Mr. Aburu, 81, with a history of cerebral vascular accidents, was hospitalized as an outpatient for a surgical procedure to incise and drain a skin lesion on his chest. After the procedure, he returned to the long-term care facility with sterile packing in the partially sutured incision site. The packing was to remain for 3 days, then be removed, and the wound covered with a dry dressing. The risk of complications for this type of surgery was considered quite low, and both the nursing home administrator and the attending surgeon saw no reason why the patient could not be adequately cared for in the nursing home immediately after surgery.
Approximately 5 hours after Mr. Aburu returned to the nursing home, blood was observed at the incision site. He was transferred back to the acute care hospital, where he died the following day.
Evidence at trial showed that for the 5 hours that Mr. Aburu was at the nursing home, several licensed and unlicensed personnel attended to him. At lunchtime, two aides escorted Mr. Aburu to the dining room; lunch was about 3 hours after his return to the nursing home. None of the personnel examined his dressing until an aide noticed that he was bleeding though his bed sheets. Shortly after discovering the bleeding, the patient was transferred by ambulance to the hospital. His family has filed a lawsuit for the wrongful death of their father, alleging that the care given to the patient after surgery fell below the acceptable standards of care.
*In the present case study Mr.Aburu 81, year patient with a history cerebrovascular accident has undergone a surgical procedure to incise and drain a skin lesion on his chest.
The case can be considered as a vulnerable group they need standards of care in any setting. They are very prone to get any complications they need continuous medical and nursing care.
Already the patient is having the history of cerebrovascular accident and he is taking the anti-coagulants and the chance of bleeding are more.
Instead of transferring to the nursing home he needs continuous care because the chance of bleeding is more. He needs continuous/frequent monitoring to avoid bleeding and other complications.
And also while taking care of the patient only licensed personnel should be allowed they only know the care to be given during the escorting
And as licensed nursing personnel knows the importance of monitoring the wound site
While taking care of the wound site we have to follow strict aseptic techniques
* As licensed nursing personnel for the patient who is gerontologic are considered as vulnerable. Here for Mr.Aburu, he has the history of a cerebrovascular accident he needs hourly monitoring to avoid further complications. Even though if there is no surgeons order as licensed nursing personnel for those patients who are vulnerable they have to follow all monitoring to avoid the complications and way here Mr.Aburu having the history of cerebrovascular accident and the chance of bleeding from the wound site is more.
*There is a chance of a lawsuit center primarily on the surgeon for allowing Mr.Aburu to sent back to the nursing home for post-operative care instead of keeping for 24 hours in acute care facility post-operatively.
In the present scenario even though the surgeons found that the risk of complications for the surgery was considered low even though the main fact is he is a vulnerable case with the history of cerebrovascular accident and the chance of bleeding are more due to the anticoagulants he used for cerebrovascular accident. The surgeon has to consider this fact before sending him to a nursing care home. He needs continuous monitoring in the acute care hospital itself post-operatively for a 24-hour period to know the status post-operatively to avoid complications.
*The death of Mr, Arburu resulted from transferring patient to a nursing home without getting adequate care in the acute hospital post-operatively for 24 hours and the negligence from the staff at nursing home.
They have to give adequate compensation for the resultant death and measures taken to prevent a further claim that results in death.
Mr. Aburu, 81, with a history of cerebral vascular accidents, was hospitalized as an outpatient for a surgical procedure...
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