Patient's Dilemma Scenarios

As addressed above, Congress enacted the patient Self Determination Act in 1990. They determined that any healthcare organization who participates in Medicare or Medicaid have to provide patients with written information concerning their rights when it comes to their medical care. This information needs to be given to the patient upon admission and placed in a prominent place in their medical record. This is not a voluntary program, compliance is mandatory. The Centers for Medicare and Medicaid can audit an organizations compliance at any time and if they are not compliant that organization will be in jeopardy of not being allowed to participate in Medicare or Medicaid.

HISTORY OF PRESENT ILLNESS: This patient is a 10-year-old male. He was in a Motocross accident this past Saturday, sustaining tibial eminence fracture, displaced. He presents today for evaluation.

Death is an inevitable part of life. It is the ultimate, unavoidable end that every human being will encounter. However, the circumstances, beliefs, and preparedness surrounding death vary vastly from person to person. Healthcare is an integral part of the process of life and death. Healthcare providers in turn can have a tremendous impact on patient treatment, especially concerning end of life care. Promoting patient self-determination throughout the care process, beyond and before a patient approaches death, is an essential part of the healthcare profession. This is accomplished most successfully through thorough, early intervention and planning. Healthcare practitioners, within various disciplines, have a profound responsibility in navigating end of life care while upholding the principles of the Patient Self-Determination Act; this is largely accomplished through early patient education and preparation through Advance Directives and Physician Ordered Life

Each of these three issues the subject matter is centered around death, pain or taking your own life. Although I'am not a parent yet but when the time comes my children will receive any and all medical care that is needed for them. I'am a Christian and believe in pray but God uses doctors and medical personnel to help us. If your an adult and make that choice for yourself then thats your business. But not for a child that can not speak up for themselves and if you love that child why would a parent refuse treatment. As for animal fighting it cruel for the animals and what makes it even worse people profit off the misery of the animals. There again the animals can not speak for themselves but if they could I would imagine what they would say.The

It is a humid night, so John decides to take to a bath around 8 pm, so he his clean for when his girlfriend, Becky, arrives to his home after her shift at Grover. Becky arrives at the home around 9 pm and finds John unresponsive in the bathtub. Becky calls for an ambulance and the hospital tries to revive John. Becky swears to the hospital that John would not want to be kept alive on machines, but because they are not married, the responsibility of his medical decisions falls to his family. However, his family wants every effort to try to save John, since they believe he would want to fight to stay alive even if it was with the aid from a machine. Becky knows that John has had no contact with his family for five years, so they do not know what his views on life would be. Hence, there is much fighting and disruptions at the hospital because of the previous lack of concern by John’s family. Consequently, this very issue leaves physicians and hospitals in an ethical dilemma, so they place this

As the case manager I would start to intervene as soon as I observed the nurse kick Mrs. J chair. I would confront the nurse about the inappropriate behavior and speak to my supervisor about what I have witnessed. The nurses behavioral is questionable because of her comments regarding the seniors coming to the emergency room and having all of them go into “rest home.” This nurse is breaking the American Nurses Association Code of ethnics (2016), “The nurse, in all professional

Ethics and economics are two different issues which makes it difficult for a normal individual to select one over another. In fact, it would be more difficult for a physician to prioritize economics.

In current medical settings, complex ethical dilemmas do arise as a result of advancing treatment techniques and increasingly diverse patient value systems (Ito & Natsume, 2016). Going through the case, it is clear that there is an ethical dilemma and it can be seen from different perspectives. The dilemma is whether or not the 6-year-old child should be provided treatment by the physician in the hospital, without the consent of the child’s mother. The physician who diagnosed the child with meningitis is in a dilemma. The professional ethics in medicine require that physicians should undertake the diagnosis and treatment of their patient, however, they should not administer treatment without the consent of their patient. In this case, since the patient is a minor child, the consent must be sought from the parents. The child’s mother is a Christian scientist and not the child’s biological parent. On religious grounds, she insists that the child should not be provided with any medical treatment. Upon asking for permission, the biological father consents to the administration of treatment and seeks independent consultation from another physician. He is ethically right in asking for the treatment of his child, without which he would be deprived of his right to ensure the health of his child. At the same time, the school also has an implied ethical duty to ensure that the child who has been diagnosed with meningitis receives proper treatment.

