
Concept explainers
To identify:
The essential information that must be available in Mrs. G’s electronic record to support safe patient care and coordination of care?
Case summary:
The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.
To identify:
The appropriate process to protect confidentiality of protected health information in the patient’s health records?
Case summary:
The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.
To discuss:
The alternative ways to respond to or approach the situations?
Case summary:
The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.

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