Nursing Home Case Study

Hello all, my name is David Jamison, MHA. I am representing Marion General Hospital as the committee chairman of the ethics committee. I am currently reviewing the case involving female patient Margie Whitson. The patient is a 95 year old patient whom wishes to have her pace maker “turned off”, due to her unwillingness to live. The death of her only remaining son was the last event that, that had forced her to contemplate the reason why she still lives. Mrs. Margie Whitson is no stranger to loss. When she was younger, she lost her youngest son to a severe motor vehicle accident that took his life at the early age of 30. She injured herself over 10 years ago, and received a hip fracture. Her most recently bout was

-Goodvalue did not exercise reasonable care in response to known attacks on the premises (8 reported attacks in the 18 months before the incident involving Mr

Any situation that erupts which can disturb the other residents is something that must be diffused immediately, as a healthcare administrator I would have to address this state of affairs with empathy and genuine concern for the opinions of the family members not in agreement with the do not resuscitate (DNR) order. First, I would ask that we move to a private location where we could speak and if voices are elevated it would not interfere with the day to day operation of the nursing home. Second, I would ask to see the Power of Attorney if it is available to speak to the legality of the document. Provided that, all the previous terms set in place are up to par, I would directly talk about the statement made about the family member making me aware of her position with the Department of Health and Human Services. Moreover, going through the document to point out the date signed, to make note if the new resident signed it before here memory was too far gone and if the Power of Attorney would not be substantial. Then I’d call attention to the difference between a Power of Attorney and Durable Power of Attorney. Grammarly states, “The biggest difference is in when the power ends. A general power of attorney ends when a person becomes mentally incapable because of sickness or injury to handle his or her own affairs… To get a durable power of attorney, you must show in the

This episode of care occurred in a community setting. Sara has a diagnosis of Alzheimer's disease. She live alone, has no children and is a diabetic. Sara does not speak English and her first language is Polish. Sara support worker developed a close relationship with Sara but said recently her dementia as gotten wrong and she sometimes does not remember who she is. Sara has cellulitis on her legs and was refusing to let the support worker change her dressing. She kept saying it was ok and she didn't want it to be changed. The student nurse and the district nurse tried reassuring Sara and explaining why it was importance to treat her leg but she just became more agitated and aggressive. The district nurse and support worker knew it was important

While the seriousness of a patient’s death should be investigated, the hospital failed to act promptly and investigate the supervisor’s or human resource (HR) department’s denial of reasonable accommodations or the previous errors made by the nurse. Therefore, the wrongful termination seems more likely to have been the case in this situation. The defense will show that rather than terminating her employment earlier the hospital waited until something catastrophic happened. The nurse took appropriate action discussing her health condition diagnosed by her physician that precludes her from working in the ER at full capacity with her supervisor. The nurse should have been given alternative assignments as appropriate or disability leave if no other alternative was available and should not have been terminated wrongfully after the incident (Pozgar,

His actions were unexplainable to the relatives of the patient and unacceptable in care industry as this controversy raised issues and concerns about the care/nursing homes on how they treat the residents and this only put doubts and worries on the patient’s relatives about the work being done in a care/nursing home.

If testing results support the suspicions of impairment, then management is mandated to report the incident to the North Carolina Board of Nursing (NCBON, 2011). With increased medication errors, Beverly failed to provide a safe and effective nursing care to the patient, therefore violating the laws of the Nurse Practice Act (NCBON, 2009).

The ATRA and CALA are trying to stop minor cases from receiving enormous sums of money which will dampen the economy. The subject matter of these cases varies to some length including but not limited to medical and car insurance. In a case against Rich Mountain Nursing and Rehabilitation Center of Mena, jurors found the defendant, Mena, guilty of malpractice in the death of Margaretha Sauer, a ninety-three year old woman. The non-economic punitive damages cash award for the suffering and pain of the Sauer family to be paid by Mena was seventy-eight million dollars. Punitive damages is one of the issues that the ATRA is trying to combat. If nursing homes continue to have pay large sums for punitive damages, they will not be able to survive. The premium average liability offered by nursing homes has increased from $820,000 in 1999 to $11.6 million in 2001. With the liability premiums continuing to rise, the prospects of profits continue to dwindle. They will have no chance at retaining a profit and thus will have to close. It will also mean that doctors will charge more for their services, which leads to fewer health insurances carrying

