case study

Description

Do the following case study, answer the questions Include at least 4 recent (past 5 years) references, need citations Mary Lou Smith, a 40-year-old female patient, recently came to your office to be seen for depression. Her regular primary care provider (PCP) is a colleague of yours. Mary Lou is the Executive Vice President of Excellent Energy, a Fortune 100 company. During the visit she mentions that she does not want the reason for the visit recorded in her chart since a diagnosis of depression could threaten her job. You determine that she does, in fact, suffer from depression and you prescribe Zoloft. The patient forbids you from disclosing the visit to any other providers, pays cash, and does not use her health insurance to cover the cost of the visit. Furthermore, she gets her Zoloft filled at a local, independently owned pharmacy paying cash. Recently, it has come to your attention that Mary Lou did not tell her regular provider that she is taking Zoloft and has set up her personal health record (PHR) to prevent sharing this information with him. You are concerned that the failure to share this information may be detrimental to her health and cause potential adverse reaction to any drugs that may be subsequently prescribed by the PCP. Additional questions for reflection: 1. How do you balance a patient’s privacy needs with your duty to ensure their health and safety? 2. Should health information technology (HIT) keep patient’s psychiatric care in a separate location to protect their privacy? summarize the following: Case Identification Identify the ethical concerns in this situation. Correctly identify the two or more ethical principles in contention. Analyze the Issue Identify the stakeholders involved in the decision, and what is the process in which those involved could come to a decision (e.g., what tools are/could be used to create an informed decision)? What are the values relevant to this problem? Values are the things that you believe are important in making the decision. They (should) determine priorities. Values elevant to this problem may not be representative of your own personal values or moral code of ethics. Identify three courses of action listing benefits and risks for each. Think in terms of values and feasibility (e.g., financial, political, organizational, religious constraints) Resolve the Ethical Issue Identify the best option with justification. Briefly discuss how you might evaluate the outcome of your chosen decision. Reflection Respond to the additional questions under your case study.

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