linder, D. (2018). Free exercise of religion;The issue: When may the government enforce a law that burdens an individual’s ability to exercise his or her religious beliefs? Retrieved from http://law2.umkc.edu/faculty/projects/ftrials/conlaw/freeexercise.htm

Marcus, B. S., Shank, G., Carlson, J. N., & Venkat, A. (2015). Qualitative analysis of healthcare professionals’ viewpoints on the role of ethics committees and hospitals in the resolution of clinical ethical dilemmas. HEC Forum, 27(1), 11-34. doi:http://dx.doi.org/10.1007/s10730-014-9258-0

Oyez. (n.d.). Cases – Free exercise of religion. Retrieved from https://www.oyez.org/issues/339

Perry, F. (2013). The tracks we leave: Ethical and management dilemmas in healthcare. Chapter 1: Understanding Your Ethical Responsibilities. Retrieved from https://www.ache.org/pdf/secure/gifts/Perrych1-final.pdf

Rossum, R. A. & Tarr, G. A. (2013). Chapter 6: Freedom of religion. American constitutional law, volume II: The Bill of Rights and subsequent amendments. New York: Westview Press.

Snyder, J. E., & Gauthier, C. C. (2008). Evidence-based medical ethics. Chapter 2: The Underlying Principles of Ethical Patient Care Retrieved from http://www.springer.com/cda/content/document/cda_downloaddocument/9781603272452-c1.pdf?SGWID=0-0-45-577128-p173746241

Summers, J. (2013) Principles of healthcare ethics. In E. E. Morrison and B. Furlong (Eds.) Health care ethics: Critical issues for the 21st century. (47-63). Burlington, MA: Jones and Barlett Learning, LLC. Retrieved from: http://samples.jbpub.com/9781449665357/Chapter2.pdf

Thomson Reuters. (2018). United States Supreme Court; ROE v. WADE, (1973); No. 70-18 Argued: December 13, 1971; Decided: January 22, 1973. Retrieved from http://caselaw.findlaw.com/us-supreme-court/410/113.html

University of Washington School of Medicine. (2013). Ethics in medicine: Clinical ethics and law. Accessed from https://depts.washington.edu/bioethx/topics/law.html

World Health Organization. (2016). Global health ethics. Accessed from http://www.who.int/ethics/en/

Required Video

U.S. Department of Health and Human Services. (2018, January 18). OCR new conscience and religious freedom division announcement [Video file]. Retrieved from https://www.youtube.com/watch?v=FHttk1t28t4

Optional Reading

Vidat, A., Lecturer. (2015). Issues legal and economic regarding amendments of the individual employment contract because the individual performance targets are not achieved by the employee. Juridical Tribune Journal = Tribuna Juridica, 5(2), 201-207.

HOMEWORK ASSIGNMENT:

Assignment Overview

As a healthcare professional, it is your responsibility to be ethically sound. You have an essential responsibility to effectively apply ethical reasoning to crucial decisions. One method of elevating your ethical reasoning abilities is through the practice, reading, and understanding of case studies. While every case is not identical, the review of ethical case studies prepares you for similar incidents that may arise.

Case Assignment

For the Module 1 Case Assignment, you are to review 2 cases from the AMA Journal of Ethics (http://journalofethics.ama-assn.org/site/cases.html).

In a 3-page paper complete the following:

1. Identify each case that you have selected.
2. Explain in detail the ethical issue of each case.
3. Identify the ethical principle(s) that have been violated in the cases.
4. Explain from a healthcare professional perspective, what you would have done differently in the case.

You are to support your analysis and views with at least 3 scholarly references (e.g., peer-reviewed journals).

Assignment Expectations

1. Conduct additional research to gather sufficient information to justify/support your analysis.
2. Limit your response to a maximum of 3 pages.
3. Support your proposal with peer-reviewed articles, with at least 3 references. Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php
4. You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/.

 

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