M10 Discussion Question:

The Terri Schiavo case involved a 15 year battle between Terri Schiavo’s parents and Terri’s husband after Mrs. Schiavo suffered a medical crisis at age 26.  Go to www.terrisfight.org and read some of the articles regarding the right to die and Terri's case. Click on Terri's Story" and read "Terri's Case: Frequently Asked Questions." (You can watch videos by clicking on the window at the bottom of the Home page labeled “Open Your Eyes” if you wish.)

PART 1: POST BEFORE THE MODULE CLOSES (WORTH A POSSIBLE 35 POINTS):

• In the "Terri's Case: Frequently Asked Questions", was Terri's case an end of life issue or issues on persistent vegetative state?  What is the difference?
• Do you think an Advanced Directive would have changed the case? Why or why not?
• Taking into consideration what you originally thought about this case, did this information change your opinion? If so, how? If not, why not?

Case Scenario:

Ruba is a 39 years old, pregnant woman at 8 weeks gestation, and her husband, Ali, is 50 years old, arrives at antenatal clinic for follow-up. The couples have been married for 12 years. Ruba completes the initial paperwork, and the nurse notes the following obstetric history: G6 T0 P0 A5 L0 M0. Ruba and Ali asked the nurse many questions regarding Down syndrome as Ali’s sister, recently, has a boy with Down syndrome.

Q1. What are the initial prenatal assessment and screening tests would the nurse anticipate for Ruba at this antenatal visit?

Q2. As Ruba has many questions regarding her pregnancy, including the physiological and psychological changes, labor process and postpartum period. The nurse advice Ruba and Ali to attend antenatal classes.

List six topics should be covered in the childbirth preparation program that may help to answer Ruba’s inquiries

Case Scenario:

Ruba is a 39 years old, pregnant woman at 8 weeks gestation, and her husband, Ali, is 50 years old, arrives at antenatal clinic for follow-up. The couples have been married for 12 years. Ruba completes the initial paperwork, and the nurse notes the following obstetric history: G6 T0 P0 A5 L0 M0. Ruba and Ali asked the nurse many questions regarding Down syndrome as Ali’s sister, recently, has a boy with Down syndrome.

Q1. After 7 months, Ruba is approximately 37 weeks gestation. She comes for antenatal follow-up visit complaining of backache, leg cramps, heartburn, constipation, and difficulty sleeping at night. Describe three nursing management for each Ruba’s complain (minor discomfort).

A. Backache

B. Leg cramps

C. Heartburn

D. Constipation:

E. Difficulty sleeping at night

Your client, a 32-year-old mother of three who has immigrated to the United States (in the last 6 months) from Tegucigalpa, Honduras, is confused as to her next steps in the treatment of her 11-year-old son’s arm, which he injured while skateboarding. Her husband, a chemical engineer at a local business, gave her $20 to pay for the needed x-ray, and she doesn’t understand why that is not enough to pay for the radiological studies. (Learning Objectives: 1, 2)
a.    How would you assess your client’s knowledge base?
b.    What teaching topics would you expect to address with your client?
c.    Which information would be pivotal in determining potential funding sources?
d.    Which potential strategies, related to each potential funding source, would connect your client to the most cost-effective funding source for the needed medical care?

A marketing research professor is conducting a telephone survey and needs to contact at least 160 wives, 140 husbands, 110 single adult males, and 120 single adult females. It costs $2 to make a daytime call and $4 (because of higher labor costs) to make an evening call. The table shown below lists the expected results. For example, 10% of all daytime calls are answered by a single male, and 15% of all evening calls are answered by a single female. Because of a limited staff, at most half of all phone calls can be evening calls. Determine how to minimize the cost of completing the survey

Develop a Report for the following

3) Find the optimal solution. State the call plan and total cost.

A marketing research professor is conducting a telephone survey and needs to contact at least 160 wives, 140 husbands, 110 single adult males, and 120 single adult females. It costs $2 to make a daytime call and $4 (because of higher labor costs) to make an evening call. The table shown below lists the expected results. For example, 10% of all daytime calls are answered by a single male, and 15% of all evening calls are answered by a single female. Because of a limited staff, at most half of all phone calls can be evening calls. Determine how to minimize the cost of completing the survey

Q. Develop a Report for the following

If the professor could cut the cost of evening calls from $4 to $3, what would the new calling plan be?

