Question

In: Nursing

3. A patient is admitted to the hospital with gallstones and needs to have his gallbladder...

3. A patient is admitted to the hospital with gallstones and needs to have his gallbladder removed. This is considered an emergency surgery because of the position of the stones and the level of patient pain. The patient also suffers from type 2 diabetes that is not well controlled. The patient undergoes surgery and the gallbladder is found to be gangrenous; the gallbladder is removed but the patient suffers from jaundice following surgery. After follow-up testing, it is determined that the bile duct from the gallbladder was damaged during the emergency surgery and the patient needs another surgical procedure to repair its damage. How would the components of negligence be met in this case? Are there any other mitigating factors involved?

Solutions

Expert Solution

NEGLIGENCE: The failure to do an act which a reasonably careful person would do, or the doing of an act which a reasonably careful person would not do, under the same or similar circumstances to protect oneself or others from a) bodily injury b) death, or c) property damage.

COMPONENTS OF NEGLIGENCE: There are four distinct elements of negligence. They are a) duty of care b) breach of the duty of care c) causation and d) damages.

DUTY OF CARE: A duty of care arises when the law recognizes a relationship between two parties, and due to this relationship, one party has a legal obligation to act in a certain manner towards the other. In this case, it is the duty of the doctor to respect the rights and should maintain a relationship with the patient. BREACH: A breach is a violation of a law or duty. In this cause proper treatment should be given to the patient when diagnosed with jaundice. CAUSE: The breach of duty must have caused harm to the Plaintiff. Due to the negligence during the surgery, the patient has suffered with other complications. HARM: The Plaintiff must suffer harm in order to sue for negligence. If he suffers no harm, he cannot sue.

OTHER MITIGATING FACTORS : Under the mitigation of damages doctrine, a person who has suffered an injury should take reasonable action, to avoid furthe injury or loss. The failure of Plaintiff to take protective steps after suffering an injury can reduce the amount of plaintiff's recovery.The doctrine of mitigating damages usually prevents the recovery of any post-malpractices damages that could have been avoided by the reasonable efforts of the injured patient. However, in some cases, recovery will be completely barred to a patient whose entire injury could have been avoided if the patient had exercised reasonable care after the physician's negligence.


Related Solutions

1) A patient is admitted to the hospital in complete collapse. His blood pH is 6.8,...
1) A patient is admitted to the hospital in complete collapse. His blood pH is 6.8, and his HCO3- is 20 mEq/L. What diagnosis would you give and what prognosis? A medical history reveals that this patient is a chronic alcoholic. 2) A pregnant woman complains to her doctor that her ankles and feet stay swollen all of the time. She is very worried about this. As her doctor, what would you tell her? 3) Helen is a 62-year-old smoker....
A patient is admitted to the hospital with a diagnosis of pneumonia. The patient is very...
A patient is admitted to the hospital with a diagnosis of pneumonia. The patient is very anxious and has been hospitalized in the past. The nurse has not performed the admission assessment. How might the nurse approach this patient to ease his anxiety?
Piya Jordan is a 68 year old patient who was admitted to the hospital to have...
Piya Jordan is a 68 year old patient who was admitted to the hospital to have surgery to remove an abdominal mass. She underwent a colectomy yesterday removing a mass from her right ascending colon. She has a large abdominal incision with a clean, dry and intact dressing, but fortunately did not require a colostomy. She is on the post operation surgical unit and is requiring post-operative nursing care. She is alert and fully oriented to her surroundings. She has...
A nurse is reviewing the urinalysis of a patient admitted to the hospital with a urinary...
A nurse is reviewing the urinalysis of a patient admitted to the hospital with a urinary tract infection, nausea and vomiting. The following urine and blood results were obtained: Urine Urine specific gravity              1.030 Color                                       Dark Amber Protein                                     2+ Blood trace Blood BUN                                       40 Creatinine 1.2 How would you interpret the importance of the urinalysis? What is the importance of the BUN and creatinine? Discuss one disease process that could elevate the BUN.
Inpatient Hospital Gender M Age 22 Reason for Admission: Admitted from ED. Patient was riding his...
Inpatient Hospital Gender M Age 22 Reason for Admission: Admitted from ED. Patient was riding his bicycle for recreation through a parking lot and was hit by a bus. He impacted the handlebar and appears to have internal injuries. Assessment: stomach laceration TIP: Index of external causes classifies bicyclist using the term pedal cyclist 5 ICD-10-CM Codes:
The patient is admitted to the hospital with a diagnosis of right calf DVT. Below are...
The patient is admitted to the hospital with a diagnosis of right calf DVT. Below are the orders: Bed rest with bathroom privileges CBC, UA, PT, PTT stat Guiac stool daily X 3 days Heparin 5,000 units bolus IV X 1 Heparin 25,000 units in 250ml D5W to infuse at 1000 units/hour ****Have students do the math to determine: What do you set the pump at: mL/hr = 250 ml X 1000 units = 10mL 25,000 units hr hr Adjust...
A patient is admitted to the hospital with a diagnosis of pulmonary embolism (blood clots in...
A patient is admitted to the hospital with a diagnosis of pulmonary embolism (blood clots in the lungs) The patient weighs 155 lbs. Available is 5,000 units Heparin in 250 mL NS. Include the units in bold with your answers. The hospital protocol for IV heparin drip is 15 units/kg/hr. How many units per hr should the client receive? How many mL per hr is this? (round to the tenths)
A patient was admitted into the hospital and was diagnosed with with Type I diabetes mellitus....
A patient was admitted into the hospital and was diagnosed with with Type I diabetes mellitus. As he was ready for discharge, you review his discharge plan with him. Noticing that his urinalysis shows that he has ketones in his urine, how would you explain this to him? A patient was admitted into the hospital and was diagnosed with with Type I diabetes mellitus. As he was ready for discharge, you review his discharge plan with him. Noticing that his...
A patient diagnosed with multiple sclerosis is admitted to the hospital for an acute exacerbation. The...
A patient diagnosed with multiple sclerosis is admitted to the hospital for an acute exacerbation. The patient’s baclofen dose has been increased to 60mg daily by mouth divided into three doses. The order is entered on the medication administration record as 60mg three times a day. On the third day, the patient is noted to confused and complaining of paresthesia. No follow up action is documented by the nurse.   On the fourth day at 8 AM, the nurse finds the...
A patient is admitted to the hospital with dyspnea and COPD exacerbation. The orders from the...
A patient is admitted to the hospital with dyspnea and COPD exacerbation. The orders from the physician include: Stat ABGs, chest x-ray, complete blood count, and electrolytes IV D5W/½ NS 1000 mL/8 hr Aminophylline IV loading dose of 5.6 mg/kg over 30 minutes followed by 0.5 mg/kg/hr continuous IV O2 at 2 L/min per nasal cannula Albuterol respiratory treatments every 4h Chest physiotherapy every 4h Erythromycin 800 mg IV every 6h Bed rest Accurate intake/output High-calorie, protein-rich diet in six...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT