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Cash flow managment techniques
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Problem: Dr. Rini's main and immediate problem is whether to decide on further giving credit to the boy's family or not. It is influenced by the following critical factors:
1. Hematal's cash flow problem limits Hematal's decision on giving further credit to the boy's family or not. It has been proved in the case that the family is very poor and won't be able to pay right away and most probably won't be able to pay anymore considering also the increasing hospitalization bills. This fact is important because Hematal will already have to consider writing off of the family's debt, which further affects the company's cash position in the future when she gives additional credit. The boy needs at least 20 more vials yet, Hematal has less than 20 vials left on stock. With this fact, I have assumed that Dr. Rini's decision should be an "all or nothing" kind of decision because anything less will not make any difference in the boy's condition considering also the fact that he needed more than 40 vials during his initial surgery, thus I conclude that the boy will die if less than 20 vials were provided. Therefore, Hematal will have to order more vials from Gamma Corp. to fill the 20 vial requirement.
2. Media exposure and NGO support/protest can both be helpful and detrimental to Hemetal's reputation as a pharmaceutical company. Pharmaceutical companies need to gain the trust of the public for the end consumers to patronize its products. Getting bad publicity, especially being "young" in the industry, will greatly affect the company's sales and its life.
3. Hematal will need to maintain a certain stocking level for the regular paying customers brought in by their Hemophiliac Society as they may need their supply of Factor-A Concentrate. This fact will mean that Hematal will have to order more than the required number of vials for stocking. If Hematal does not order to keep stocking levels and decides to deplete its stocks for the boy, regular paying customers may create an issue with the Hemophiliac Society and not get their support anymore. Hemophiliac Society may also cause bad publicity to Hematal by voicing out their concerns and protests. Moreover, the Society can influence Gamma into changing its exclusive distributor in the country.
4. Dr. Rini's conscience and peace of mind will be greatly affected with her commitment as a doctor based on the Hippocratic Oath if she decides not to help.
Another consideration that the clinic should take into account is the external environment. The seasonal patient volume and the bank agreement may be the main aspects of concentration. Although the relationship between the bank and the clinic is defined in the case, Alpine Clinic should consider alternative solutions or alternative organizations to finance its needs. Also, the clinic should estimate the possible changes in the economic environment in the next years and the impact of them in the serving population of the clinic.
For anyone who has ever worked in healthcare, or simply for someone who has watched a popular hit television show such as Grey’s Anatomy, General Hospital, House or ER know that there can be times when a doctor or health care provider is placed in extremely difficult situations. Often times, those situations are something that we watch from the sidelines and hope for the best in the patient’s interest. However, what happens when you place yourself inside the doctors, nurses, or any other of the medical provider’s shoes? What if you were placed in charge of a patient who had an ethically challenging situation? What you would you do then? That is precisely what Lisa Belkin accomplishes in her book “First Do No Harm”. Belkin takes the reader on
In association to this, those medical physicians granted the responsibility to act upon these potential laws will have to regain the trust between themselves and the patient and also the patient’s family.
moral decisions, we will be analyzing why this scenario poses a dilemma, possible actions that
Hemineglect also known as unilateral spatial neglect, hemispatial neglect, hemi-inattention, hemisensory, parietal neglect or spatial neglect (Kerkhoff, 2000), is a condition in which patients are unable to attend and respond to the contralesional side of space (Dijkerman, Webling, ter Wal, Groet, & van Zandvoort, 2003). Hemineglect is characterized by the lack of spatial awareness, most commonly on the left hemispace (Parton & Malhotra & Husain, 2004). The most common form of hemineglect, is that of patients who have right hemisphere lesions commonly found to damage the ‘where’ pathway, most commonly after a stroke. These kinds of patients tend to neglect the left hand side of space (Driver & Mattingley, 1998). Although it is not restricted to right hemispheric lesions in the ‘where visual pathway’, it is more predominant and tends to be harder to rehabilitate back to full recovery (Parton; Malhotra; Husain, 2004). Hemineglect does not just present itself visually, but also through other senses such as motor neglect, auditory neglect, representational neglect and also personal neglect (Plummer, Morris, & Dunai, 2003). Hemineglect is not a result of loss of sensory disorder. It is not uncommon to receive left hemisphere lesions or trauma and gain hemineglect. It does seem however that it is easier to treat and rehabilitate patients to a full recovery if this damage has occurred, compared to right hemisphere damage.
