Case Study Summary
Case study 1: The case study describes a health scenario involving a 52-year old LPN who is adamant to take part in the medical interventions despite her health risk. The patient is obese, diabetic, and suffers from hypertension. The patient is non-compliant with her prescribed medication (Lisinopril 10mg and Metformin 1000mg), and she refuses any work or vaccination to be done on her. Gwen (the patient) fails to comply with the medical interventions despite being a LPN.
Legal Implications
Negligence on the part of both the nurse and the patient is the legal implication in the case study. It is the responsibility of the nurse to provide the patient with the appropriate information pertaining to her health status and risks of non-compliance with the medical interventions (Jones & Bartlett Learning, n.d). The nurse attending the patient would be sued for failing to enlighten the patient about her health risks. The patient, on the other hand, is an LPN and is therefore aware of the health risks of non-compliance. However, she still does not facilitate the delivery of quality care and risk management by the nurses at the facility.
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Key Components of Malpractice Policy in the Case Study
The key components of malpractice policy identified in the case study are the nurse practitioner’s duty to the patient and breach of the duty to the patient. The nurse practitioner has an obligation to provide quality care to the patient, risk management, and informing the patient on the implications of bad choices and non-compliance on the patient’s health and reporting patients who fail to heed the nurse’s instructions and advice to the relevant authorities. The nurse practitioner in the case study will have failed in enlightening and warning the patient about the implications of non-compliance (Stelmach, 2015). Also, the nurse practitioner failed to report Gwen for her persistent non-compliance.
Collaborative Agreements and Rules of California For A Nurse Practitioner
The Nursing Practice Act, Business and Professions Code Section 2725 specifies the scope of practice of NPs and RNs. These functions include the provision of basic health with the intent of resolving the patient’s condition or preventing the development of a secondary life-threatening condition (Jones & Bartlett Learning, n.d). The act mandates the NPs to take necessary measures in ensuring the promotion of health among the patients, including ensuring patient compliance with the appropriate clinical interventions.
References
Jones & Bartlett Learning. (n.d) Legal Scope of Practitioner Nurses. Retrieved from http://www.jblearning.com/samples/0763749338/49338_ch02_pass2.pdf
Miller, K. P. (2013). The National Practitioner Data Bank: An Annual Update. The Journal for Nurse Practitioners, (9)9, 576-580.
Stelmach, E. I. (2015). Dismissal of the Noncompliant Patient: Is this What We Have Come to? The Journal for Nurse Practitioners, 11(7), 723-725.
