This would be difficult without informing the parents. The patient’s parents must be informed because the patient is at an age where she in not capable of making her own medical decisions. The committee may have been called in to advise the nurse and physician involved as to what steps they should take to inform the parents. Patient confidentiality is vital to maintain patient trust. When a nurse breaches this trust patient outcomes can be jeopardized.
Nurses are relied upon to advocate for our patients dignity, privacy, confidentiality, improper and incompetent care. The case of Marianne is a good example of how the ANA code of nursing ethics could help a patient that can't make convey their needs the healthcare team. The stroke has left Marianne unresponsive and without an advanced directive the healthcare team has no way of knowing what her desires would be for the plan of care. Her husband and children are in disagreement with which direction to go in regards to her care. The ANA code of ethics has provisions in place to assist in a decision for this case.
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.
What are the requirements for and barriers to hospice service? It can be hard on any family when they learn that a loved one is ill, but it can be especially difficult to learn that their loved one is terminally ill. (A terminal person is defined as person who is expected to live six months or less.) Upon finding out that, a loved one is terminally ill, a decision would need to be made on the treatment of the end-of- life care they would need. The most common treatment available is hospice. Hospice is a program that provides the patient with medical services and both the patient and their family with emotional support and spiritual resources.
The Nurse’s Dilemma: Being Asked Not To Tell The Nurse’s Dilemma: Being Asked Not To Tell Nurses face ethical dilemmas on a regular basis. As nurses work to provide health care services, we often are asked to participate in ethically questionable activities (Potter, Perry, Stockert, & Hall, 2012). Today, a patient who was newly diagnosed with Stage IV breast cancer with metastasis to her bones was admitted to the hospice unit. Her daughter is her primary caregiver and has asked me to deceive her mother by “turning over” my badge and telling her mother that I am from a home health agency. She specifically requested that I “do not say hospice” because she believes that her mother doesn’t know she has been admitted to the hospice unit.
Has Marianne ever discussed end of life care or issues with her husband and children? What percentage of quality of life does the Physician think Marianne will have post-surgery? Marianne’s husband should be informed and made to understand that her brain is not functioning, she is unable to breathe on her own and she may never be able to do so again. The care team must explain to the family if there are any other options she may have available at the state of her well-being. Information should be thoroughly given to the family pertaining to what her quality of life will be pre and post-surgery.
The FNP expressed her frustration in Ms. R non-compliance with her treatment, and lack of support with future care. The Licensed Vocational Nurse (LVN) on staff is trained in conduct client education on labor and delivery, routine prenatal care, parenting, and infant care. She would be able to give the time needed to explain all of the details about the medication given. For example: What the medication is for, how it works, how long it will need to be taken, potential side effects, alternative medications if patient has adverse reaction and what are the consequences if the medication is stop prematurely. The risk factors associated with illnesses in the third trimester.
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.
A patient presenting with a head injury can pose a lot of complications and the nurse needs to assess and monitor the patient thoroughly. Management of traumatic brain injury focuses on stabilisation of the patient and prevention of secondary neurologic damage due to high intracranial pressure. Assessment of the brain injury hinges on evaluation of the Glasgow coma scale, GCS and examination of the pupils (Chesnut, 2006, p.1). Nurses make important clinical decisions everyday and these decisions have an effect on the patient’s healthcare and the actions of other health care professionals, as the emergency department treats patients with various complex needs nurses need to rely on sound decision making skills and assess monitor and
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.