Answer only two of the inquiries below.

2. A number of medical centers around the United States now offer “finders’ fees” to physicians for referring patients to researchers who are conducting trials of new drug therapies, the side effects of which are not yet known. 
one researcher, for example, was offering physicians a $350 payment for each referred patient who enrolled in the research project.   Many physicians accept the fees and make the referrals, apparently without suffering pangs of conscience.  Are their actions ethical?

3. From 1940 to 1970, more than 4,000 radiation experiments were performed on tens of thousands of Americans, many of them poor and uneducated, without their informed consent. Examples of alleged incidents: children in a Massachusetts orphanage were fed radioisotopes; 829 pregnant Tennessee women were fed radioactive iron; patients in Rochester, New York were injected with plutonium; cancer patients in Cincinnati received heavy doses of gamma rays.  Not all of these experiments can be attributed to researchers’ ignorance of the harmful effects of radiation; the main purpose of the experiments was to identify those effects rather than to cure the patients. Even so, the researchers do not seem to have thought they were committing a moral offense. Were they?

10. The consciences of the people in the following cases are confused.  As a result, the people cannot decide whether the actions they are contemplating are morally right.  Decide for them and present the rationale for your position.

d. An airline pilot goes for his regular medical checkup.  The doctor discovers that he has developed a heart murmur.  The pilot has only a month to go before he is eligible for retirement.  The doctor knows this and wonders whether, under these unusual circumstances, she is justified in withholding the information about the pilot’s condition. 

 

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Subject: Drug and Substance abuse refuge 

Final Project

In the first two written assignments, you selected one vulnerable population in need of a new program or service in your community.  In this project, you will finalize the research that allows you to understand elements that go into designing and launching a community service.  The Final Project will be written using a persuasive tone, such that you would be able to present it in order to gain community and organizational support for your program.  The Final Project must demonstrate an understanding of the reading assignments, class discussions, as well as your research and application of new knowledge.  Your project must contain the following elements:

• A description of the vulnerable population and why they need assistance in your community.
• A description of the health service needs of the vulnerable population you have chosen to serve with your program.
• In order to support the need for the service you propose, cite statistical data obtained from your county health department, state health department, and organizations or agencies who serve the vulnerable population.
• A description of your proposed community service or program; include the specific service(s) provided and one continuum of care level (prevention, treatment, or long-term care). Explain how the selected service(s) and the continuum of care will impact the chosen population.
• Discuss the social and cultural norms of your vulnerable population and how these play a role in the need for the services offered by your program. Describe how the vulnerable population experiences the health care system.  Analyze methods your program can use to overcome social and cultural differences.
• Identify two or more community organizations or agencies with which you can partner in order to implement your program. Explain how these organizations can help you implement the services you offer and the continuum of care offered by the potential partnering agencies. Explain which services these organizations will provide to your clientele that are not covered by your program.  
• Analyze at least four potential funding sources for your program, one of which must be from a state funded agency, one of which must be from a federally funded agency and the remaining two can be not-for-profit or for-profit business sources. Explain what factors must be met in order to receive funding from your sources.

Your final project will demonstrate quantitative literacy, which shows your ability to identify and solve problems.  Additionally, you must demonstrate integrative learning, which means you combine your earlier learning from this and other courses, analyze data from multiple perspectives, explore issues to their full extent as is required in the assignment, as well as incorporate your own personal and professional experiences.

Be detailed and convincing in describing the above elements. 

• An APA formatted Final Paper

The Final Paper:

• Must be eight to ten double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center.
• Must include a separate title page with the following:
  • Title of paper
  • Student’s name
  • Course name and number
  • Instructor’s name
  • Date submitted
• Must begin with an introductory paragraph that has a succinct thesis statement.
• Must address the topic of the paper with critical thought.
• Must end with a conclusion that reaffirms your thesis.
• Must use at least six scholarly sources, not including the textbook.
• Must document all sources in APA style, as outlined in the Ashford Writing Center.
• Must include a separate reference page, formatted according to APA style as outlined in the Ashford Writing Center.

 

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Vulnerable Population Summary and Proposed Program

The first of your two written assignments for the course will  provide a beginning framework that you will utilize in the development  of your
Final Project: a proposal for a community-based  program in your area. For this first written assignment, you will  select one of the vulnerable groups identified in the text that will  serve as your target population of interest throughout the duration of  your next written assignment and Final Project.

Select one among the following groups from Chapter 1:

• Vulnerable mothers and children
• Abused individuals
• Chronically ill and disabled people  
• People diagnosed with HIV/AIDS
• People diagnosed with mental conditions
• Suicide- and homicide-liable people
• People affected by alcohol and substance abuse
• Indigent and homeless people
• Immigrants and refugees
• Groups for special consideration (you may propose a different vulnerable population at the consent of the instructor)

Once you have selected a group of interest, write a three page paper that covers the following:

• Discuss the impact that at least two of the factors below have on the vulnerability of your chosen group: 
  • Age
  • Gender
  • Culture/Ethnicity
  • Income
• Analyze the intersection of social, political, and economic factors affecting vulnerability (must address all three factors).
• Draft the design of a new model program, not currently existent  within your community. Provide a two- to- three paragraph statement that  introduces your proposed community program. This section is tentative  and might change as you conduct more research. At a minimum, however,  items to address should include:
• An explanation of the issues and risk factors experienced by the selected population.  
• An evaluation of the health needs of the group and a proposed  continuum of care level (preventive, treatment, or long-term care) based  on the group’s issues, risk factors, and needs.  Justify the proposed  level with supportive research/evidence.
• A description of one to two proposed services your program will include. 

Your assignment should be a minimum of three pages in length  (excluding title and reference pages), and should include a minimum of  three scholarly sources cited according to APA guidelines as outlined in  the Ashford Writing Center.

 

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Write a paper (1,250-1,750 words) describing the approach to care of cancer. In addition, include the following in your paper:

1. Describe the diagnosis and staging of cancer.
2. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.
3. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

 

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