Consequences of Bad Choices - page 8

I was recently involved in a multidisciplinary team evaluation of a patient who attempted suicide by placing a shotgun in his mouth. He survived the attempt but was left with only half a face. I... Read More

  1. by   Hellllllo Nurse
    Quote from lizz
    Interesting comments. I'm curious about the concerns that this could be a (HIPAA) violation. How is this different from other situations that are posted on this board? Is it because the circumstances are so unusual it could lead to identification? ...
    Yes to your second question, IMO.

    As to the OP's original concern, I think the wife's visits should be monitered, at this point.


    This would be my opinion, assuming I did not know this was a case study.
    Last edit by Hellllllo Nurse on Mar 17, '04
  2. by   hbscott
    Quote from canoehead
    statistical analysis- I think that wife should quit gettig married and go out an buy a lottery ticket.
    Well she did empty husband #3's joint savings and checking accounts and then ran off with her girlfriend. Beyond that God only knows.

    The facts as revealed to the care team are presented as they were known at the time and as later events that soon followed. I thought this was a good case for a critical thinking skills application but looking at the number of responses that this thread generated it appears that there is more to this case than meets the eye.

    -HBS
    Last edit by hbscott on Mar 18, '04
  3. by   hbscott
    If interest in this thread hasn't died yet I have just added a practitioner poll to measure certain perceived influences in nursing practice. You should see that poll at the beginning of the original post.

    -HBS
  4. by   sashibeak
    I would definitely keep a close eye. What can it hurt? Better to be safe than sorry, particularly if the patient is unable to answer for himself right now. He is, after all, the number one priority here, and he tried to commit suicide......... I would think it would be pertinent to keep someone in authority close at hand whatever the weather!

    As a fellow peer mentioned, this poor woman may be one of those types who tries to rescue poor souls. I was involved with 3 boyfriends in a row who were physically and mentally abusive to me.............. it took me a long time to get out of that habit/routine. We can fall into the trap of being attracted to the same people over and over, whether it be a good or bad situation.

    I wish you luck with this. Do let us know how it turns out!

  5. by   sashibeak
    Wow! Excellent! Thank you for the mind stimulation.

    I am so glad the man is ok!
  6. by   hbscott
    I have to wonder just why this thread was so popular? I don't think it was the critical thinking exercise that generated all the hits...

    -HBS

  7. by   gwenith
    Don't kid yourself - there are an awful lot of nurses who like nothing more than a nice juicy case study - especially one with an ethical dilemma.
  8. by   hbscott
    Quote from gwenith
    Don't kid yourself - there are an awful lot of nurses who like nothing more than a nice juicy case study - especially one with an ethical dilemma.
    The more juice the more hits? Are nurses more thirsty for juice than other members of the general population? Sounds like a good research question!

    -HBS

    Last edit by hbscott on Mar 18, '04
  9. by   eagleriver
    Quote from prmenrs
    The specifics are my concern--how many pts out there fit this scenario? The OP is very knowledgeable, and I respect her judgement. We still need to be careful, IMHO.
    I agree, we need to be careful, but not excessively fearful. With the millions of "case studies" that exist, a person could make up anything or report anything and have SEVERAL individuals whose situations resemble that which is presented.

    Case studies are the primary medium through which ethical standards evolve. They are essential.
  10. by   Robinette
    Interesting case study. And interesting diversity of responses/theories. This entire thread is good fodder for an article in some Nursing Magazine. If this woman's husbands had life insurance policies which didn't exclude payment for suicide then I'd really wonder!
  11. by   JWaldron
    Quote from TexasNS
    Personally I do think it is odd but I will try to present a different point of view. I think it is extreamly plausable that a woman could find three men that would eventually commit or attempt suicide. This of course would be on the extreme side of co-dependancy. What an awsome case to learn from though. Emotional abuse is very possible but I dont think there would be three that would go to that extreme. Maybe one but surely the others would just leave. But on the other hand for 1 woman to seek out "broken people" and try and be their healer (co-dependant) is very possible. Give the visitation monitered and see what can be learned about her personality.
    And monitor HIS response to HER.

    Savvy One
  12. by   teeituptom
    Interesting thought
    I think
  13. by   hbscott
    One more time for review....

    The Rest of the Story

    Now that I got everybody thinking it is time to reveal the rest of the story. I consulted on this case a little farther back than what most people thought. In fact this patient has been treated and released. He has a new face and a 2nd chance at life.

    While the patient was unconscious the wife was allowed monitored visits and when the patient was fully alert and oriented he chose to meet with his wife in an area off the hospital floor he was staying. His wife would bring him things from time to time but one day she just stopped coming by. The patient soon discovered that his joint checking and savings account had been emptied and his soon to be ex-wife had run off with her girlfriend.

    I wanted to present this "case study" as an example to some of our students on the practice dilemmas they will sometimes face in their various working environments. This case study is currently being published in several journals. I thought I would share it with our audience since nursing care was an essential component of his recovery.

    The wife was consulted but remained distant to the care team. In my opinion mutual trust was never established with the wife and that prevented any progress for providing care and treatment to her if so indicated.

    -HBS

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