Question.5030 - Week 8Ethical DilemmasAssignmentRequired ResourcesRead/review the following resources for this activity:LessonInstructionsIntroductionImagine you are a home healthcare worker employed by Ministering Angels Health Services. You have been assigned a new client, and we’ll call her Mrs. Evans. She is 86 years old and suffered a stroke. She was recently at a skilled nursing facility but her Medicare benefits ran out and she is now receiving home health care. She needs a lot of assistance with daily living activities and is mostly wheelchair-bound. Mrs. Evans lives in a trailer home with her 88-year-old husband, who, shortly after Mrs. Evans was assigned a home health worker, suffered a heart attack and is now in a nursing home. Mrs. Evans is concerned about her husband and depressed about her situation. She insists on visiting her husband every day for 4 to 6 hours; she is driven there by friends and family. No one can convince her to visit less often or for shorter times. These lengthy visits are interfering with her own rehabilitation, and she is increasingly missing appointments with you and with other care providers. She maintains that her husband was always with her while she was hospitalized, and she can do no less for him. She becomes agitated and upset at any suggestion she should curtail these visits. She has become very attached to you and begs you not to “abandon” her, as she puts it, and struggles to comply with your directions for her care and safety. Mrs. Evan has repeatedly asked you to juggle her appointments with other care providers to allow visits to her husband. Medicare’s guidelines for clients to receive home health under Part-A Insurance Plan require them to meet certain “homebound” criteria. Homebound status is officially described as,There exists a normal inability to leave home and, consequently, leaving home would require a considerable and taxing effort. If the patient does in fact leave the home, the patient may nevertheless be considered homebound if the absences from the home are infrequent or for periods of relatively short duration, or are attributable to the need to receive health care treatment. (Home Health Services, 1989)Medicare is a federal health insurance program for people who are 65 or older. Although a Medicare tax is deducted from workers’ pay, these premiums do not begin to cover the cost of Medicare. Steuerle and Quakenbush (2018) estimate that by 2030, male retirees will receive $221,000 more in lifetime benefits than they paid into Medicare, while female retirees will take home $263,000 on top of what they contributed.   Ministering Angels also has specific requirements that you document facts and events as you go about your daily work, including concerns about the client’s environment, safety hazards, and anything out of the ordinary that happens with the client while you are with her. As an ethical critical thinker, how should you respond to Mrs. Evans?   In this assignment, you will consider your personal ethics as you evaluate a real-life situation that might be presented to you as a healthcare professional.Respond to each of the following elements: Laws, Rules, and Regulations: List all the laws, rules, or regulations you believe apply to this situation. Stakeholders: List the stakeholders—those who will be affected by any decision you make. Obligations: List those to whom you believe you have a personal or professional obligation—for example, Mrs. Evans, in rank order, with the highest obligation first, then in descending order to lowest obligation. Priorities: Briefly explain the choices you made in Three. For example, why is Mrs. Evans—if she is your first obligation—highest in priority? Why is the lowest-named entity in last place? No more than 80–100 words. Ethical Approach: Briefly discuss the approach you see as most appropriate here —rule-based, consequence-/outcome-based, or virtue-based. If you believe more than one applies, so state. Briefly explain your choice. No more than 80–100 words. Your Decision: Having considered the rules and the consequences of following or not following them, discuss what course of action you believe you are obliged to take. Of all the courses of action she might take, what course of action do you think she should take? Explain why you think this is what you must do. No more than 150–200 words. Writing Requirements Length: 1.5-2 pages (all six elements)1-inch marginsDouble spaced12-point Times New Roman fontTitle pageReferences page (lesson/textbook citation and outside source citation in APA format)GradingThis assignment will be graded based on the W8 Assignment grading rubric below.OutcomesCO 4: Evaluate arguments by applying standard tests. CO 5: Evaluate the role of cognitive bias and fallacies of relevance in critical reasoning and decision-making. CO 6: Apply principles of critical reasoning to political, educational, economic, and/or social issues. CO 7: Create a fallacy-free argument that incorporates principles of ethical decision-making.
