Module 4: Assignment

Question # 00602799
Subject: General Questions
Due on: 03/30/2019
Posted On: 07/06/2019 10:31 PM
Tutorials: 1
Question Dot Image

Module 4: Assignment


This week students will complete an APA paper to address the following case study.

Mr. Corley Case Study:

Walter and Sheila Corley were married on January 20, 1984. ? At the time, they lived in Texarkana, Arkansas. ? Their son Jerry was born in July 1985. ? Later that year, the Corleys separated and were divorced. ? Sometime thereafter, the Corleys reconciled and resumed living together, holding themselves out to others as a married couple. ? In February 1988, the Corleys moved to Mr. Corley's hometown of Ferriday, Louisiana. ? The Corleys were remarried in December 1988.

Neurofibromatosis, a disease of the peripheral nerves of the body, is a condition marked by the presence of numerous neurofibromas, which are tumors or growths arising from the Schwann cells which form the covering membrane or sheath of a nerve fiber. ? Persons with neurofibromatosis frequently have café au lait spots of varying sizes on their bodies as well. ? In addition, people afflicted with neurofibromatosis experience a significantly increased risk of developing cancer.

In 1978, Mr. Corley was diagnosed with neurofibromatosis and had four neurofibromas removed from his head, arm, hip and leg by a physician in Texarkana. ? Thereafter, a few months prior to his return to Louisiana in 1988, Mr. ?Corley, who had no other known health problems, began experiencing low back pain.

On February 11, 1988, Mr. Corley sought medical treatment from Dr. Maurice Gremillion, a family practitioner in Ferriday. ? On that date, Mr. Corley complained that he had been experiencing low back pain and abdominal discomfort for approximately four months. ? He also noted that he had intermittent right shoulder pain and trouble sleeping. ? At Mr. Corley's request, Dr. Gremillion ordered a total work-up which included x-rays of the lower spine, chest, kidneys and gall bladder, as well as an upper GI series. ? Dr. Gremillion also prescribed Flexeril, a muscle relaxer, and Anaprox, an anti-inflammatory pain medication. ? Dr. Gremillion, feeling that Mr. Corley should be seen by a specialist, then gave him a written referral to E.A. Conway Medical Center in Monroe for an orthopedic evaluation.

E.A. Conway, which is part of the L.S.U. system, is a teaching facility staffed by permanent, full-time physicians as well as by doctors who are employed on a temporary, rotating basis as interns and residents following their graduation from medical school. ? The general operating procedure of E.A. Conway at the time of Mr. Corley's presentment was that all new patients, even those who have referrals to a specific service or department, first go through the emergency room. ? At that time, a patient is charted and evaluated by an emergency room physician. ? From there, the patient is either treated or referred to a specific clinic for further follow-up. ? In most cases, patients see different doctors each time they report to the hospital or one of its clinics.

On March 2, 1988, Mr. Corley, accompanied by Sheila Corley, reported to the E.A. Conway Emergency Room. The Corleys presented admitting personnel with all of Mr. Corley's records from Dr. Gremillion, including the x-rays and other test reports. ? Dr. Bruce Fuller, an emergency room physician, took a history from Mr. Corley and reviewed Dr. Gremillion's notes and the x-ray reports. ? He also conducted a routine physical examination and had x-rays made of Mr. Corley's low back. ? Notwithstanding the presence of several growths and café au lait spots on Mr. Corley's back and torso, Dr. Fuller was unaware that his patient had neurofibromatosis.

Dr. Fuller found everything to be within normal limits and it was his impression that Mr. Corley was suffering from low back pain based on minimal subjective complaints of pain. ? Dr. Fuller continued Mr. Corley on the medication prescribed by Dr. Gremillion and made an appointment for him with the Orthopedic Clinic on March 16, 1988.

On that date, Mr. Corley was seen in the Orthopedic Clinic by fourth year resident McIntyre Bridges. ? Dr. Bridges does not recall looking at or reading the x-rays or reports from Mr. Corley's previous examinations. ? Dr. Bridges conducted a physical exam, which was normal, and started Mr. Corley on a conservative course of treatment for low back pain. ? Dr. Bridges' notes from this date indicate his awareness of Mr. Corley's neurofibromatosis.

