This is a case study of Chapter 5 of the textbook

Please read below instructions, this is a case study of Chapter 5 of the textbook

PHI1635 Biomedical Ethics: Assignment Week 3
Case Study: Chapter 5

Objective: The students will complete a Case
study tasks that contribute the opportunity to produce and apply the thoughts
learned in this and previous coursework to examine a real-world scenario. This
scenario will illustrate through example the practical importance and
implications of various roles and functions of a long-term care settings. As a
result of this assignment, students will be better able to comprehend, scrutinize
and assess respectable superiority and performance by all institutional
employees.
ASSIGNMENT GUIDELINES (10%):
Students will critically
measure the readings from Chapter 5 in your textbook. This assignment is
planned to help you examination, evaluation, and apply the readings and strategies
to your of a long-term care settings
You need to read the PowerPoint Presentation assigned for week 3 and develop a
3-4 page paper reproducing your understanding and capability to apply the readings
to your long-term care settings. Each paper must be typewritten with 12-point
font and double-spaced with standard margins. Follow APA Style 7th edition
format when referring to the selected articles and include a reference page.

EACH
PAPER SHOULD INCLUDE THE FOLLOWING:

1. Introduction (25%) Provide a
brief synopsis of the meaning (not a description) of each Chapter and articles
you read, in your own words that will apply to the case study presented.

2. Your Critique (50%)
Case study: Patient-Centered Care: Case Studies on End of Life in
elderly

Background
Ms. L is an 87-year-old
African American woman who was diagnosed with vulvar cancer at the beginning of
2017. She is also HIV-positive. By the time Ms. L engaged in care, the cancer
had proliferated quite quickly in the setting of a compromised immune system.
Upon discovery of the Stage 4 cancer, doctors recommended a dose of radiation
and chemotherapy. However, during the course of this episode Ms. L was
struggling with substance use. During her hospitalization, she tested positive
for a number of substances, including heroin and cocaine. As a result, care
providers had many discussions about pain management and which pain medications
could be given to her. She was not on methadone treatment maintenance at first,
so she was self-medicating to address her pain. While Ms. L wanted to seek help
for her addiction to substances, some of the traditional models were not
appropriate given the magnitude of her physical issues. There were expectations
that she would get into outpatient treatment but she did not follow through, primarily
because it was difficult for her to tolerate being in groups for long periods.
(Given the location of her cancer, she could not sit upright for long periods
or on the bus for transportation.) Ultimately, Lawanda Williams, Director of
Housing Services at Health Care for the Homeless in Baltimore, Maryland, and
her team were able to provide Ms. L with transportation and cab vouchers so she
could access the full course of radiation that doctors had recommended. Her
pain was never well controlled, because her physician refused to prescribe her
any pain medications, due to the magnitude of her substance use. The radiation
center gave her Percocet while she was there but would not give her anything
that could not be directly supervised. After treatment, they sent her home with
prescriptions for Tylenol and instructions to return and follow up with pain
management teams, which she was unable to do because of her difficulties with
transportation and sitting. Ms. L completed radiation and is in a period of holding
to assess effectiveness of the initial course of radiation, but she still does
not have a prescription for her significant pain and, as a result, continues to
use substances to manage her pain. Ms. Williams observes, “I have been able to
see how managing withdrawal and managing substance abuse in the context of a
palliative care treatment plan does not always exist for patients experiencing
homelessness. She does not fit very neatly into any mainstream treatment
model.”

CASE STUDY CHALLENGE:
1. Harm reduction:
How can care providers best advocate for a harm reduction approach while
seeking to deliver palliative care services, including hospice care?
2. What ethical arguments can you
make base on the case study?
3. Why do you think that long-term
care and palliative care insurance lacks of popularity among older Americans.

3. Conclusion (15%)
Briefly summarize your thoughts &
conclusion to your critique of the case study and provide a possible outcome for
Aging in America base on Health ethics Context?
Evaluation will be
based on how clearly you respond to the above, in particular:
a) The clarity with
which you critique the case study;
b) The depth, scope,
and organization of your paper; and,
c) Your conclusions,
including a description of the impact of these Case study on any Health Care
Setting.

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