A marketing research professor is conducting a telephone survey and needs to contact at least 160 wives, 140 husbands, 110 single adult males, and 120 single adult females. It costs $2 to make a daytime call and $4 (because of higher labor costs) to make an evening call. The table shown below lists the expected results. For example, 10% of all daytime calls are answered by a single male, and 15% of all evening calls are answered by a single female. Because of a limited staff, at most half of all phone calls can be evening calls. Determine how to minimize the cost of completing the survey

Q. Develop a Report for the following

Find the optimal solution. State the call plan and total cost?

Camille Sikorski was divorced last year. She currently provides a home for her 15-year-old daughter Kaly. Kaly lived in Camille’s home for the entire year, and Camille paid for all the costs of maintaining the home. She received a salary of $107,500 and contributed $6,400 of it to a qualified retirement account (a for AGI deduction). She also received $16,500 of alimony from her former husband. Finally, Camille paid $17,400 of expenditures that qualified as itemized deductions. Use 2018 standard deduction rates.

b.  What would Camille’s taxable income be if she incurred $12,950 of itemized deductions instead of $17,400?

c. Assume the original facts but now suppose Camille’s daughter, Kaly, is 25 years old and a full-time student. Kaly’s gross income for the year was $7,400. Kaly provided $4,440 of her own support, and Camille provided $7,400 of support. What is Camille’s taxable income?

In 2018, Susan (44 years old) is a highly successful architect and is covered by an employee-sponsored plan. Her husband, Dan (47 years old), however, is a Ph.D. student and unemployed. Compute the maximum deductible IRA contribution for each spouse in the following alternative situations.

a. Susan’s salary and the couple’s AGI before any IRA contribution deductions is $193,000. The couple files a joint tax return.

b. Susan’s salary and the couple’s AGI before any IRA contribution deductions is $123,000. The couple files a joint tax return.

c. Susan’s salary and the couple’s AGI before any IRA contribution deductions is $83,000. The couple files a joint tax return.

d. Susan’s salary and her AGI before the IRA contribution deduction is $83,000. Dan reports $5,000 of AGI before the IRA contribution deduction (earned income). The couple files separate tax returns.

Answer the following questions. Your answers should address all parts of the questions and be approximately 300-400 words each. Make sure to thoroughly support all answers with accurate details and relevant evidence from the textbook and other resources.

1. 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; it is a very sexually oriented joke with several words that offend Sally (who overhears the conversation). Sally is upset and complains 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 this considered sexual harassment? Is Sally just overreacting to the situation? If Sally reports the incident to her supervisor, what (if any) actions should the supervisor take to follow up on this incident? 2. Sandra is a nurse in a physician's office and she has just assisted the physician with a suturing procedure. As she is cleaning up afterwards, she is cut by the suture needle and it penetrates her glove. What procedures should be followed? Is the employer responsible even though Sandra made the mistake? How does this incident affect the patient whose blood is on the suture needle? Can the patient be forced to have HIV testing? Be sure to reference OSHA guidelines. 3. A medical assistant is at a 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? Would the employer be responsible for the medical assistant's violation? Consider how respondeat superior and any previous employee HIPAA training might factor in. 4. 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 antibiotic treatment, and it is especially most effective for smokers with bronchitis. However, the physician knows that most insurance companies will not cover this expensive antibiotic. What should the physician do? 5. Susan is diagnosed with early-stage Alzheimer's disease and she finds her son and daughter disagreeing on who should provide her care. She disagrees with both their ideas. Assume she lives in your state and those state laws apply. She’s asked you, her physician, for advice about how to prepare for the time when she will no longer be able to make her own healthcare decisions. What should you tell her? What resources would you provide? 6. A nurse on your unit has a confidential personal code that allows her to view the medical records of patients on her unit, because she clearly has a legitimate need to view these records. However, one day she browses the records of patients on other units in the hospital while she is on break. She explains that she is bored and wants to see if she recognizes the names of any of the other patients. Describe legal and/or ethical issues involved here.