About this Lesson
CASES
Ready for Discharge?
An Issue of Respect
A Patient's Decision?
PERSPECTIVES
Supervisor
Physician
Nurse
Physician Assistant
THEMES
Ethical Decision Making
 

14 month old baby “Justin” is in the process of being discharged from a major medical center in Boston. His home is in Willowdale, a small rural community several hours away from Boston. The baby has severe Cystic Fibrosis. There is an issue as to whether or not the baby should be sent home, as care in his home community may be insufficient. His insurance will not cover any additional time in the hospital, and his family has limited financial resources.

All of this sounds very complicated and expensive. We can’t afford to move; besides, we love Willowdale. We want Justin to grow up with fresh air and open spaces – where people know and care about one another. Maybe we should see what resources are available through our local hospital.