The defendants maintained that the decedent’s symptoms were consistent with allergies; however, it is important to note that the decedent’s symptoms were reoccurring and had not responded to the initial prescribed treatments, thus prompting the provider to prescribe an additional course of antibiotic therapy as well as antihistamines and nasal sprays over the course of 9 months. Taking this into account, the non-response to therapy should have alerted the physician and the nurse practitioner that additional diagnostic testing should have occurred, such as sinus x-rays, a CT scan or MRI, which would have given the providers additional data. According to Michon (n.d.), a failed diagnosis or delay in diagnosing is not in of itself negligence; …show more content…
During the discovery process, legal consulting professionals will obtain medical records to determine whether the healthcare professionals did not render treatment in a reasonably qualified and competent manner by scrutinizing documents to determine how the providers were able to formulate their diagnosis and treatment plan (Rudolph, …show more content…
The case stated that the decedent complained of epistaxis, anosmia, diurnal pain located in the frontal region of the head in addition to trouble breathing, which was not described in the decedent’s chart. All healthcare professionals have a duty to generate and keep a detailed, relevant, timely, and factual record regarding patient care and treatment (Rudolph, 2013). Furthermore, in a malpractice case, injudicious, inaccurate or incomplete charting can be damaging in a court of law; therefore, good documentation can be a vital defense (NSO, n.d.). According to the Nurses Service Organization (NSO) (n.d.), it is important for Advance Practice Nurses to include in their documentation the nursing process, differential diagnosis, and their professional capabilities. The NSO also recommends that the Advance Practice Nurse chart if a patient's medical complaint does not improve as foreseen in spite of the outlined plan of care for the disease or disorder; therefore, the diagnosis must be
This case is extremely relevant to what is known as the four D’s of negligence; duty, dereliction, direct cause and damages. Duty is when a doctor and a patient have formed a relationship and said doctor has taken on the responsibility of taking care of the patient. Dereliction or failure to perform a duty, there must be some kind of proof that the doctor somehow neglected the doctor neglected the patient. Direct cause, there must be some kind of proof that what happened to the patient was a direct cause of how the doctor conducted himself or his failure to act which resulted in injury. Damages a patient must prove that harm was incurred by the direct result of the physicians actions.
1. The nation is at war, and your number in the recently reinstated military draft has just come up. The problem is that, after serious reflection, you have concluded that the war is unjust. What advice might Socrates give you? Would you agree? What might you decide to do? Read the Introduction, Chapter 2 Crito and the Conclusion Chapter 40 Phaedo by Plato.
The plaintiff in Ard v. East Jefferson General Hospital, stated on 20 May, she had rang the nurses station to inform the nursing staff that her husband was experiencing symptoms of nausea, pain, and shortness of breathe. After ringing the call button for several times her spouse received his medication. Mrs. Ard noticed that her husband continued to have difficulty breathing and ringing from side to side, the patient spouse rang the nursing station for approximately an hour and twenty-five minutes until the defendant (Ms. Florscheim) enter the room and initiated a code blue, which Mr. Ard didn’t recover. The expert witness testified that the defendant failed to provide the standard of care concerning the decease and should have read the physician’s progress notes stating patient is high risk upon assessment and observation. The defendant testified she checked on the patient but no documentation was noted. The defendant expert witness disagrees with breech of duty, which upon cross-examination the expert witness agrees with the breech of duty. The district judge, upon judgment, the defendant failed to provide the standard of care (Pozgar, 2012, p. 215-216) and award the plaintiff for damages from $50,000 to $150,000 (Pozgar, 2012, p. 242).
We are all social beings. We need to interact to share our views to influence each other and so we associate ourselves to a group. People try to protect their self-esteem and self-concept. But sometimes in larger groups, people do not get their due recognition for their actions. They gradually lose their identity in the group and identifies themselves by their group. This leads to the lack of responsibility and moral values. Deindividuation : A phenomenon that occurs in large-groups (crowd) situations in which individual identity is lost within the anonymity of the large group, perhaps leading to a lowering of inhibitions against negative behaviors (Bordens & Horowitz, 2017, p.311). Due to deindividuation, people lose their individual identity
The case study of Crowe v. Provost, 374 S. W. 2d. 645 (Tenn. 1963), was a highly-anticipated court case for the 1960’s. The following list pertaining to the example of what went wrong and by whom. The first patient appointment opens a file with the patient’s basic information and any allergies including medication(s). This would typically be done with the receptionist. If this was not the doctor’s first time seeing this patient, then the physician should have checked the chart to see if there were any allergies to anything including medication, such as, Penicillin and Cosa-Terrabon. Referring to the Crowe vs. Provost, the child was then rushed back into the doctor’s office with worsening symptoms, the nurse should have listened to the mother. The nurse, could have instructed the mother to take the worsening child to the nearest Emergency Department. The nurse advising the doctor, “That she thought the child was about the same as when the physician saw him earlier in the day” (Flight, M., 2011, page 5-6) was not a good idea. The doctor could have been brought in for an examination of the ailing patient. The receptionist returning from her lunch should not have been a signal for the nurse to leave for any reason with the patient getting worse. Again, the patient and mother should have been instructed to go to the nearest emergency room. The receptionist should not have been left alone with an ailing patient. Mistakenly, the receptionist calling the doctor first and
Matt Lamkin’s “A Ban On Brain-Boosting Drugs is Not the Answer” first appeared in Chronicle of Higher Education in 2011. In this essay Lamkin aims to convince his reader not to deter improper conduct with threats, but to encourage students to engage in the practice of education. Lamkin tells us “If colleges believe that enhancing cognition with drugs deprives students of the true value of education, they must encourage students to adapt that value as their own” (642). Appeal to logic, consistency, and compare/contrast are techniques Lamkin skillfully uses to create a strong effective essay.
