Mini-Stroke Ethical Dilemmas
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Early admission to hospital followed by correct diagnosis with minimum delay is a prerequisite for successful intervention in acute stroke. The need to seek medical or other attention promptly after stroke onset, to use an ambulance with direct transportation to the acute-care hospital, and to have more effective in-hospital organization will be required for effective acute treatment options to be available to stroke patients. There are a couple of legal and ethical issues of this case.
First let’s look the physician. Mrs. Smith presented the clear signs and symptoms of TIA (Transient Ischemic Attack) which is called mini-stroke. First of all, the doctor failed to send the patient to emergency room to get CT scan, MRI and tPA (tissue Plasminogen Activator) if there is no contraindication. The doctor also failed to follow up Mrs. Smith result. The doctor …show more content…
Smith appointment date. I would not even ask the patient family member to handle the situation (call doctor to ask a correct order to be faxed). As a health care provider, I know the patient needed a hospital admission. I would escalate the situation to my manager. According to provision 3.5 in code of Ethics for Nurses states that “Nurses should use established processes for reporting and handling questionable practice.” (ANA, 2015, p. 12). This could help the patient more attention and prevention further distraction of related the TIA. I would took care of the patient with respect. In my world being busy in not working. I had to give my time to one patient at a time. I rather be quick to do things or delegate to other staff. As a health care provider, I have to show Mrs. Smith kindness. Kindness “involves the quality of being considerate and sympathetic to another’s need.” (Pozgar, 2013, p. 45). Mrs. Smith couldn’t handle any more stress or burden. It is up to me to ease burden by approaching respectfully, kindly and
Early admission to hospital followed by correct diagnosis with minimum delay is a prerequisite for successful intervention in acute stroke. The need to seek medical or other attention promptly after stroke onset, to use an ambulance with direct transportation to the acute-care hospital, and to have more effective in-hospital organization will be required for effective acute treatment options to be available to stroke patients. There are a couple of legal and ethical issues of this case.
First let’s look the physician. Mrs. Smith presented the clear signs and symptoms of TIA (Transient Ischemic Attack) which is called mini-stroke. First of all, the doctor failed to send the patient to emergency room to get CT scan, MRI and tPA (tissue Plasminogen Activator) if there is no contraindication. The doctor also failed to follow up Mrs. Smith result. The doctor …show more content…
Smith appointment date. I would not even ask the patient family member to handle the situation (call doctor to ask a correct order to be faxed). As a health care provider, I know the patient needed a hospital admission. I would escalate the situation to my manager. According to provision 3.5 in code of Ethics for Nurses states that “Nurses should use established processes for reporting and handling questionable practice.” (ANA, 2015, p. 12). This could help the patient more attention and prevention further distraction of related the TIA. I would took care of the patient with respect. In my world being busy in not working. I had to give my time to one patient at a time. I rather be quick to do things or delegate to other staff. As a health care provider, I have to show Mrs. Smith kindness. Kindness “involves the quality of being considerate and sympathetic to another’s need.” (Pozgar, 2013, p. 45). Mrs. Smith couldn’t handle any more stress or burden. It is up to me to ease burden by approaching respectfully, kindly and