Before you enter this discussion, please complete your unit reading assignment. Please read the Case 5 “Wound Care at Mountainview Nursing Center” on pages 535-537 in
your text. Then respond to the following questions from your text in your original post:
Evaluate the legal implications of the nursing care that Mr. Harris received while a patient at Mountainview Nursing Center.
Would a physical restraint be appropriate to prevent falls in this situation?
Discuss the care of Mr. Harris from the standpoint of his rights as a patient.
In this situation, how would you ensure that the patient’s own wishes are carried out?
Why do you think that the nursing home corporation settled this case out of court? Would you have let the litigation proceed through the court system? Why? Do you
think the facility would be held liable? Why?
It was assumed that the patient’s agitation caused the dressing to dislocate. Could the facility have done anything to prevent that?
What actions would you take to assess and improve infection control practices in the nursing following Mr. Harris’s discharge?
Case study
Wound Care at Mountainview Nursing Center THE ASSISTANCE OF PATRICK CLAUDIUS, MD, IN DEVELOPING THIS CASE IS GRATEFULLY ACKNOWLEDGED. Subsequent to his discharge
from a local acute care hospital where he had received treatment for pneumonia, Jim Harris was admitted to Mountainview Nursing Center five years ago. Mr. Harris was
83 years old. According to the minimum data set (MDS) assessment, the patient had various chronic comorbid conditions. These conditions persisted over a period of two
years while Mr. Harris was a patient at Mountainview. The patient was eventually discharged to an acute care hospital and never returned to Mountainview. Mountainview
is a 112-bed dually certified nursing care facility affiliated with a for-profit multifacility chain. The nursing home is located in a rural county with a population
of 27,000. The median household income in the county is $32,900. Approximately 64% of the adults over the age of 25 have completed a high school education; 10% of the
adult population have finished a bachelor’s degree or higher. Mr. Harris’s daughter, Nancy, had the power of attorney for the patient’s medical treatment. Nancy
visited the facility regularly and did not express any notable concerns with her father’s care at Mountainview.
Medical and Nursing Evaluations and Treatments Diagnoses at the Time of Admission • Diabetic gangrene of the foot (heightens the risk for septicemia).
• Peripheral vascular disease (causes poor healing of wounds). • Congestive heart failure (poses high surgical risk).
• Depression.
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