Maudie M Case

The medical assistant should have advised Shaunti’s mother to call back with the insurance information and/or gave her a list of what insurance companies Mountain View Clinic accepted. This would have alleviated the confusion during Shaunti’s check in with Kristin and would have allowed the parents to find a

Also, whether there was collaboration between facility members to ensure quality care. More issues would be whether examinations were thorough and tests were analyzed before discharging the patient. The moral issue at stake in this case is if the facility believes they did the right thing or not. For example, the physician could not recall what instructions he gave Kelly’s father, but he did nothing to clarify the situation, he just gave the father a business card as if that would suffice for his inability to remember the instructions he assigned (Pozgar,

We do agreed there is a dilemma in this case. As the chairman of the ethics committee, I found that the dilemma here is that both the patient as well as the hospital staff are right in their view. A person has the right to choose to die however we cannot make a physician carry out the process. With my understanding, we are all on the same agreement and have been informed with all the information about this dilemma. Dr. Vijay has informed that removing Margie’s pacemaker would violate the ethics principles of justice, beneficence, and non-maleficence. If he followed through with Margie’s request, he would be going against helping others, avoiding or causing damage to patients, and disregarding the risks and benefits of Margie by performing the requested actions. Jane Robison has expressed that doing what Margie has requested would not be good for Margie nor her profession due to the ethics standards that are withheld for all the patients. She believes that with

Ethical dilemmas for all three cases are is it murder by assisting these three patients no longer suffer. Would there be pain and suffering involved directly by their actions? Are they doing the right thing by helping these people

Beneficence compounded by nurse-physician communication created ethical problems in this case. Mainly, Joanna’s assessment of Mrs. Kelly being ignored by the resident physician and the nursing supervisor. Joanna worked within the scope and standards of practice, she assessed, evaluated, and monitored her patient’s condition. She then reported her findings to the resident twice, and also sought nursing support from her shift supervisor. After Joanna’s first call to the resident, and her continued concern she needed to advocate in a proactive manner. Continuing her assessment of Mrs. Kelly to include palpation and auscultation could have offered additional clinical information enabling her to articulate the problem to the resident and nursing supervisor.

The nurse in the case study is faced with an ethical and professional, dilemma. How can she be an advocate for her patient Mr. E? Dr G. is proceeding on a course of action or plan of care that is directly contrary to the patients advance directive and his verbalized objections to the course of treatment proposed by the physician and that is concerning for her. There are multiple issues to consider. For the nurse, she needs to think about her code of ethics, her scope of practice and the legal issues regarding advance directives and Durable Power Of Attorney (DPOA). She also needs to consider the patients right to privacy and confidentiality. As with most areas and issues in modern healthcare the statues can be

How quickly the sufferer was transported to a hospital was heavily depended on the education of the people surrounding them at the time. In Mr. Miele’s case, he was accompanied by friends who immediately recognized the symptoms of a heart attack, and were able determine that calling an ambulance was the smartest thing to do. In Ms. Gora’s case, she was not aware she was having a heart attack, and initially refused to allow her husband to call an ambulance out of fear that it would cost too much, and hoping that her symptoms would go away. Lack of education is not limited to a person’s individual level of education. The level to which doctors educate their patients about what’s going on with their body, or what their different treatment options are, also effects the aftermath of a heart

her on the model, I would also be able to see better when the patient repeated the

There are errors and hazards in care that occurred in the Mr. B scenario. One error was the emergency room physician’s failure to recognize the signs and symptoms of deep vein thrombosis (DVT) that Mr. B was presenting. If not treated early, a DVT can become a pulmonary embolism, a fatal condition that Mr. B unfortunately developed. Another error in care that happened in the Mr. B scenario is the nurses’ failure to monitor Mr. B’s ECG and respirations. Early detection of critical ECG and respiratory changes could have initiated medical interventions that would have saved Mr. B’s life. One hazard is the emergency room nurses’ heavy patient load at the time of Mr. B’s sentinel event. Another hazard is having a licensed

