Standards

The patient, a 60-year-old female, was admitted to the hospital for an assessment of her fever, which revealed that she had a methicillin-resistant Staphylococcus aureus (MRSA) infection originating from the site of her renal dialysis shunt. The patients medical diagnoses included end-stage renal failure hypertension and diabetes. In the hospital, the patients condition progressed to septic shock accompanied by respiratory failure, which required that she be intubated, placed on a ventilator, and admitted to the intensive care unit (ICU).

Restraints were ordered in the ICU for both upper extremities. There were also orders for standard hospital admitting orders for pressure-ulcer precautions. The patient was hospitalized for over a month during which time the MRSA infection resolved. After discharge, the patient had multiple pressure ulcers, which started and progressed in the hospital and required ongoing aggressive treatment. The patient sued the hospital for negligence related to the skin care she received while a patient in the hospital.

How would you show that this nurse had met the standards of care for this patient? What arguments would you use to show that the nurse had met the legal standards of care? describe the impact of laws, regulations, and ethics on the practice of nursing, giving particular attention to its impact on current nursing practice and healthcare delivery.

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