CS 1
An 82-year-old patient had an elective total hip replacement on a Monday morning. She lives alone, and all three of her children live
out of state. She has a friend. a nurse, who lives locally, who is listed as her durable power of attorney, along with her children. Upon
admission, the patient noted that the phone number of her daughter, her primary emergency contact, was incorrect, and she provided
the correct information to the clerk, who indicated that the information would be corrected. For 2 days, her postoperative course was
uneventful, and her daughter went home on Tuesday night. On Wednesday evening. the patient had a dramatic drop in blood
pressure, became delirious, and was transferred to the ICU. The night staff attempted to call the daughter at the phone number that
was provided, but it was the wrong number because the correction was never made. The following morning, the daughter called the
unit to inquire about her mother. She was told that the mother was not on the unit, and no information could be given out because of
HIPAA. The daughter then called the hospital and was told her mother was in the ICU, and then when she called the ICU. she was told
that no information could be given out. Subsequently, the daughter contacted the family friend, who provided her with names of the
nursing leadership staff and the patient ombudsman. The friend arrived at the hospital within an hour, and the daughter arrived in the
afternoon.
CS 1 Questions:
1. CS 1 Questions: (minimum of one paragraph per question)
1. What is patient advocacy based on the Yoder-Wise text and current pcer-reviewed journal literature?
2. What is the purpose of the emergency contact?
3. What is the function of a Durable Power of Attorney?
4. What is the nurse’s primary responsibility for patient advocacy in this situation during and after the incident?
How should the nurse have advocated for the patient and family when the patient’s status changed that Wednesday night?
. How should the nurse have advocated for the paticnt and family when the daughter called the unit to inquire about her mother the following
morning?
How should the ICU nurse have advocated for the patient and family when the daughter called to fnd out information about her mother?
.How should the nurse advocate for the patient and family when the fricnd does arrive at the hospital within the hour?
How should the nurse advocate for the patient and family when the daughter arrives in the afternoon?
5. What two steps should be taken to ensure that this kind of situation doesn’t happen again?
Requirements:
. Post CS 1 by Thursday
. Reply to 2 of your course peers by Sunday.
– Demonstrate depth and thought in your posting and your responses by citing at least 2 references ( 1 peer-reviewed no more than
7 years old and Yoder- Wise Text) for your posting and each of
