i have a litte experience with that hospital, as a traveler especially the ed. i was told by a few other travelers to avoid that ed. my family drives right by that hospital and will not go to it for anything. so unless there is more to the story they were possibly negligent. i am confused as to why cardiac enymes weren't back by the 90 min mark. etc. and no oxygen on a man with ekg changes, kind of lame. if the ekg changes were so significant why no transfer to a place with a cath lab etc...
but to address the above: i put your statements in purple....
[color=#ee82ee]unless a person has stated in a living will they do not wish to be resucitated then they should, be, even if they are brain dead or whole brain dead.
[color=#ee82ee][color=#ee82ee]this person was neglected, i believe attention could have prolonged his life to allow a more peaceful death through terminal medication (if that is what it came down to) and respite care.
1. this man had cpr performed on him. they made an attempt to resus. the patient. cpr is not really that successful, so it had nothing to do with a living will etc. they made the attempt and it failed- as it does in a great deal of the cases. it was not a deliberate decision to not do cpr etc. it's not as easy as just doing cpr and a person lives. which attentions exactly, do you think would have prolonged his life?
[color=#ee82ee]as a social work student who has studied lifespan development, that even we, as students (i work part time as a carer for a man with a heart condition) believe that the signs are noticeable and are trained to know them ourselves.
2. many symptoms of a heart attack are not that noticeable. i had a pt once who came in saying his right shoulder had hurt for 2 days. i did an ekg to be sure, and blammo, he was having a huge heart attack in front of me. his vs were normal and he said, "i feel fine, just my right shoulder is aching". he was not in denial, he really did feel pretty good, except for the shoulder. he was more surprised than me. some women complain of feeling weak and nauseous. very few people complain of a sore throat. when the pt had outward symptoms- steps were made to move him to another more appropriate area of the emergency dept. but you really can not just put everyone with a sore throat on a heart monitor. nor can you spend 20 mins trying to convince people to have symptoms they deny.
[color=#ee82ee]i also had a heart attack last year and was told by a doctor that it was just anxiety, so maybe it has happenned before for him and other doctors told him it was anxiety and he simply repeated what was impressed on him.
[color=#ee82ee][color=#ee82ee]i told my lecturer my symptoms (holds a doctorate in social work) and she thinks i have more going on than anxiety.
[color=#ee82ee]2. i think if you believe there is something wrong with your heart, you should go to a medical doctor, even a cardiologist...not discuss it with someone who holds a doctorate in social work. social workers are awesome, but they are not in any way qualified to diagnose or even discuss the likelihood of anyone having a heart problem.
[color=#ee82ee][color=#ee82ee]people always deny thier symptoms, especially if its serious as they are facing death, and especially if they have children.
3. be very careful about "always" statements. people do not always deny their symptoms.
[color=#ee82ee][color=#ee82ee]they should do some basic counselling skills, and some psychology as part of their degree,
[color=#ee82ee]4. nurses are trained in some basic psychology, but we can not be mind readers. if someone expressly denies those symptoms, and has no outward signs. they key really is that he did not initially have any outward signs. after he started to sweat profusely etc, he was moved to another part of the ed for more appropriate care, even while denying the care. we can not force people to take medication or exams even if they are having a life threatening problem, as that can then be seen as assault. we can not just give treatment without a persons consent, unless they are incompetent/not concious...
that said, i do think its possible this man sufferred neglect. but i don't see it the same way that you do, probably because i've lived it day in and day out now for several years....