Malpractice and Standard Care Case Discussion About the Patient
Name: Lucia
Age: 15
Gender: Female
Guardian/parent: Mother
Other details: Hispanic
1January 2012
Lucia was seen in an emergency room two days earlier for nausea, abdominal pain and vomiting. She was then seen at the outpatient mental health clinic by the psychiatric nurse practitioner, who worked under the supervision of the off site psychiatrist. The clinic received federal funding.
The psychiatric nurse practitioner was informed of the recent emergency room visit during the review of the intake paperwork completed by Lucia’s mother. The psychiatric nurse practitioner prescribed Zofran 4 mg by mouth every 4 hours prn for nausea and Prozac 40 mg by mouth every morning on a prescription pad which had been pre-signed by the supervising psychiatrist. The psychiatric nurse practitioner’s notes indicated that the Prozac was prescribed for depression, but an in depth screening and safety risk assessment was not documented.
2February 2012
The patient was instructed to return in one month. Three weeks later Lucia hung herself in her bedroom closet with a belt. She was found by her mother and brother and was transported to a nearby hospital. The patient suffered a catastrophic brain injury and died three years later. She required around-the-clock care during those three years.
Family’s Complaint
The family claimed that Prozac should not have been prescribed due to a lack of signs of clinical depression and claimed that the FDA had issued a warning regarding the use of Prozac in adolescents, specifically that Prozac use in adolescents increased the risk of suicidal thinking and behavior.
NP’s Claim
The psychiatric nurse practitioner claimed that the clinical evaluation for depression supported the diagnosis. The psychiatric nurse practitioner also claimed that the suicide attempt followed a breakup with her boyfriend and a fight with her father and that the medication played no part in the incident.
Please review the listed questions.
Identify the defendants AND areas of negligence in this case.
Identify and describe appropriate screening measures and safety risk assessment procedures in adolescents with depression.
Reflect on this case and identify what you would have done differently as a psychiatric mental health nurse practitioner.
Review the risk reduction strategies identified in Buppert (2017) pages 306-309, and identify which of the strategies may have reduced the risk of the outcome presented in this case.
What do you think the verdict was and why?
Nurse Practitioner’s Business Practice and Legal Guide 6th Edition.pdf(PDF, 6 MB)
Purpose: The purpose of this paper is to foster your synthesis of course content relevant to medical liability concepts. You should complete the learning materials before completing the case as important background information will be included in these resources.
Process: A rubric is provided to assist in communicating the expectations for this assignment. The questions within each case study are designed to direct the focus of your paper. Reference the paper where appropriate, especially in the discussion about the standard of care.
Case Navigation: Begin by clicking on “About the patient” tab in the main page, followed by the information presented in each of the tabs on the left panel. When you have completed reading the patients situation, select the “Review the Case” box, which will provide you with the questions that need to be completed for this assignment. Please answer the following questions listed as they relate to the case and the learning material related to malpractice and standard of care.
Remember to use APA format, including cover sheet and a reference list.
The paper should be about 3–5 pages in length.