HCA 205 What’s Bothering Trevor?

Sample Answer for HCA 205 What’s Bothering Trevor? Included After Question

What I understand from the simulation about the issues and concerns from each of the stakeholder perspective  is that:

The patient, Trevor, has lost his job, and this caused him to lose his health insurance. Since Trevor has no cash to put up front to be seen by his PCP or by a caregiver at the urgent care, I think the best option for him is to go to the ER because there, he will get the care that he needs and he will be bill later. Also, he would have ended up at the ER even if he had some cash to pay up front because of the Heart attack. Most PCP would send patients experiencing heart attacks to the ER so they can be seen and monitored by specialists until they get discharged. This option would be way more expensive because not only Trevor will spend money at his PCP office, he will also get billed by the hospital.

By not purchasing his medications, Trevor is not complying with his treatment plant, which makes the situation more complicated because not only he is stopping the evolution of his care plant, but also, he is putting himself more at risks of having another heart attack.

Trevor’s wife should take him to the ER as soon as possible because the ER is open 24/7 and the nurses do the triage to find out who needs immediate care and who can be seen later. With the symptoms that Trevor is experiencing, he will be clear that his case is very serious, and that he needs immediate medical attention.

About Quality care, I think the physician should have spent a few minutes with Trevor just to talk about Trevor’s medical conditions and answer any questions Trevor might have. The physician should also encourage his patient and make him understand his role in the care team.

 Reference:

Batnitzky, A., Hayes, D., & Vinall, P.E. (2018). The U.S. healthcare system: An introduction [Electronic version]. Retrieved from https://content.ashford.edu/Links to an external site.

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Manage Discussion Entry

Guy, I think that very few of us, as individuals, have that all important emergency fund to pull from when needed. Often, if present, we tend to pull from it for thing which are really not emergencies. I guess we tend to prioritize according to our own needs.  Or rather wants.  That is one reason I feel that Trevor had problems making a decision about which treatment plan to seek out.  In the long run, he cost his family much more money and possible could have lost his life or the ability to work and be productive for his family.  It is sad that it takes so long to get some assistance when it is most needed.  So many will wait and go to the emergency rooms thinking payment is not due.  It does not work that way any longer.  Does your area have any type of “free” clinic or at least based upon ability to pay?  I do and it has been a life saver for many.  It is staffed by volunteers, including physicians.  These people feel led to provide for the ill who cannot afford to pay.  It is a wonderful thing and includes medicine and surgical procedures

Thank you for your post. I agree with you that the ER was the best option for Trevor in this simulation.  I also agree that this wife should have taken him there and that the provider should have spent more time explaining Trevor’s situation.  I do have one question.  Do you know that a patient has the right to ask questions or request clarification on discharge orders? Even if your provider is sent away on a different emergency, you, the patient have the right to not leave until you completely understand your discharge orders.  In this simulation do you think Trevor could have done that or did he allow his own insecurities to keep him from getting clarification?

Manage Discussion Entry

Guy, great post. Yes, from reading the situation of Trevor, it is clear that he cannot afford his meds, and the best option would be for him to go the emergency room to get treatment, which he will still be given a prescription to file upon leaving, which puts him right back at square one, because he has not the funds to pay for it. From my understanding, his wife is working, and in some cases, some things call for a sacrifice. For instance, his wife could ask her boss to put in some more work hours to get the money for her husband, or they could let a bill go, and pay for meds, and then try to put in some more hours to pay the bill at a later date, with the late fee, before the next bill occurs. There are many way to look at this situation. Furthermore, as I have indicated to other students, the healthcare system is about money, not morals. That is why “Obama” put the affordable healthcare act into law, because people were not able to pay for the cost of high meds, and some folks died, because they went without medicine. This is sad. Sure, some doctors, healthcare systems, etc, may care about people, but they never overlook the money. A few months ago, Jeff Sessions did a news conference regarding a healthcare sting operation, set up by the FBI, which many doctors and healthcare providers were arrested because they prescribed wrong meds on purpose, diagnosed people with the wrong conditions on purpose, which kept them coming back, and paying for more treatment. You never know when this is taking place. You have to be careful in the healthcare field also.