An 85 year old, Hispanic, female patient was admitted in the adult intensive care unit (AICU), with the diagnosis "stroke." Prior to the patient’s admission into the regional medical center, the patient had a history of heart and pulmonary problems, and lung cancer, which was successfully treated by surgery and radiation ten years ago. Tests conducted during the patient’s admission revealed early stage liver cancer. The patient has been in a comatose state ever since admission, and has been unable to communicate or move, and due to her being unable to breathe on her own, she is on a ventilator (Belhaven University, 2015). The patient has been receiving local news coverage. As a result, “the state governor has come out publicly stating that illegal aliens are a drain on our state 's resources and should be sent back to their countries of origin” (Belhaven University, 2015). The governor’s challenger, whose also the daughter of the patient and a nursing student in a AICU, says there is a moral duty to care for everyone. The AICU is full and the discharge planner is under pressure from his supervisor to free up beds, which are needed for other critical patients (Belhaven University, 2015). The hospital’s business office requests if the patient can be discharged from AICU due to the cost being the responsibility of the hospital, in the amount of $9,000 per day, or if the family will agree to disconnect the ventilator. Unfortunately, “the attending physician is new on the
In 2003, Luis Alberto Jimenez, an undocumented and uninsured immigrant, was involved in a car accident where he sustained traumatic brain injuries with an intoxicated Floridian driver. After the accident, he was hospitalized at Martin Memorial Medical center, a private community hospital in Stuart, Florida. Because Jimenez required ongoing care without medical insurance, Martin Memorial was not able to find a rehabilitation facility willing to accept him. Instead, Jimenez remained as a patient of the hospital for many years inducing more than $1.5 million in costs. Of the $1.5 million, Martin Memorial only received $80,000 from Medicaid for the emergency services provided to Jimenez and absorbed the remaining costs associated with his care directly into their budget. Faced with the option of continuing Jimenez's medical needs and the financial costs borne of this care or deporting him from the state, Martin Memorial secured a state court order to authorize the transport of Jimenez to a medical center in Guatemala. Under this court order, which was later deemed invalid upon court issue, the hospital leased an air ambulance at its expense and forcibly transported Jimenez back to Guatemala. This murky legal and ethical dilemma drew public attention
Adequate qualified medical staff must be present in all critical care areas caring for mechanically ventilated
The ICU should be equipped with a recliner in every patient room, therefore 12 more recliners need to be purchased. Signage inside the patient’s room can be made by printing and laminating the AACN Early Progressive Mobility Protocol from their website with minimal cost. Total estimated cost including 12 recliners and staff education time: $ 10,200. Re-teaching will be implemented at staff meetings on a quarter-yearly basis and the ICU nurses will have the opportunity to provide constructive feedback. HCAP statistics will provide data regarding length of stay in the ICU, Ventilator and Health-care Acquired Pneumonias and Wound care will contribute the data for Decubitus occurrence.
Everyday people are sent to the hospital. Not only are they in fear of losing their life but also in fear of being in debt due to the prices of health care treatment they need. But what if this patient happens to be an illegal alien? What if the patient has a foreign illness that needs to be cured so it does not spread? Is it morally correct to deny this person treatment because he or she lacks citizenship or a valid visa? Or should illegal aliens be treated just like any other patients by having a right to health care?
In the area of healthcare, the influx of illegals has proven to put a huge burden in all areas of the system. In California over the last decade many hospitals and emergency rooms have closed due to the illegals being treated there and not being able to pay the bills from the hospital. Right now, California out of the 50 states is last in the number of emergency rooms per million people (Jones, 2012, #6.). The insurance premiums for citizens keep increasing because when the illegal’s go to an emergency room
Although the number of illegal immigrants is substantially growing on a daily basis, the national health care policies seem to fail in addressing their medical needs. This, however, is becoming a growing challenge because of the conflicts between medical ethics and immigration laws. Despite the alluded hope for this patients group within the immigration reform, the Patient Protection and Affordable Care Act (PPACA) fails to alleviate the burden of their unmet health care needs. Advocates of their rights for health coverage argue that medical ethics and the United States moral obligations necessitate expanding coverage to all population residing within the borders of the country. Conversely, opponents deny their health coverage because their illegal status disqualify them from all public benefits. This paper goes beyond these opposing assumptions and instead, proposes a strategic plan to raise and combine resources necessary to establish a health care center for the uninsured, underinsured, and illegal immigrants in Northern California. The paper covers the establishment of this center with special focus on strategic funding, funding constraints, related state and national regulations, health policy, resources allocation, and managerial and leadership.
