Mr Leroy Case Summary

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Mr. Leroy is an 80 year old male new patient at Old Town Nursing Home (OTNH) with a large open wound on his left foot. This wound was present on his arrival at OTNH. Mr. Leroy suffered multiple strokes, in the past, which left him incapable of making informed decisions for himself. The only family member present is Mr. Leroy’s son, who is a veterinarian. The son insists that Dr. Keene and nurses apply sterile honey and maggots on the wound. Dr. Keene meets with Mr. Leroy’s son to discuss his wishes, the positive and negatives of desired treatment, and nursing home policies regarding treatment options. Dr. Keene cannot support the use of honey and maggot as a treatment option because it is not an approved treatment. Also, Dr. Keene deemed it …show more content…
It is very clear that Mr. Leroy cannot make decision for himself. He suffered many strokes. Health and welfare lasting power of attorney should have been established well before Mr. Leroy entered the nursing home. It is unclear if the son who is present is Mr. Leroy’s only child and has health and welfare lasting power of attorney. Another one of Mr. Leroy’s children may have health and welfare lasting power of attorney. The nursing home has not disclosed who is the legal person to make health decisions for Mr. Leroy. This needs to be established before any treatment can happen so not to violate the patient’s …show more content…
A Health and Welfare Lasting Power of Attorney has the authority to make treatment decisions. When one isn’t present, the charge Nurse is left with the decision making for treatment. “Where a designated decision-maker is not present then it will generally be for the caregiver, such as district nurse, to determine the best interests of a person who lacks decision-making capacity” (Griffin & Tengnah, 2011, p.251). Since these are laws in place, the nursing home should have a system to identify the health and welfare power of attorney before a patient, who lacks the ability to make decisions for himself, is admitted. This document will be posted in the patient’s room. This document will be located in the patient’s room as well. All discussions about treatment will be geared toward the health and welfare power of
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