A. Relevant Dates and Facts
a. 1973 – Paul Cronan hired by New England Telephone (NET) straight from high school. He began working as a file clerk.
b. 1983 – Cronan was promoted to Service Technician.
c. January to June 1985 – Cronan was ill at various times, having symptoms of AIDS-related complex (ARC).
d. June 1985 – Cronan was denied permission to leave work for a medical appointment by his supervisor, Charles O’Brian. O’Brian had given permission on two other occasions, but refused this third time unless Cronan revealed the reason for the appointment. Cronan told O’Brian of his condition only after O’Brian promised the information would be held in confidence. O’Brian excused Cronan for his medical appointment. The next day, Cronan was required to see a company doctor who examined him for 10 minutes.
Several days after the appointment, a co-worker phoned Cronan to say that she had heard Cronan was infected with AIDS.
e. June 10, 1985 – Cronan began receiving departmental sickness benefits after phoning his supervisor and requesting medical leave. One week later, Cronan began receiving company paid illness benefits.
f. June 21, 1985 – Cronan’s personal physician provided a medical certificate stating that Cronan was disabled for 3 months. This certificate was renewed and extended for one year.
g. During the summer of Cronan’s absence, graffiti was written on the bathroom walls at work.
h. August 1985 – NET department heads from Personnel, Labor Relations, and Medical began meeting to talk about the potential impact of AIDS on the company and its workforce. O’Brian is replaced by Griffin as Cronan’s supervisor.
i. September 13, 1985 – Cronan diagnosed with AIDS.
j. September 16, 1985 – NET announces new corporate AIDS policy.
k. December 1985 – Cronan, with the help of the Civil Liberties Union of Massachusetts, files a lawsuit in state court against NET. He charges that NET violated state privacy laws and discrimination.
l. January 1986 – NET tries to have the case moved to federal court.
m. June 10, 1986 – Cronan’s illness benefits run out and NET puts him on disability which equals 50% of his wages.
n. October 16, 1986 – Cronan and NET reach an out of court settlement where by Cronan is able to return to work and he receives a transfer.
B. Critical Issues
a. Privacy – Cronan’s right to privacy may have been violated when his supervisor revealed his medical information to management other than O’Brian’s immediate supervisor.
b. Discrimination – Cronan may have been discriminated against by his dismissal when his medical benefits had run their course.
Disclosing confidential patient information without patient consent can happen in the health care field quite often and is the basis for many cases brought against health care facilities. There are many ways confidential information gets into the wrong hands and this paper explores some of those ways and how that can be prevented.
...who violated Randy’s rights. With such little evidence from the Plaintiff, and the fact that Caruso is not a medical professional, she was not involved in the making of policies and procedures relating to medical matters. Therefore, Caruso did not act with deliberate indifference and was entitled summary judgment, because Plaintiff Parsons failed to provide sufficient evidence on Caruso.
A more thorough investigation of The Great Gatsby is necessary to uncover a well-disguised theme by Fitzgerald in this work. Upon a simple read through one would probably not notice the great similarities of Jay Gatsby and Myrtle Wilson, but the two characters seemed to have the same agenda for their lives. While Gatsby took the route of acquiring money at all costs to join the upper class of society and to be acceptable in the eyes of a woman, Myrtle chose to make her way up in society at the cost of her marriage by attaching herself to money. The underlying question is who had the most success.
Tom knew Myrtle better than any of the main characters. He had met her on a train headed for New York. When the train reached the city, she went with him in a taxi, and their affair began. Tom never made much of an effort to keep their relationship secret. In fact, he almost paraded her around in the presence of his acquaintances. They made frequent trips into New York so that they could be together. Myrtle was Tom's escape from his own life in East Egg. While Daisy provided him with a wealthy, acceptable social image, she was not much more to him than a mere possession. His affair with Myrtle offered him a chance to defy his social expectations. Their relationship was important to him because of this opportunity to escape. When Myrtle died, it shook him deeply, especially because he believed Gatsby had been driving the yellow car. After leaving George Wilson's garage the night of the accident, he managed to drive slowly until he and Nick were out of sight. Then he slammed his foot down on the accelerator, driving much faster. He began quietly sobbing, privately mourning her death. He immediately blamed Gatsby for bringing their relationship to an abrupt halt. "That God damned coward!" he cried. "He didn't even stop his car." His feelings of anger and hurt were greatly intensified by the day spent in New York....
In an ideal medical society, no dilemma should arise on whistleblowing associated with poor medical practice or illegal behaviours. However these dilemmas arise when these whistle blowers take privileged information to the public in order to address their personal concerns or conscience. It can however be said that they are often left with little or no choice. Lipley (2001) discusses a case which occurred in the UK where a nurse wrote to the media reportedly that the elderly inpatients at her organisation did not receive adequate care and that this was jeopardising their lives. The appeals tribunal ruled that her decision was right and was both reasonable and an acceptable way to raise such issues ...
