The neurosurgeon recommended “a course of physical and aquatic therapy for post-op rehabilitation concurrent with a course of three trigger point injections.” On the dates of service the beneficiary had history and physical examinations; the treatment plan was “Proceed with TPI” (trigger point injections). He received injections for pain control in 3 or more muscles of the lower back. The diagnosis documented was lumbar muscle spasm, which was not a diagnosis covered by the…
The unit was short-staffed and more than one nurse could have been assigned to Ms. Leggro’s care, especially since she was receiving chemotherapeutic agents, which requires certified nursing personnel. Third, the patient must establish there was a departure from “good and accepted practice” (Stanley, 2011), which is defined as the care that would have been provided by the ordinary prudent nurse. There are many accepted and recognized ways of providing patient care. A nurse will not be deemed negligent if an approved method was chosen, even if that method turned out to be the wrong choice (Institute of Medicine, 2009). Lastly, there has to be a relationship established that if the care or lack of by Zack RN had not been negligent, then Ms. Leggro would have maintained usage of her hand.…
He is examined while seated on examination table. His splint has been removed from the right lower extremity. He is utilizing crutches for assistance in walking and was nonweightbearing. The cervical, thoracic, and lumbar spine is nontender to palpation.…
Donzell is 41 and has always lived in Petersburg with his mother. 5 months ago his mother was moved into a nursing home and is currently in hospice care. Donzell moved in with a brother whom after a month the brother voiced his inability to keep Donzell due to the brothers hectic work schedule. Donzell then moved in with Larry and his wife Etta. Larry lives closer to the Woodman Rd. location.…
The 11/05/15 report of Dr. Dellenbaugh suggest the claimant is having symptoms in both low and upper extremities. This case is only established for the left extremity. It will appear from a review of these reports that the claimant has a problem with neuropathy. He is 6'3 and weighs in excess of 300lbs. It does not appear he has any further causally related disability due to our case.…
His face continues to symmetric at rest with good strength throughout his face. The remaining of his cranial nerve examination was within normal limits. He has good strength of his extremities.…
Nurses often face challenges known as ethical dilemmas, which may impact them and their patients. An ethical dilemma is a situation in which an individual is required to determine the best decision between two moral actions. The mandates of the influenza vaccination amongst health care worker have appeared to become an ethical issue over the years. Beneficence requires health care worker to act in patients’ best interest, as well as, avoiding harm towards the patient.…
Bianca was referred for counseling by her son’s insistence due to her visible tremor, slow thinking, slurred speech, and sleep problems. She came to the office with her twenty-eight-year-old son, Angel. The client is currently taking various types prescribed medications which might be life threatening. This assessment was requested to identify possible sources of Bianca’s problems and make recommendations for treatment. Section Two Background Information M.Q is a forty-seven-years-old, middle class, heterosexual, Mexican American female who works as a legal assistant.…
Nurses also have the ethical responsibility to communicate the needs of their patients with other members of the interdisciplinary team (Code of Ethics, 2015). In the incident discussed in the above paragraph, legal ramifications are always a possibility. The nurse failed to effectively communicate and take adequate steps to prevent a fall from occurring. In order to win a medical malpractice case, four conditions must be present. The conditions are duty; breach of duty; harm; and causation (Moffett & Moore, 2011).…
This helps identify healing progression and determines if changes need to be done to the wound care. During a visit to an assisted living facility (ALF), a wound care nurse used her camera to take pictures of the unhygienic facility. She stated “look at this filth; it’s no wonder the patient’s wounds won’t heal.” She related that she had sent some of the pictures to the state so the facility could be inspected. With great concern, she was reminded that the camera was only to be used for photographing patient wounds.…
Since magistrate court, are courts of limited jurisdiction and decides minor cases and also have limit to the size of fine, the length of a sentence they can impose. However, in this case; it goes to the crown court because of the gravity of the case, the sentence required exceeds six months. The offence of theft is an example of an either way offence: It may be punished with a fine or up to seven years…
Nursing Ethics Nurses are obligated to have moral courage and to make ethical decisions daily, which is not easy to do. According to Vicki D. Lachman, moral courage is the individual’s capacity to overcome fear and stand up for his or her core vales and ethical obligations (Lachman, 2007). ANA stands for American Nurses Association; ANA developed the Code of Ethics for Nurses. " The code of ethics is the philosophical ideals of right and wrong that define the principles you will use to provide care to your patients" (Potter, Perry, Stockert, Hall, 2013, p. 4). Which nurses use as a guide to carry out nursing responsibilities.…
Distributive justice is concerned with fair distribution of resources amongst the general population. When distributing resources they have to take into account the total amount of resources available, and how to distribute it. This is where social justice gets lost. Social justice implies that every individual should get the same treatment no matter economic status. Nurses often face ethical issues that may affect the patient as well as the nurse.…
Nurses are faced with many ethical and moral issues on day by day basis. Moral, ethical, and legal issues are common in the work environment and vary from patient to patient. As a nurse leader, one must be able to take leadership responsibility to address the ethical issues that nurses face. Determining the framework to assist nursing in dealing with ethical issues is important. It is important to remember that ethical frameworks are intended to help leaders solve ethical dilemmas by clarifying personal values and beliefs (Marquis & Huston, 2015).…
Some medical cases are too much to handle or too complicated for a surgeon to take on and they can refuse to operate. Such as, surgeons have rejected the opportunity to operate on incapacitated ICU, or intensive care unit, patients who will surely die without the surgery. The patient would have a little increase in the chance of survival if the surgery was performed, but the surgeon refused to operate (Wicclair, White 34). In other medical cases, surgery may not be very beneficial in the first place. Researchers examined records of 1,450 patients in the Ohio Bureau of Workers’ compensation database who were known to have disc degeneration, disc herniation or radiculopathy, a nerve condition that causes tingling and weakness of limbs.…