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Sundowneror Victim?

In this case study, ‘Sundowner or Victim?’ the known fact is thatMr. Nathan was not in a restrictive and secure unit, which showsclearly that the hospital did not determine earlier the probabilityof him getting aggressive. When the nurse tried to stop him fromescaping, Mr. Nathan shoved her causing her to injure her head andundergo a concussion. He was restrained as the physician ordered, andwas sedated. Mr. Nathan sued the hospital for imprisonment andaggravated assault, which is not a strong case, as the hospitalresponded to his agitation in the right manner. Something else thatwas going on is that the patient was not happy with where he was.

It isimportant that when the hospital chose to use chemical sedation onMr. Nathan, they maintain his breathing, airway, hydration, andbladder care, and ensure general nursing to him. Doing this is theresponsibility of the hospital. Additionally, the physical restraintswere to be applied safely and in a short time (Carl Tishler, 2013).Also, the hospital cannot sue for the nurse’s injury because theywould lose the case the patient was not in his right mind, and thehospital should have determined that before it happened. So theyshould treat the nurse and be careful in the future.

Despite the failure by the hospital to determine the potential forcombativeness, the physician was justified to order physicalrestraints as it was the protocol for responding to Code Grey. As forthe sedation, he was well within his mandate because Mr. Nathan washighly agitated and violent without the sedation, he was a potentialharm to himself and other people (Carl Tishler, 2013). According tome, the physician acted promptly and in the right manner because heeven documented the time for Mr. Nathan to be checked.

To sumup, Mr. Nathan’s suit will not hold up in a court as he is suingthe hospital for false imprisonment and aggravated assault. Thehospital was right to restrain and sedate him given the fact that hissafety and that of others was at risk.


Carl Tishler, R. N. (2013). The Assessment and Management of the Violent Patient in Critical Hospital Settings. General Hospital Psychiatry, 181-185.