Entries by hcpspecialistsadmin

I Know What You’re Thinking

An African American male patient, age forty-two, was admitted to a skilled nursing unit after surgery for head and neck cancer with lymph involvement, newly diagnosed. Extensive excision of the tumor had been done, and the patient had a newly placed tracheotomy and feeding tube. What are the facts that affect this patient’s long-term care? […]

Patient Vulnerability from a System Failure to Protect

With a Medicare policy change, Mary’s home health agency will no longer be able to provide her care. Her husband and sister are unable to provide the high acuity assistance she needs. What is each person’s responsibility when it comes to vulnerable patients who are not protected by the system? Apply Theory (Specific Professional Healthcare […]

Out of Hospital DNRs for School Aged Children

A twelve-year-old boy with terminal osteosarcoma on hospice, is reluctant to return to school after the school informed the family that his DNR request, which was signed by his physician, would not be honored at school. What additional information would you, this child’s healthcare provider, need to know and what would you do with that […]

Unrepresented and Homeless

A 60-year-old homeless man is found confused and in distress by a passerby who calls 911. Paramedics bring the man to the hospital. The man’s feet and legs are swollen and covered in ulcers and dead tissue—diagnosed as osteomyelitis, or infection of his legs. His past medical history is established to include COPD, chronic foot […]

Vaccine Refusal

Mrs Adams refused to take the second Covid – 19 vaccination. She argued she had previously received the first vaccination and had experienced great and extreme suffering, for a long period as a result and that one of her sons had experienced adverse events from the vaccination as well. Mrs Adams argued that the vaccine […]

Rejecting Doctors Orders

55-year-old farmer with worsening, chronic back pain refuses surgery and states he will go to the local chiropractor. His doctor does not feel he can contact the chiropractor, but feels that the manipulation could worsen this patient’s injury. What are the physician’s options when the patient refuses recommended treatment and chooses an option that the […]

Addressing Biases in Health Care Delivery

The American Academy of Family Physicians (AAFP) recommends educating physicians about implicit bias and strategies to address it to support culturally appropriate, patient-centered care and reduce health disparities. Implicit bias, defined as, ‘the attitudes or stereotypes that affect our understanding, actions, and decisions in an unconscious manner,’ is a contributing factor to health disparities. What […]

Provider Attitudes and Behavior

Evidence of implicit bias may be activated under stressful working conditions. Repeated instances of certain patient situations may become engrained as “truths” about an entire population group. What are 3 examples of exposure to bias among providers’ peers which may reinforce their bias, making them more likely to make treatment decisions that are based on […]

Health Disparities and Provider Attitudes

Health care providers maintain problematic explicit ideas about their patients. Implicit bias among providers is likely to remain and influence care in ways that perpetuate disparity and inequity. Fast thinking or quick categorization may get in the way. Does bias contribute to problems in patient–provider interactions and relationships? How? Quality of care? How? Continuity of […]

Some People Don’t Want to Take a COVID-19 Test

In the week ending June 28, FluTracking, a voluntary online surveillance system, reported only 46% of people with a fever and cough had gone for a COVID-19 test. Reluctance to be tested for COVID-19 is not unusual. Least 5 reasons someone may resist Covid-19 testing or screening? Should we require people to get tested? Do […]