Civil law. Case study#2.

Welcome to your Civil law. Case study#2.

Question 1 of 6. Civil law.CS2

Background: An elderly patient resided in a nursing home for nearly a year. Following her stay, she was hospitalized for six days with diagnoses of gram-negative septicemia, gram-negative sepsis, and acute myeloid leukemia. A previously undocumented necrotic Stage III pressure ulcer on her coccyx was identified upon her hospital admission. The nursing home's progress notes made no mention of any specialized mattress or other comfort devices for the patient. The patient's family filed a lawsuit, alleging the patient's death from leukemia was tied to negligent care at the nursing home. The defense lawyer for the facility refuted any negligence claims regarding the patient’s death.
Considering the background information, how might the lack of documentation have impacted the outcome of this case?

It strengthened the nursing home's defense by not providing evidence of negligence.

It weakened the nursing home's defense by creating gaps in the patient's care record.

It did not affect the outcome as oral testimonies can replace written documentation.

It highlighted efficient care by the nursing staff.

It showed that the hospital was primarily at fault for the patient's condition.

It demonstrated that the patient's family was not adequately informed.

The lack of documentation was irrelevant to the lawsuit.

Question 2 of 6. Civil law.CS2

Background: An elderly patient resided in a nursing home for nearly a year. Following her stay, she was hospitalized for six days with diagnoses of gram-negative septicemia, gram-negative sepsis, and acute myeloid leukemia. A previously undocumented necrotic Stage III pressure ulcer on her coccyx was identified upon her hospital admission. The nursing home's progress notes made no mention of any specialized mattress or other comfort devices for the patient. The patient's family filed a lawsuit, alleging the patient's death from leukemia was tied to negligent care at the nursing home. The defense lawyer for the facility refuted any negligence claims regarding the patient’s death.
Based on the case, which factors might indicate negligence on the part of the nursing staff? Select all that apply

Undocumented pressure ulcer.

Absence of notes on specialized mattresses or comfort devices.

Acute myeloid leukemia diagnosis.

Lack of family communication about the patient's condition.

Patient's extended residence in the nursing home.

No previous records of any other complications.

Hospitalization for septicemia and sepsis.

Question 3 of 6. Civil law.CS2

Background: An elderly patient resided in a nursing home for nearly a year. Following her stay, she was hospitalized for six days with diagnoses of gram-negative septicemia, gram-negative sepsis, and acute myeloid leukemia. A previously undocumented necrotic Stage III pressure ulcer on her coccyx was identified upon her hospital admission. The nursing home's progress notes made no mention of any specialized mattress or other comfort devices for the patient. The patient's family filed a lawsuit, alleging the patient's death from leukemia was tied to negligent care at the nursing home. The defense lawyer for the facility refuted any negligence claims regarding the patient’s death.
Considering the information provided, was negligence in the care of this patient the ultimate cause of her death?

Question 4 of 6. Civil law. CS2

Background: An elderly patient resided in a nursing home for nearly a year. Following her stay, she was hospitalized for six days with diagnoses of gram-negative septicemia, gram-negative sepsis, and acute myeloid leukemia.
A previously undocumented necrotic Stage III pressure ulcer on her coccyx was identified upon her hospital admission.
The nursing home's progress notes made no mention of any specialized mattress or other comfort devices for the patient. The patient's family filed a lawsuit, alleging the patient's death from leukemia was tied to negligent care at the nursing home.
The defense lawyer for the facility refuted any negligence claims regarding the patient’s death.

Which standards for documentation did the patient’s nurse likely breach? Select the best match for each scenario.

For pressure ulcers, the standard is and for comfort devices the standard is

Question 5 of 6. Civil law.CS2

Background: An elderly patient resided in a nursing home for nearly a year. Following her stay, she was hospitalized for six days with diagnoses of gram-negative septicemia, gram-negative sepsis, and acute myeloid leukemia. A previously undocumented necrotic Stage III pressure ulcer on her coccyx was identified upon her hospital admission. The nursing home's progress notes made no mention of any specialized mattress or other comfort devices for the patient. The patient's family filed a lawsuit, alleging the patient's death from leukemia was tied to negligent care at the nursing home. The defense lawyer for the facility refuted any negligence claims regarding the patient’s death.
Given the evidence and potential gaps in care, how would you decide this case?

In favor of the patient's family due to clear negligence.

In favor of the nursing home as there's no direct link to the patient's death.

Partial liability for the nursing home due to care deficits but not for the patient's death.

Dismiss the case due to insufficient evidence.

Refer the case for further medical examination.

Hold the hospital responsible for not diagnosing the pressure ulcer earlier.

In favor of the patient's family but only for emotional distress.

Question 6 of 6. Civil law.CS2

Background: An elderly patient resided in a nursing home for nearly a year. Following her stay, she was hospitalized for six days with diagnoses of gram-negative septicemia, gram-negative sepsis, and acute myeloid leukemia. A previously undocumented necrotic Stage III pressure ulcer on her coccyx was identified upon her hospital admission. The nursing home's progress notes made no mention of any specialized mattress or other comfort devices for the patient. The patient's family filed a lawsuit, alleging the patient's death from leukemia was tied to negligent care at the nursing home. The defense lawyer for the facility refuted any negligence claims regarding the patient’s death.
Regarding the nursing home's defense, which strategies or evidence might they employ to counter the negligence claims? Select all that apply

Provide other patient records showing consistent documentation practices.

Evidence of regular staff training on care procedures and documentation.

Records of other patients with pressure ulcers and their care regimen.

Testimonies from staff on the patient's daily care.

Medical literature showing leukemia's severity and its potential outcomes.

Information on hospital care during the patient's stay.

A statement from the nurse responsible for the patient's care.

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