There were different opinions among clinicians about enrolling the patients actively in the decision making, although the majority preferred that the choice of primary treatment should be done by the consultant while patients can be involved in the rehabilitation planning and palliative care (16). Involvement in decision-making was explored by two studies (16,23) from patients’ perspective and showed contrary findings. Moreover, patients considered it highly important to include their families and friends in the decision-making process and to consider their opinions and worries throughout the treatment process (23). In terms of decision regret, most caregivers strongly agreed that it was the right decision, and strongly disagreed to regret

An excellent initial post for this week's discussion. Using at least two patient identifiers when administering medications to a patient is crucial. I agree with you that the five rights of medications should be implemented every time you are administering medications. At the hospital, I currently work at if the patient is competent we always ask them to tell us their name and date of birth, then we look at the information printed on their identification bracelet. This bracelet is given to them upon admission to the hospital. The information provided by the patient and the information gathered by observing the patient's hospital bracelet is then used to identify that the right patient is present. We then use this medication against the

Patient A presents several different types of injuries caused by strangulation. Patient A is a female who has signs of abrasions on the left side of her neck, scratches on her chin and lots of redness on her chest. As proof of possible strangulation you can see a bruise in the shape of a thumb on the side of her neck. She also has present a bite mark on her chest, scratches and petechiae all throughout the areas of her neck chest and chin. Yellow bruising is also present throughout the front of neck from probably a previous strangulation.

Some people may find it hard to speak up in situations like this and are not aware of the proper protocol. Individuals are allowed to receive assistance from Cone Health to help apply for a civil no-contact order. “A no-contact order, also known as a restraining order, prohibits a person from being in physical or verbal contact with another person. The court must order the no-contact agreement, and usually specifies how many feet, or yards, away the individuals must stay from one another. If broken the defendant may be fined, or jail time with a felony or misdemeanor charge”(The Law Dictionary, 2018). For additional data, the worker should contact the Human Resources office on his or her grounds. Any representative, volunteer or contract specialist co-op who gets a limiting request for assurance against conceivable brutality must give a duplicate of the request to: (1) his or her prompt administrator; (2) security on his or her grounds; and (3) the Human Resources office on his on her grounds. Any patient or inhabitant who gets a controlling request for assurance against conceivable brutality must give a duplicate of the request to the Administrator-on-Call, nursing unit executive and security. The patient or inhabitant will be moved to the most secure room accessible and offered an assumed name for his or her insurance. The patient or inhabitant's

A twist on the "patient's perspective" approach is to describe a time when medicine failed to save or heal someone close to you. The purpose of this tactic would not of course be to rail against the medical profession, but rather to show how a disappointing loss inspired you to join the struggle against disease and sickness.

As a decision analyst, both the short-form fast-and-frugal decision tree and the 50-item long form of the heart disease decision support tools are great tools for doctors to make medical decisions. However, in a life and death urgent situation, a doctor has to make a decision fast and accurately, he or she will have to rely on their knowledge and various tools to make a sound decision that will impact a patient’s life. So, as a decision analyst, putting clinical analysis aside, a doctor will need to decide and compare as to which of these tools can better support and guide them to provide a sound decision.

Patient A was really amazed when patient A came in contact with me, describing that I was a good student and pleased with my assistance. With this action, came the first thorough interview and when along for a good time. Patient A's cultural aspect was reflected on patient A's life through struggles between living in the city or enjoying the free life with animals in the farm . Patient A illustrated her/his discomfort when talking about living in the city and described this place as being too loud and to busy all the time compared to living in the farm where it is quit and peaceful. Patient A specified the enjoyment of petting farm animals as petting something you loved, including patient A's dog that died named black, and remembering her