Mr. Gold is a patient in your rural ICU and for the past 4 months. He is on a vent and is paralyzed from ALS.
The only real movement is that he can blink his eyes. At times when you are caring for him he appears to be crying and it is disturbing to you because he cannot readily communicate. His wife comes in daily and asks many questions about how he is doing and has a hard time not crying.
The physician orders many daily tests. You wonder why since Mr. Gold certainly will not recover from this devastating disease.
One day the wife comes in demanding to have Mr. Gold removed from the vent.
The Pulmonologist orders a ‘weaning trial’; which Mr. Gold fails. You attempt to log into the computer to review his data, however the computer system is down.
Without access to the computer system containing Mr. Golds information, you are concerned as you need it to understand what is going on.
Address one of the following questions regarding this case and provide evidence to support it from our course materials or outside readings in your main post. Then respond to one or more student’s main posts.
Question: Computer systems can go down without warning, though infrequently. This can impact the care for Mr. Gold or any patient you are caring for in any setting. What would be alternatives necessary in caring for Mr. Gold in such a situation so you can meet his and Mrs. Golds needs?
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