HCA333 M7 Lecture Notes Essays

HCA333 M7 Lecture Notes Essays HCA333 M7 Lecture Notes Essays HCA333 Mod 7 Lecture Notes We will examine two cases this module. In Trunkl v. Regents of University of California, Hugo Trunkl filed a case of alleged negligence in hopes of recovering damages for a resulting personal injury. The case was brought against the University of California Los Angeles Medical Center, a hospital operated and maintained by the Regents of the University of California as a nonprofit charitable institution. Following Hugo Trunkl’s death, the case was carried on by his surviving wife. The old rule in the United States gave charitable or religious hospitals complete immunity to suits of negligence. Further, any other two parties could normally agree to waive negligence of another in a medical setting. In the new rule, as set forth by California, states that, â€Å"All contracts which have for their object, directly or indirectly to exempt anyone from responsibility for his own fraud, or willful injury to the person or property of another, or violation of law, whether willful or negligent, are against the policy of the law.† In other words, the charitable hospitals los t all of their immunity. The court held that patient-hospital contracts fall within all contracts affecting public interest. If the interest is a public interest, the negligence can never be waived. It was determined that the admission room in the hospital is not a bargaining table, therefore the hospital insisting the patient accept the waiver provisions in the contract gained an unfair advantage over the patient who was in no position to reject the proffered agreement. In Shorter v. Drury, the case is an appeal for the wrongful death medical malpractice of the bleeding death of patient who refused blood transfusions for religious reasons. Doreen Shorter, a Jehovah Witness was prohibited by her religion to receive blood transfusions. Mrs. Shorter was pregnant and had a â€Å"missed abortion† meaning the fetus had died and the uterus failed to discharge it. It is medically prudent to evacuate the uterus to guard against infection in such a case. A â€Å"dilation and curettage†, a D and C, was recommended to evacuate the uterus. There are three primary methods for conducting a D and C. Dr. Drury chose the method that often

Contingency - The Relationship Between Behavior and Reinforcement

Contingency - The Relationship Between Behavior and Reinforcement Definition: Contingency is the relationship between two events, one being contingent or a consequence of the other event. Behaviorism (ABA) sees all behavior as a response to an antecedent and driven by the consequences. All behaviors have a consequence, even if that relationship is not very clear either to the observer or the student who may be the focus of an intervention, either behavioral or instructional. The goal of an Applied Behavior Analysis intervention is to change behavior. It may be to increase the desired behavior, to replace a problematic behavior or to extinguish a dangerous or difficult behavior. In order to increase the desired behavior, the student needs to know that receiving reinforcement is directly related to the behavior, or contingent on the behavior. This relationship of contingency is incredibly important to the success of an Applied Behavior Analysis program. The success of establishing contingency requires quick reinforcement, clear communication, and consistency. Students who dont receive immediate reinforcement, or are not clear about the relationship of contingency, will not be as successful as those children who clearly understand the relationship or contingency. Examples: It took a while for the team at Jonathons school to help him understand the contingency between his behavior and receiving reinforcement, so they repeated a simple imitation program with direct, one to one reinforcement until he would comply regularly.