“An ethical dilemma exists when a choice has to be made in which the consequences may have a potential positive or negative outcome.”("Topic 4: Contemporary Ethical Dilemmas (How do managers evaluate beginning-of-life dilemmas?). ", n.d.) The given scenario presents a patient named Jamilah Shah, who is of Turkish descent, 90 years old and collapsed at the side of her bed in the extended care facility in which she resides. The patient suffers from Chronic Pulmonary disease and diabetes mellitus. The patient was rushed to the ER were the EKG and lab tests revealed she suffered a heart attack and she was started on anticoagulants. The patient has no advance directives and a communication barrier exists, the ER department contacts the emergency contact, one of the patient 's sons Bashir. The patient 's family arrives at the hospital and her son states that he makes the decisions and the wants a do not resuscitate order for his mother and no medical intervention other than comfort care. The social worker handling Jamilahs case is concerned by her family 's lack of support and that the family 's wishes are at odds with the patient 's request for help and her expressed desire to live. Furthermore if the patient does not receive a cardiac catheterization or is considered for a coronary bypass, she will surely die.

A scene that should have been included in the movie version of to Kill a Mockingbird is the scene in which Ms. Maudie’s house catches on fire. In this scene, Scout and Jem wake up to see that Ms. Maudie’s house had caught on fire, with fire trucks roaring and neighbors helping out one another. In this time of ruckus, a blanket was draped over the shivering Scout, by the unbeknownst Boo Radley. The reason why this scene is so important to the movie is that you are introduced to Boo Radley and you also get a better idea of Ms. Maudie’s character and her reactions to tough situations. Prior to the fire, the children had no idea of who Boo Radley was, only what they heard from other people in their small-knit town of Maycomb County.

Chloe then asked Anna if she wanted to go to the doctors, but Anna never responded. Anna’s friends should have brought Anna to the doctors despite whether or not Anna said yes or no. Having bought Anna to the doctors initially after the signs and symptoms, may have prevented Anna’s tragic outcome. As she might of gained thorough test and the correct medical attention that she required.

Can a neighbor be more than just an acquaintance? Throughout the novel, a tough little girl is without a mother. Yet a neighbor and her kind heart leads readers to believe her to be a motherly figure. Harper Lee’s To Kill a Mockingbird proves that Miss Maudie’s kindness leads to a relationship that is closer than friendship shown through the use of symbolism, irony, and the point of view of other characters.

In the case of Jani McMath, her parents, family, the court, as well as the medical staff, are all faced with the ethical dilemma of whether or not to pull the plug. Who has her best interest in mind? How do we know? We would assume her family because they are the closest ones to her, but the truth is that McMath is incapable of making the decision for herself; therefore, whether her life is preserved or not is left in the hands of others. She could have wanted the plugged pulled; then again, she could have wanted her family to be strong and continue to fight for her life.

Nursing assessment within 24 hours, Nutrition and hydration status, Functional status living, Social, spiritual, and cultural variables. Liza was admitted to the intensive care right away which wasn’t appropriate. The first step in the evaluation of a patient presenting with syncope consists of obtaining a detailed history and conducting a physical examination including blood pressure (BP) measurements and standard ECG. In this case, the nursing staff started began performing nervous system checks after 18 hours of her admission which is in my opinion was not appropriate because that should have been done right away after her arrival to the emergency room and after doing these evaluations, they should’ve decided on whether she was supposed to be admitted to intensive care or not. Also, the results of these tests would help them determine if a CT scan was needed and if needed, it should’ve been right away. In my opinion, Liza’s admission processes were not handled properly by the nursing staff at the hospital and her treatment was delayed. If all the processes were done on time and all the tests were done right away, her condition would not have worsened and she could have been started on anticoagulants for cerebral infarction. Patients have a better chance of survival and recovery if these drugs are taken within 12 hours of the incident. Most patients are administered these drugs within 90 minutes of hospital arrival.