Pathway to Dining and Ordinary Negligence or Medical Malpractice
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages To Order 5-10 Pages Description/Paper Instructions
Chapter 3
Case
Pathway to Dining
Contributed by Elizabeth A. Berzas, PhD, Our Lady of the Lake College; and Mary Jean Davies, BS, Baton Rouge, LA.
In Slidell, Louisiana, a blind, married couple was living in their own home until the wife’s health started to decline and she became wheelchair bound. The couple then moved into an assisted living facility. Both were about 75 years old. Assessment by a health care professional found that both residents could sense some light differentiation. Placement of low-voltage recessed floor lighting down the middle of the main hallway leading to the dining room was recommended, and the administrator followed up on the recommendation. The blind husband could then look up and track the light so that he could orient and guide himself to the dining room while pushing his wife in the wheelchair. Because of this modification, the residents were able to regain at least some independent mobility for accessing the dining room. The staff was educated to not move or rearrange the patients’ living environment, because blind people orient themselves by counting steps, using spatial reference points and tactile cues.
Questions
- Which health care professional, discussed in this chapter, should take the lead in assessing the need for a lighted pathway and also educating the staff?
- What quality of life factors exist in this case? How were they addressed by installing floor lighting?
- The floor lighting can be best classified under which of the seven types of technology discussed in this chapter?
- Should the facility arrange to provide any additional services that would facilitate daily living for this couple? Who should have this responsibility?
Chapter 4
Ordinary Negligence or Medical Malpractice?
Catherine Hemming was a resident at Oak Woods Nursing Center. She suffered from dementia and diabetes, had suffered several strokes, and required 24-hour care that included assistance with grooming, eating, toileting, and bathing. The patient’s condition impaired her judgment and reasoning ability and, in turn, caused cerebral atrophy (loss of brain cells). Ms. Hemming had no control over her movements in bed, and hence, was prone to sliding about without sensing her position in bed. This lack of control was addressed in the patient’s plan of care in which the facility’s medical director authorized the use of various physical restraints. These included bed rails to keep the patient from sliding out of the bed, and a restraining vest that would keep her from moving her arms, thereby impeding her ability to slide. The physician’s orders also included wedges or bumper pads that were placed on the outer edge of the mattress to keep the patient from hurting herself by striking, or by entangling herself in the rails. According to nursing home regulations, the use of restraints of this sort must be authorized by a physician to prevent overuse and excessive patient confinement.
Ms. Hemming died of asphyxiation after her neck got caught between the raised bed rails and the mattress. The day before her death, two nursing assistants had found the patient tangled in her restraining vest, gown, and bed sheets. The employees untangled her, repositioned her, and used wedges and pads so that she would not slide into the gap between the mattress and the bed rail. Whether the aides informed their supervisor about the risk remained unclear.
Denise Benton, as personal representative of Hemming’s estate, sued Oak Woods. After subsequent amendments to the initial complaint, the case eventually came before the state’s Supreme Court. In claiming medical malpractice, Benton’s complaint made four specific allegations: (i) Oak Woods failed to ensure that Ms. Hemming was provided an accident-free environment; (ii) Oak Woods failed to train its staff to assess the dangers posed by bed rails and the risk of potential asphyxiation; (iii) Oak Woods failed to inspect the beds, bed frames, and mattress to ensure that the risk of positional asphyxia did not exist; and (iv) Oak Woods failed to take adequate corrective measures and protect Ms. Hemming after she had been found entangled in her bedding on the day before her death from asphyxiation. The complaint alleged that the facility had notice of the risk of asphyxiation through the nursing assistants, but despite this knowledge of the problem did nothing to rectify it.
Questions
- The state’s Supreme Court did not rule uniformly on the four allegations contained in the lawsuit. One of them did not constitute either malpractice or negligence. Provide explanations and identify which allegation(s) constituted ordinary negligence, which one(s) constituted medical malpractice, and which one was neither.
- Can any of these be held personally liable? (a) the two nursing assistants, (b) the nurse supervisor, (c) the administrator. Provide explanations.
Notes: 1. There are different types of bed rails that can be prescribed based on a patient’s medical history and behavior. 2. This is a real court case that was initially brought before a county circuit court. All names have been disguised.
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. The can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
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