Case Study Legal And Ethical Issues - 1987 Words

Solyndra: Legal and Ethical Issues Barbara Zimmerman BUSN311-D003 American Military University Professor Teresa Knox Solyndra: Legal and Ethical Issues Dr. Chris Gronet founded the Solyndra Solar Company in 2004. Gronet is prominent in the Silicone Valley for being a technological genius, celebrated for his innovations in alternative energy (Weiner, 2012). Less than a year later Solyndra was solicited by the United States Department of Energy, who was very interested in investing in the â€Å"clean† alternative energy that Solyndra promised, and the business soared. Solyndra’s practices made headway and even caught the attention of President Obama. But by 2011 Solyndra had declared bankruptcy and became the core of one of America’s largest business scandals. Throughout this paper I will discuss the legal and ethical issues surrounding Solyndra’s business practices and offer examples as to how the philosophy of Milton Friedman may have influenced the company’s executives. Dr. Chris Gronet was the epitome of a Silicon Valley high achiever. After receiving his decorate in semiconductor processing from Stanford’s School of Engineering, Dr. Gronet founded a startup and jointly filed multiple patents in semiconductor manufacturing (Hull, 2011). Solyndra began as a thriving solar energy company, earning the company a $535 million loan guarantee from the Department of Energy within a year of its conception. It may have been the ferocious competition, the drop of siliconShow MoreRelatedEthical and Legal Issues at the Workplace: A Case Study1053 Words   |  4 Pagesframe the ethical issue in this case. The first is whether private Internet surfing on company time is unethical, the second is whether surfing pornography specifically is an ethical issue. Surfing in general is strictly an ethical issue, depending on what the companys specific policy is. 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It is about enterprises deciding to go beyond minimum legal requirements and obligations stemming fromRead MoreThe Issues Of Gene Technology867 Words   |  4 PagesIssues of gene technology include inappropriate applications, religious issues, and what gives us the right to use such technology. The problems on society include disagreements among different groups of people based on views and opinions. There can economic problems when dealing with genetically modified foods. Legislation mainly focuses on HIPAA and the Genetic Information Nondiscrimination Act (GINA). They protect information and prohibit genetic discrimination in health insurance and employmentRead MoreBus309 Assignment Essay1012 Words   |  5 PagesCompanies Are Viewed as Equal Due Week 4 and worth 175 points In the land of free trade, the public does not view all industries as equal. Do you believe that is ethical? Do you believe that some industries are unfairly targeted? Should it be consumers’ choice to partake in products that are not healthy for them, or do those companies have an ethical obligation to protect people? In this assignment, you will choose one (1) industry to write about. Possible industries to research could be tobacco, soda,

Analysis Of Acute Care Hospitals - 712 Words

Baylor Scott and White Mckinney is the primary hospital I selected for this assignment being compared with Texas Health Prysbeterian Hospital Allen. I chose these two acute care hospitals not only for their geographical location but moreso on the similarities of services they catered to the locals. My focus is on the structural and process of care measures under the category of Patient Experiences specifically on the survey question, â€Å"Patients who reported that they Always received help as soon as they wanted. According to reports from Hospital Compare Baylor got 67% compared to Texas Health which got 75% with a state average of 70% and national average of 69%. The data is gathered through a survey called Hospital Consumer Assessment†¦show more content†¦I find this very interesting because time is very important especially for stroke. Though there is another category for stroke care but some patients can’t express their complaints and requires more time to share it to the healthcare provider. Baylor HCP sees patients in 7 minutes while Texas Health is 22 minutes compared to 19.5 minutes for state average and 23 minutes for national average. The dimension focuses on timeliness. Per data, Baylor is doing good so far and Texas Health may need to review where they could improve on this data. This data of structural measure are reported under the Hospital Inpatient Quality Reporting(IQR) and Outpatient Quality Reporting OQR) programs. Patient overflowing in emergency department is a national crisis. So strategies are on the rise as being influenced by lean healthcare focusing on flow orientation, reduction in unnecessary work elements through clinical pathways, continuous quality improvement initiatives and teamwork (Oredsson, S. et al., 2011). The last measure I want to look on from Home Compare report is the outcome measure particularly the complications related to healthcare-associated infections. Outcome measures data is also a good indicator that shows how the organization is performing with regards to national benchmark. Baylor and Texas health both has no available data with regards to central line - associated bloodstream infection (CLABSI) in ICU and select wards. This kind ofShow MoreRelatedHealth Services Research And Evaluation Methods1184 Words   |  5 Pages HA 8700: Health Services Research and Evaluation Methods Name: Kimberly Wu Assignment: Paper 1 Date: 10/6/14 Executive Summary Through statistical analysis, there were ten AHRQ inpatient quality indicators that are statistically different from that of the reference population. To determine which ones were significant, the reference population was compared to the risk-adjusted confidence interval. 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Acute care hospitals will be randomly assigned to utilize the daily soap and water bathing protocol (control) or the CHG impregnated washcloths (intervention) on all admitted patients to the medical-surgical unit for a six month study period. The prediction forRead MoreEvaluation Of A Research Design1601 Words   |  7 Pagestransplant Surgery and Patient Care Summary: Facial transplantation has potential to greatly improve the functional health and quality of life of persons with severe facial disfigurement, but the procedure raises ethical, psychological, and clinical challenges. Furthermore, uncertainty regarding patient outcomes after technologically advanced interventions has been associated with an intensification of ethical and moral dilemmas for caregivers in acute care settings. Health care team members involved inRead MoreThe Problem Of Population Health933 Words   |  4 Pagesaddress disparities in care (Darves, 2015). 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Antifungals Drugs

