discussion

Reflect on issues that occurred because of the change in the patient’s sites of care. Think about the impact of differences in the settings themselves, inherent cultures of the settings, and ethical practices of these sites on the patient.Consider whether the patient had an advanced directive in place at the time of the change in sites of care. Reflect on whether any difficult treatment decisions had to be made as a result.Think about the impact of financial issues on site placement and treatment decisions.By Day 3Post 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.++++++++FOR THE PATIENT USE 71 Y/O FEMALE PRESENTED TO ER FOR FALL AND HAD TO HAVE SUTURES TO THE SCALP , THAT HAS HAD A DECLINE IN MOBILITY MULTIPLE FALLS AND NEEDS TO HAVE A CHANGE OF CARE TO A NURSING HOME FROM PERSONAL CARE HOME FOR DECLINE IN MOBILITY AND ABILITY TO LIVE ALONE

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