Mr. Corley was next seen on April 20, 1988 by Dr. David Mehta. ? At the time, Dr. Mehta was doing a surgical internship and was rotating through the Orthopedic Department. ? Dr. Mehta's notes reflect that his physical exam of Mr. Corley was normal, but that he felt that Mr. Corley had a posture problem and referred him to physical therapy for correction of his posture. ? Again, the notes do not reflect whether Dr. Mehta reviewed any of Mr. Corley's previous medical records, x-rays or reports.

On September 14, 1988, Mr. Corley was seen by fourth year surgical resident Keith White. ? On that date, Mr. Corley noted that his pain had worsened and was occasionally affecting his walking. ? Dr. White's examination yielded no objective findings of low back pain, but he did notice several café au lait spots indicative of neurofibromatosis so he ordered a CT scan of Mr. Corley's low back to rule out any neurofibroma changes in the nerve roots. ? Dr. Ellis, a radiologist at E.A. Conway, interpreted the CT scan as showing arthritis consistent with fibrosis or spinal stenosis and possible edema of the right L-5 nerve root, which, according to Dr. White, may or may not have been the cause of Mr. Corley's back pain. ? As with Drs. Bridges and Mehta, Dr. White did not review any of the previous medical records, x-rays or reports. ? Mr. Corley's last visit to E.A. Conway was September 21, 1988. ? On that date, Dr. White reviewed the results of the CT scan with Mr. Corley, continued him on an anti-inflammatory drug and encouraged him to continue his back exercises. ? Dr. White instructed Mr. Corley to return to the clinic in three months.

Thereafter, on October 26, 1988, Mr. Corley, plagued by constant back pain and beginning to experience difficulty breathing, consulted Dr. Rick Maxwell, a chiropractor, who did a full spinal x-ray which revealed a markedly diminished right lung area. ? Dr. Maxwell sent Mr. Corley to his father, also a chiropractor, who confirmed that there was a potential problem with Mr. Corley's right lung and recommended that he see a pulmonary specialist.

On October 31, 1988, Mr. Corley presented to Dr. Gremillion complaining of chest congestion and shortness of breath. ? Dr. Gremillion diagnosed him with bronchitis and implemented treatment accordingly. ? Mr. Corley returned to Dr. Gremillion on November 14, 1988 with complaints of shortness of breath and marked weight loss. ? Subsequent diagnostic testing confirmed the presence of a very large mass in Mr. Corley's right chest.

Prior to his death on January 23, 1990, Mr. Corley received radiation and chemotherapy treatment at LSU Medical Center in Shreveport.

Corley v. State Department of Health Hospitals.

Student should address the following questions regarding this case in an APA paper

  1. What are the facts of the case? This should include: what do we need to know, who is involved in the situation, where does the ethical situation take place, and when does it occur?
  2. What is the precise ethical issue in regards to autonomy, nonmaleficence, beneficence, fidelity, and justice?
  3. Identify the major principles, rules, and values of the case. Values are sets of beliefs about good and bad, right and wrong, and about many other aspects of living and interacting in the society with others. A principle is a personal rule that governs personal behavior. A rule is generally imposed by a figure of authority, and used to guide and govern people.
  4. Is there legal ground for this case, if so what? Who is at fault? What legal action should be taken?
  5. Are there alternatives to the actions completed in this case by both the patient and healthcare facility? Do you feel the physicians were following hospital protocol?
  6. If you were a member of the ethics committee at this facility, what actions or changes would you recommend changing? Why?

For the case study, an APA formatted paper should be used, and needs to include a title page, level headings, references and citations. This assignment should include at least 2 references and should be at least five pages in length. Students should address the proposed questions providing ample detail, examples, and additional support.

Assignment Expectations:

  • Length:
    • answers must thoroughly address each question in a clear, concise manner; complete answers will likely take 5-6 pages
  • Structure:
    • reference page required
    • address each question in a numbered list
  • References:
    • Two references required
Dot Image
mac123 Posted By :
Questions: 426 Tutorials: 848
Tutorials for this Question

Module 4: Assignment

Tutorial # 00601257
Posted On: 07/06/2019 10:31 PM
Feedback Score: 100% (by 1 users)
Purchased By: 3
Posted By:
Report this Tutorial as Inappropriate
Tutorial Preview
The solution of Module 4: Assignment...
Mr._Corley_Case_Study_.docx (48.58 KB)
Recent Feedback
Rated By Feedback Comments Rated On
Late-night online help obtainable 08/06/2019

Great! We have found the solution of this question!

