The clinical outcome in this situation was clearly that Mr. B was over-sedated leading to a very dangerous situation. Hypoxia during sedation is a common side affect, which is treated by giving the patient O2 or reversing the sedation. However in this situation the staff was not aware that he was hypoxic, and why weren’t they? The answer a nurse had silenced the alarm but had not done an assessment nor alerted anyone else of the situation. Why did the nurse choose to silence the alarm with no further action?
They believe that it would be better if nurses only practice under the guidance and supervision of the doctor. They believe that allowing them to practice independently would be detrimental to their patients (Mills, 2009). They would be prone to some misdiagnosis, failure to attend to less obvious, but potentially life-threatening problems as well as prescriptive errors. In fact, they maintained that many deaths in the hospital would be realized due to errors made in prescriptions. According to them, nurses however much trained and experienced lack skills to manage and deal with complex living with multi-system diseases.
Joanna appeared to understand no English at all, I tried to calm her down and reassure her, but she did not seem to comprehend. The staff nurse thought that she was upset at seeing the boy after her procedure and went to get a mobile screen to separate the patients. Joanna then became more upset. I called the ward and
• They did not identify, and manage, risks relating to the health, welfare and safety of patients. • They had not responded to or considered complaints and views of people about the service. • Investigations into the conduct of staff were not robust and had not safeguarded people. • They did not take reasonable steps to identify the possibility of abuse and prevent it before it occurred. • They did not respond appropriately to allegations of abuse.
WINTERBOURNE VIEW The review found that there was a systemic failure to protect people or to investigate allegations of abuse. The provider had failed in its duty to notify the C.Q.C(Quality Care Commission) of serious incidents involving injuries to patients, or occasions when they had gone missing. Inspectors said that staff did not appear to understand the needs of the people in their care, adults with learning disabilities , complex needs and challenging behaviour. Staff who had no background in care services had been recruited, references were not always checked and staff were not trained or supervised properly. Some staff were too ready to use methods of restraint without considering alternatives.
In this case the claimant was undergoing electro convulsive therapy as treatment for his mental illness. The doctor did not give any relaxant drugs and the claimant suffered a serious fracture. There was divided opinion amongst professionals as to whether relaxant drugs should be given. If they are given there is a very small risk of death, if they are not given there is a small risk of fractures. The claimant argued that the doctor was in breach of duty by not using the relaxant drug.
• Patterns of challenge behaviour. • Restricted access to toilet or bathroom. • Failure to ensure appropriate privacy or personal dignity. Self Neglect is a behavioural condition in which an individual neglects to attend to basic needs such as personal hygiene, appropriate clothing, feeding or tending to appropriately to any medical condition they have. It also refers to situations in which there is no perpetrator and neglect is the result of the individual refusing care.
This nurse neglected the patient, therefore, neglected the responsibility in preserving the safety and integrity of the patient. When nurses neglect their patient is at risk for injury and even death. Nurses who put their patient at this risk should not be practicing nursing.
Although Sandra was not conscious and could not make choices herself, the staff tried contacting her next of kin, when they were unreachable they took matters into their own hands to help Sandra. It was not noted in the case study what happened after medical attention was given to Sandra, but it was in good faith that the doctor choose to give Sandra medical attention right away due to the severity of her wounds. Dignity often rises from one person to the next and in this case I feel all three ethical principles were
The doctor can’t tell during an examination that your loved one has been up all night pacing. Sometimes doctors, too, need to deal with therapeutic lying; e.g., telling the patient that an antidepressant is for memory rather than depression. 7. You Can’t Do It All. It’s OK to Accept Help Before You Get Desperate.