Work Requirement Year 7 Enrichment

 

In enrichment this semester you have been focusing on developing thinking skills designed to increase the breadth of your thinking. This work requirement requires you to apply these skills in solving a real life problem.

The task is to be completed in table groups. Your teacher will be making observations through out the class to ensure that all members of your table group are contributing.

As your team works through this problem try to concentrate on the skills we have covered this semester. Apart from using the thinking tools like PMI and CAF etc try to remember to:

Your Task:

You are a member of the board of the Werribee City Hospital. As a member of this board you have many responsibilities, including deciding on who should get heart transplants. This is an enormously important task, where people’s lives are literally at stake. It is essential that you make the best decision possible, based on your best thinking.

On most occasions there is only one possible recipient for a donor heart. However there are occasions where there is more than one person who could receive the heart. In these situations it is the job of your group to decide who gets the heart.

Some Back Ground Information on Heart Transplants

Heart transplants are a very major operation. Suitable hearts are very rare and today many people die waiting for a suitable heart to become available. To be successful there must be a match between the donor heart and the recipient, otherwise the heart may be rejected and the patient will die – the heart cannot be used again. Not all matches are perfect, the better the match the better the chance of survival. To help with the success of the operation, patients need to take anti rejection drugs. If successful, most patients are able to live a close to normal life after the initial time spent in hospital.

 

Task A

Your first task is to do an AGO (Aims Goals and Objectives) on the task of allocating hearts. Do this individually and then combine your groups’ results.

 

Task B

As a group do a FIP (First Important Priorities). Discuss each of your Aims and rank them from the most important to least important. Where you can’t decide, use the "Spend a Buck" decision-making method you have been taught.

 

 

 

Task C

You know that at some point you will be asked to make a decision on who should receive a heart. Do a CAF (Consider All Factors) on this decision. What factors might need to be considered? Do this as a group.

 

Task D

Do a FIP on the factors you have listed as a group. Again, if you can’t decide as a group use the "Spend a Buck" decision-making method.

By this stage most of your thinking should be done. If you have considered ALL factors, and prioritised them, and if you know your goals, making the next decision should be easy. The next task has a time limit, you can spend as much time as you need on tasks A-D, but actually making the decision has a time limit. This is a way of testing to see how good your thinking was in tasks Aà C.

To test your thinking you might like to do a "dry run". Have each team member suggest two people who need a heart transplant. Use your AGO and CAF results to decide who will receive the heart.

 

Task E

Time to make a decision. Ask your teacher for the list of people available for the next heart transplant.

When you come to a decision do a C&S, and a PMI. If, as a result of your C&S or PMI you want to change your choice, do another C&S and PMI on your new choice.

This process must be completed in the next 30 minutes.

 

Home Work

Task F

Individually, write an open letter to the public that outlines how and why you made the decision you did. You should remember that the families and friends of the people who did not receive the heart would probably read the letter.

 

Task G

Reflection: Think about the process you went through to make the decision. How did the thinking tools help your thinking? Do you think you made the best decision? If you hadn’t used the thinking tools, how might that have effected your thinking?

 

 

 

 

Getting Right To the Heart of the Matter

 

A very rare situation has come up. A heart has become available and there are 6 possible recipients. The decision needs to be made in the next 30 minutes as to who should get the heart. A short description of each of the patients is given below to help you with your decision. You must be able to justify your final decision. The fact that information is mentioned here does not mean you have to use it in your decision making. Good Luck!

 

Lota Money:

Age: 65

Sex: Female

Marital Status: Widowed

Lota is a self-made millionaire who has made her money by investing in .com companies on the stock market. She regularly donates large sums of money to charity and has suggested that she may make a substantial donation to the hospital if she survives.

She has been a smoker all her life, and this has caused the disease in her heart. She has lived with this disease for the last 15 years and has been on the transplant list for the last 5 years. Doctors give her about another 2 years to live without a transplant.

The donor heart is a good match.

 

Ian M. Clever:

Age: 23

Sex: Male

Marital Status : Engaged

Ian is a student at Melbourne University, and is studying to become a PE teacher. He has recently become engaged and the wedding date is set for next January. Lisa, his partner, is studying medicine. Ian is also a member of the Australian triathlon team and has been a fitness fanatic all his life.

Ian was involved in a car accident last night, and although the rest of his body is OK, his heart has been severely damaged. He will die in the next 2 hours if he does not receive a donor heart.

He has full health insurance.

The donor heart is a poor, but acceptable match.

 

Joe Average

Age: 45

Sex: Male

Marital Status: Married

Joe is a foreman at a local car manufacturing plant. He has no savings and no health insurance. He has been happily married for 15 years and has 4 children. Joe’s heart disease has been caused by a combination of bad diet, lack of exercise and a family history of heart disease. Since his first heart attack 2 years ago he has changed his diet and started exercising.

Doctors don’t expect him to survive long with out a new heart.

The donor heart is a good match.

Sid Shady

Age: 53

Sex: Male

Marital Status: Divorced

Sid has long been suspected as being a major crime figure. He has no job, and according to his tax return he earnings are below the poverty line. However he lives in a double story mansion in Toorak and drives a sports car. Police suspect him of involvement in the drug scene. He has convictions for minor drugs charges, but has not spent time behind bars.

His heart has had a defect since birth, but recently the condition has worsened. Doctors are not sure how long he will live without a transplant – it could be weeks, it could be years.

The donor heart is almost a perfect match.

 

Jenny Jenkins

Age: 38

Sex: Female

Marital Status: Defacto

Jenny is a lesbian. Her and her partner have been together for 6 years and have just recently adopted a orphaned child. She job shares with her partner running a local bookshop and in their spare time they help out at the local homeless shelter. They have full health insurance.

Jenny recently went into hospital for a routine operation and complications damaged her heart. Doctors fear she will not live through the night without a transplant.

Jenny also has breast cancer that has spread to other parts of her body. Three yeas ago she underwent chemotherapy that was not able to control the cancer. In most cases like this the patient dies from the cancer within 5 years, although there are some cases where patients live to old age. Having faced death before, Jenny is prepared for death.

The donor heart is a satisfactory match.

 

Kelly Stevens

Age: 40

Sex: Female

Marital Status: Married

Kelly has a long history of heart trouble. Six months ago she underwent a heart transplant. Since then doctors have been helping her fight the rejection, unfortunately it now appears that Kelly’s body has rejected the new heart. Doctors credit her current survival so far to the incredible support she has received from her husband and 5 children and her very strong religious beliefs. She has only weeks to live without a new heart.

She has full health insurance.

The donor heart is an almost perfect match.