Related Questions
PSYC4310 Week 7 Assignment Latest 2023 January
PSYC4310 Biological Psychology Week 7 Assignment   LITERATURE REVIEW Overview Using the backbone of what you've done in the previous two assignments, utilize what you discovered t …
Decision-making is a constant process for those in leadership roles.
Decision-making is a constant process for those in leadership roles. An effective leader must be able to understand the daily problems that arise and present solutions beneficial to the organization, …
I-human current Pediatric cases
Looking to see if there is any documentation for current Pediatric cases.  Specifically looking for Brandon Thorne, Zoey Wright, and Marvin Webster.  Or does anyone have posted a "5 yea …
Based on the objectives and resources from this week
In 250-500 words, using the resources in the Topic Materials, please address the following questions using the attached GCU Style template. Based on the objectives and resources from this week, wha …
The purpose of this Assignment is for you to design a method of communicating
The purpose of this Assignment is for you to design a method of communicating age appropriate screening guidelines to the appropriate population. This can either be a trifold brochure or a 10 slide Po …
Rasmussen Introduction to Critical Thinking CBA45
Deliverable 3 – Deductive and Inductive Arguments     Competency   This deliverable will allow you to apply deductive and inductive reasoning to analyze and create …
Part 3: Fact Sheet or Talking Points Brief
Part 3: Fact Sheet or Talking Points Brief This part bust be based on US policy on HIV/AIDS during the Presidents Bush, Obama, and Trump administration.   Based on the feedback that you …
Diabetes case study
Diabetes Case Study Chief Complaint “My left foot feels weak and numb. I have a hard time pointing my toes up.” History of Present Illness D.T. is 42-year-old Caucasian woman w …
Assignment 4: On-boarding
Assignment 4: On-boarding Due Week 7 and worth 200 points   In this assignment, you will create an outline of an onboarding process. Summarize what you feel are the two (2) most important …
Advantages of exercising that you should know!
Advantages of exercising that you should know! …
Recent Questions
History Chinese American Women Defense Workers Essay
SMCCCD History Chinese American Women Defense Workers Essay Introduction Historians love to review the works of other historians. Whenever a new history book is written, the historical professio …
History The Sixties period of transition discussion
APUS history The Sixties period of transition discussion Reaction Forum Discussion 6: The Sixties Instructions: Please discuss the following prompt with 2 direct quotes from Eric Foner's& …
Effective communication is one of the keys to any successful interaction
Arizona State University Spaniards and the Aztecs Questions Effective communication is one of the keys to any successful interaction between people. This is true not only in the past (for example w …
Civil Rights Movement Essay - What are the three most interesting
America Public University Civil Rights Movement Essay What are the three most interesting and/or shocking new information you learned about the United States History since the Civil Rights Movement …
Week 15 A Curious Case of the New Black A Conversation Paper
COCF Week 15 A Curious Case of the New Black A Conversation Paper Writing Prompt: For your final paper, I would like you to respond to the essay assigned for Week 15: "A Curious Case of the …
The Constitution is not the U.S.’s first form of government
The University of Texas at Arlington US Constitution Essay You will write a 500-word MLA style essay that answers the following questions: The Constitution is not the U.S.’s first form of gov …
Wang Tao on Refor, What arguments did Wang Tao
Jacksonville University Wang Tao on Reform Discussion Read the selection “Wang Tao on Reform.” What arguments did Wang Tao use in his efforts to persuade readers to accept his point of …
Roman Empire and Rise of Christianity - What traditional Roman beliefs
University of Michigan Roman Empire and Rise of Christianity Questions In the decades following the ascendancy of Augustus Caesar, the Roman Empire enjoyed its greatest expansion in territory, weal …
Causes of World War I from A European Perspective
Cuyamaca College Causes of World War I from A European Perspective Questions Select any four questions of your choice listed below. Make sure you answer all parts of the question. Minimum requireme …
Second World War - Frankl argues, based on his experience
Grantham University Second World War Questions DISCUSSION 1: Frankl argues, based on his experience of the concentration camp, that camp inmates could choose to keep their “spiritual freed …