Module 4: Assignment Question # 00602799 Subject: General Questions Due on: 03/30/2019 Posted On: 07/06/2019 10:31 PM Tutorials: 1 Rating: 5.0/5

Module 4: Assignment

Assignment:

This week students will complete an
APA paper to address the following case study.

Mr. Corley Case Study:

Walter and Sheila Corley were
married on January 20, 1984. ? At the time, they lived in Texarkana, Arkansas. ?
Their son Jerry was born in July 1985. ? Later that year, the Corleys separated
and were divorced. ? Sometime thereafter, the Corleys reconciled and resumed
living together, holding themselves out to others as a married couple. ? In
February 1988, the Corleys moved to Mr. Corley’s hometown of Ferriday,
Louisiana. ? The Corleys were remarried in December 1988.

Neurofibromatosis, a disease of the
peripheral nerves of the body, is a condition marked by the presence of
numerous neurofibromas, which are tumors or growths arising from the Schwann
cells which form the covering membrane or sheath of a nerve fiber. ? Persons
with neurofibromatosis frequently have café au lait spots of varying sizes on
their bodies as well. ? In addition, people afflicted with neurofibromatosis
experience a significantly increased risk of developing cancer.

In 1978, Mr. Corley was diagnosed
with neurofibromatosis and had four neurofibromas removed from his head, arm,
hip and leg by a physician in Texarkana. ? Thereafter, a few months prior to
his return to Louisiana in 1988, Mr. ?Corley, who had no other known health
problems, began experiencing low back pain.

On February 11, 1988, Mr. Corley
sought medical treatment from Dr. Maurice Gremillion, a family practitioner in
Ferriday. ? On that date, Mr. Corley complained that he had been experiencing
low back pain and abdominal discomfort for approximately four months. ? He also
noted that he had intermittent right shoulder pain and trouble sleeping. ? At
Mr. Corley’s request, Dr. Gremillion ordered a total work-up which included
x-rays of the lower spine, chest, kidneys and gall bladder, as well as an upper
GI series. ? Dr. Gremillion also prescribed Flexeril, a muscle relaxer, and
Anaprox, an anti-inflammatory pain medication. ? Dr. Gremillion, feeling that
Mr. Corley should be seen by a specialist, then gave him a written referral to
E.A. Conway Medical Center in Monroe for an orthopedic evaluation.

E.A. Conway, which is part of the
L.S.U. system, is a teaching facility staffed by permanent, full-time
physicians as well as by doctors who are employed on a temporary, rotating
basis as interns and residents following their graduation from medical school. ?
The general operating procedure of E.A. Conway at the time of Mr. Corley’s
presentment was that all new patients, even those who have referrals to a
specific service or department, first go through the emergency room. ? At that
time, a patient is charted and evaluated by an emergency room physician. ? From
there, the patient is either treated or referred to a specific clinic for
further follow-up. ? In most cases, patients see different doctors each time
they report to the hospital or one of its clinics.

On March 2, 1988, Mr. Corley,
accompanied by Sheila Corley, reported to the E.A. Conway Emergency Room. The
Corleys presented admitting personnel with all of Mr. Corley’s records from Dr.
Gremillion, including the x-rays and other test reports. ? Dr. Bruce Fuller, an
emergency room physician, took a history from Mr. Corley and reviewed Dr.
Gremillion’s notes and the x-ray reports. ? He also conducted a routine
physical examination and had x-rays made of Mr. Corley’s low back. ? Notwithstanding
the presence of several growths and café au lait spots on Mr. Corley’s back and
torso, Dr. Fuller was unaware that his patient had neurofibromatosis.

Dr. Fuller found everything to be
within normal limits and it was his impression that Mr. Corley was suffering
from low back pain based on minimal subjective complaints of pain. ? Dr. Fuller
continued Mr. Corley on the medication prescribed by Dr. Gremillion and made an
appointment for him with the Orthopedic Clinic on March 16, 1988.

On that date, Mr. Corley was seen in
the Orthopedic Clinic by fourth year resident McIntyre Bridges. ? Dr. Bridges
does not recall looking at or reading the x-rays or reports from Mr. Corley’s
previous examinations. ? Dr. Bridges conducted a physical exam, which was
normal, and started Mr. Corley on a conservative course of treatment for low
back pain. ? Dr. Bridges’ notes from this date indicate his awareness of Mr.
Corley’s neurofibromatosis.

