JIGNESH CASEIntroductionThe case of Jignesh shows an intersection of ethical, legal, and professional issues in patient care. The operation of a healthcare professionals and their relationship to the patient is governed by high decree of ethical, legal and professional aspects that have to be observed from time to time. As will be found in the Jignesh case, ethical, legal and professionals issues surface in different ways. The problemJignesh is brought to hospital diagnosed with septicemia. Apparently, the condition of Jignesh deteriorates and has to be admitted to the ICU after he had been admitted to the hospital for treatment of leukemia which presented red and inflamed PICC line.
From the case study, it is evident that Jignesh understood his medical conditions well but at the same time he was in a dilemma because his wife also depended on his as she had cancer. There are ethical, legal and other professional issues that arise in the course of treatment of Jignesh as will be reviewed below. EthicalMedical practitioners are supposed to observe a number of ethical issues in their day to day practices (Kerridge, Low, & McPhee, 2005).
Different ethical issues that may arise in the course of medical services include protection of patient rights and autonomy, minimizing risk, informed consent, caring for families who are misinformed, and many others. In the case of Jignesh, the major ethical issue that arises is Jignesh was denied his medical preferences. According to Becky, Jignesh was very much aware of his medical conditions and he wanted to the cardiac surgery so that he could live more than his wife to take care of her. It is evident that doctors had indicated a 50-50 chance of recovery from the surgery but Jignesh was ready to take the risk so long as it would give him prolonged life to take care of his wife.
In addition, it is ethical to make patients become aware of medical procedures they are supposed to undergo with a good explanation of why they have to undergo those procedures. As Becky learned, Jignesh was not aware of NFR order against him. Neither Jignesh nor any of his relatives had been involved in making the NFR order against him.
LegalLegal issues in patient care can be described as those issues that may result to legal implication for the medical practitioner (Kerridge et al. , 2005). In the case of Jignesh, there are a number of legal issues that surfaces. First, there is evident inadequate assessment of the patient. There are conflicting reports of the patient being admitted to the ICU while he is classified as NFR. This means that there was conflicting and inadequate assessment of the patient. Second, there is inadequate communication. In this case, the case of NFR goes undocumented by the Oncologist and it is the nurse on duty who inscribes it in the report using a pencil.
Third, when the patient heart rate dropped to 42bpm, intravenous atropine was not order to treat the condition because the patient had been documented NFR. These incidences could as well be treated as medical errors that could have cost Jignesh his life.