Post a description of a case from your personal or clinical experiences in the l
ID: 127640 • Letter: P
Question
Post a description of a case from your personal or clinical experiences in the last 5 years that involves an elderly patient who has been in at least two different sites of care. Explain the impact of differences in the settings themselves, inherent culture of the settings, and ethical practices of these sites on the patient. Then, explain whether the patient had an advanced directive in place at the time of the change in sites of care, and if so, whether any difficult treatment decisions had to be made as a result. Finally, explain the impact of financial issues on site placement and treatment decisions.
Explanation / Answer
In my clinical experience i have gone through lot of patient and treatment of care. One patient named ramakrishna aged 70 years known case of prostate cance on radiation therapy and chemotherapy. This patient admitted twice in the hospital for different care. First he got admitted with history of prostate cancer and had complaints of hyponatremia and altered level of consciousness and got treated for the same and he suffered with pulmonary edema and eventually got treated and got discharged. Then again got admitted with history of prostate cancer and complaints of hypoglyecemia and seizures and getting treated for the same.but eventually patient is in terminal ill and on ventilator with poor prognosis. As finacial family is ready for all type of care as much as possible.This is two sites of care i have seen with same patient.