Questions: Case Study Assignment: AntifungalsNaomi Unger, age 27, has recently returned from South America, where she was working as a Peace Corps volunteer. She complains of fatigue, cough, and a high unrelenting temperature for the past 5 days. She is diagnosed with aspergillosis pneumonia and is hospitalized. She is prescribed IV amphotericin B. She uses condoms as her birth control method and has not had sex for 5 months. Her menstrual periods are regular but she reports heavy blood loss. Data obtained from the nursing assessment include the following: Vital signs: temperature, 103.1F; pulse, 120; respiration, 28; blood pressure, 100/70 Weight: 110 pounds CBC: WBC, 18.3; RBC, 3.2; Hgb, 10 g/dL; Hct, 35% UA: Within normal limits Chemistry: sodium: 136 mEq/L; potassium: 4.0 mEq/L; chloride: 100 mEq/L; glucose: 100 mg/dL; BUN: 20 mg/dL; creatinine: 1.2 mg/dL; ALT 40; AST 36 ABGs: pH, 7.45; PCO2, 30; HCO3, 29; O2 Sat, 94% Chest x-ray: infiltrates to left upper and lower lobes Bronchial washing: positive for aspergillosisThe patient is currently on ferrous sulfate, 325 mg PO qd. Prescribed medication includes amphotericin B, intravenous, 250 mg/h over 2 hours.Case Study Questions1. Provide the rationale for why Ms, Unger is prescribed amphotericin B.2. What contraindications or precautions would eliminate the use of amphotericin B for Ms. Unger?3. What other drugs could be considered for the treatment of Ms. Ungers infection?4. What patient variables are most important to consider for Ms. Unger when assessing her drug therapy? 5. What aspects of core drug knowledge (pharmacotherapeutics, pharmacokinetics, and pharmacodynamics) are especially relevant to consider because they may interact with the patient variables? 6. Which of the findings from the nursing assessment demonstrate the effectiveness of drug therapy with amphotericin B? 7. Which of the findings from the nursing assessment demonstrate possible adverse effects from amphotericin B?8. What nursing actions are indi cated to maximize therapeutic effects? 9. What nursing actions are indicated to minimize adverse effects? 10. What teaching is required for Ms. Unger regarding her drug therapy? Include list of any additional data needed to determine appropriate teaching. Answers: 1. Ms. Unger is prescribed amphotericin B, because it shows high order of activity against different species of fungi. In this case study the patient is diagnosed with aspergillosis pneumonia, which is a fungal infection. Ms. Ungers bronchial washing results positive for aspergillosis. Amphotericin B binds with the substance ergosterol, which is a fungal cell wall membrane component. This medicines form leakage within the fungal cell membrane and that causes the fungal cell death. Hence it is recommended as a good antifungal agent. 2. The use of this drug would be eliminated if the patient is hypersensitive to Amphotericin B and if the patient is pregnant or a lactating mother or if the patient is suffering from renal impairment, severe pulmonary reactions or leukoencephalopathy. 3. The other drugs that could be considered for the treatment of Ms. Ungers infection include Voriconazole, Voriconazole in combination with Caspofungin, Itraconazole, Posaconazole. 4. Patient age, sex, race, medical or surgical comorbiditis, health status, lifestyle, habits, diet, inherited traits, culture, environment, pharmacogenomics, analgesic responses, pain perceptions and coping skills are the patient variables, which are most important to consider for Ms. Unger when assessing her drug therapy. These influence the effectiveness and safety of sophisticated and modern forms of the administration of analgesics or antimicrobial agents. 5. The aspects of core drug knowledge in terms of pharmacotherapeutics include: the required therapeutic effect of the drug; in terms of pharmacokinetics: the alterations, which take place to the drug while the substance is inside the human system and in terms of pharmacodynamics: the drug effects on the human system (Kee, Hayes McCuistion, 2012). 6. The nursing assessments which demonstrates the drug therapy effectiveness with amphotericin B includes cronchial washing positive for aspergillosis, infiltrates to left upper and lower lobes of the lungs, low red blood count which might represent pulmonary complication. 7. Possible adverse effects from amphotericin B may demonstrate numbness and tingling sensations in the fingers and toes. Prior to the initiation of the drug administration, the nursing professional should check for antiemetic drug and antipyretic drug. 8. The required nursing actions to increase the effectiveness of amphotericin B administration may include administration of amphotericin B intravenously under strict clinical surveillance by experienced personnel (Lilley, Savoca Lilley, 2011). Speedy intravenous infusion is associated with arrhythmias, hypokalemia, shock and hypotension; hence this medicine should be slowly administered. 9. The required nursing actions to diminish the adverse effects may include administration of an antiemetic and an antipyretic drug before starting the infusion, the nurse should also check for patient hypersensitivity particular for this drug, reduction of the recommended dosages and if the patient complains numbness and tingling sensation in her fingers and toes, the charged nurse should immediately stop the infusion. 10. The care professionals should make the patient understand when to start and to stop taking this drug. To determine appropriate patient teaching the care personnel can enquire the patient what has she understood regarding her therapy. The personnel can also provide her with a template that can include dos and donts, dosage timing and side effects of this dosage. References Kee, J., Hayes, E., McCuistion, L. (2012).Pharmacology. St. Louis, MO: Elsevier Saunders. Lilley, L., Savoca, D., Lilley, L. (2011).Pharmacology and the nursing process. Maryland Heights, MO: Mosby.

