Legal and Ethical principles: Mr. Flynn – a morbidly obese 54-year-old patient of Dr. Money

Explain the legal and ethical principles that were violated in the following scenario:

Mr. Flynn was a morbidly obese 54-year-old patient of Dr. Money. Mr. Flynn was scheduled for a routine colonoscopy. On the day of the procedure, he met the GI nurse Lynette Money. She explained the procedure and explained that he would have an IV inserted by one of the preop nurses. The nurses had a difficult time and had to consult anesthesia. Mr. Flynn was no easy stick, and the anesthesiologist, Dr. A. Sleep, had to resort to an ultrasound machine to find a suitable vein for IV access. Mr. Flynn was uneasy and nearly fainted. He was sweating profusely. ” I never get used to this!” He pointed to the IV.” They always have a hard time,” he said.

Finally, with everything in place, the patient was brought into the GI suite.

It is a typical practice that a patient’s belongings are placed underneath the patient’s stretcher. As Mr. Flynn was hooked up to the monitors, Cassandra Bythely CRNA introduces herself and explains the type of anesthesia he will have. After the pause for the cause, she administers the lidocaine followed by the propofol. Since Mr. Flynn has sleep apnea, Cassandra has to do a chin lift and inserts an oral airway. Mr. Flynn settles down, and Dr. Money begins the colonoscopy.

Lynette Money raises her eyebrows at her husband, Dr. Money, the circulating nurse in the room. “ Boy, oh boy, can you see anything? “ “ It was probably hard for him to just eat clears yesterday,” Dr. Money chuckles. “ Not everyone can have a nice body like you love” Lynette blows him a kiss. The surgical technician, Able Body, laughs and says, “ This dude can afford to miss a meal!! “ Dr. Money says, “Well, if he did a decent prep, he might lose a few!!!” Cassandra mutters, “ Damn he is really going through the propofol, I have given enough for a farm animal!!! “ “ For a cow, you mean? “ chides Lynette. Dr. Money says, “ I think you mean Bull, dear. “ They all laugh.

After the procedure and after his stay in the PACU, Mr. Flynn gathers his personal items. He notices that his phone battery is nearly depleted. Since he has always been self-conscious about his weight, he leaves his phone to record his procedures. This time he is shocked and dismayed to hear the conversation during the colonoscopy. He checks out of PACU and heads up to his cousin’s office, the CEO of the hospital, Dr. Al Right.

Within a week, all responsible parties were fired, and Mr. Flynn decided to file a lawsuit.

Case Study: Tuberculosis

APA format

Cite all references

Answer all questions… Late assignments will not be accepted

You are a public health nurse working at a county immunization and tuberculosis (TB) clinic. B.A. is a 51-year-old woman who wishes to obtain a food handler’s license and is required to show proof of a negative Monteux (purified protein derivative [PPD]) test result before being hired. She came to your clinic 2 days ago to undergo a PPD test for TB. She has returned to have you evaluate her reaction.

What is TB, and what microorganism causes it?

What is the route of transmission for TB?

The Centers for Disease Control and Prevention (CDC) recommends screening people at high risk for TB. List five populations at high risk for developing active disease.

Describe the two methods of TB screening.

How do you determine whether a Monteux test result is positive or negative?

What additional information do you need to obtain from B.A.?

You inform B.A. of the test result. She asks you what the result means. How will you respond?

Case Study Progress:

B.A. is a natural-born American and has no risk factors for TB infection according to the CDC guidelines. She has a 6-year history of type II diabetes mellitus that is well controlled with metformin (Glucophage). She admits that her mother had TB when she was a child but says she herself has never tested positive before. She is angry at the proposition that she might have TB and says, “I feel just fine and I don’t think anything else is necessary.”

What steps need to be done to determine whether B.A. has an active TB infection?

What instructions would you give this patient upon discharge from the hospital?

Answer These Questions:
Discuss the impact of legalizing prostitution in America.
What are three positive aspects of legalizing prostitution?
What are three negative aspects of legalizing prostitution?
Should prostitution be legal in the US? Why or why not?
Is prostitution a victimless crime? Why or why not?
*Paper Should Be 2-3 Paragraphs

Choose a complex healthcare issue.
Using relevant literature, identify the LEGAL issues that arise within this topic.
Critically examine these issues; identify conflicts between different perspectives.
Analyze and discuss the implications for healthcare delivery including the dilemmas for healthcare professionals and nurses in particular.

Relevant literature will include legal sources (Canadian legislation or common law– references to the law of other countries should be AVOIDED unless there is no comparable Canadian law or it can be demonstrated that the Canadian law is inferior to the laws of the foreign jurisdiction), professional standards of practice and codes of ethics (including, where appropriate, those of other health care professions), and policies or other documents relevant to the subject. References to Wikipedia and similar internet‐based resources will NOT be accepted .

N.B. When discussing BC legislation in your paper DO NOT rely on or cite what your source (INCLUDING the textbook) tells you. These are secondary sources and they may be wrong. Instead, rely on, and cite, the legislation as found on “BCLAWS” or “CANLII”. In other words, always use primary sources, i.e the legislation itself

Alberta (1928) and British Columbia (1933) passed Sexual Sterilization Acts
Eugenics in Canada
Mention at some point about Eugenics and Indigenous Peoples in Canada.