Answer Below:
Week xxxxxxx DilemmasPHIL xxxx th xxxx Rules xxx RegulationsThe xxxxx and xxxx relevant xxxx is xxx Medicare xxxx A xxxxxxxxx requirement xxxxx stipulates xxxx a xxxxxxx must xxxx a xxxxxx inability xx leave xxxx and xxxx leaving xxxxxxxx a xxxxxxxxxxxx and xxxxxx effort xxxxxxxxxx absences xxxx be xxxxx and xxxxxxxxxx or xxxxxxx to xxxxxxx treatment xxxx Health xxxxxxxx Mrs xxxxx s xxxxx extended xxxxxx to xxx husband xxxxxxx this xxxxxxxxx and xxxx the xxxx of xxxxxxxx coverage xxx home xxxxxx services xxxxxxxxxxxx HIPAA xxxxxx Insurance xxxxxxxxxxx and xxxxxxxxxxxxxx Act xx applicable xx safeguard xxxxxxx information xxx confidentiality x must xxxx abide xx Ministering xxxxxx organizational xxxxxxxx which xxxxxxx strict xxxxxxxxxxxxx of xxxxxxxxxxxx client xxxxxx concerns xxx adherence xx care xxxxxxxxx Finally xxx Code xx Ethics xxx healthcare xxxxxxx emphasizes xxxxxxx for xxxxxxx autonomy xxxxxxxxxxx non-maleficence xxx fidelity xxxxxx that xxxx be xxxxxxxxx balanced xx this xxxx StakeholdersMrs xxxxx the xxxxxxx client xxx direct xxxxxxxxx of xxxx Mr xxxxx her xxxxxx whose xxxxxxxxx emotionally xxxxxxx her xxxxxxxxx Home xxxxxxxxxx worker xxxxxx responsible xxx her xxxx and xxxxxxxxxx Ministering xxxxxx Health xxxxxxxx the xxxxxxxxx agency xxxxxxxxxxx for xxxx standards xxxxxxxx the xxxxxxx agency xxxxxxxxx eligibility xxxxxxxxxxxx Other xxxxxxxxxx providers xxxxx treatment xxxxx are xxxxxxxx by xxxxxx appointments xxxxxxxxxxx Ranked xxxxxxx to xxxxxx Mrs xxxxx My xxxxxxx ethical xxx professional xxxxxxxxxx is xx her xxxxxx well-being xxx care xxxxxxxxxxx Angels xxxxxx Services x must xxxxxx with xxxxxxxx policies xxx reporting xxxxxxxxxx Medicare x am xxxxxxxxx to xxxxxx accurate xxxxxxxxxxxxx and xxxxxxxxxxx compliance xxxxx healthcare xxxxxxxxx I xx responsible xxx helping xxxxxxxx continuity xx care xxxxxx providers xx Evans xxxxx important xxxxxxxxxxx he xx not xx direct xxxxxx PrioritiesMrs xxxxx holds xxx highest xxxxxxxx because xxx is xxxxx my xxxxxx care xx her xxxxxxxxxx worker x am xxxxxxxxxxx for xxxxxxxx her xxxxxx guiding xxx rehabilitation xxx protecting xxx access xx services xxxxxxxx Mr xxxxx is xxxxxxx to xxx emotional xxxxx he xx not xx assigned xxxxxxx My xxxxxx obligation xx to xxxxxxxx stakeholders xxxx Medicare xxx Mr xxxxx though xxxxx important xxxxx priorities xxx informed xx ethical xxxxxxxxx discussed xx Bassham xx al xxx emphasize xxxx moral xxxxxxxxx must xxxxx direct xxxxxxxxxxx and xxxxxx the xxxxxxxxxxxx to xxxxx affected xxxx directly xx one x actions xxxxxxx ApproachThis xxxxxxxxx calls xxx a xxxxxxxxxxx of xxxxxxxxxx and xxxxxxxxxxxxxxxxx ethics xxxx a xxxxxxxxxx perspective x must xxxxxx the xxxxxx guidelines xxx by xxxxxxxx and xx employer xxxxx include xxxxxxxxx homebound xxxxxxxx and xxxxxx documentation xxxxxxx et xx From x consequence-based xxxxxxxxxxx approach x must xxxx consider xxx Mrs xxxxx s xxxxxxxxx distress xxx insistence xx visiting xxx husband xxxxxxxxxx affect xxx own xxxxxxxx While xxxxxxx her xxxxxxxx may xxxxx short-term xxxxxxxxx discomfort xxx long-term xxxxxxxxxxxx of xxxxxx Medicare xxxxxxxx and xxxxxxxxxxxxx health xxx more xxxxxxx These xxx approaches xxxxxxxx help xxxxxx ethical xxx practical xxxx My xxxxxxxxxxxxx careful xxxxxxxxxxxxx the xxxx ethical xxx responsible xxxxxx of xxxxxx is xx uphold xxxxxxxx s xxxxxxxxx criteria xxx prioritize xxx Evans x rehabilitation x would xxxxx by xxxxxx a xxxxxxxxxxxxx but xxxxxx conversation xxxx her xxxxx the xxxxx associated xxxx missing xxxxxxx and xxxxxxx appointments x would xxxxxxx that xxx daily xxxxxx jeopardize xxx only xxx health xxx also xxx eligibility xxx Medicare-covered xxxxxxxx At xxx same xxxx I xxxxx work xxxx her xxxx team xx explore xxxxxxxxxxxx such xx reducing xxx frequency xx duration xx her xxxxxx or xxxxxxxxx virtual xxxxxxxxx with xxx husband xx days xxx must xxxxxx home x would xxxx consult xxxx my xxxxxxxxxx and xxxxxxxx all xxxxxxx and xxxxxxxxx carefully xxxxxxxxx her xxxxxx appointments xxx discussions xxxxx her xxxx As xxx provider x must xxxxxxxx a xxxxxxxxxx and xxxxxxxxxx relationship xxxxxxxxxx since xxx has xxxxx emotionally xxxxxxxx and xxxxx abandoned x would xxxxxxxx her xxxx I xx committed xx her xxxxxxxxxx but xxxxxxxxx that xx role xx to xxxx her xxxxxx independence xxx ensure xxx remains xxxxxxxx for xxxx Finally x would xxxxxxxx on xxx behalf xx involve x social xxxxxx or xxxxxxxxx who xxxxx help xxxxxxx her xxxxxxxxx needs xxx perhaps xxxxxxxxxx safe xxxxxx to xxx husband xxxx align xxxx her xxxx plan xxxxxxxxx to xxxxxxx et xx ethical xxxxxxxx thinking xxxxxxxx considering xxxxxxxx perspectives xxx balancing xxxxxxxx values xxxx professional xxxxxx By xxxxxxxx this xxxxxxxxx I xxx support xxx Evans x emotional xxxxx while xxxx protecting xxx physical xxxxxx and xxxxxxxxxx access xxxxxxxxxxxxxxxxx G xxxxx W xxxxxxx H xxxxxxx J x Critical xxxxxxxx A xxxxxxx s xxxxxxxxxxxx th xx McGraw xxxx Education xxxx Health xxxxxxxx Medicare xxxxxxxx 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