LieutenantFreedom4355
Case # 3 Mr. Gold is a patient in your rural ICU and for the…
Case # 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 our course materials or outside readings in your main post. Then respond to two or more student’s main posts.
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. Gold’s case?
In terms of malpractice, you wonder whether there is a possibility of malpractice or negligence in Mr. Gold’s 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?
The main common thread used in all areas of nursing, and a core to nursing practice, is our Nursing Process. In comparing the Information Systems Life Cycle (ISLC) to the Nursing Process, choose the matching element (s) in the Nursing Process with the ISLC stages. (look in module 11 for the stages. After reading the stages look at the comparison chart). Now explain, and give an example you have noted in your clinical experiences, for each item listed below in the ISLC. Explain how any of these stages could impact Mr. Gold negatively.
(a) Bugs and coding errors are identified
(b) Purchase and setup of hardware to support IT infrastructure and interface with
designs made
(c) Contingency plans are written in case things don’t work or the system crashes
(d) Plan then test
