73. the four legal issues related to this scenario are
Negligence: in this particular case negligence from the healthcare providers are evident. It was observed from the case that when Nelly came to see John he was sitting in the chair for hours and was unable to move. Proper care was not taken by RN Sam and PCA Janet in this context. There are practically four elements in context to negligence like duty of care, breach in duty of care, physical and psychological damage and causation. In this context it has been found that RN Sam and PCA Janet breached their duty of care. RN Sam dismayed his co workers and did not pick up Johns changed pressure injury. This led John to a more painful state. Again Nelly found him short of breath and flushed that was another instance where negligence could be found. When the pressure ulcer was at stage 1 then only the duty of the RN and the PCA was too take care of John but they failed to do so. The GP was also responsible in this context as he was too casual about Johns case.
Documentation: proper documentation was not adhered in the case of John as it can be observed from the case study. In a nursing practice proper documentation is very much important. In this case it was found that after the first documentation, there were no recording found. RN Sam saw that there were no documentation of John’s assessment since the past week/ his worsened injury was not reported. There were also no recordings that the prescribed cream was applied to him.
Competence and medical treatment decision making: Proper decision making was not adhered by the GP as when RN Sam reported that John was going through a first stage of pressure ulcer, the GP needed to have played more attention to it as he was unable to move. There is a question on competence in this case to RN Sam, PCA Janet who were supposed to do their duty with care but failed to do so.
Social media breach: the case study presented that John was not taken proper care off which unfortunately led to his death. There was a social media breach as no valid consent was taken from Nelly if RN Sam could post in Social media. It was a breach in terms of confidentiality and privacy. He merely died out of negligence from the healthcare providers and experts. In this case Nelly can sue the healthcare practitioners as John died out of negligence, breach of duty of care, physical harm was very much there in the case of John.
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