I would do the Beck’s Depression Inventory with her to determine the severity of the problem. I would do a mental exam on her to determine the severity of the Alzheimer’s. - Clinician Characteristics To be best able to work with Mrs. Sanders I would have to show her that I cared, show empathy, as well as a desire to help her. I would have to be able to motivate her and promote her continued independence. I would need to be structured, creative, and positive to help her find ways to deal with the Alzheimer’s.
How the ANA Code of Nursing Ethics would influence a final decision in each case study. With the patient with the hemorrhagic stroke, it is our responsibility to discuss with the patient’s family possible options in which they would feel comfortable taking. According to the Code of Nursing Ethics, “the nurse’s primary commitment is to the patient, whether an individual, family, group, or community” (ANA Code of Nursing Ethics). With the patient having no advanced directives, the decision is much harder to take. Ethics committees can be useful in this situation, because they can help explain the patient’s situation and provide possible answers to those hard questions.
A CRITICAL ANALYSIS OF AN EPISODE OF NURSING CAREMODULE TITLE: NURS 6032STUDENT NO: 25048015COMPUTER ISS: ran1m12WORD COUNT (excluding text box): 3598 | A Critical Analysis of an Episode of Nursing Care Introduction The subjective interpretation of the criteria for service in Mental Health Organisations by clinicians can sometimes prevent people with possible mental health issues from accessing the service. The text box below gives an insight into an assessment of a service user in the presence of the student nurse. This essay sets out to critically analyse the episode of care given to this service user with regards to the way she was assessed for possible mental health issues, and relates when the subjective interpretation of a criteria for service was a barrier for engaging her into the service she came to seek help from. It starts with a comprehensive description of the assessment carried out by a Senior Nurse Practitioner, examines the role of nursing in people’s mental health, the meaning of a comprehensive and holistic assessment and includes the critical reflections of the student nurse on this assessment session based on her observations using Driscoll (2007) framework of refection. Description of the Assessment *Miss Frances is a pseudonym for the purposes of service user’s confidentiality and in line with the NMC Code of Conduct (2008).
They empower and support people to make their own choices. They investigate actual and suspected abuse and neglect or exploitation. They support adults who are at risk. 3.3 Identify reports into serious failures to protect individual from abuse. www.nursingtimes.net/nursingpractice-critical-report-of-castlebrook-abuse-failings www.bbc.co.uk.news/uk-winterbourneview-failed-to-protect www.cqc.org.uk/merseyside-care-home-failed-to-protect 3.4 Identify sources of information and advice about own role in safeguarding and protecting individuals from abuse.
At the individual level it is recognizing and reflecting on an issue that restricts one’s abilities and experiences, then taking action to change the issue for themselves and others affected (Chinn & Kramer, 2011). The key objective of praxis is through reflection to incorporate theory, practice and art to aid in the recognition and valuing of diverse types of knowledge (Kilpatrick, 2008). Praxis plays an integral role for the APN and there should be a solid foundation of understanding. There are several benefits for APN’s use of nursing praxis; it influences the relationship the practitioner develops with patients, their families and colleagues. Moreover, it provides the opportunity for change, personal nursing theory and knowledge development through self-reflection.
Describe the elements of a comprehensive health assessment of a geriatric patient. What special considerations should the nurse keep in mind while performing this assessment? Nurses and healthcare professionals need to pay close attention to different things while performing a comprehensive assessment on the older population. The comprehensive assessment includes mental and functional status, social and economic status and the actual assessment of the body functions (Jarvis, 2012). It’s important to observe mental status changes and functional status changes, this can determine how well the patient can take care of themselves and deal with their health promotion on their own.
CU2941- Use and develop systems that promote communication. 1, Be able to address the range of communication requirements in own role. Review the range of groups and individuals whose communication needs must be addressed in own job role. Defining communication: ‘Communication involves the reciprocal process in which messages are sent and received between two or more people’ (Bazler Riley, 2008) My job role requires me to be able to communicate in many ways, the client group I care for have individual communication needs. The elderly clients I care for generally have ill health, the illnesses they suffer from can be physical and mental.
It is also important to know where and how theories can best apply to current nursing practice. Compare and Analyze a Common Core Concept A common core concept among Virginia Henderson’s need theory and Dorothea Orem’s self-care deficit nursing theory is nursing. Both theorists use the nursing concept in their theory to define the role of nursing. Henderson defines nursing as the unique function of a nurse to help a person sick or well in the performance of activities contributing to health or its recovery that the person would perform unaided if he or she had the necessary strength, will, or knowledge. Nursing can also consist of assisting an individual to a peaceful death.
Nursing Implications: Delirium in community dwelling older adults are often associated with infection. The Nurses in Adult Day Centers and primary care centers might consider a delirium screen on routine basis; Confusion Assessment Method (CAM-ICU) is a structured instrument which assesses four features of delirium, is a valid and reliable method for people with diverse ethnicity and educational levels. Specific symptoms include acute onset and fluctuating course, inattention, disorganized thinking and altered level of consciousness. If the older adult has a positive score on acute onset and inattention and a positive score on either disorganized thinking or altered level of consciousness, patient is positive for delirium. Nurses might be instrumental in helping care givers to increase coping skills.
This assignment is written as part of a BSc (Hon) in Gerontology module, Mental Health and Older People. It will seek to critically analyse the use of control and restraint techniques in the management of violent and aggressive behaviour within older people who have mental health needs. Within this assignment the author will consider the psychology of anger and behaviour patterns with this client group as well as contributing social and environmental factors that may cause anger and aggression. This assignment will also explore ethical issues involved in the use of control and restraint techniques on older people and determine how policy influences its use. Despite the perceived view that older people in care facilities are kind, gentle, wise and even serene recipients of care the reality can be quite different (Brennan 1999).