The Great Gatsby, by F. Scott Fitzgerald, tells the story of a man of meager wealth who chases after his dreams, only to find them crumble before him once he finally reaches them. Young James Gatz had always had dreams of being upper class, he didn't only want to have wealth, but he wanted to live the way the wealthy lived. At a young age he ran away from home; on the way he met Dan Cody, a rich sailor who taught him much of what he would later use to give the world an impression that he was wealthy. After becoming a soldier, Gatsby met an upper class girl named Daisy - the two fell in love. When he came back from the war Daisy had grown impatient of waiting for him and married a man named Tom Buchanan. Gatsby now has two coinciding dreams to chase after - wealth and love. Symbols in the story, such as the green light at the end of Daisy’s dock, the contrast between the East Egg and West Egg, and the death of Myrtle, Gatsby, and Wilson work together to expose a larger theme in the story. Gatsby develops this idea that wealth can bring anything - status, love, and even the past; but what Gatsby doesn't realize is that wealth can only bring so much, and it’s this fatal mistake that leads to the death of his dreams.
The roaring twenties was a time for happiness and celebration, but the novel, The Great Gatsby, by F. Scott Fitzgerald, shows a different side of this dynamic decade. Fitzgerald uses a poignant, yet hopeful tone to show the shadier side of the nineteen twenties most refuse to look at, while tying in the brighter side. In The Great Gatsby, the reader is sucked into a story of corruption, and empowerment by the rich hidden by extravagant parties and bright colors. Jay Gatsby, who only dreamt of wealth and love had an ideal dream life, that ideal life could be defined as his “American Dream”. His dreams were later crushed by very powerful people, careless people, people who used and abused others to get their way, no matter the consequences. Those people were Tom and Daisy Buchanan, they were the empowered rich. They crushed Gatsby’s American Dream, by being careless. Gatsby created this extravagant life for one reason, and one reason only; to impress the girl he fell in love with, years ago. The girl he gave his heart to hold forever, but after Gatsby left for war, she married someone else, someone who was from old money, like her. She married Tom Buchanan. Although Daisy was married, Gatsby held onto the hope that they would find a way to be together again, and forever. Close to the end, the reader wonders if matters will work out in Gatsby’s favor or not, but after the tragic accident that bring three dreams to an end, the reader ignores Gatsby’s hopefulness and just hopes for a happier ending, when in reality, nothing ends the way anyone wishes it to.
F. Scott Fitzgerald penned The Great Gatsby in the midst of the Roarin’ Twenties. It was a period of cultural explosion, rags-to-riches histories, and a significant shift in the ideals of the American Dream. Fitzgerald’s characters all aspired to fill an American Dream of sorts, though their dreams weren’t the conventional ones. In the novel, the American Dream did a sort of one-eighty. Instead of looking west, people went east to New York in hopes of achieving wealth. The original principals of the Dream faded away, in their place, amorality and corruption. The fulfillment of one’s own American Dream is often marked by corruption, dishonesty, and hope.
There lies a child within every human being. No matter how small, some sense of freedom and hope tends to endure in adults, as they once experienced youth. While Tom, Daisy and Jordan exhibit how they share this feeling in the novel, this youthful instinct most evidently appears in the behaviors of Jay Gatsby and Myrtle Wilson. Because they never learn how to survive in the real, adult world, their uncontrollable attitudes catalyze their early deaths. In F. Scott Fitzgerald 's The Great Gatsby, Myrtle Wilson and Jay Gatsby represent childlike desire and the corruption of maturity in the 1920s. Their deaths signify the actuality that childhood terminates, exposing the inevitable reality of adulthood.
In the case of Mr. B’s, an investigation into the events surrounding to and leading up to his untimely death would be required. Once the problem has been identified and described, data of events are collected and formatted into a timeline. From the events, any problems in the care of the patient which may have contributed to the end result are identified and determined whether they are causative. In appendix A, the timeline of the event is outlined.
The employer cited her mental condition and prolonged absence as the reason the dismissal. She decided to enlist the services of an attorney to get her employment benefits if not reinstatement to her job. However, since finishing her follow-up checkups, Dominic Ezeli, her doctor at the community hospital, says he has not heard from her.
George Wilson is the naïve husband to Myrtle Wilson, the woman having an affair with Tom Buchanan, who is the "brute of a man, a great, big, hulking physical specimen"(Fitzgerald 16) husband to Daisy Buchanan, the woman whom Jay Gatsby, the main character, is in love with: a very removed yet significant role in the story. Evidently playing the role of the common man, in a story revolving around wealth and possessions, George Wilson is the owner of an auto body shop and is described as a "spiritless man, anemic and faintly handsome"(29). Wilson's common man image helps to further develop the theme of Wilson is deeply in love with Myrtle to a point where he is paranoid of losing her. "`I've got my wife locked in up there,' explained Wilson calmly. `She's going to stay there till the day after tomorrow and then we're going to move away"(143).
14th June 2001. http://www.bellgully.com/publications/emp_2001_06_14_liabilty.html
The sixth ethical issue arises when the client is denied access to his medical chart. Currently, HIPPA (2006) grants clients access to their medical records. An exception to this is if the information contained within the medical records is “reasonably likely” to cause harm to the client (HIPPA, 2006; APA, 2002). The records were unlikely to cause harm to the patient and, therefore, the client should have had access to them.
Have a severe disability (or combination of disabilities) that has lasted, or is expected to last, at least 12 months or result in death, and which prevents working at a "substantial gainful activity" level.