1. Explain the issue or dilemma using information from the readings in the book and other sources (e.g., websites, articles, etc). Cite your sources using APA.
The issue in the case, Niles v. City of San Rafael, was negligence. Kelly Niles did not receive prompt and proper care from a team of health professionals when he was taken to the emergency department to get examined. The nurse “obtained a history of the injury and took Kelly’s pulse and blood pressure. The nurse was correct in taking Kelly’s vital signs, but it is also her duty to examine him thoroughly and monitor his vital signs during his complete stay. There was also an issue in his skull x-rays. They were analyzed, but soft tissue swelling was not noted until later on. That should
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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, …show more content…
I believe that the hospital should take the blame for the damages and suffering that Kelly Niles endured. This decision reflects the quality of care that Niles received while he was at the hospital and also correlates to his physical status. The neurosurgeons stated that his status would have been better if they got to him sooner and were able to treat him in time, but due to the negligence throughout his whole treatment he is left with the ability to only move his eyes and neck. The fact that there was doubt that Kelly would survive the next few days after his surgery supports my decision that what the court ruled was reasonable and appropriate. Kelly “remained in a coma for 46 days before gradually regaining consciousness.” Kelly is totally disabled and his condition can’t ever be improved with medical attention or surgical treatments which furthers my final decision (“Niles v. City of San Rafael,”
The Plaintiffs felt that since the hospital was licensed and accredited that they should be held responsible for their employees and their actions. It states in the regulations that any infraction of the bylaws imposes liability for the injury. At any time if Dr. Alexander had questions or concerns he could have reached out to an expert in this field to consult
In Los Angeles, it’s a very popular and expensive place to live, and due to many reasons over 55,000 people have been homeless, up to 2006 the homeless would get arrested for laying in public areas, losing all of their belongings. In the case of Jones v. City of Los Angeles six homeless people appealed their acclimation and won, causing the city to remove that law. In the Case of Jones v. Los Angeles, the court made the right decision because this law acted against the 8th and 14th amendment.
In Cobbs V. Grant there was an issue that is seen in the healthcare arena quite often. This issue is negligence. Negligence can range from a variety of different issues a few of them to mention would be lack of communicating with the patient, leaving the patient alone for too long, or not answering the patients calls in a timely manner. Over time these circumstances could potentially cause harm to the patient for a variety of issues and result in a lawsuit if the patient feels mistreated. In the case of Cobbs V. Grant there was negligence from not informing the patient before the sugery of the risks the surgery could cause and what the alternative options were that could have been safer. The process for giving the patient this kind of information
University Hospital is a well known hospital with a level 1 trauma treatment center for the tri-county area of a northwestern state, the hospital enjoys the fact they are known for their promising reputation among healthcare professionals and the public they serve. Jan Adams is an OR supervisor that has been working there for ten years, as a professional she makes surgeons follow protocol as required and enjoys working with trauma patients. One Friday night, which is the busiest day of the week for the trauma department; the unit was notified that a helicopter was on its way with a 42 year old man who had been in a car accident. Shortly after the patient arrived to the trauma center, the resident and other medical staff noted that he was in very bad physical conditions, needed immediate surgery or otherwise he was going to die. The issue was that the on call surgeon had to be present during the surgery and had not yet arrived, but regardless of the matter and protocol they proceeded with medically treating the patient immediately. The concern is that in doing so they violated medical procedures and put the patients safety at risk, this lead to a long list of ethical issues for example, patient well-being, impaired healthcare professional, adherence to professional codes of ethical conduct, adherence to the organization’s mission statement, ethical standards, and values statements, management’s role and responsibility, failure
The greatest moral issue on the NY Med segment was filming and then releasing the last moments of Mr. Chanko’s life without his permission, nor his families permission. Mr. Chanko has, as all do, a right to privacy during any medical incident. The fact that his care team allowed individuals who were not there to make him better is a clear error in moral judgment. Furthermore, the idea that they then shared this incident with the rest of the world, without receiving permission from him, or anyone else in his family, is another clear moral error. Mr. Chanko had the right to privacy, and those final moments should have forever stayed in the emergency room between his caregivers and himself.
