You are an administrator in the Intensive Care Unit (ICU) a local hospital. An Intensivist (critical care physician) approaches you for help with a case that he is struggling with. The Intensivist tells you the following about his patient Betty:    Betty is in a persistent vegetative state in the ICU.  The health care team recommends a plan of treatment that involves a tracheostomy (inserting a tube in the neck to help patient’s breath) and the insertion of a feeding  tube.    These procedures require consent.  Bob, who claims to be Betty’s common law partner, has been at Betty’s side every day       since her admission to the ICU.    Paul who has also been visiting, claims to be Betty’s husband.  The Intensivist needs to look to Betty’s substitute decision-maker to make a decision on her behalf.      Questions:    Using your critical thinking skills and what you’ve just learned about the Health Care Consent Act, what advice do you give the Intensivist regarding who she should look to for decisions regarding Betty’s treatment? Explain your rationale.   Is there any additional information you need to know before you can advise the Intensivist

Case Studies In Health Information Management
3rd Edition
ISBN:9781337676908
Author:SCHNERING
Publisher:SCHNERING
Chapter4: Revenue Management
Section: Chapter Questions
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You are an administrator in the Intensive Care Unit (ICU) a local hospital. An Intensivist (critical care physician) approaches you for help with a case that he is struggling with. The Intensivist tells you the following about his patient Betty: 

 

  • Betty is in a persistent vegetative state in the ICU. 
  • The health care team recommends a plan of treatment that involves a tracheostomy
  • (inserting a tube in the neck to help patient’s breath) and the insertion of a feeding

 tube.   

  • These procedures require consent. 
  • Bob, who claims to be Betty’s common law partner, has been at Betty’s side every day

      since her admission to the ICU.   

  • Paul who has also been visiting, claims to be Betty’s husband. 
  • The Intensivist needs to look to Betty’s substitute decision-maker to make a decision on

her behalf. 

 

 

Questions: 

 

  1. Using your critical thinking skills and what you’ve just learned about the Health Care Consent Act, what advice do you give the Intensivist regarding who she should look to for decisions regarding Betty’s treatment? Explain your rationale.

 

  1. Is there any additional information you need to know before you can advise the Intensivist?
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