At the administrative hearing, the Department’s evidence was entered into the hearing record without objection. The Department’s Representative objected to the Appellant’s Exhibit A-1 being entered into the hearing record as evidence because the Department asked the Appellant if she had additional medical documentation that had not previously been provided and the Appellant indicated that she did not. The Appellant agreed that she did tell the Department’s Representative that she had no other medical information because she “did not understand the question”. The ALJ finds that the Department’s objection to Exhibit A-1 is overruled. Since Exhibit A-1 is verification from a credible source and verifies the Appellant’s
1. Which accounting method best reflects the economic reality? Put another way, which accounting numbers – the GAAP or non-GAAP numbers best reflects economic reality? [10 points]
For the past ten years, Repticon Reptile and Exotic Animal Conventions have toured America, traveling to cities displaying a wide gamut of exotic pets with hopes of informing potential owners about the benefits of owning one (Repticon). Because I have never obtained an affinity for exotic animals, I was confident Repticon would ensure my uneasiness and feelings of being an outsider.
Daniel Deronda, the final novel published by George Eliot, was also her most controversial. Most of Eliot’s prior novels dealt largely with provincial English life but in her final novel Eliot introduced a storyline for which she was both praised and disparaged. The novel deals not only with the coming of age of Gwendolyn Harleth, a young English woman, but also with Daniel Deronda’s discovery of his Jewish identity. Through characters like Mirah and Mordecai Cohen, Eliot depicts Jewish cultural identity in the Victorian period. Reaction to Daniel Deronda exposes the deeply embedded anti-semitism of the period. The story follows the tow main characters over the course of several years as they struggle with their own
At a practice level, the importance and guidance of the Code of Conduct, Code of Ethics and NPA are demonstrated on a daily basis with regard to the issues of documentation, informed consent and open disclosure, and confidentiality. With respect to documentation, nurses must be able to document patient assessments and responses in an accurate, comprehensive and confidential manner and record all observations objectively. Informed consent and open disclosure are also major legal issues nurses face daily. It refers to the communication between the patient and health professional that results in the patient's agreement to undergo a specific procedure and requires that the patient has thoroughly understood the procedure, implications and risks prior to giving written consent.
Through the contrasting storylines of Day 1 Story 1, and Day 4 Story 2 in The Decameron, Boccaccio displays the superiority of common folk to people of religious authority, depicting the triumph of reason over religion. The main characters of Day 1 Story 1 and Day 4 Story 2, Ciapelletto and Berto della Massa, respectively, bear a strikingly similar resemblance until they are confronted about words which they have spoken, at which point the storylines diverge. While Ciapelletto is able to successfully fool a friar, Betro della Massa is unable to fool ordinary citizens. By having two seemingly similar stories end so differently, Boccaccio demonstrates his view that natural reason is more valuable than religious authority.
It was not until 2016 had I then discover the merit of DECA through school announcements and the excitement expressed by former participants. DECA offered the golden opportunity for me to step out of my comfort zone and develop the self-confidence, leadership, and communication skills that I lacked since I have always been more of a reserved individual, and moving into a new city did not help. So, in Grade 11, I finally gathered the courage to enroll in the Hospitality and Tourism category in a team event.
Nursing is a complex and ever expanding profession. Nursing care mainly focuses on the patient’s physical care, which allows nurses to be with their patients for much longer than many other health professionals. Systematic patient assessment is an integral part of a nurse’s job as it permits patient care to be prioritized according to severity of condition, and also molds the basis of care plans (Anderson, 1998). Through early detection of a deteriorating patient, appropriate treatment can be elicited, which could prevent adverse events and potentially save a patient’s life.
Degussa is one of the top ten chemical companies in the world (#1 in specialty chemicals) with large production facilities in over 50 countries and sales and marketing offices worldwide. In March 2005 the company committed to increase their EBIT by 2008 through four priorities: solutions to customers, site excellence, human and corporate excellence and make China happen (Source: Degussa 2008 Program). The strategic plan for China was to triple the sales from $300 to $900 million by 2008 and capture a major share of the Chinese market for specialty chemicals. One of the high growth potential areas would be the segment of stabilizers (growing at least 7-9% per year in China and Degussa owned only 10% market share of it). The