Question

Consider the very famous case of the Tuskegee Syphilis Research Study. Answer the following question.

What kind of a difference would it have made in these men’s lives if they had participated with informed consent?

Why should the studies have been discontinued after the discovery of penicillin?

In the previous chapter, we learned that ethical medical behavior should always be governed by the principles of autonomy, beneficence, and nonmaleficence. How did this study measure up to these three principles?

How fair do you think the settlements were?

Topic: HIPAA Real-Life Case

A medical assistant is at the local store and notices a patient who had been in the office that morning. The patient is with her husband, and the medical assistant greets the patient and congratulates her on the “good news.” The patient is upset, and the medical assistant realizes not only that the patient had not yet informed her husband of the pregnancy but also that the husband had previously undergone a vasectomy and was not the father.

What could happen to the medical assistant for this incident?

Would this be considered a mistake rather than an actual violation of HIPAA? Explain your answer.

Would the employer be responsible for the medical assistant’s violation?

                                                       Scenarios

1) A patient is diagnosed with early-stage Alzheimer’s disease and she finds her son and daughter disagreed on who should provide her care. What if she disagrees with both their ideas? What should she do to prepare for the time when she will no longer be able to make her own healthcare decisions?

2) During an office visit, Mr. H, who smokes cigarettes, is diagnosed with bronchitis. His physician wants to prescribe Levaquin because this is usually the best antibiotics treatment, and it is especially most effective for smokers with bronchitis. However, the physician knows that most insurance companies will not cover this expensive antibiotics. What should the physician do?

3) A coworker has been coming into work repeatedly late and seems very preoccupied with issues she is having outside of work. Her performance has been unusually poor and she is acting in a rude and unacceptable way towards the patients; yesterday she told you that she had just been given a verbal warning. Now, this morning, she is late again and has called to ask you to cover for her until she can report to work. How do you handle the continued behavior that you are witnessing?

4) Several coworkers are in the lunchroom on their lunch break. Sam and his friend George are having a rather loud conversation about the party they attended over the past weekend. George relates a joke that he heard at the party and it is a very sexually oriented joke with several words that offend Sally ( who overhears the conversation). Sally is upset and makes a complaint to them about the nature of the conversation that they are having and how it is offensive to her. George and Sam tell her that she is overreacting and dismiss her complaint.

Is she considered sexual harassment?

Can any actions be taken to follow up on this incident?

Is Sally just overreacting to the situation?

Answer 1

1) according to Tuskegee syphilis research study:

1)ans)the study was purportedly designed to determine natural course of untreated latent syphilis in some African American men in Tuskegee. The research subjects all of F whom had syphilis enrolled in the study -contrary to the urban myth that holds black men in Alabama were injected with virus that cause syphilis.

Several major ethical issues involving human research subjects need to be studied further. The first major ethical issue to be considered is informed consent,which refers to telling potential research participants about all aspects of research.

Penicillin: once penicillin had become available; infact they were prevented from getting treatment..the decision was based on several factors,including the quiescent state of the disease,assumptions about the participants,and fear related to the danger lethal reactions if the men were to receive the penicillin.

3)ans)Settlement:

Each survivor received a settlement of approximately 40000 dollars.

Scenario:

1)ans)if patient disagree about family members ideas of care:

Explain the condition and symptoms of Alzheimer's early stage to the family members.

Capacity to make ones own decisions is fundamental to the autonomy of the individual.patient with dementia cannot be assumed to have impaired capacity.she should understand about her health problems before taking the decision.

If family members disagree to provide care..she should think about health care providers or home takers .

2)ans)he should think about patient economic condition.

Physician should prescribe the drugs of low cost which patient can purchase.physician should about cost of the drugs.if the government supply antibiotics freely or at low cost, physician had to suggest to avail the offer.

3)ans)if coworker repeatedly doing such type of behavior towards patients and coworkers it's better to give counseling.

Even though he repeated same mistake ,then inform to higher authority.

4)no,its not considered sexual harassment.

They both are made sexual oriented jokes happened in the previous party.they are not discussing about her.

They should not trobule others by talking publicly in such a manner.

Sally doing overacting..she need counseling.