Health Services Management 542: Health Rights/Responsibilities

891 Words Jan 19th, 2016 4 Pages
KELLER GRADUATE SCHOOL OF MANAGEMENT OF DEVRY UNIVERSITY

HEALTH SERVICES MANAGEMENT 542: HEALTH RIGHTS/RESPONSIBILITIES

BY

DR NELVA LEE

HEALTH SERVICES MANAGEMENT 542: HEALTH RIGHTS/RESPONSIBILITIES

BY

DR NELVA LEE

WEEK 5 - YOU DECIDE ASSIGNEMENT

FEBRUARY 2015

The following facts have been brought to my attention as the new director of risk management at Little Falls Hospital: Lydia 45-year-old woman is a patient currently paralyzed and who only communicates through head nods since her car accident over six months ago. She is on life support with a ventilator for respiratory assistance and receives tube feedings. The hospital professionals are unsure if Lydia would be able to understand information
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She believes a miracle is always possible, and wanted every chance to live be given to her daughter. Although the only communication way that Lydia has is head nods, hospital could not determine for sure if she is able to make her own decisions. Doctors would have to perform more exams in order to confirm that Lydia is no longer capable of making decisions for herself before this right can be enacted. Some researches had proved that head nodding is a primary method of communication by patients at some time during mechanical ventilation among others as mouthing words, gesture, and writing. Communication content primarily relates to pain, symptoms, feelings, and physical needs. A clinically significant proportion of non-surviving patients treated with mechanical ventilation in the intensive care unit communicate to nurses, other clinicians, and family members primarily through gesture, head nods, and mouthing words (AJCC. 2004). Therefore we recommend that additional tests be performed to determine whether Lydia is able to understand information given to her and give any consent as well as her chances to recover or remain incapacitated even with additional treatment. It is important to notice her doctor’s opinion after 90 days of treatment. She has demonstrated progress in very small increments but her level of functioning has not significantly improved. This is a sign that her body, her system

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