WESTERN GOVERNOR UNIVERSITY
KOT Task 2
April 17, 2014
A1. Medicare Part A
According to (Cherry and Jacob, 2011) Medicare is a federal funded health insurance plan for people over the age of 65 and for those who are younger with certain disabilities. In discussing the details to Mrs. Zwick’s daughter about Medicare coverage information I would explain to them in terms that both mother and daughter can understand. An explanation would begin by letting Mrs. Zwick’s daughter know that Medicare part A is a hospital insurance that helps covers several health care facilities such as hospital stay, skilled …show more content…
Reimbursement
Mrs. Zwick’s was admitted to the hospital following a mild stroke however her stay was extended due to a hospital acquired infection. Due to changes that occurred in 2008, Medicare stopped reimbursing hospitals for preventable hospital acquired infections placing health care facilities accountable for the facility acquired infections during a hospital stay. In Mrs. Zwick’s situation the additional care required such as her IV antibiotics will not be covered by her Medicare.
B1. Ethical Implications
Urinary tract infections (UTI’s) are the most common type of nosocomial infections (Holland, 2012) however UTI’s are also one of the infections that is preventable. As a health care provider we are responsible for preventing infections by hand washing and or sanitizing and the other is by following current evidenced based protocols. Due to the facility not following the current evidenced based protocols for catheter care Mrs. Zwick’s had to endure a longer stay at the hospital. The negative implications that may have affected Mrs. Zwick’s could be increased anxiety for having to be hospitalized for an extend stay. Having an IV antibiotics may have caused her to stay in bed longer than needed. Unfortunately Mrs. Zwick’s will be responsible for the cost related to the hospital acquired infection. At 77 years old Mrs. Zwick’s is possibly on a fixed income having to pay the extra expense may lead to possibly her not being able to pay for her medications or not being able to pay for food. It’s important that health care facilities practice their infection control policies and continue to use evidence based protocols overall it will help the hospitals by reducing their infection rates but most of all it will help the