Directions: Read the following case study and determine whether or the informed

Question

Directions: Read the following case study and determine whether or the informed refusal process was correctly applied Question 1 A 64-year-old male patient presented to emergency department #1 with a headache and neck pain. A CT scan of the brain was obtained and was negative. The physician advised the patient that they should consider the possibility of meningitis, requiring a lumbar puncture to analyze his spinal fluid. The physician stated his suspicion was low for meningitis. The patient stated, “If you are not that concerned, I’m not either.” He declined the lumbar puncture. The patient presented to emergency department #2 via ambulance 48 hours later. He was comatose and was diagnosed with a subarachnoid hemorrhage.menigitis and subarachnoid hemmorhage may have similar presentation, and both can be diagonsed with lumbar puncture.

1. problem affection patient? solution that you recommend for patient?

2. ethical principle supporting your recommended solution? explain why you chose this ethical principle?

3. law/ risk management a. documentation, if any, used in case example. b. documentation that you would recommend and why?

please expain in details

Explanation / Answer

Fever and premonitory symptoms, which typically record in meningitis patients, know for also subarachnoid hemorrhage
cases. It is essential to do a CT scan examination and lumbar puncture process to distinguish meningitis from subarachnoid hemorrhage, rather than increasing intracranial pressure.

The best suggestion is to start immediate treatment of such patient if the patient is primarily suspect for meningitis. The best treatment is to use antibiotics. Later it can diagnose for both diseases. That is because such patients get continuous increase of intracranial pressure.

The ethical principal is used because patient can die of increased intracranial pressure.

The antibiotic treatment of meningitis has taken for risk management in such cases.

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