26 Sep Case Study You have just given birth to a 20-oz in
Case Study You have just given birth to a 20-oz infant of 6 months’ gestation. The Apgar score is 2. The infant cannot suck and has no muscle tone, no gag, and no reflexes. There is a need to protect the brain and the nervous system. The attending physician approaches you and the infant’s father with the news that the only chance of survival is to transport the infant to a neonatal intensive care unit in the nearest city, 200 miles away from home. 1. Describe your response. Analyze how the infant’s father might respond. 2. What problems do you foresee? 3. What are the legal implications of your decision? Consider this case a second time, only 6 months later and with more facts. The decision was made to send the infant to the neonatal center. After 2 weeks, your medical bill is well over $300,000, and you know you have only enough money to add to your medical insurance to cover a normal labor and delivery. It appears that the infant will be unable to come home for several weeks, if ever. The infant has now been diagnosed with the following problems: cerebral palsy; blindness; hydrocephalus, which has been alleviated with a shunt in the brain; and seizures. 4. Describe the choices that are available to you and the infant’s father now. 5. Who is responsible for the increasing hospital bill? 6. Analyze whether medical care a right or a privilege under these circumstances and who makes the decisions involved in this case.
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