The Department of Public Welfare properly denied MA benefits to cover medical provider’s care to an illegal alien because the care was considered ongoing; not treatment for an emergency medical condition. The medical provider stated that the patient suffered from an aggregate of very severe chronic conditions and acknowledged that treatment and care would be for an indefinite period of time. There was no evidence to support the conclusion that the patient was manifesting acute symptoms thereby rendering her condition an emergency medical condition for which she would be eligible for MA benefits. Spring Creek Mgmt., L.P. v. Dep't of Pub. Welfare, 45 A.3d 474 (Pa. Cmwlth. 2012).
Situations like Maria’s have become fairly common here in the United States. In 2014, Pew research estimated that there are 11.3 million unauthorized immigrants in the United States (Krogstad & Passel). In 1986, the Emergency Medical Treatment and Active Labor Act (EMTALA) made it possible for unauthorized citizens to qualify for Emergency Medicaid. Moreover, any hospital which is eligible to receive Medicaid reimbursements is required to treat ANY patient with emergency medical treatment (Sultan). Prior to the Affordable Care Act (ACA), hospitals could also receive reimbursements for patients who those who needed non-emergent
According to the Pew Hispanic Center, 11.1 million undocumented immigrants were living in the U.S. and the majority of the population is Hispanic, living in California, Texas, and Florida. Cancer is currently known as the leading cause of death in Latinos with 33,200 deaths in the Latino population per year. Including in the uninsured population, 14.6 percent of undocumented immigrants is the only population excluded from Medicare and the Affordable Care Act, known as Obamacare. (Jaramillo and Hui, 2016). This small percentage population with cancer is facing a high risk for having inadequate care. Dealing with trajectory illness, the undocumented immigrants are tackled with language and cultural barriers, limited social support, and lack of access to care, underinsurance, and discrimination. They also live in fear of deportation, which leads to a delay in cancer diagnosis.
When it comes to anything about conflict in immigration there is always a huge debate. There are two sides to every story and both make very good supportive arguments. Some with very compelling statistical reports. But which are true? That’s for you to decide.
patient is no longer able to attend a hospital that meets their needs, the lives of the individual’s
Even though the facility shouldn’t hold residents that are too ill, executives and management of the facilities encourage these types of residents to move in anyway. Instead of receiving the proper care by trained professional, residents receive care from untrained workers that are told to not let anyone know because of this encouragement. The facilities take advantage of a resident’s lingering dying trajectory to gain more profit but the care of the residents at the facility
If the nursing staff does not receive the proper education about the importance of discharging their patients promptly, then medical beds will not be available for new surgical patients. This dilemma causes an increase in PACU waiting times. Those patients scheduled for afternoon surgical procedures are delayed, since there are no beds available for them to recovery. The population affected by this problem is patients who have had an elective foot or ankle surgical procedures that required an overnight monitoring. These patients usually stay less than twenty-four hours, unless they need skilled nursing placement, antibiotics, or other surgical procedures.
inflow of patients is higher than the available beds. You are treating an elderly man who is breathless and cyanosed. While you assess whether he has chronic obstructive pulmonary disease or heart failure, he becomes drowsy and starts gasping. You quickly intubate him with some difficulty, prolonging his period of hypoxia, and put him on ventilator support. You then get a phone call from a senior consultant in the hospital that an important social activist is about to arrive with chest pain and will need to be admitted. You are directed to
Discharge Planning – Patients who require continuing care after release from the hospital are identified and the appropriate services are arranged through participating home care, medical equipment and other providers.