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Situation: A 41-Year-Old Woman With A History of Asthma Presents To The Emergency

A 41-year-old woman with asthma presents to the emergency department with shortness of breath and wheezing. After treatment, she is still wheezing but comfortable. The hospitalist recommends staying for further treatment, but the patient wants to return home to care for her elderly mother. Though the risks are explained, the patient insists on leaving against medical advice. It is the patient's right to make her own decision after being informed of the risks.

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De Leon Cj
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54 views1 page

Situation: A 41-Year-Old Woman With A History of Asthma Presents To The Emergency

A 41-year-old woman with asthma presents to the emergency department with shortness of breath and wheezing. After treatment, she is still wheezing but comfortable. The hospitalist recommends staying for further treatment, but the patient wants to return home to care for her elderly mother. Though the risks are explained, the patient insists on leaving against medical advice. It is the patient's right to make her own decision after being informed of the risks.

Uploaded by

De Leon Cj
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Cejay L.

De Leon

BSN IV-A Mr. Rene Mundin

Situation: A 41-year-old woman with a history of asthma presents to the emergency

department (ED) with shortness of breath and wheezing. She is diagnosed with a mild asthma

exacerbation. After three albuterol nebulizer treatments, she still has wheezing on physical

examination but appears comfortable and has no oxygen requirement. She has a primary

medical doctor at the hospital and follows up with her regularly. The hospitalist recommends

that she stay in the hospital for further treatment, but the patient says she has a nebulizer

machine at home and asks to be discharged. In addition, she is worried about her frail elderly

mother, for whom she is the primary caretaker. The hospitalist acknowledges her concerns but

continues to recommend that she remain in the hospital for additional care and monitoring. She

becomes visibly upset and insists that she must return home. She asks for prescriptions for

albuterol and prednisone and is discharged against medical advice (AMA).

On the situation above, because of the condition of his mother, though it was explained

to her that she needs to stay in the hospital and conduct more diagnostic tests to help her in her

condition, she still decided to be discharged against medical advice. It is beyond our control,

since the patient chose to prioritized her mother’s need and because she also felt well after the

interventions given to her. We cannot force the patient since she wanted to take care of her

mother, so we just need to explain the importance of following the physician but if she still

wishes to be discharged, it is her right, as long as we know that we explained everything to her

and provided her the optimum care we should just allow her, since it was her choice.

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