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Annie O Case

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Submitted By bmo442
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Ethical Dilemma
Annie O’s habitual use of the hospital emergency department and complete disregard for her own health makes the hospital decision on whether or not to treat her difficult. It is evident that Annie O’s living conditions and health are self-inflected. The patient has been hospitalized 41 times over a period of three years. The hospitalizations ranged from 4 to 21 days. On several occasion Annie O has signed herself out of the hospital against medical advice. Not to mention, the patient’s behavior is rude, hostile, and uncooperative to health care providers providing care.
Facts
The patient Annie O was presented to the emergency room with a plethora o health problems including:
• Fever>103F
• Insulin dependent diabetic
• Chronic urinary track infections
• Recurrent Depression
• Allergies to most Antibiotics
• Recurrent vaginal infection and pelvic rash
• Intermittent alcohol and substance abuse
• Multiple fractures due to osteoporosis (hallowing of bones)
• Poor nutrition and overweight (5’4 and 197 pounds)
• Deep and pitting ulcers on both buttocks caused by poor hygiene/sanitation

The patient’s current living conditions are attributed to most of the health problems presented. Annie O’s habitual use of the emergency room cost taxpayers in excess of 310,000.Although Annie O has a lot of medical problems, her uncooperative attitude and risky lifestyle make her case extremely difficult to manage. Not to mention, upon her arrival to the emergency room Annie O is pregnant.
Options
1. The first option would consider not treating Annie due to the excessive abuse of the hospital services.
2. Seek mental health options for Annie O.
Testing each option
1. This option is not legal. According to the Emergency Medical Treatment and Active Labor Act, hospitals may not deny or provide substandard services to a patient who already

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