Discussion: Clinical Challenges for the NP Case Study One: Dismissing the non-co

Question

Discussion: Clinical Challenges for the NP

Case Study One: Dismissing the non-compliant patient.

Gwen. a 52 year old Caucasian LPN. recently joined your practice as a new patient. She currently has a BMI of 32. B/P of 142/88. Pulse is 89. Respiratory
rate is 22. Pulse Ox is 96% on Room Air. She is taking Lisinopril 1omg po daily (when she can remember). Metformin 100omg po BID and refuses lab work.
Her physical exam is unremarkable and foot exam is normal. She refuses all vaccinations including Prevnar and Influenza. Gwen’s last mammogram and pap
smear were “years ago.”
ANSWER ALL THE FOLLOWING QUESTIONS IN SEPARATE PARAGRAPHS
1.Identify and briefly summarize the case study you selected
2.Explain any legal implications for standard of care related to the case study you selected
3.Identify and explain the key components of a malpractice policy related to the case study you selected
4-Explain the collaborative agreements and knowledge the rules for your state(GA) in regards to NP practice the case study you selected

Explanation / Answer

Case study

Malpractise

The American Medical Association (AMA) has formally addressed this issue by outlining legitimate reasons for dismissing a patient and offering a protocol for dismissal that advocates safety in patient care as well as legal protection for the provider.6 The American Academy of Physician Assistants (AAPA) offers general guidance, but no specific protocol. The AAPA guide states, "A PA...may discontinue their professional relationship with an established patient as long as proper procedures are followed. The PA...should provide the patient with adequate notice, offer to transfer records, and arrange for continuity of care if the patient has an ongoing medical condition. Discontinuation of the professional relationship should be undertaken only after a serious attempt has been made to clarify and understand the expectations and concerns of all involved parties

A conflict of interest may arise between the provider and the patient (e.g., a financial investment or familial relation) that makes termination of the relationship an ethical and legal necessity. Termination of the relationship may even be necessary for such benign reasons as the patient changing insurance carriers or the relocation or retirement of the clinician.

In order to prove medical malpractice, the plaintiff needs to prove that the care received did not meet the standard of care for medical professionals under similar circumstances. Breach of that standard of care occurs when someone deviates from that standard of care.

If the nurse successfully demonstrates that he/she has met an acceptable standard of care, then there is no malpractice.

Remember what your nursing instructors always used to say, "If you didn't document it, it didn't happen!" - in other words proper documentation can be your best defense!

Duty: This is generally the most straight forward element to prove in a medical malpractice case. Once a nurse accepts report and assigned patients the nurse has agreed to care for those patients. By accepting the assigned patients the nurse has assumed a duty to treat the patient with that degree of skill, care, and diligence possessed or exercised by competent and careful nurses. One situation that provides exemption from "duty" would be care provided in a situation covered by Good Samaritan Statutes

Related Questions

Navigate

• Browse (All)
• Browse D
• Subjects

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.