James Roberts is a patient in the hospital for which you are the director of risk management. Mr. Roberts was admitted ten days ago for head trauma suffered as a result of a motorcycle accident. He was initially brought to the Emergency Department by Life Flight (an air ambulance system) and was admitted to the neurological intensive care unit after having surgery to remove a piece of his skull to relieve intracranial pressure that would have resulted in permanent brain damage if it had not been performed immediately.
Mr. Roberts is not married, and his only child, a daughter named Mary, was located on the third day of his admission. During a telephone call, Mr. Roberts’ nurse informed Mary of the need for Mr. Roberts to return to the operating room for another procedure which was intended to reduce swelling of the brain and help him to be removed from a medically induced coma. The nurse explained all of the risks, benefits, and alternatives in detail to Mary. Mary agreed to the procedure.
The procedure was successful and on the seventh day of admission, Mr. Roberts was completely out of the medically induced coma, although he remained very confused. On the following day, Mr. Roberts’ physician informed him that a third and final procedure was required to replace the portion of the skull that was removed during the first procedure. The physician attempted to explain the benefits, risks, and alternatives to Mr. Roberts but due to his continued confusion the physician gave up providing a full explanation, had Mr. Roberts sign the consent form, and took him on to surgery. Unfortunately, the procedure did not go as well as planned, although it was technically performed appropriately, and Mr. Roberts relapsed into a coma.
On this tenth day of admission, Mr. Roberts’ long-time girlfriend comes to you and informs you that she holds the healthcare power of attorney. She additionally informs you that Mr. Roberts has a living will and he did not desire to have heroic intervention utilized if the need arose. Mr. Roberts’ girlfriend is angry because she does not believe that appropriate consent was obtained for any of the procedures.
Identify each opportunity during Mr. Roberts’ time within your hospital where consent may have been obtained and whether that consent was implied or express and if express what type of express consent. Since your CEO may not understand the difference, you need to include a short definition of any type of consent identified. You also need to identify whether the consent was appropriately obtained, including why or why not.

Following an automobile accident, a 19-year-old boy who had recently escaped from a detention center was brought to the hospital emergency department by ambulance. The patient seemed to be alert and claimed to be suffering withdrawal symptoms from a drug habit. The patient claimed that he participated in a methadone treatment program. Without asking any further questions or investigating the patient’s claims any further, the physician immediately administered 40 milligrams of methadone to the patient. After further testing and lab work, it was determined that the patient needed to be transfused with two pints of blood. After being informed of the need to receive blood, the patient refused it. After being observed in the emergency department for several hours, the patient was placed on a medical-surgical unit for further observation. The following morning it was not possible to awaken him, and he was pronounced dead. It was discovered that he had never been an addict or in a methadone treatment program. Rather, the previous night he had been drinking beer and taking librium. He had withheld this information from hospital authorities. His estate sued the physician. Consider the possible outcomes if death was the result of (1) overdose of methadone, (2) failure to administer blood, or (3) subdural hematoma (which is a bleeding on the brain).

Analyze the success of a claim for negligence for each of the three possible outcomes above (1 – death due to an overdose of methadone; 2 –death due to a failure to administer blood; and 3 - death due to a subdural hematoma). For each possible outcome, Include in your analysis a detailed discussion of each element of negligence and why that element is met or not met. Second, analyze for each possible outcome whether the defenses of comparative negligence, contributory negligence or assumption of the risk may be asserted by the defendant, including a discussion of why that defense is or is not applicable.

Module 5: Discussion 9 - Stock Option Plan
At the recent shareholder meeting, the CEO of a small bank proposed a plan to offer each of its employees 250 incentive options for Class A common stock. The key provisions of the plan are that employees must exercise the options between January 2014 and December 2019, and if an employee terminates his or her employment with the bank (or is terminated), the options are no longer exercisable. One shareholder vehemently objected to the plan, claiming that such a move would dilute the value of the outstanding shares. As CEO, how would you defend the stock option plan to the shareholders?

Create a 250-350-word narrative to defend the stock option plan.

You must first post your answer(s) before you can see the other students’ posts. Submit your initial post(s) early in the module.

See the Discussion Board Guidelines and Rubrics
Download Discussion Board Guidelines and Rubrics.

Housing supply and demand is an example of the effects supply and demand can have on price elasticity. The most recent housing boom from 2000-2005 was not only a boom in housing prices, but also in-house construction.

Based on your readings, there are a number of factors that determine housing prices. Some are based on economic theories and some are based on more intangible factors. Describe the key economic factors which effect housing prices and how they are determined (HomeGuru).

You must first post your answer(s) before you can see the other students’ posts. Submit your initial post(s) early in the Module.

Unit 4 DB: Client Questions
Assume you are employed by the Midtown rehabilitation Center, the Agency discusses in the textbook, as an intake interviewer. How do you answer the following questions that your client has during the initial meeting? For this forum, your initial response can be formatted in bullet points to address each question. Be sure to also provide justification for your response.

• How often will I come to see you?
• Can I reach you after the center closes?
• What happens if I forget an appointment?
• Is What I tell you confidential?
• What if I have an emergency?
• How will I know when our work is finished?
• What will I be charged for services?
• Will my insurance company reimburse me?
  In response to your peers, provide feedback on the responses to the above questions. Please also identify additional questions that a client may have based on your peer’s responses.

Unit 4 DB discussion.docx