by Tom aka Rusty Rustbelt
Health Care Thoughts: Re-admissions, Resident Rights and Pie
A follow up to a post on evidence based medicine….
PPACA is putting extreme pressure on hospitals to reduce Medicare re-admissions.
Hospitals are putting increasing pressure on nursing home to reduce re-admissions, particularly due to diabetes.
Nursing homes are under constant pressure to respect “resident rights” including the right of residents to eat just about whatever they want, including piles of junk food provided by families of diabetics.
Nursing home nurses are under extreme pressure to 1) respect resident rights, 2) maintain blood sugar levels at the same time, and 3) document all of this at an extreme level.
Mrs. Rustbelt and a couple of other nurses may be in trouble for denying pie to a really, really sick diabetic (both legs amputated) who regularly sends his blood sugar readings north of 400.
The fans of increased regulation should think through some of the conflicts and consequences.
(My thoughts in comments…Rdan)