Skills in how to communicate effectively with both the pediatric patient and their parents are important for a nurse to foster to maintain good therapeutic relationships. Person centred care becomes family centred care when babies and children are the patients. The dependent nature of the patient increases the need for parental responsibility and advocacy for the child. It is important for all members of the family to be taken into account when nursing a pediatric patient, especially the primary caregivers and siblings. Chochinov, 2007 (cited in Cornwell & Goodrich, 2009), states simply that compassion is ‘a deep awareness of the suffering of another coupled with the wish to relieve it.’ Pediatric patients and their families are highly sensitive to the compassionate nature of health care professionals and a successful therapeutic relationship with them depends on the sensitive, compassionate care offered by the nurse.
Vivian reflects on her actions with students and reassesses her life through flashbacks. Through Bearing’s encounters, the reader understands her journey as a cancer patient. There are many stages and aspects of cancer. One being the patient’s journey through it and physiological standpoints. Diraimondo, a registered nurse writes her own story of diagnoses vividly.
Health promotion doesn’t necessarily mean treating the disease or searching the globe for a new cure, it can mean to try and be as healthy and as comfortable as one person can for their own self. One strategy to help improve the Thomas’ quality of life is to provide emotional support to all of the family members. Emotional support for Mrs. Thomas will help improve her mood, which in turn will help with her everyday life and functionality. She will have a lot of questions and concerns for not only herself, but her family while she is still living and after. Emotional support for Mr. Thomas may help with his depression, and make him feel better about caring for his wife during her illness.
The palliative team may consist of the doctors, nurses, councilors, social workers, dieticians, clergy, therapist and trained volunteers. “Palliative care addresses the emotional, physical, practical, and spiritual issues of cancer” (Arthur Unknown, 2010). However, considering that the breast cancer has metastasized to the lungs, and no further treatment options are viable, a hospice evaluation appears to be warranted. Hospice, like palliative care includes the same interdisciplinary team members. “Hospice care is a form of palliative care that is given to a person when cancer therapies are no longer controlling the disease.
The career path of neo-natal nursing requires a lot of work in nursing school and finding a good work environment, but the benefits of the job are outstanding. I have chosen this career path because I like to help people. Another reason I chose this career is because I enjoy being around babies and I think they are such a miracle. I will enjoy the rewarding feeling of being able to help as a new life begins. I realize this career may be stressful and even sad at times.
A multicultural team is about increasing awareness and tolerance and it help eliminate conflict. Developing a base with multicultural beliefs and practices will help healthcare organization meet the challenges of caring for patients of diverse culture. Miscommunication causing misunderstanding will become a major challenge and there will be many conflicts on the job relating to performance. Having a rapport with the community can be a challenge, when opening a new pediatric clinic trying to build trust in this community, people might be accustom to how they been providing medical treatment for their children. The knowledge of choosing the best software, equipment, managing cash flow, technology to capture information for reports, and billing (Kravitz, D.A, 2011).
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.
The average patient is in hospice 59 days. Hospice is for those who are terminally ill, who can no longer take care of themselves and their families are unable to help, and it is also for the cancer patients when chemotherapy and other drugs are at its end and are enable to fight the disease. The decision of hospice is decided by the patient, family and physician. Hospice services are provided by a group of professionals who works as a team to develop the best care plan for the patients as well as their families; those professionals include: Nursing services, physician participation, medical social services, counseling, Pastoral or spiritual bereavement counseling (for family up to one year after patients death), dietary, home health aide services, medications, medical equipment, other medical supplies, laboratory and other diagnostic studies related to terminal illness. Therapy (physical, speech,
Too many Americans are forced into bankruptcy due to high out-of-pocket medical care expenses” (Miller 3). It just doesn’t feel right to these citizens that basic healthcare is outside of their reach just because they have lost their job or chose a career path that was not as profitable as some others may have chosen. After all, every job must be done and not everyone can be among the elite. However, that should not mean that the people who do the lower class jobs should suffer medically. This is the argument that is the backbone of those who press for a universal healthcare
Health care is hard for people to get the proper coverage due to high prices, pre-existing conditions, or debt problems. Insurance companies often have loop holes people do not see, causing problems when a medical condition occurs. Children are not receiving the proper medical care due to their families not having the proper coverage. Many Americans are continuing to get sicknesses and go untreated, causing more Americans to suffer or die quickly. Nationalizing health care