Why does missed nursing care occur? Missed nursing care is a failure to perform a required patient intervention, which is either delayed or omitted. It is identified as a nursing task left undone. Omissions in basic care often go unrecognized and unreported and can result in deleterious patient safety outcomes. Missed nursed care by its very essence challenges the nursing professions mandate for patient advocacy and weighs heavily on the minds of patients, direct care nurses, and management alike.
However it can be concluded from the Hippocratic Oath that the study of medicine has become more informal and mechanical in new age medicine. Due to this many professionals face moral and ethical dilemmas in the work place. Medical professionals who breach the code of ethics can be sued for medical malpractice lawsuits, lose their licenses and the trust of their patients. Medical malpractice is a patient or a patient’s family believing they were wronged by the healthcare system. This can be wrongful diagnosis, being given the wrong medication, or having their private information not properly protected.
Amputation Mishap HCS/ 478 Health Law and Ethics April-23, 2012 Margaret Davis Amputation Mishap The article in the Neighborhood’s paper is about Joseph Berson a 62 year old man. Mr. Benson went to hospital for an amputation of his left knee and surgeons amputated his right knee. The hospital has no comment and Mr. Berson is devastated, he is a diabetic and still has the problem with his left knee that still needs to be addressed. According to our textbook negligence is a general term that denotes conduct lacking in due care. Negligence equate with carelessness, a deviation from the standard of care that a reasonable person would use in a particular set of circumstances (Guido, 2010).
• Proper communication was not used. 1. Errors/ Hazards in Care • Conscious sedation protocol was not followed: The situation could have possibly been avoided had the proper protocol been followed and proper equipment had been used. With the use of sedation, the initial vital signs taken after the procedure (BP of 110/62 and O2 sat of %92), and the fact that Mr. B was still sedated, constant monitoring was needed. o Protocols need to be evaluated by interdisciplinary team to make sure they are sufficient.
Futile treatments are considered unadvisable because they only prolong patient suffering. The physician generally takes the decision of futility because they have the necessary scientific understanding. However, the decision is not based on the physician’s personal opinion. It is based on the generalized professional standard of care. Furthermore, although the patients have the autonomy to take their medical decisions, it is the physician’s duty to limit treatments that are considered medically futile for the patient.
1. Being a staff nurse: Typically, non staff nurses have limited knowledge of a particular unit and may therefore experience additional obstacles that staff nurses do not. 2. Having been assigned ICU-level patient(s): Rarely, patients who do not need ICU-level care stay in the ICU due to bed unavailability in other hospital units. Nurses who attended such patients were excluded.
End of life care: withdrawal /withholding of treatment and its relationship with euthanasia. This essay explores the issue of treatment withdrawal or treatment being withheld from patients with conditions with a very poor prognosis and the ethical issues surrounding the much debated topic of end of life care. With advances in medicine enabling medical professionals to keep patients alive under what would be considered to be a very poor prognosis, the issue of withdrawing or withholding treatment when no further hope of recovery is seen as likely to happen, is one faced by practitioners, next of kin and sometimes patients when they are considered able to make those decisions. End of life care is one of the most discussed topics within healthcare and evokes a lot of emotion from all people involved and this essay aims to highlight how withdrawing and withholding treatment in the last stages of life is connected within the area of ethics to end of life care. The essay will further discuss what withdrawing or withholding treatment involves and its connection to euthanasia and the care of the dying pathway.
They also have a central administration that plans and initiates change and the physicians are not sure how to handle someone else making their decision for them. The EHR’s are being held responsible for the physician getting lost in the crowd and losing autonomy. Professional autonomy definition: “professionals' having control over the conditions, processes, procedures, or content of their work according to their own collective and, ultimately, individual judgment in the application of their profession's body of knowledge and expertise.” (Margot McGimpsey, 2011) I do not find that EHR’s are changing this definition. I find that the HC professionals don’t like change and is using the “loss of autonomy” as an excuse to fall back on what they are most comfortable
Repeated efforts to heal patients are often considered inhumane and not medically sound. Why should patients be forced to go through all of this if they are willing to end their lives? Not only is it a waste of time, but a waste of resources and money. Patients in critical conditions should on no account be required to continue living a pointless and painful
However, whoever has made that decision; it could be a right or bad decision. Even a doctor cannot always make right decision. In the article Whose Body is it, Anyway? By Atul Gawande introduces couple of cases which were happened when the author was surgical residency in the hospital. Doctors don’t have hundred percent confidences of results because it can go different way than they expected.