Skin Of A Lion By Ondaatje Essays - Michael Ondaatje,

Skin Of A Lion By Ondaatje "Let me now re-emphasise the extreme looseness of the structure of all objects" How Ondaatje makes use of "loosness" in the novel. In "In The Skin Of A Lion" by Michael Ondaatje, "the extreme looseness of the structure of all objects" is carried into the themes, characters and into the nature of the novel itself. Ondaatje uses a "looseness" in the style of the novel - post modernism, and "looseness of structure" in the way that people are able to stretch and expand their boundaries: transform or mask themselves into someone not typical of their social group. This novel was written in the late 1980s and is classified as a post-modern work. Essentially, "In The Skin Of A Lion" has many traits of a post-modern novel, it deals with chaos and order, has multi-layered interpretations, provokes an ambiguous and mixed reaction from the reader, and has varied approaches to the conventional storyline; beginning, exposition, and closure. There are liberties taken with the time structure of the narrative. The story itself is like a "mural, [the] falling together of accomplices." Ondaatje tells of ordinary people who's stories interlock and intersect, with many "fragments of human order". Ondaatje does not tell the stories loosely and scattered with no real purpose in mind, he employs recurring images and motifs, for e.g. moths and insects, feldspar. This is to provide continuity and relevance, and helps him to give a view on the untold history of Toronto. An emphasis is placed on the story that comes from different viewpoints and angles - the "chaos", and then structures it so that its order of history is "very faint, very human" as opposed to official histories. It takes every single word from the first page to the last, in order to make sense of the meanings, which "travel languorously like messages in a bottle". The novel's storyline is not linear, it slides from one character to the next, then slips and loses itself in the time that it created, "five years earlier, or ten years into the future..." The prologue only makes sense once the end is reached, and the bits in between all mingle and melt into one another until most of the completed narrative is achieved. In fact, it takes a few good readings to pick up the events and stitch them together to create order, and only then are the meanings apparent. "Meander if you want to get to town". Even when the book is finished, there is no distinct closure and finality of the narrative; the story itself is in the process of being told. "This is a story a young girl gathers in a car...", and in that same way, it tells of how that car trip started, so the tale backs up on itself. The novel constantly brings attention that it itself is a work of fiction. There are constant references to art, music, drama, film, photography, and literature, as well as devices used "You reach people through metaphor". It implies that it is a creation, "Only the best art can order the chaotic tumble of events.." and even "The first sentence of every novel should be...". Authors, painters, singers and actors all feature highly in a book about peoples' creation of their lives and history. Ondaatje's language in the novel borders on poetry. Imagery, figurative language and emotive words abound whenever he is being descriptive, or making a point. The second paragraph at the beginning of "Caravaggio", "by noon [...] onto the blue metal", has a certain rhythm in the words and sentences, "Taking an innocent step/He would fall through the air and die", "joined by a rope - one on each slope", that somewhat mirrors lines in poetry. Poetic devices are in the scene of the puppet-show. Similes "Machine locked in habit", economic use of words"exhausted statuary", and repetition "There. There. There" effectively convey a vivid image to the reader. There is not just flexibility in the structure of the novel and how it is written, it is also carried into themes. One of the issues deals with the looseness of boundaries, especially the boundaries of stereotype and class, "Gestures, and work and bloodline are the only currency". This attitude is one that Ondaatje aims to challenge in the novel. Boundaries could be physical, e.g. the bridge with the "lanterns tracing outlines". This kind is symbolical, the nun loses the boundaries and falls over into a new existence. She takes on a new character and her past life is obliterated, just by