Mr. Jones, a 68-year-old Hispanic male, died of a toothache on Sunday morning. Prior to experiencing a toothache, Mr. Jo

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Mr. Jones, a 68-year-old Hispanic male, died of a toothache on Sunday morning. Prior to experiencing a toothache, Mr. Jonessuffered a stroke. As a result of the stroke, Mr. Jones experienced difficulty swallowing and speaking due to partial facial paralysis. During a routine visit with his primary care provider (PCP), the PCP performed a head and neck exam. The PCP noticed that Mr. Jones had very bad breath and assumed it was due to excessive food accumulation on the side of his mouth that was not paralyzed. After speaking to Mr. Jones briefly about how to properly clean his mouth the PCP recommends that he also visit a dentist to address his oral condition. In addition, the PCP advises Mr. Jones of her plans to refer him to a speech-language pathologist (SLP) for a consult due to his difficulty with speaking and swallowing. Mr. Jones is in moderate painduring the visit and has difficulty explaining his health issues. He asks the provider if he could call his wife to speak on his behalf. The PCP declines the option of speaking with Mr. Jones’ wife and assures Mr. Jones that she fully understands his concerns. The PCP is convinced that Mr. Jones’ pain and difficulty speaking is a result of the trauma he experienced from the stroke. The PCP prescribes pain medication and instructs hermedical assistant to schedule a SLP appointment for Mr. Jones. There was no further assessment or intervention.
Later that afternoon, Mr. Jones visits the pharmacy to fill his prescription. He is suddenly overcome by pain and complains of a headache and dizziness. The pharmacist counsels Mr. Jones on how frequently to take his medication. The pharmacist notices his facial paralysis, mental confusion, and difficulty speaking but does not dig deeper to address his condition. She assumes the pain medication will help. Later that evening, the medical assistant calls Mr. Jones’ wife and informs her that she had trouble securing a SLP willing to accept Medicare and could not schedule the appointment. Mr. Jones’ wife informs the medical assistant that Mr. Jones is in agonizing pain that radiates from his neck to his shoulder. The medial assistant advises Mrs. Jones to apply a heat pad to Mr. Jones’ neck and to make sure that he takes his pain medication.
Two days pass by and Mr. Jones is rushed to the emergency room by his wife. Mr. Jones is experiencing severe swelling, difficulty breathing, and severe pain in his mouth and chest. The emergency room nurse notes that he has a fever and chills when he arrives. An x-ray shows a broken and infected tooth in the back of his mouth. The x-ray shows a large area of infection in Mr. Jones’ jaw and spread of infection to his brain and surrounding tissues. Mr. Jones stayed in the hospital for three days and died on Sunday morning. A routine $80.00 extraction might have saved him. Interprofessional collaboration might have saved him.
patient outcomes.
Why do you think Mr. Jones’ condition progressed to such an extreme? How did the healthcare system fail Mr. Jones and his family?
What could each provider have done differently? Where in the process of care did incidents (i.e., medical errors, harm) occur?
Identify the professions that can be applied to address Mr. Jones’ needs?
Provide examples of what each profession could do to better serve Mr. Jones.
Aside from health outcomes, were there additional consequences of Mr. Jones’ treatment?