In thinking about malpractice, what elements appear obvious in the Quaid video, or do they? What were the underlying issues in this case? What could apply to Mr. Gold as well as the Quaids? Explain each and defend with evidence.

Case # 1
You are working in a long-term care facility with your client Mr. M that experienced a stroke leaving him paralyzed on one side with expressive aphasia. His health insurance coverage for long-term care is only 180 days (total) per calendar year. When Mr. M arrived, the team met to coordinate services with the goal to discharge him home before the180 day limit was reached. Evaluating and measuring his progress has been difficult as they have experienced multiple problems. This has led to Mr. M. being readmitted on one occasion then returning to the long-term care facility. You are the care coordinator and need to be current on what is, and has been, happening across all settings to make sure his care is equitable and of high value to his outcome.
Address the following questions and provide evidence to support them from our course materials or outside readings in your main post
1.Mr. Ms problems required a readmission to the hospital within the first 20 days at your facility. What are the economic issues for him? Could this be a breakdown of the care coordination team? What steps could have been initiated to maintain Mr. Ms health so as not to have to be readmitted?

2. You are one of the nurses working on the team with the care coordinator for Mr. M. at the long-term care facility. You just started back to school to get your BSN. Two topics that you cant figure out include the BSN in 10 and how Maryland all payer system works. In talking with another student from a different state that student never heard of either. Another topic you are learning about is the Carnegie Report regarding nursing education. Could any or all of these changes/topics impact the care of Mr. M? Why or why not?

case study 2

Case # 2
Andrew, a 17-year-old, is a talented baseball player. He plays 3rd base for a local high school and has a great batting average. Because Andrew is so accomplished, he is hoping for a full athletic scholarship to the state university. He plans to pursue a degree in engineering or computer science. He is the oldest of three children. He is active in his church and community. His father works two part-time jobs and his mother is unemployed.
Today Andrew is practicing with the high school baseball team. A baseball hits him in his head. He falls to the ground and becomes non-responsive.
The baseball coach calls an ambulance and Andrew is taken to the local emergency room. In the emergency room, Andrew is non-responsive and his breathing is labored necessitating intubation. He has a large laceration on his back because of the fall. He is stabilized and transferred to the medical intensive care unit (MICU). The hospitalist managing the MICU admits Andrew and immediately orders an interprofessional care team consultation.
Address the following questions regarding this case and provide evidence to support it
Andrews family is having a great deal of difficulty dealing with Andrews condition. They are told that he needs further tests. One is to determine whether his brain is still functioning. As you apply the principles of patient advocacy keep in mind Andrews outcome could be good or not so good and the family is struggling. How would you use advocacy in this situation for Andrew, family, friends, and care providers?
In the unit where Andrew is located there is a white board the staff use. It lists Andrews name, diagnosis, room number, and important activities for the shift. How might this be a HIPAA violation or a confidentiality issue?
Some of the nurses caring for Andrew keep their smartphones with them at work. Some get on social media while at work. One nurse takes a picture of Andrew and his family and posts it on social media. What are the ramifications for protected health information (PHI). Since it seems to be a normal today for social media to be a method to communicate do you think this helps or hurts (PHI).
Case study 3
Mr. Gold is a patient in your rural ICU and for the past 4 months. He is on a vent and is paralyzed from ALS.
The only real movement is that he can blink his eyes. At times when you are caring for him he appears to be crying and it is disturbing to you because he cannot readily communicate. His wife comes in daily and asks many questions about how he is doing and has a hard time not crying.
The physician orders many daily tests. You wonder why since Mr. Gold certainly will not recover from this devastating disease.
One day the wife comes in demanding to have Mr. Gold removed from the vent.
The Pulmonologist orders a weaning trial; which Mr. Gold fails. You attempt to log into the computer to review his data, however the computer system is down.
Without access to the computer system containing Mr. Golds information, you are concerned as you need it to understand what is going on.
Address one of the following questions regarding this case and provide evidence to support it from .
How could you apply one or more aspects of the Scope and Standards of Practice, Code of ethics for Nurses with Interpretive Statements and patient advocacy to Mr. Golds case?
In terms of malpractice, you wonder whether there is a possibility of malpractice or negligence in Mr. Golds case. You decide to investigate to learn more by watching the Quaid video. In thinking about malpractice, what elements appear obvious in the Quaid video, or do they? What were the underlying issues in this case? What could apply to Mr. Gold as well as the Quaids? Explain each and defend with evidence.
Computer systems can go down without warning, though infrequently. This can impact the care for Mr. Gold or any patient you are caring for in any setting. What would be alternatives necessary in caring for Mr. Gold in such a situation so you can meet his and Mrs. Golds needs?

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