hbscott

hbscott

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All Content by hbscott

  1. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    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...

  2. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    Case studies are okay to discuss as long as they have been "sanitized" of any identifying information. Case studies are an important tool to advance the body of knowledge and improve patient care...

  3. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    Good question and from where I sit one that will be decided soon enough. It will be an interesting outcome I am sure.

  4. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    Since this case is so unusual I suspect you will be reading about it in many different professional journals in the months and years to come. There will be many interventions to include surgical and...

  5. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    Interesting. I did say in the original post that on the care team opinions about the potential harm of the spouse was split down gender lines. After reading these posts I now better understand why....

  6. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    If a visitor (spouse or not) is of potential harm to an incompetent patient the question remains what to do? The consensus seems to be allow monitored visits and then evaluate for further...

  7. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    Patients and other persons in our society are subjected to restrictions, confinement, and other regulated actions for many different reasons. A patient who is not alert, oriented, and can not care for...

  8. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    Good question and another idea not considered until now. Thank you.

  9. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    There is no HIPPA violation. Anonymous case studies are presented in professional journals all the time. In regards to the issue of legality concerning the wife's visitation the legal question (still...

  10. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    What we have here is the inner conflict created by the guiding and sometimes competing principles of ethics, law and duty. The responses you are seeing here in this thread are just a reflection of...

  11. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    My job is simple. I just have to rebuild the wound defect. The psychosocial issues are what makes this case complicated. The goal of course is to heal the patient and when he is competent let him...

  12. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    We have multiple issues that involve law, ethics, and duty. The duty to the patient is to do no harm until the patient is competent enough to decide for himself on the appropriate course of treatment...

  13. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    That is the question that is the basis for this thread. A question that is being answered in many different ways...

  14. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    True enough but this patient consultation is not in the geographical location you have referenced. And I am sure you have read many a professional and very public journal articles by well known...

  15. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    This is a legal question that I have been told comes under the hospices of prescriptive authority. I can't cite to you the legal precedent but I am told it is part of the care planning regiment until...

  16. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    I think what makes the care team nervous is the wife. Will she be helpful or hurtful in our attempts to recover the patient. That is the question being raised at this time. Remember we have a duty...

  17. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    Very interesting perspective and one I had not considered until now.

  18. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    As noted in another post I can assure you this case is not in the DC area. You made a false assumption based upon my profile which may or may not be accurate. Good guess though! But wrong...

  19. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    Good Point! I have considered all possibilities as you have noted and have very carefully shielded the unique facts about this case. If I could be more forthcoming on exactly how I have done that...

  20. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    Thank You! This is the type of input I was seeking and hoping to benefit from. The care team just wants to do "right" by the patient and is seeking a good outcome. This patient care scenario has a...

  21. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    Husband is not yet medically competent to render that decision.

  22. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    I can understand and appreciate the concerns about privacy violations in accordance with the Privacy Act of 1974 and more recent and ever evolving HIPAA legislation. That being said I can assure you...

  23. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    This case study has been carefully presented. No patient demographics, location and/or health care providers have been personally identified. No privacy rules have been violated implicitly or...

  24. Consequences of Bad Choices

    hbscott replied to hbscott's topic in General Nursing

    We have been told that the wife is not a suspect at this time. The husband clearly attempted suicide and has admitted doing so at this time. The wife's previous marital history was brought up by...

  25. admirability of nursing: Your opinion please

    hbscott replied to pieWACKet's topic in General Nursing

    Happiness (authentic happiness) is important and should be the guiding criteria (I believe) for all of us in our life's choices. I am certainly happier now than I ever was in nursing (the profession)...