Safety Dilemmas In The Case Of Mildred's Privacy

Improved Essays
There were many errors seen in protecting the patient’s privacy. When the doctor goes to Mildred’s house, the caregiver packs Mildred’s bags for her and goes through her stuff. At the hospital while the nurses were changing Mildred, the doctor walked in with the curtain wide open. The nurse yells out that Mildred wet the bed and she needs help changing the sheets. The ward told Mildred’s daughter that her mother could not talk and when her daughter asked what else was wrong with her he said he could not give out information over the phone. He already gave out information and he went against what he said was the “hospital policy”. Also, the doctor said it was okay if her caregiver signed the consent form since Mildred is right handed and she …show more content…
Mildred’s caregiver called her doctor instead of the ambulance. Mildred needed immediate care considering she had a stroke. When the doctor calls the care for the elderly to admit Mildred, the man who answers the phone is not writing down anything the doctor is saying, he tries to open food during their conversation. The guy on the phone should have been concerned and writing down Mildred’s information. Also, the doctor says the patient is going to be there quite a while because he has seven other patients to see. This could be a safety concern for Mildred because she had a stroke and needs to be seen right away. When the nurse brings Mildred to have surgery, she is not marked, there is no drip, and she is not catheterized. They do not have her ready to be operated on. The ward did not know she was allergic to wheat or had celiac disease until he had talked to Mildred’s daughter. The ward should have all of the updated information about the patient to have available. When Mildred walks out the bathroom, she does not have any help and she falls on the wet floor. They also did not have the correct leg that was broken written down in the consent form. This could have been a safety concern because they would have operated on the wrong leg. It would help to double check information you have written down.
If I were a director of nursing within the hospital that Mildred was admitted to, I would address safety concerns to move toward
…show more content…
Impaired Physical Motility r/t perceptual or cognitive impairment. I chose this diagnosis because Mildred is experiencing muscle weakness. The goal is to encourage the patient to assist with movement to strengthen the affected body part. Impaired Communication r/t loss of facial muscle control. I chose this diagnosis because Mildred is unable to talk, such as when she cannot tell the nurse that her drink is out of reach. The goal would be to establish communication to express needs and to decrease frustration. Self-Care Deficit r/t to pain and discomfort. I chose this diagnosis because Mildred had to experience discomfort and pain since she was unable to meet her individual needs. Also, because the nurse never asked Mildred if she needs anything or is she was in pain. The goal would be to access Mildred’s abilities and deficits on a scale from 1-10 to aid in planning for meeting self-care

Related Documents

  • Improved Essays

    County: Life, Death and Politics at Chicago’s Public Hospital by a Chicago based physician and health activist David A. Ansell is a very inspirational book because it covers 30 years of Cook County Hospital’s history, beginning in the late 1970s till 2002. Cook County Hospital is an urban public hospital in Chicago that admits patients who are uninsured. Time, space, communication, and identity are portrayed throughout the book. These four factors are important in inter-ethnic relationships between patients and health care providers. Being able to identify these factors in a clinical setting, health care providers can provide more efficient care for all patients.…

    • 1759 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    “The healthcare team, composed of these professionals with the addition of healthcare administrator, often must decide on critical issues relating to patient’s needs” (Fremgen, 2015, pp .4). This assumption, in my point of view, what the medical receptionist was unethical and should have not held Jeanette symptom for several hours before sending the message and the receptionist should’ve been more attentive and put patients’ needs at the highest, who is in critical and life-threatening…

    • 1195 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    The purpose of this paper is to answer the case study questions and discuss the legal and ethical issues found in the case study Nepa vs. Commonwealth Department of Public Welfare. The case reveals elderly abuse by residents who endured abuse and neglect at the hands of the person charged with caring for them. It reviews the court’s findings of the petitioner’s appeal of the court’s judgment to revoke his license. This case study exemplifies types of patient and elderly abuse and patient rights violations which victims are often reluctant to report. “Patient abuse refers to the mistreatment or neglect of individuals in the health care setting” (Pozgar,2016, p. 418).…

    • 1301 Words
    • 6 Pages
    Great Essays
  • Great Essays

    New York City College of Technology City University of New York Law and Ethics Case: Jeanette M. and the Phone Call Erica Rotstein October 7, 2017 Professor Bonsignore HAS 3560 -Legal Aspects of Health Care Abstract The advancement in the field of medicine over the years has led to doctors and health care providers having more responsibilities on their hands. This brings into question what should and shouldn’t be done, as well as what is morally and ethically right. However, this isn’t so cut and dry.…

    • 1877 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    The Case of Jeanette M. and the Phone Call The Case of Jeanette M. and the phone call describes a situation as follow. Jeanette, an 80-year-old widow, early in a morning called her physician because she had shortness of breath. The physician was busy and Jeanette explained her condition to the receptionist. At the time of the call, the elderly woman did not have any other health problems so the receptionist said she will pass the message to the physician.…

