Health Care Sensitive Measures
Health Care Sensitive Measures
Mr. J, a 72-year-old retired rabbi, has been diagnosed with moderate dementia and presents a challenging scenario for nurses to evaluate. A fall in his house resulted in a fracture of his right hip, and he was sent to the hospital for treatment. He’s sleepy from the painkillers, but he’s able to respond adequately to simple queries. Mister J’s daughter drove eight hours to see him in the hospital a week after he was admitted.
Health Care Sensitive Measures
She went to his room and found him bound to the bed. Despite his drowsiness, Mr. J recognized his daughter and asked her to unlock his wrists so she could take him to the restroom. His daughter dispatched a CNA to free him from his bonds and accompany him to the restroom.
Mr. J’s daughter spotted a red, flattened region across her father’s lower spine, comparable to a terrible sunburn, as the CNA was helping her father sit up in bed. She told the CNA about what had happened, and she said, “Oh, that’s not anything to worry about. As soon as he gets up, the feeling will disappear. The CNA accompanied Mr. J to the bathroom, and then afterward returned him to bed, where she reapplied the restraints by having him lie on his back. Mr. J. requested a “normal, kosher, chopped meat” diet. Mr. J was home alone when his food tray arrived the day after his daughter’s arrival. About 75 percent of Mr. J’s lunch was gone when the nurse checked on him 30 minutes later.
Health Care Sensitive Measures
The dish was described as “normal, chopped meat,” implying that it was a very standard dish. Pork cutlet was chopped up and left in the tray. The nurse reported the incident to the supervisor, who told her to “just keep it quiet.” We’ll make it. The nurse in charge immediately informed the head chef of the mistake. The kitchen manager informed the on-call employees of the situation.
Despite the patient’s daughter’s visit later that evening, she was never informed of what had happened. The following evening, when the daughter was there to receive the tray from the nutritional worker at dinnertime, she saw something unusual. Employee: “I’m really sorry about the pork cutlet last night,” addressed to patient’s daughter. When the daughter inquired as to the cause of the delay, she was informed that “an error in the order” had occurred. Afterward, the daughter inquired with the nurse about what had happened. While confirming the occurrence to the daughter, the nurse remarked, “Half a pork cutlet never killed anyone.” When the doctor got the daughter’s call, he immediately contacted the hospital’s top administrator.
Health Care Sensitive Measures
The doctor, who is also Jewish, complained to the administrator that numerous of his Jewish hospitalized patients had expressed dissatisfaction with the hospital’s treatment of their dietary restrictions over the previous six months. The hospital has 65 beds and is located in a small town with few Jews. There is a Jewish hospital 20 miles away in a larger city, where the town’s few Jewish residents typically go for medical care.
Perform the following analysis of the scenario (two to three pages is recommended):
A. Expound on how familiarity with nursing-sensitive indicators might have helped these nurses spot potential roadblocks to treatment.
Health Care Sensitive Measures
B. Evaluate the hospital’s data on nursing-sensitive indicators (such the rate of pressure ulcers and the use of restraints) to see how they might be used to improve the standard of care for all patients.
C. Evaluate the specific system resources, referrals, or colleagues you could use as the nurse shift supervisor to address the ethical dilemma at hand.
D. Include a reference in your paper or project for any content that you quote, paraphrase, or summarize from another source. The submission must include a reference list and in-text citations that indicate where the information was gathered and how it was used. Author Date Title Location (e.g., publisher, journal, or website URL)
