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Case Study: Niles V. City Of San Rafael

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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 …show more content…

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,”

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