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In this unit, you will discuss two healthcare issues facing healthcare administrators. In a 2-page summary, you will identify the bioethical and political issues and discuss how you would effectively and ethically handle the situations.

 

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Scenario 1: You are the healthcare administrator of a nursing home. You are informed by your Admissions Director that a new memory-impaired resident has been admitted into your longterm care unit. The staff is concerned about the involvement of family with your resident. Family members from out-of-town arrived and expressed concern about your resident’s do not resuscitate (DNR) orders which were authorized by the Power of Attorney of another family member. A quarrel erupts in the nursing home with family members voicing their opinions loudly. You arrive on the scene and are immediately told by the visiting family member, “Do you know who I am? I am a supervisor for the Department of Health and Human Services and will not hesitate to have your facility surveyed for noncompliance.” What do you do?

 

Scenario 2: You are the administrator of a for-profit healthcare clinic. The receptionist notifies you that a 15-year-old has arrived needing prenatal care and does not want her parents to know about her pregnancy. She is covered by her parent’s insurance and does not have enough money to privately pay for the visit. What do you do?

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