" In that type of situation the staff wanted to eliminate more of the problem. If only the disaster plan had been calculated correctly, less lives would have been lost or should I say taken. I appreciate this story. As hard as it is to read and digest, I know malpractice knows no bounds.
In Anne Fadiman’s book, The Spirit Catches You and You Fall Down, two cultures clash with each other in the struggle to save Lia Lee, a Hmong child refugee with severe epilepsy. Although Lee and her family live in the United States, and thus receive medical care from Westerners, her family believes that Lee’s condition is sacred and special. The following miscommunications, both culturally and lingually, between the American doctors and the Lee family leave Lia Lee in comatose at the end of the book. However, Lia Lee could have been saved if the Lee’s had a better understanding of the American doctors’ intentions, and the American doctors understood the Hmong culture. Essentially, the tragedy of Lia Lee can be attributed to the clash of American and Hmong cultures at both the surface and sub-surface level.
1. How did you notice culture impacting the health and illness course of Lia Lee and her family in these beginning chapters? Culture plays a big role in the in the course of illness of Lia Lee. In chapter one of the book, it already gave the reader a glimpse of how different Hmong and American culture are when it comes to giving birth and naming a child.
One of the most impactful discoveries in medical history came from a knot on a womb. The story describes the lives of the Lacks family, the discovery of the HeLa cell and the journey of an author, eager to find facts to tell this family’s story. Henrietta Lack was a woman who came from a big family and had one of her own. She was diagnosed with cervix cancer and during treatment her doctor took samples of her tumor without her knowledge, set it to a lab and unknowingly became the discovery of a lifetime. The immortal HeLa cell could live and multiply without dying; this was essential for tests of vaccines, treatments and how human cells react in certain conditions.
They manipulate the patients and cause some of them to break, they use their power over the patients and go too far. I will conclude by bringing up my claims and thesis in a different way. And summarize some of the points I have made. I will go over how this power has effected the patients. I will link some of my points to regularly happening world
The Joint Commission is involved in making sure the health care facilities are providing the patient and family members of patients the effective and safe care that the patient needs and deserves. There is a close relationship between the National Patient Safety Goals (NPSG) and the results of the Joint Commission survey. If the facility were following the NPSG’s then the facility would have more of likelihood that the organization will receive a good survey results from the Joint Commission. There are serious consequences for the health care organization if the organization does not meet the benchmarks set by the Joint Commission. Multiple tools out there will aid this author in determining if the organization that this author works in is
The main function of the healthcare ethics committee is to resolve ethical conflicts by providing consultations and conflict resolution, answer ethical questions, promote patient rights and shared decision making between patients, surrogates, and their clinicians, promote fair policies and procedures that increases the probability of attaining good and patient-centered outcomes, and provide education (Ethics Committees, Programs, and Consultants, 2013). The committee reviews cases on a case-by-case basis and assists patients, family, and staff with coming to an agreement on the options that best met their needs (Healthcare Ethics Committee, 2013). The healthcare ethics committee is structured to include a broad span of community leaders in positions of political stature, respect, and diversity (Healthcare Ethics Committee, 2013). The healthcare ethics committee should include a multifaceted team, consisting of physicians,
Although there were numerous beneficial experiences for the Consumer through the supported decision-making process, the deterioration in mental state and the concern relating to exposure of vulnerability and openness to manipulation by others could not be overlooked (Office of the Public Advocate Systems Advocacy, 2014). Dignity of risk relates to the Consumers right be able to make decisions that can involve a level of risk, however the duty of care of the primary nurse and treating team was to ensure that safeguards are in place to minimise risk of harm to the Consumer and/or others that may be effected by the decision made (Victoria Government Department of Human Services,
Review with nurse Gilbert why valium and morphine are contraindicated in shock and her duty to identify this and speak up 5. Review with nurse Gilbert her duty to speak up regarding a need for a transfer of patient to Dr. Dick 1. Complete a root cause analysis identifying breakdowns in processes that directly resulted in the negligent acts by nursing, if any. Implement action plans to correct any process issues identified. Complete any additional individual nurse follow up identified, as needed, outside of short-term action
NU 413 Week 9 Discussion Board Post student response to Katie-Lynn Fournier by Kathryn Moultrie Good afternoon Kathie, Enjoyed reading your post, and seeing how other organizations handle the operations of their facility and nursing departments. My biggest concern with improving quality care and patient safety issues in that, the responsibility is not ours alone, our Chief Nurse Executives (CNEs) and Director of Nursing (DON), and senior nursing management staffs to lead the journey Disch J. (2008). I find it overwhelming that the majority of the research literature (studies, surveys and reports believe nursing plays the pivotal role in changing the face of health care and improving quality care and patient safety.
There were specific situations that led to the cause of Julie Thao's actions of medication error and the death of Jasmine. The situation could have completely been avoided had Julie followed the code of ethics and avoided shorts to provide proper care for the patient. The state claimed that Thao's mistake was caused by actions, omissions and unapproved shortcuts, however, there were other factors that played a role in her carelessness as well. While failure to comply with procedure has been a factor in the medication administration error, other factors contributed as well. For example, failure to properly use the information system, or to ignore alerts or warnings have also resulted in preventable errors (Nelson, Evan, & Gardener, 2005).
The four core ethical principles that are called into question in the movie “Miss Evers’ Boys” are autonomy, beneficence, nonmaleficence, and justice. Autonomy refers to the right of the patient to function independently and the ability to self-direct. This means that patients are entitled to decide what will happen to them, and if deemed competent, they have the right to either consent to or refuse treatment. All nurses and healthcare personal would be required to respect the patient’s wishes, even if they do not agree with them. Beneficence is the core principle that refers to the act of ‘doing good’ and advocating for the patient.
These mistakes include the nurse’s public announcement of the issue, Sue’s access of the chart to discover information about the patient’s diagnosis,
The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to a patient’s life, and the way they are treated. Having an ethical code in all health care organizations is very important, because it helps health care workers with reaching a suited and ethical decision when it comes to the patient. In health care, patient will always be put first, and their autonomy will always be respected. Nevertheless, when there is a situation where a patient might be in harm, or might be making their condition worse because of the decisions they made. Health care workers will always be there to
THE DIFFERENCE BETWEEN MANAGEMENT AND LEADERSHIP It is important to appreciate that leadership roles are different from management functions. In Stephen Covey’s (1999) book The Seven Habits of Highly Effective People, he quoted Peter Drucker as saying: ‘Management is doing things right; leadership is doing the right things. Management is efficiency in climbing the ladder of success; leadership is about determining whether the ladder is leaning against the right wall.’ This suggests that management is about tasks, whereas leadership is about perception, judgement, skill and philosophy.
