Ethical Scenarios In Healthcare

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Scenario 1: A: A: Under Medicare Part A, the five days that Mrs. Zwick spent in the hospital as an inpatient will be fully covered after any deductible. Originally, the plan was for her to only stay in the skilled nursing center for 21 days, and the treatments and medications and stay would all be covered by Medicare. For stays to a skilled nursing facility, 1-20 days has no charge. For all days between 21-100,there is a charge (Medicare basics,Medicare part A, www.medicare.gov/navigation/medicare-basics/medicare-benefits/part-a.aspx?Asp... ,date retrieved 11/28/2011). She had to stay longer due to a hospital acquired infection, and Medicare will no longer cover stays beyond what she would have for these type of hospital acquired…show more content…
There has been a law since 2006, called the Deficit Reduction Act, which basically states that certain conditions and infections caused while staying in the hospital will no longer be paid for by Medicare, and the hospital is legally responsible and ethically responsible. Ethically, the hospital should provide patients and families with truthful information about nosocomial infections and its complications. Nurses and other health care workers do not want to harm their patients and continued education is preventing these infections is crucial and their ethical responsibility. The government has decided that these events should never have happened to the patient and are preventable. The 19 extra days of care needed at the skilled center, plus the medications needed to treat the infection become the responsibility of the hospital , and Mrs Zwick will be entitled to reimbursements(your medicare coverage,skilled nursing facility care, www.medicare.gov/Coverage/Search/Results.asp?State=LA%7CLouisiana&Cover, retrieved…show more content…
There are several steps that states can take to control costs, such as wellness programs that address long term chronic illnesses such as diabetes, hypertension, obesity, and cancer prevention(education about sun exposure, smoking and nutrition). These programs could establish interventions ,education, information sharing,set guidelines, and monitor outcomes. To do this, they could use health screenings which involve community support from local hospitals and health care workers who volunteer to screen for hypertension, diabetes, colon cancer, smoking cessation counseling and support, and weight loss information. I believe this is an area that could drastically improve and has tons of potential.

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