Case 4 காராமா Shout the patient have be het went into com and had no ad bowiec Advance Directives The towed and Code w An 18-year-old malent was to Greenfields Nursing Home, Sous Carl Then another skilled ning facility located in North Carolina. The patient was moved to South Carolina because le qualified for Medicaid in the state. The patient stayed Greenfields for 12 yearstil his death the age of 30 The patient had to head injury in an auto accident at the speef 15. As a result of this injury, the patient became comatose. He remained in a persistente ctative state and had a 6-tube for me feeding. However, the patient's overall condition was stable. He rechedman sance rehabilitation for severe concurs in hands, arms, and feet. The patient also received regular sensory stimulation The patient had fevers off and on in the range of 100°F 7.8 to 1024 F (389° C). His fevers were most likely to he secondary in nature because most other Cases, such as infections, were ruled out. The nursing staff was able to control the fevers using ice packs and alternate of Tylland MA time, however, the two des of tract infection le எலputral at current pHe beginning in highs 105F (414) Spumant was showed the presence of me icillissant Sacs (MRSA). At times over tion required heation in the sivenementy, the had be placed att Shortly after the site pain's mother had doned in the mother is the one who caused the sides that shed in this given had she was doing the vehicles of rice. The patient ha emily contact whatsoever. The courte the Department of Social Services as patient's legal and The Department Social Services, however, was involved in his care and did not give any regarding city of treatment. The patient sally died of natural cases 470
Cezo) Assignment 471 Assignment 1. Should the patient have been referred What role would advance directives have played in this case? 3. How might Greenfields Nursing Home be able to obtain advance directives in a similar situation? to hospice care? 2. The patient went into coma at the age of 15 and had no advance directives.
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