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Professional Practice Issues in Health Care Sector

   

Added on  2021-02-20

11 Pages1617 Words154 Views
Clinical incidents

TABLE OF CONTENTSCASE SUMMARY .........................................................................................................................1CONTRIBUTORY FACTORS.......................................................................................................1IMPLICATIONS FOR THE FUTURE PRACTICE ......................................................................3REFERENCES ...............................................................................................................................5

CASE SUMMARY The professional practice issues in health care sector includes issues such asaccountability, responsiveness, team work, ethical considerations, duty of care and patient safety.For the safety and improved health outcome of the patient is necessary that health care serviceproviders must pay attention to the physiological changes occurring and quick response andattention must be given to them by considering their severity and significance (Magalhães &et.al., 2019). The lack of timely actions and negligence can enhance the risk factor for thepatient. An 81-year-old female, named A was admitted to clinic on account of breathing shortnessand breathlessness from the last two days. On diagnosis patient was found to have fine creps atlungs and high venous pressure. Despite initial medication her condition did not improve andaccompanied by diarrhoea and abdomen tenderness. The patient refused to take food or liquidand complained of high level of pain. With the passing time the condition of patient wasdeteriorating with low blood pressure, increasing respiratory rate and skin disintegration. Thepatient became was feeling very dizzy, anxious and diagnosed with urinary infection. Along with the regular abdominal pain patient A was suffering from severe weaknessmaking it hard to mobilize her. Her skin became pale, grey, cold, and she regularly complainedof back pain. When the condition of patient became highly critical only then attempts were madeto shift her to rural hospital but due to septicaemia she died whilst assessed by air evacuationteam. It can be concluded form the clinical incident that the lack of improper care services,delay, clinical negligence and systematic attention to patients leads to the death of patient. CONTRIBUTORY FACTORSProfessional errors results from the ineffective implementation of the code of conductsand practices recommended for the registered nurses and other health care professionals. In thegiven case study of patient A there has been several factors which lead to the errors and clinicalnegligence. The patient could have been saved if these errors were taken into consideration andappropriate action would have been taken into the account. According to Mahmoud, (2016) thenurses must pay attention to all the vital symptoms of the patient. They must understand theneeds of their patients and work in the partnership with the patients. This is one of the mostimportant principle of national health and safety quality standards. 1

However, when patient A was admitted to hospital on 5 January no significantcommunication was made and only medication were given to her. Even where no improvementsigns were shown by the medication no satisfactory action was taken on next day. The necessarydiagnostic tests were planned after 2 days which worsen the symptoms and condition of patient.This can be considered as significant professional error related to clinical negligence andineffective patient partnership. On 10 January when patient had abnormal readings of respiratory rate no satisfactoryactions was taken. In such situation it was expected that registered nurses must fool their practicestandard of critical thinking and responsive practice. However, the pain level, skin changes,abdominal tenderness and other vital symptoms were not taken seriously. When she wasdiagnosed with UTI then suitable measures must be taken to prevent and control the infection.As per the view of Calero, Gomila & Fullana, (2019) comprehensive care and recognition ofacute deteriorating health condition of patient is major safety standard. However, when patientwas regularly complaining of the symptoms and it was required to mobilize her the need wasignored. In the absence of treating doctor no alternative or emergency care was provided to her. Itenhances the infection risk and safety threat for the patient A. When the critical situation ofpatient was informed to respondent then she refused to take suitable actions instead she insistedon waiting for locum who was supposed to arrive after few hours. It contributed in deterioratingthe patient health. Dello Stritto & Landrum, (2016) stated that nurses must work in thecollaboration with other workers so that patient safety can be assured. However, when enrollednurse refused to review the patient respondent review the patient, but she did not make anydocumentation. It initiate the higher possibilities of clinical error due to medication ornegligence. On the arrival of locum when it was required to give emergency assistance to patientA then also instead of providing quick services emergency doctor arrived after one hour. The continuous delay in providing treatment to patient and neglecting the need to providenecessary treatment on time made condition of patient highly critical. It has been also observedthat RN lacks the ability to make critical analysis and decision. Thus, they decided to referpatient only when it become impossible for them to mobilize patient. It has been also observedthat when the locum arrived only dehydration medication was given without paying attention tothe possible infection risks and other complications. It leads to the death of patient A due to2

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