The physician is reluctant to perform the surgery because of the patient’s recent stroke. However, Mr. Suarez’s adult children are insistent that the surgery should commence. As the main caregivers, they are charged with the responsibility of managing their father’s health condition. It is for this reason they push for the best medical care for their father. In light of the unfolding events, there is an ethical dilemma. The ethical committee should act in the best interest of the patient. Due consideration should be made for the physician’s evaluation. There are few kidneys available for transplant but there are many patients in need of kidney transplant. Unfortunately, many patients have succumbed to death during the waiting period. It is disheartening that there is a worldwide shortage of kidneys available for transplant. Potential kidney donors are living donors or deceased donors. For deceased donors they can either be non-heart beating donors (donation is made after cardiac death) or heart beating donors (donation is made after brain death). There has been an increase in the kidney donations made by both living donors and non-heart beating donors, but the donations from heart beating donors have declined. ...
Given Mr. Suarez’s cardiac complications, a cardiac evaluation is necessary. Physical examination and history is essential for transplant candidates. Patients exhibiting cardiac failure are highly predisposed to cardiovascular events peri-operatively and post-transplantation (Suphamai &. Danovitch, 2007). Abnormal ECG results would warrant further cardiac evaluation. Mr. Suarez’s age is above 50 years, and a stress test should be administered. However, there is need to appreciate the current critical health state of the patient. Several independent medical experts on kidney transplants should be consulted by the ethics committee. They should give a report of the expected kidney transplant in light of the hemorrhagic stroke. There is need to determine if the stroke is a major risk factor that predisposes the patient to a critical health state. If there is a high possibility of an unsuccessful surgery, Mr. Suarez’s eligibility for a kidney transplant declines. The kidney transplant is for the purpose of saving a life and if there is a likelihood of an unsuccessful surgery, it would not be ethical to select Mr. Suarez as a kidney recipient. Comprehensive information is required on the physical and mental health state of Mr. Suarez. Mortalities are mainly caused by malignancy, infection and cardiovascular disease as they are the main complications arising from immunosuppression in the majority of kidney transplant recipients. The transplant assessment process also requires a comprehensive evaluation of Mr. Suarez’s psychosocial, medical and surgical history (Pham et al. 2010). This evaluation is a challenge for transplant physicians as they have to screen for complex medical issues in potential candidates, and another challenge is the non
Ethics: Legal aspects of nursing Institution Ethics: Legal aspects of nursing The ethics committee has a crucial responsibility of resolving the ethical dilemma surrounding the case of Mr. Ignacio Suarez. Mr. Suarez was diagnosed with renal disease and is in the kidney transplant waiting list…
Nowadays it is evident that the more negligence cases in the healthcare field, the few individuals who are willing to join the nursing field due to panic of lawful implications and invincible suits that rise during the delivery of nursing services to the patient (Barbara, and Phillips, 2013).
Nurses had the duty to manually document the patient details, time, route and dosage on paper based medical administration record (MAR). Later, discrepancies were noted in the electronic data and hand written records. The nurse was unable to make a reasonable explanation and was later suspended by the supervisor.
The author states that there are various tortuous liabilities that commonly brush the healthcare professionals in line of duty and this has always generated a heated legal battle between them and the clients. The law of tort in this case raised a liability against negligence. There are three major concepts surrounding negligence.
Malpractice involves a professional individual expressing an improper discharge of their responsibility which may result in damage or harm to another individual (deWit, 2001). On admission it was clear that Mr. Garcia case required delicate and intense care from the hospital and its staff.
The capacity of the nursing home is about 120 beds, including several specialised treatment departments. As the number of residents has been increasing steadily during the last five years the plans for extension of the capacity of the nursing home by the means of building additional wing are considered.
Other principles that were noted were giving medication a different route than prescribed; not charting the administration of medication in a timely manner and that the hospital has no policy on who should document the medication in case a nurse is working with a someone
erself admitted to frequently making records long after the medication had already been administered and hence making her records prone to error (Butts & Rich, 2008). It is of paramount importance that a nurse should keep accurate records of all narcotics dispensation, dosage as
Malpractice is also equitable to negligence of duty in nursing but not all malpractices are negligence.
There are conditions to filing a lawsuit against a nurse for a negligence claim. Such conditions include; there must be a medical condition
Failure to act as patients advocate. The physician did not discharge his duties in a manner that best suits the patient. The physician should have done his very best to ensure that the patient receives