On this 9/3/15 worker visited the residence of Mr. Alvin Higgins, for the purpose of making first victim contact. Mr. Greg Nunn, RN with New Beacon Hospice greeted worker outside of the residence. Mr. Nunn stated he called the residence about 3 1/2 hours before arriving and Ms. Betty Griffith was not home. However, her daughter Gina Craven and her boyfriend, Kenneth Woods was at the home. When he arrived, the door was unlocked and Mr. Higgins was lying in his bed located in the living room. After being there for several minutes, Mr. Woods came into the living room and asked if he needed anything. Mr. Nunn told him no and Mr. Woods walked toward the back of the house. Medically Mr. Higgins diagnoses are late stage Alzheimer's. He is bedbound, hard of hearing, and unable to communicate.

Court cases like Martha Bull’s who reads “Greenbrier Nursing and Rehabilitation Center had been negligent in treatment of Martha Bull, 76, who died at the nursing home April 7, 2008 after staff failed to act on a doctor 's orders to get her transferred to a hospital emergency room for treatment of severe abdominal pain,” are one of the many that support this disturbing stigma. Something as simple as a competent health provider, that was willing to see a task out into its completion could have been the saving grace for this women. For almost an entire twenty-four hours’ staff heard her cries of agony yet never made sure the proper paperwork was completed once it was filed. (Brantley, 1) In the case of Holder Vs. Beverly Enterprises Texas, Inc. an 83-year-old, bedridden woman by the name of Ruth Waites was hospitalized for dehydration as a result of an understaffed nursing home. Once admitted back to the nursing home she had developed pressures sores from being left unattended. The pressure sores soon became so severe that they caused a serious infection and led to Ms. Waites’ death. This entire case is a story of neglect, what the nursing home states as understaffing, and fraud. The fact that the nursing home was understaffed should have never been hidden from the families of the patients. These are facts that should have been announced to the community so that the appropriate qualified personnel could have attempted to solve the issue. (Nursing, 1) Another case follows with

The Patrick Haynes case involves the violation of reasonable care, after being assaulted by three correction officers that caused intentional trauma and injuries to his rectum area. The details of the case are that inmate Patrick Haynes assaulted a correction officer after being written up for misconduct. Inmate Patrick Haynes assaulted the correction officer by throwing feces and urine in the unsuspecting officer’s face. Later that night after lights out, the three correction officers went to his cell, restrained him and forcibly inserted a broom stick into his rectum. The next morning he was found by day shift officers and transported to the infirmary. Patrick Haynes after receiving medical care sued with judgement being found in his favor.

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

Regarding Laura Norberg V. Morris Wynrib, two major points are brought up. Firstly, she was sexually assaulted by her doctor, which falls beneath the tort of battery. Secondly, the notion of ‘’fiduciary obligation’’ is questioned, due to a disagreement of whether or not the relationship between Norberg and Wynrib was considered fiduciary. The court of appeal terminated the case based on the fact that she consented, so the case found it’s way into the Supreme Court. After Norberg was found guilty under the Narcotic Control Act, she actively chose to enter a rehabilitation center, upon being released, she sued the doctor who exploited her vulnerability.

Plaintiff further asserts that the Defendant breached its duty of care to her by: (1) “failing to fix a hazardous condition within a reasonable time;” (2) “failing to adequately warn plaintiff of a hazardous condition;” and (3) “otherwise failing to exercise reasonable and due care under the circumstances.” The Plaintiff is seeking compensatory damages in the amount of two hundred thousand dollars, plus interest and costs.

Ann is seventy-seven-year-old that was diagnosed with moderately advanced Alzheimer’s disease two years ago. She has periods of confusion, frustration, anger and obsessive thinking. When Ann began to realize her health was deteriorating, she and her husband Frank discussed their wishes should anything happen to them. Ann stated she would not want to be hooked to a breathing machine if she had no chance of survival and no papers were ever signed regarding this. Frank sincerely loved Ann, they were married for sixty years. As Ann’s Alzheimer’s progressed, Frank started to take care of Ann by cooking for her and cleaning all while watching her health decline. Eventually, for Ann’s safety she was admitted to a long term care facility. After three weeks in the nursing facility Ann developed pneumonia and was transported to the local hospital and started on