Choose one of the lawsuit examples featured on pp. 283-292 of the Buppert course text.. In your initial post to the discussion forum, answer the following questions:

1. Give a brief summary of the scenario and identify which of the four malpractice elements were present, must be present, and why.
2. Offer strategies on how to avoid these constructs in your advanced practices.
3. Finally, comment on the medical malpractice trends of Nurse Practitioners (see the article linked in this week’s readings) as it relates to these malpractice examples. What would a reasonable NP have done, in your opinion?

 

Textbook – Buppert, C. (2021). Nurse practitioner’s business practice & legal guide. (7th ed.). Jones and Bartlett.

Article: https://documentcloud.adobe.com/link/track?uri=urn:aaid:scds:US:1530a308-b7ba-474d-aaf2-eff1ebbc949b –

After reading the following articles: Your patient in this focused exam case study is a 58-year-old male who has a family history of high blood pressure and high cholesterol and begins experiencing chest pain. How you develop his discharge plan? What components would you include and why?

Brown, M. M. (2018). Transitions of Care. In Chronic Illness Care (pp. 369-373). Springer, Cham.

Click here to download the article.

Sexson, K., Lindauer, A., & Harvath, T. A. (2017). Discharge planning and teaching. AJN The American Journal of Nursing, 117(5), 58-60.

Click here to download the article.

must contain minimum of two (2) references, in addition to examples from your personal experiences to augment the topic. The goal is to make your post interesting and engaging so others will want to read/respond to it.

Synthesize and summarize from your resources in order to avoid the use of direct quotes, which can often be dry and boring. No direct quotes are allowed in the discussion board posts.

Apply the decision-making framework (McDonald & Then 2019) to this case study (Steps 1-3 only).
Huang is a registered nurse and has recently commenced employment in a regional South Australian town in a large nursing home.

During his shifts he is the only registered nurse in charge of 68 residents, 35 of whom have high care needs.
The majority of high care residents have been diagnosed with dementia or related disorders.

Most of his shift involves completing medication rounds through various wards and documenting records.

The nursing home is constantly plagued with understaffing issues. Huang has little time to attend to the individual needs of residents. Assistants in Nursing provide most of the care to the residents in both the low care and high care wards.
During his first week at the nursing home Huang has witnessed the following incidents in the 12-bed high care dementia ward:
• At any given time up to eight ‘mobile’ residents in the ward are restrained in chairs (the other four are restricted to bed) for lengthy periods of time.

Two of the more alert residents display signs of psychological distress as a result of the restraint. One of the patients continually asks to have the restraint removed.

Huang has been told the restraints are necessary to prevent falls as there is not enough staff to watch the residents and ensure their safety.

• One aggressive and noisy resident is restrained at all times and is often moved to a secured room for long periods of time, particularly during peak visiting hours.

Huang has been told that visitors have complained about the resident’s constant screaming and that his noise also upsets other residents in the ward and therefore the seclusion of this patient is necessary for the comfort of others.
Reference
Case is adapted from McDonald, F. & Then, S.-N. (2019). Ethics, Law & Health Care: A Guide for Nurses and Midwives (2nd ed.). Macmillan International; Red Globe Press

Decision-making framework (Steps 1 – 3)
For more information and examples of applying the framework, please see Chapter 2: Ethics

can you explain this question and highlight the key point on the basis of Australian nursing standard.

A nurse is caring for a client following gastrectomy surgery. List three (3) measure to prevent dumping syndrome that the nurse should share with the client.

The study population included 2931 patients who underwent a gastrectomy with a histologically proven diagnosis of adenocarcinoma. Patients were followed up for a median of 44 months

Scenario: Four hours after her arrival to the emergency department, the patient remains in second-degree type II heart block and her vital signs are stable. She is transferred to a telemetry unit to prepare for insertion of a permanent pacemaker later in the day.

When she gets out of bed to use the restroom, she felt faint and had to sit on the floor.

The nurse finds her sitting on the floor beside the commode; the patient is awake but somewhat confused.

The patient is assisted back to bed. The nurse notes that the ECG monitor shows that the patient’s heart rate is at 40 beats/minute and she is now in third degree heart block.

The Rapid Response team is called, and preparations are made for the immediate application of a transcutaneous pacemaker (TCP).

 

1. NGN Item Type: Extended Multiple Response

Based on the patient’s current treatment plan, the patient’s priority needs will be to prevent which of the following? Select all that apply.

_____ 1. Angina

_____ 2. Pneumothorax

_____ 3. Hypertension

_____ 4. Dislodged pacing electrodes

_____ 5. Pacemaker failure to pace

_____ 6. Infection of the incision site

_____ 7. Injury from falling due to syncope

_____ 8. Hypotension