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

I hate to send this baby home now. We've done such a good job of stabilizing his disease while he was here in the medical center. I honestly don’t think that the health care system in his country town can support his needs. He’ll be right back here in worse shape than ever. We need to keep him here for at least another week.