Clinical Ethics: Treating the Difficult Patient: Dilemmas for Administrators and Staff “Mr. P.” is a 28-year-old male who is serving a life sentence in prison for multiple homicides. He was admitted to a rehabilitation hospital after suffering a severe head injury during a fight with one of the inmates. During the altercation his left eye was pierced with a ... Article
Article  |   May 01, 1997
Clinical Ethics: Treating the Difficult Patient: Dilemmas for Administrators and Staff
Author Affiliations & Notes
  • Angela M. Mandas
    Long Beach Memorial Medical Center Long Beach, CA
  • Helen Sharp
    University of Iowa, Wendell Johnson Speech and Hearing Center Iowa City
Article Information
Articles
Article   |   May 01, 1997
Clinical Ethics: Treating the Difficult Patient: Dilemmas for Administrators and Staff
SIG 11 Perspectives on Administration and Supervision, May 1997, Vol. 7, 11-14. doi:10.1044/aas7.2.11
SIG 11 Perspectives on Administration and Supervision, May 1997, Vol. 7, 11-14. doi:10.1044/aas7.2.11
“Mr. P.” is a 28-year-old male who is serving a life sentence in prison for multiple homicides. He was admitted to a rehabilitation hospital after suffering a severe head injury during a fight with one of the inmates. During the altercation his left eye was pierced with a pole and he was declared blind in one eye as well as brain injured. As a result, he experienced left-sided facial weakness, hemiparesis, dysphagia, incontinence, agitation, and severe cognitive deficits. A gastrostomy tube was placed prior to transfer to the rehabilitation hospital. He remains NPO (nothing by mouth).
Mr. P. is in maximum security, surrounded by armed security guards. The rehabilitation team is instructed by the security guards and police to perform all treatment in the patient’s room and not to leave materials behind after the sessions. Mr. P. is not to leave the room and the armed security guards are present 24 hours a day. Family could be present if needed to encourage the patient to cooperate.
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