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Chapter 27 - Why Do We Have to Discharge This Patient?

from Part VII - The Big Picture:

Published online by Cambridge University Press:  17 May 2025

Paul J. Ford
Affiliation:
The Cleveland Clinic Foundation, Cleveland
Denise M. Dudzinski
Affiliation:
University of Washington School of Medicine, Seattle
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Summary

In this chapter of Complex Ethics Consultations: Cases that Haunt Us, the author describes a case in which she was the community member on an ethics committee undertaking a retrospective ethics review of a case where a patient’s surrogate shifted to end-of-life care and discharge to home after being told Medicare (government insurance) would no long pay for his hospitalization. Although the consult was called on a Friday while the patient was alive, it was not reviewed by the full committee until Tuesday, by which time the patient had died.

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Chapter
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Complex Ethics Consultations
Cases that Haunt Us
, pp. 213 - 218
Publisher: Cambridge University Press
Print publication year: 2025

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References

Hilfiker, D. Facing our mistakes. N Engl J Med, 1984; 310(2): 118–22.CrossRefGoogle ScholarPubMed
Kane, RL, Rockwood, T, Hyer, K, et al. Rating the importance of nursing home residents’ quality of life. J Am Geriatr Soc, 2005; 53(12): 2076–82.CrossRefGoogle ScholarPubMed
Dresser, R, Astrow, AB. An alert and incompetent self: The irrelevance of advance directives. Hastings Cent Rep, 1998; 28(1): 2830.CrossRefGoogle ScholarPubMed

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