Death after discharge--what would you do?

نویسنده

  • Robert Stall
چکیده

ith sferred . In the usual pile of paperwork was a newspaper clippin (not his real name to respect confidentiality) had died 2 after his discharge to another facility. I had a feeling it happen, but it greatly upset me nevertheless. The ques were the usual ones a doctor asks when a patient dies. I have done anything to prevent it? What should I do n better understand what happened and to prevent it happening in the future? Usually the answers are relat straightforward. But this situation was different from o patient deaths I had experienced. What would you done? What would you do now? Joe was in his eighties, with multiple medical problems cognitive impairment. He told his son years before tha would rather be dead than go to a nursing home. Time his health and thinking deteriorated, and finally his wife no longer care for him at home. As his health care age brought him to live at a nursing home (at which I am m director and one of the attending physicians) with s resistance but not the vehemence with which he spoke son in the past. Early on, Joe’s son replaced his wife as the legal healt agent. The son said it was because his mother was too u make objective decisions for her husband anymore. She agreeable to the change. For 2 years, the son tried to convince me to stop th life-sustaining medication his father was taking in orde

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

قانون طلایی تدارک حمایت از دانش آموزان با نیازهای ویژه در کلاسهای فراگیر: از دیگران آنطور حمایت کنید که دوست دارید از شما حمایت کنند

Consider for a moment that the school system paid someone to be with you supporting you 8 hours a day, 5 days a week. Now, imagine that you had no say over who that support person was or how she or he supported you. Or imagine that someone regularly stopped into your place of employment to provide you with one-on-one support. This person was present for all your interactions, escorted you to th...

متن کامل

اقدامات فوری در مارگزیدگی

  EXTRACTAnyone who may one day be faced with an injured snake bitten and be forced to take care of him. If this person does not know how to treat these patients consciously and quickly, may cause further injury or even death in them. Notice a snake- bitten history: He had gone with his friends for circulation, when he saw a snake, try to take it. But his hands being bitten by snake. His friend...

متن کامل

It Ain’t What You Do (But the Way That You Do It): Will Safety II Transform the Way We Do Patient Safety; Comment on “False Dawns and New Horizons in Patient Safety Research and Practice”

Mannion and Braithwaite outline a new paradigm for studying and improving patient safety – Safety II. In this response, I argue that Safety I should not be dismissed simply because the safety management strategies that are developed and enacted in the name of Safety I are not always true to the original philosophy of ‘systems thinking.’

متن کامل

درآمدی بر مبنای مکان یابی و طراحی بیمارستان ها

Background: The hospital is an important element in the new public health. The health in the populations requires access to the medical and hospital services as well as preventive care and a healthy environment. This study attempts to review the important factors to be considered in the hospital sites selected and design in the urban, regional and country levels. Finally, suggestions have exhib...

متن کامل

The Postmortem Is Not Dead

I am very conscious, ladies and gentlemen, of the honour and responsibility you have conferred on me by asking me to be your president and I shall try to discharge my duties to the best of my ability. I suspect that every president since 1874 has found that his most difficult task is his first one that of addressing you at the annual general meeting. He has, of course, known for a year that he ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Journal of the American Medical Directors Association

دوره 9 2  شماره 

صفحات  -

تاریخ انتشار 2008