Case Studies

Hospital Fall Expert Witness

HOSPITAL FALLS – NEGLIGENCE Nurse from PennsylvaniaIn a world of highly publicized malpractice trials, where spectacular sums are awarded by juries for severe damage or loss of life incurred by relatively young complainants, we may tend to overlook the cases of elderly clients with terminal diseases, who sustain injury or loss of life directly attributable to negligence. Every year, thousands of these potential cases against hospitals, physicians, and particularly against nursing personnel go unnoticed. On of the most common sources of inadequate nursing care contributing to complications and death of older patients is the failure to minimize the risk of patient falls during a hospital stay. While it is the physician’s responsibility to...
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Hospice Nurse Expert Witness

PROPER PATIENT CARE Nurse from New Jersey Many patients slip and fall through the cracks of fall risk assessment protocol long before they actually slip and fall in the hospital or nursing home setting. Lack of attention to mandatory fall risk assessment forms or failure to monitor a patient with the intensity required by their fall risk score proceeds a large number of injuries which could be predicted and prevented. The failure to identify and reassess patients creates an environment of predictable and preventable harm which translates into injury and the need for litigation. Many of these patients demonstrate actual documented changes in behavior which do not translate into a change in...
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Ophthalmologist Expert Witness

DIABETIC RETINOPATHY Ophthalmologist from South Dakota Background information on diabetic retinopathy: Diabetes mellitus of longstanding duration, usually fifteen to twenty years, may affect the retina of the eye. Diabetic retinopathy develops over this prolonged period and exists in two forms, background diabetic retinopathy (BDR) and proliferative diabetic retinopathy (PDR), and these forms may coexist. BDR creates problems when damaged small blood vessels leak fluid into the central retina causing blurred vision. PDR is a proliferation of new blood vessels accompanied by fibrous tissue and may cause hemorrhaging inside the eye, which may interfere with vision. The patient's vision is no reliable guide to the presence or severity of diabetic retinopathy and frequently...
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Nurse Expert Witness – Life Care Planner Nurse

LIFE CARE PLANNER NURSE

Questions and Answers

Q. What is a life care plan? What does it include?

A. It’s a tool used to estimate medical and nonmedical needs of a person with a catastrophic injury or chronic illness over an estimated lifespan. Like every nursing plan of care, it’s designed to be dynamic. It’s based on published standards of practice, comprehensive assessment, data analysis, and research. A LCP may include medical needs and costs, such as physician and nursing care, medication, and therapies, and less-obvious things like goods and services to help with safe aging in place, architectural modifications, change in level of care anticipated, equipment/maintenance/replacement, transportation, furnishings-- anything that...

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Laparoscopic General Surgeon Expert Witness

LAPAROSCOPIC CHOLECSTECTOMY General Surgeon from Georgia This procedure gained worldwide acceptance in the early 1990's. It essentially replaced open cholecystectomy. Unfortunately, early training in the technique was often inadequate and complications rapidly followed. Entry into the abdomen was Ablind@ with large, pointed trocars resulting in injury to vital organs and large blood vessels. Deaths were recorded with regularity. Internal procedural injuries included injuries or division of bile ducts and destruction of hepatic blood vessels. Both types of injuries can be devastating to the longevity of the patient in spite of adequate, accepted repairs. The surgeon must be held to the same standards as for open cholecystectomy. Although possible complications may be explained to...
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