Against‐Medical‐Advice Discharges from the Hospital

Against‐Medical‐Advice Discharges from the Hospital

Author: David Alfandre

Publisher: Springer

Published: 2018-12-22

Total Pages: 181

ISBN-13: 9783030091552

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This first-of-its-kind text provides a multidisciplinary overview of a significant problem in hospital-based healthcare: patients who decline inpatient medical care and leave the hospital against medical advice (AMA). Compared to standard hospital discharges, AMA discharges are associated with worse health and health services outcomes. Patients discharged AMA have been found to have disproportionately higher rates of substance use, psychiatric illness, and report stigmatization and reduced access to care. By providing a far reaching examination of AMA discharges for a wide academic and clinical audience, the book serves as a reference for clinical care, research, and the development of professional guidelines and institutional policy. The book provides both a broad overview of AMA discharges with chapters on the epidemiology, ethical and legal aspects, as well as social science perspectives. For clinicians in the disciplines of hospital medicine, pediatrics, emergency medicine, nursing, and psychiatry, the book also provides a patient-centered analysis of the problem, case-based discussions, and a discussion of best practices. This comprehensive review of AMA discharges and health care quality will interest physicians and other health care professionals, social workers, hospital administrators, quality and risk managers, clinician-educators, and health services researchers.


Against Medical Advice

Against Medical Advice

Author: Luanne Linnard-Palmer

Publisher: SIGMA Theta Tau International

Published: 2021-07-15

Total Pages: 224

ISBN-13: 9781646480524

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"Refusal, delay or limitation of traditional medical treatments, including vaccines, is an increasing phenomenon. With the desire to apply one's religion, culture or philosophy, treatment refusals are on the rise. Professionals working in social sciences, medicine, pharmacy, ancillary services as well as nurses in academic environments, professional settings and advanced practice roles can use this book as a resource to understand the complexity, diversity and profound impact of pediatric and adult treatment refusals, delays or limitations. Communication is the central thread throughout the book as the first step in safety is to assess the individual or families' beliefs, culture or philosophical perspectives, understand the impact of these perspectives, share concerns with other healthcare team members, and seek a negotiation or safe outcome for all involved. This book provides the historical background, legal implications and ethical concerns when individuals or families either limit, refuse or delay traditional Western medical care based on their religious, cultural or philosophical beliefs. Findings from recent ethnographic research, clinical guidelines and latest technology are shared to provide examples of current refusal scenarios and to demonstrate the impact on those involved. This book is written for members of every discipline who are involved with pediatric and adult health care including in-patient, critical care, out-patient settings, home care, palliative care, and non-traditional or integral care practices. The center of the struggle is the well-being of the child and adult- no matter what process is utilized to reach treatment goals"--


AGAINST MEDICAL ADVICE

AGAINST MEDICAL ADVICE

Author: Simone L Gisondi

Publisher:

Published: 2021-12-15

Total Pages: 222

ISBN-13:

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In the middle of a painful divorce and becoming a single mother, Simone, a beautiful 30something-year-old, suddenly falls ill.She finds herself in the resuscitation room of the hospital, fearing for her life, having just suffered a stroke.What caused Simone to have a stroke at such a young age, no doctor could answer.Frustrated with the lack of answers and by being treated like older stroke patients, she decides to take healing into her own hands and starts rebuilding her life on her own terms. Simone reclaims her life against medical advice.


Nurse's Legal Handbook

Nurse's Legal Handbook

Author: Kathy Ferrell

Publisher: Lippincott Williams & Wilkins

Published: 2015-08-31

Total Pages: 360

ISBN-13: 1496302613

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An authoritative guide to the legal and ethical issues faced daily by nurses, this handbook includes real-life examples and information from hundreds of court cases. It covers the full range of contemporary concerns, including computer documentation, workplace violence and harassment, needlesticks, telephone triage, pain management, prescribing, privacy, and confidentiality. An entire chapter explains step-by-step what to expect in a malpractice lawsuit.


Improving Diagnosis in Health Care

Improving Diagnosis in Health Care

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2015-12-29

Total Pages: 473

ISBN-13: 0309377722

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Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.


Government-Sponsored Health Insurance in India

Government-Sponsored Health Insurance in India

Author: Gerard La Forgia

Publisher: World Bank Publications

Published: 2012-09-14

Total Pages: 446

ISBN-13: 0821396196

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This book presents the first comprehensive review of all major government-supported health insurance schemes in India and their potential for contributing to the achievement of universal coverage in India are discussed.


Care Without Coverage

Care Without Coverage

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2002-06-20

Total Pages: 213

ISBN-13: 0309083435

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Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.


Legal Issues in Emergency Medicine

Legal Issues in Emergency Medicine

Author: Rade B. Vukmir

Publisher:

Published: 2018-03-22

Total Pages: 371

ISBN-13: 1107499372

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This book provides a clear pathway through the common yet complex legal dilemmas frequently encountered in emergency medical practice.


Ask Me About My Uterus

Ask Me About My Uterus

Author: Abby Norman

Publisher: Bold Type Books

Published: 2018-03-06

Total Pages: 312

ISBN-13: 1568585829

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For any woman who has experienced illness, chronic pain, or endometriosis comes an inspiring memoir advocating for recognition of women's health issues In the fall of 2010, Abby Norman's strong dancer's body dropped forty pounds and gray hairs began to sprout from her temples. She was repeatedly hospitalized in excruciating pain, but the doctors insisted it was a urinary tract infection and sent her home with antibiotics. Unable to get out of bed, much less attend class, Norman dropped out of college and embarked on what would become a years-long journey to discover what was wrong with her. It wasn't until she took matters into her own hands -- securing a job in a hospital and educating herself over lunchtime reading in the medical library -- that she found an accurate diagnosis of endometriosis. In Ask Me About My Uterus, Norman describes what it was like to have her pain dismissed, to be told it was all in her head, only to be taken seriously when she was accompanied by a boyfriend who confirmed that her sexual performance was, indeed, compromised. Putting her own trials into a broader historical, sociocultural, and political context, Norman shows that women's bodies have long been the battleground of a never-ending war for power, control, medical knowledge, and truth. It's time to refute the belief that being a woman is a preexisting condition.