Health-Care Delivery Systems
Health-Care Delivery Systems
Katie is an advanced practice nurse who works in a busy neurosurgical unit in a large teaching health care center. She has become friends with several of the neurosurgeons who are nationally recognized for their skills. One day she is approached by an RN friend of hers, Ginger, who works with immigrants in a free clinic, on behalf of a patient who recently came to the United States from Costa Rica. The woman brought her twin sons who were born joined at the head. She approaches one of her physician friends about examining the twins for possible surgery. The physician agrees and after the exam, is very excited about the prospects of surgery to correct the defects and separate the twins. It would be a first-time cutting-edge surgery that he could get published in major medical journals and also gain international recognition for. Unfortunately, the patient will not be able to pay for the surgery.
The physician orders a number of image studies which appear to indicate that both infants should survive the surgery, but they will need intensive hospital care for several months after the surgery. They will also need long term outpatient rehabilitation and home care. Quite often, children who have severe neurological problems will have life time deficits including retardation and mobility issues.
After explaining the procedure to the Chief of Staff, the department expresses its interest in performing this ground-breaking surgery. The physician and several other surgeons offered to perform the surgery without pay, and the hospital, because of its status as a major teaching institution, agreed to provide post-operative inpatient care at no expense to the family. However, no one has come forth to pay for the care after the twins leave the ICU and for outpatient follow-up. Because the condition of the twins has been deteriorating, the physician schedules the surgery in two days’ time.
- Should the family’s ability to pay for long-term and home care for these children play a role in the physician’s decision about when and whether to perform the surgery?
- What should Katie include in the teaching plan for this family?
- If no funds are available for future care, should the surgeon operate? Where might the mother of the twins find additional funding?
- Is the surgeons’ and hospital’s willingness to forgo any payment purely altruistic? If not,
how might they leverage the media attention into funding the recovery of the twins?
- How do you feel about people from foreign countries coming to the US to receive advanced health care for free?
- Is there an issue of distributive justice in the use of scarce resources?
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score. Health-Care Delivery Systems
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Health-Care Delivery Systems
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. Health-Care Delivery Systems