We were able to attain a verbal consent for treatment over the phone from the father. We will be admitting your son to the hospital for IV antibiotics and we will keep an eye on him until he gets better. I respect your wishes and religious views, but I am obligated as a physician to provide treatment to your son based the medical code of ethics and based on your son’s otherwise good health. I know this has to be hard for you to hear and understand right now, but we need to do what is best for your son. And even if your son’s father would not have granted us permission to treat this condition, we would have had to go about it another way to get consent to treat him, as that is ethically the right thing to do. I hope you can find peace in the decision we had to make today, and I hope you can continue to support your son as he needs you by his side during this difficult time. If you have any questions, please do not hesitate to ask, we are here for you too, as well as your
Even since ancient times, it was recognized that doctors had power over their patients, and that there must be ethical implications coming with this responsibility. This was first represented in the Hippocratic Oath, which was created by an Ancient Gree...
After reading the classic and modern Hippocratic Oath, it is my contention that the modern vision is still applicable today. First of all, I appreciate the humility of the oath because this oath reminds physicians that they are caring for people not just illness: “I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person's family and economic stability” (Tyson, 2001). Sometimes, patients get lost in the shuffle of medicine; they are much more than an illness and need to be treated as such. Patient centeredness is reflected in this oath.
...d how these determinations effect a physician’s approach to various types of critically ill patients? These types of questions come in to play when one attempts to critically analyze the differences between the types of terminally ill patients and the subtle ethical/legal nuances between withholding and withdrawing treatment. According to a review by Larry Gostin and Robert Weir about Nancy Cruzan, “…courts examine the physician’s respect for the desires of the patient and the level of care administered. A rule forbidding physicians from discontinuing a treatment that could have been withheld initially will discourage doctors from attempting certain types of care and force them prematurely to allow a patient to die. Physicians must be free to exercise their best professional judgment, especially when facing the sensitive question of whether to administer treatment.”
According to the Hippocratic Oath, which every physician must take, each physician is expected to deliver the form of care which she considers most beneficial to a patient's health. There are a few minor stipulations guiding treatment by a physician, but for the most part, doctors have much liberty in choosing a regimen for a particular patient. If we look only at the Hippocratic Oath as the governing body of a physician's actions, then we must admit that no doctor is obligated to broaden his views and seed treatments with which he is not already familiar. However, every year doctors are required to fulfill certain requirements in continuing educatio...
Hippocratic Oath was earliest code of ethics to govern conduct in medicine. Unlike many modern professional codes, its intent was to describe a moral vision for members of the medical community rather than to protect members of the community from incurring on the law. This oath and AMA medical ethics are similar as the primary goal of both codes of ethics is to give full benefit to the
In this medical ethical case study, there are two high-class parents with two normal children. Let’s call the family the Noble family. Mrs. Noble gave birth to a premature boy in the late fall of 1963. After the child was born, Mrs. Noble immediately and independently made a decision to not keep the child as soon as the diagnosed her newborn’s monogoloid (Down syndrome). Once the decision was final, the hospital did not attempt to override the decision or seek court order. Soon after, the child was separated into another room and was left for 11 days with no food. My purpose for gathering the information about Mr. and Mrs. Noble is to analyze her critical dilemma between keeping her child and having an abortion. Through the process of analyzing
The physicians and nurses spent some time trying to explain to the patient’s daughter how a blood transfusion was not necessarily a life saving measure, but a way to make the patient more comfortable. To me, it seemed like a possible ethical issue. The daughter obviously viewed it as a lifesaving measure which went against her mother’s wishes. Cori and I, for the most part, stayed out of the blood transfusion discussion. Instead, we focused on how the daughter was going to manage her mother’s care once they left the hospital. Previously, the patient was living alone, in the country, approximately 20 miles from the nearest rural community. The daughter lived in the community, with no other support close by to help. There was no way the patient could return to her home alone
Since the beginning of medicine, physicians have taken an oath to uphold specific ethical standards regarding patient care. However, over time, this oath has become less of a promise and more of a formality. The thirst for knowledge and individual recognition for research has led to patients ultimately becoming an afterthought in the eyes of people entrusted to care for them most.
...o decide. They will have to consider Sadia's welfare as paramount but with consideration to the ethical issues mentioned above. It is unlikely that Sadia will develop and become better with the support provided but the judge could decide that they should maintain her life but being required to provide this support may be an endorsement of the status quo. So, in order to maintain the doctors' integrity the decision could allow the doctors to refuse treatment if doctors feel that they cannot conscientiously administer treatment because of the quality of life of the infant. Their views, therefore, deserve respect, but should not necessarily be conclusive. Where the child's future is utterly bleak and the doctors conclude that there is no benefit in continuing treatment, then the treatment can be withheld, even if the consequence of doing so is that the child will die.