Case study number one: A women from Virginia was scheduled to give a blood donation in preparation for a bone marrow transplant at the phlebotomy lab at John Hopkins Hospital in Baltimore, Maryland. During her venipuncture the physician punctured a nerve causing an injury to her lateral antebrachial cutaneous nerve in her right arm. After the evaluation showing what injury the physician has caused, she filed a medical negligence lawsuit and continues to experience significant pain, numbness, disability, loss of enjoyment of life, emotional distress and loss of wages and wage earning capacity as a result of her injury, which are likely to be permanent in nature (Miller and Zois,
I truly agreed with the judge in his decision against the Catholic hospital. His decision in ruling the Catholic hospital to be in the wrong simply clarifies and justifies the importance and reasons of a hospital, which is to provide medical services to those in need. Just because it was against the Catholic principles in life, they should have still abided by the Principle of Informed Consent. There
For instance was a specific case in Columbus Hospital where the oncoming nurse failed to assess a patient and take vitals due to the patient being asleep, little did the nurse know that the medication being prescribed to the patient was altering his state of mind. The patient had shown signs earlier of being altered by asking to be secluded and didn’t want any nursing care even though he was under postoperative care. Ultimately the patient ended up dying from a fall out a 3rd floor window. Had the nurse communicated to the doctor the changes she notice and also reassessed him then his death possibly could’ve been avoided. Expert testimony opined that the nurse was negligent in failing to adequately monitor Mr. Busta (patient) on the evening and night before he died, and in failing to report the constellation of signs and symptoms to the surgeon; and that the hospital was negligent in failing to maintain a safe environment (Croke, 2003). This incident cost the hospital a lot of money due to one nurses negligence, had the nurse just followed the nursing process and assess him then this is something that could’ve been avoided. The process doesn’t stop at evaluate, it keeps going, you constantly reassess and diagnose and intervene because a patient’s needs are constantly changing.
The judge had to make the very important decision about the ethics part of this case. It was not right for a Doctor to overcharge patients for anesthesia. They obviously did not care for the fact that they were taking more money than what they had to. They wanted it all to themselves. I think that no matter who you are, there should be the reason why you have to take more than what is allotted. The prosecutor has all evidence of the fraud to not only the patients but to the insurance companies too. They will convict him of all counts and that is when he was sentenced to life in
The hospital is responsible for the death of 8 month old Kaia and 15-year old. Both of the patient's death were caused by medical malpractice. Medical Malpractice is the 3rd leading cause of death in America , according to the journal study of the patient . Its sad to see that a lot of people die due to medical malpractice all over the world. It is clear that the Seattle Childen's Hospital did nothing to change, because in just 18 months another death occurred due so overdose of medication. This hospital did not take the time to take the safety precausions needed to avoid both deaths in the first place. It's scary to think that if the nurse had taken the extra minute to check her miscalcuation the baby would still be alive.
This can be read as a key ethical question to many healthcare case studies because of the errors and situations that occur. One of the explanations for this occurrence may be the overwhelming workload, chaotic environment and lack of individual attention prescribed to each patient. These issues can cause a disruption to the ethical principle of Beneficence. The principle of Beneficence calls to action the act of helping others and having compassion for the patients. This principle can be threatened when a doctor or caretaker is overworked and unable to effectively manage the series of patients and work they are assigned to take on. I believe that the admitting doctor did not initially catch the error of not calling for the specific drug need because he was more focused on getting Mr. Londborg stable and on the medication to treat his initial and present condition before worrying about the preventative medication. In addition, the doctor was so focused on helping everyone all at once that he was blind to the small details and loose ends that needed to be taken care
Do you feel that the physical therapist and assistant were negligent in their treatment of the patient in this case?
As health professionals, we have a duty and responsibility to monitor the welfare and safety of patients in our care we must allow ourselves to follow the code of ethics. The decision must be addressed to ensure quality services. “Discussing staff and patient issues where others who should not hear about them might hear the conversation is very easy to do” (Finkelman, 2012, p.384). As you mentioned in your example is our duty to respect the confidentiality of patient information and this cannot be disclosed outside the clinical setting and in public areas of the hospital as elevators and cafeteria. The nine provisions of the code of ethics are important and necessary to abide by them and in every decision we make to make sure not to violate
4. Explain key terms and orient the reader to the problem. (Use internal citations when warranted.)
There were multiple ethical principles that were neglected. To begin with, Beneficence was apparent when the family was feeding the patient despite what the physician and speech therapist had ordered. The physician and speech therapist both had bother had explained to the family why it was not safe to feed the patient due to the risk of aspiration pneumonia. Beneficence mean to do good (Ethical principles, 2016). The family went against what medical professionals had advised the family on what not to do. The next ethical principle the family did not respect is non-maleficence. Non maleficence means to do no harm and that family made choses that could potentially harm the patient. By feeding the patient when she was NPO, deciding to put the patient under anesthesia to insert a PEG tube despite the risk of going through. The family appeared to be possibly using their own judgment and autonomy for choosing to feed the patient despite what the physicians ordered and making the choice to insert a PEG tube. Respect for autonomy can hold a fine line of what is truly autonomy and what is best for someone other than the patient in this situation. Additionally, truthfulness and fairness need to be considered. This can include persons involved such as nurses, certified nursing assistants, physicians, therapist, families and anyone involved in the patient’s care. Thinking and considering what is best for the patient and what they would have wanted is sometimes a very hard