Patients Rights Nursing Home

Please write a 1 page summary of the following case study focused on answer the case study questions in detail.

Mrs. T, and 82 year-old widow with no family and no advance directives, was admitted to a nursing home from a hospital after a bout of malnutrition, dehydration, and anemia. In the hospital, she had deteriorated mentally because of a multi-infarct dementia and was unable to meet, and disinterested in meeting, her nutritional needs. Even though her decisional capacity was in doubt when she was admitted to the nursing home, because of cost and hassle factors no efforts had been made to adjudicate her incompetent and have a guardian appointed. The facility medical director was serving as Mrs. T’s attending physician.

Don't use plagiarized sources. Get Your Custom Essay on
Patients Rights Nursing Home
Get an essay WRITTEN FOR YOU, Plagiarism free, and by an EXPERT!
Order Essay

Mrs. T was a slight, short, frail woman who at admission to the nursing home weighed 95 pounds in a soaking wet bathrobe. She was pleasant but quiet, preferring to keep pretty much to herself. About a month after her admission, it was noted that she had dropped 5 pounds. She told the nurse she ate “some of the food here,” but that she did not really like the way the nursing home served meals and usually was not very hungry anyway. The nurse told Mrs. T it was important for her to eat and pointed to another resident with a feeding tube, which elicited from Mrs. T a pained expression. The nurse noted in Mrs. T’s chart that she was at danger of malnutrition. The nurse additionally ordered a dietary consult and requested that Mrs. T be offered calorie-rich snacks several times per day.

Not long thereafter, Mrs. T suffered a seizure and was unwilling to eat even though she was able to swallow. A neurological consultation revealed that she had had a minor stroke. A week later the nurse noted “dysphagia, weight loss, drooping mouth, taking 50% of meals by mouth.” In consultation with the dietitian, the nurse ordered high-caloric shakes thinned with liquid and noted that Mrs. T would require coaxing from the staff to drink the shakes and eat the snacks to be offered to her all day. A month later there was further weight loss of a few pounds, and Mrs. T was still consuming only very small portions and only very slowly, requiring a lot of staff time and attention. The physician concluded that Mrs. T would require insertion of a feeding tube to ensure she received adequate nutrition and so notified the facility administrator. The administrator’s chief concern was that Mrs. T’s weight loss would be a “red flag” receiving special attention from the state surveyors at the next facility survey and that the facility might be cited by the regulators for neglecting a resident’s nutritional status.

In light of this legitimate regulatory concern, what should be done? Should the feeding tube be inserted? Could a conscious choice not to insert a feeding tube, when the resident is steadily losing precious weight, be justified to the state surveyors? Is there a clash here between legal and ethical principles, on one side, and the facility’s risk management incentives, on the other? If so, what is the best compromise?

The Homework Market
Order NOW For A 10% Discount!
Pages (550 words)
Approximate price: -

Why Choose Us

Top quality papers

We always make sure that writers follow all your instructions precisely. You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree.

Professional academic writers

We have hired a team of professional writers experienced in academic and business writing. Most of them are native speakers and PhD holders able to take care of any assignment you need help with.

Free revisions

If you feel that we missed something, send the order for a free revision. You will have 10 days to send the order for revision after you receive the final paper. You can either do it on your own after signing in to your personal account or by contacting our support.

On-time delivery

All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.

Original & confidential

We use several checkers to make sure all papers are plagiarism-free and do not share them with third parties.

24/7 Customer Support

Our support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.

Try it now!

Calculate the price of your order

We'll send you the first draft for approval by at
Total price:
$0.00

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.

Essays

Essay Writing Service

You are welcome to choose your academic level and the type of your paper. Our academic experts will gladly help you with essays, case studies, research papers and other assignments.

Admissions

Admission help & business writing

You can be positive that we will be here 24/7 to help you get accepted to the Master’s program at the TOP-universities or help you get a well-paid position.

Reviews

Editing your paper

Our academic writers and editors will help you submit a well-structured and organized paper just on time. We will ensure that your final paper is of the highest quality and absolutely free of mistakes.

Reviews

Editing your paper

Our academic writers and editors will help you submit a well-structured and organized paper just on time. We will ensure that your final paper is of the highest quality and absolutely free of mistakes.