Case Studies In Health Information Management
Case Studies In Health Information Management
3rd Edition
ISBN: 9781337676908
Author: SCHNERING
Publisher: Cengage
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You are responding to a private residence for an 80-year-old female, with altered mental status. The husband called 911. When you arrive, their adult son is on the scene. He was not aware of the 911 call and says his dad has dementia and must have gotten scared and called just before he got there. He says his mom is a diabetic and this is a pretty common occurrence, but he's not sure how it happened this time.  The son said her blood sugar was 400, and he was just about to administer her normal dose of insulin. He says that since her sugar is so high, he wants to increase the dose. He is willing to sign a refusal on her behalf. Do you allow him to give the insulin? Assume the insulin is not expired and is prescribed to her. If yes, do you allow the refusal? Why or why not? Explain your decision to the son, including what is happening on a physiologic level (in terms a layman can understand) What is the long-term solution for this situation of repeated episodes of hyperglycemia?
You are the nurse in charge of the Intensive Care Unit, one of the patient's relative ask you if there is a possibility to end the suffering of her brain death patient. What will be your response?
An elderly man presents himself to the ER. He has contractures and paralysis of his left hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating. She asks if someone is accompanying him, He shakes his head. The nurse asks him how he came to the hospital, He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. 1. What are the ethical implications in this situation? 2. What ethical principles are involved? 3. Should the nurse locate the patient and ensure that be is not endangering himself or others by driving? Would this be a breach of confidentiality? Autonomy? 4. How does the nurse express fidelity in this situation?
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