Mr. Corley was next seen on April
20, 1988 by Dr. David Mehta. ? At the time, Dr. Mehta was doing a surgical
internship and was rotating through the Orthopedic Department. ? Dr. Mehta’s
notes reflect that his physical exam of Mr. Corley was normal, but that he felt
that Mr. Corley had a posture problem and referred him to physical therapy for
correction of his posture. ? Again, the notes do not reflect whether Dr. Mehta
reviewed any of Mr. Corley’s previous medical records, x-rays or reports.

On September 14, 1988, Mr. Corley
was seen by fourth year surgical resident Keith White. ? On that date, Mr.
Corley noted that his pain had worsened and was occasionally affecting his
walking. ? Dr. White’s examination yielded no objective findings of low back
pain, but he did notice several café au lait spots indicative of
neurofibromatosis so he ordered a CT scan of Mr. Corley’s low back to rule out
any neurofibroma changes in the nerve roots. ? Dr. Ellis, a radiologist at E.A.
Conway, interpreted the CT scan as showing arthritis consistent with fibrosis
or spinal stenosis and possible edema of the right L-5 nerve root, which,
according to Dr. White, may or may not have been the cause of Mr. Corley’s back
pain. ? As with Drs. Bridges and Mehta, Dr. White did not review any of the
previous medical records, x-rays or reports. ? Mr. Corley’s last visit to E.A.
Conway was September 21, 1988. ? On that date, Dr. White reviewed the results
of the CT scan with Mr. Corley, continued him on an anti-inflammatory drug and
encouraged him to continue his back exercises. ? Dr. White instructed Mr.
Corley to return to the clinic in three months.

Thereafter, on October 26, 1988, Mr.
Corley, plagued by constant back pain and beginning to experience difficulty
breathing, consulted Dr. Rick Maxwell, a chiropractor, who did a full spinal
x-ray which revealed a markedly diminished right lung area. ? Dr. Maxwell sent
Mr. Corley to his father, also a chiropractor, who confirmed that there was a
potential problem with Mr. Corley’s right lung and recommended that he see a
pulmonary specialist.

On October 31, 1988, Mr. Corley
presented to Dr. Gremillion complaining of chest congestion and shortness of
breath. ? Dr. Gremillion diagnosed him with bronchitis and implemented
treatment accordingly. ? Mr. Corley returned to Dr. Gremillion on November 14,
1988 with complaints of shortness of breath and marked weight loss. ?
Subsequent diagnostic testing confirmed the presence of a very large mass in
Mr. Corley’s right chest.

Prior to his death on January 23,
1990, Mr. Corley received radiation and chemotherapy treatment at LSU Medical
Center in Shreveport.

Corley v. State Department of Health Hospitals.http://caselaw.findlaw.com/la-court-of-appeal/1071352.html

Student should address the following questions
regarding this case in an APA paper

1. What are the facts of the case?
   This should include: what do we need to know, who is involved in the
   situation, where does the ethical situation take place, and when does it
   occur?
2. What is the precise ethical
   issue in regards to autonomy, nonmaleficence, beneficence, fidelity, and
   justice?
3. Identify the major principles,
   rules, and values of the case. Values are sets of beliefs about good
   and bad, right and wrong, and about many other aspects of living and
   interacting in the society with others. A principle is a personal rule
   that governs personal behavior. A rule is generally imposed by a figure of
   authority, and used to guide and govern people.
4. Is there legal ground for this
   case, if so what? Who is at fault? What legal action should be taken?
5. Are there alternatives to the
   actions completed in this case by both the patient and healthcare
   facility? Do you feel the physicians were following hospital protocol?
6. If you were a member of the
   ethics committee at this facility, what actions or changes would you
   recommend changing? Why?

For the case study, an APA formatted
paper should be used, and needs to include a title page, level headings,
references and citations. This assignment should include at least 2 references
and should be at least five pages in length. Students should address the
proposed questions providing ample detail, examples, and additional support.

Assignment
Expectations:

• Length:
• answers must thoroughly
  address each question in a clear, concise manner; complete answers will
  likely take 5-6 pages
• Structure:
• reference page required
• address each question in a
  numbered list
• References:
• Two references required