    • 938 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The main ethical dilemma in the Case of Henrietta Lacks and Debate over Ethics and Bio-Medical Research and Informed Consent is that researchers took and profited off of the cells of Henrietta Lacks without her consent and without compensating her or her family. There are certain facts that are important to understand in this case. The person who began this ethical issue was George Otto Gey when he used the cells made available to him that had been of Henrietta Lacks, creating the He-La cell line (Skloot, 2010). Sadly, at the time, informed consent did not yet exist and did not become doctrine in practice until the late 1970s which was long past Lacks’ time (Skloot, 2010). Even though informed consent was not traditionally practiced in public…

    • 970 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Five Days at Memorial: Life and Death in a Storm-Ravaged Hospital by American journalist Sheri Fink is a very inspirational book because it focused on the events that happened in Memorial Medical Center when the hospital was flooded and had no electricity after Hurricane Katrina struck the city. Time, space, communication, and identity are portrayed throughout the book. These four factors are important in inter-ethnic relationships between patients and health care providers. Being able to identify these factors in a clinical setting, health care providers can provide more efficient care for all patients.…

    • 2030 Words
    • 9 Pages
    Superior Essays
  • Improved Essays

    Manipulation is a strong and powerful skill. If it is not addressed, especially in a facility holding the mentally disabled, it can lead to grave consequences. The type of manipulation featured in “One Flew Over the Cuckoo’s Nest” by Ken Kesey is an example that can be seen prominently throughout history. In the book, Nurse Ratched manipulated the patients of the ward to her benefit. The patients were not properly cared for and were abused physically and mentally.…

    • 791 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Unsatisfactory professional conduct is defined as the professional conduct below the standard logically anticipated of a nurse with an equivalent training or experience. This entails conduct that exhibits incompetence, lacks diligence, compromises cares and disrepute the nursing profession. The definition of unsatisfactory professional conduct applies to the case study due to how nurse Heather Conyard treated her patient. This means that the nurse in the case has breached the Nursing and Midwifery Board of Australia (NMBA) standards of practice for all Registered nurses to abide by.…

    • 554 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    According to Health Professional Council Authority (2015) conduct pathway “allows the council to manage notifications (complaints) that may constitute unsatisfactory professional conduct or professional misconduct”. Furthermore, according to Staunton and Chiarella (2013) “unsatisfactory professional conduct includes conduct that is substantially below the standard reasonably expected of a registered health care practitioner of an equivalent level of training or experience”. Based on the case study of Conyard [2015], the nurse was not able to recognise and respond to the deteriorating condition of the patient when the vital signs were in the red zone, in addition, the nurse was not able to document all the necessary assessments and plan of care. According to the Australian Commission on Safety and Quality in Health Care (2011), recognising and responding to deteriorating patient includes measurement and documentation of observations, escalation of care, activating rapid response system and communicating with the team about the clinical deterioration. The nurse would have recognised, responded and correctly followed the protocols by communicating with the multidisciplinary team immediately without delay.…

    • 1343 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    The most important information that needed to be identified before care started was Grace advanced care directive. More information was needed and The Director of Nursing, the Administrator, and the nursing staff should have gathered more information before making decision for more care. They should have checked Grace advanced care directive in her chart. The advanced directive may have stipulated that nothing extraordinary should be done in the event she was dying. The nursing staff did not think of Grace’s advanced directive when they started making plans about her care, to find out what was causing her illness and when they called her brother to get permission to take her to the community hospital.…

    • 1093 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    She was screaming of stomach pains and had vomited that morning. Her family brought her in themselves. The nurse first observed her body by feeling her stomach. She had a slight hernia, which was supposedly fix once before. As the nurse asked her continually what hurt, she said her entire body.…

    • 1030 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Abstract Patient safety is the absence of preventable harm to a patient during the process of health care and considered the cornerstone of high-quality health care. Nurses play an important role in that vital care. Nurses need to know what proven techniques and interventions they can use to enhance patient outcomes.…

    • 1151 Words
    • 5 Pages
    Great Essays
  • Great Essays

    Nurses that administer medication are accountable for recognizing the medications prescribed, the patients need for the medication and their therapeutic and non-therapeutic effects (Crisp and Taylor, 2013). The purpose of this essay is to examine the importance of understanding the registered nurse’s role and responsibilities when administering medication. Equally, it will cover all the key concepts of legal and ethical issues relevant to medication administration. The legal and ethical issues are discussed in relation to the documents NZ Nurses Organisation Guidelines for Nurses on the Administration of Medicines (2014), Nursing Council of NZ Competencies for Registered Nurses (2016), Health Practitioners Competence Assurance Act 2003, Local…

    • 1927 Words
    • 8 Pages
    Great Essays
  • Superior Essays

    At the door, the nurse announced to the patient that it was time for a bed bath, and the patient protested. The patient stated that she did "not want a bed bath" and that she preferred to be left alone. I observed signs of a lot of pain from the patient such as grimaces and groans as she spoke.…

    • 1746 Words
    • 7 Pages
    Superior Essays