About this Lesson
CASES
Ready for Discharge?
An Issue of Respect
A Patient's Decision?
PERSPECTIVES
Family Member
Supervisor
Physician
Nurse
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.

Maybe we should try to set up a chat room on the Internet, so we can have an on-going dialogue with the doctors and nurses and the family. I wonder if we could use the state’s Telehealth network...We could meet face-to-face over the network, and even have Justin there so we could see for ourselves how he is doing. The system is pretty incredible; you can even use a stethoscope to listen to his lung sounds. We could follow up on a regular basis by group e-mail.