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.
P2 and P3 Explain different psychological approaches to health and social practice Cognitive learning theorists believe that learning is an internal process in which information is combined into one as cognitive structure. Learning occurs through internal processing of information. One example of cognitive perspective that is used in healthcare practice can include supporting individuals that have learning difficulties. On a day to day basis, individuals with learning difficulties can find skilled tasks very difficult and confusing; because of this they are likely to get very frustrated. The cognitive perspective can help people with these learning difficulties and support them to help make sense of these tasks by identifying basic thoughts
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. This paper will discuss why communication, family centred care and compassion are necessary and important qualities for a nurse to possess when working with pediatric patients and specify some of the challenges a nurse may meet in providing these. Communicating with Babies and Children Nursing children and babies requires a highly skilled and sensitive approach to communication. The developmental age of the pediatric patient needs to be considered when determining the best ways to
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.
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.
That one receptionist can change the whole mood of the patient, which continuing on into the visit with the physician. This can make it hard for the physician to treat the patient because the patient may feel closed off now or less receptive to advice from the physician. So I would find interdependence very important knowledge to have in any health care field. Sensitivity is something that is necessary to have when dealing with others. In the health care field one needs to be aware of others feelings
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. Altered cognition is not a normal part of aging and the nurse may need to pay close attention to the possibilities of the onset of dementia. Activities of daily living include everything we do during our normal day to properly take care of ourselves and as we get older these tasks may become more difficult. Nurses need to assess how well a patient can see or hear, vision and hearing loss can be quite debilitating to performing ADL’s and it’s the nurses job to make sure our patient is in a safe environment and that they have proper vision/hearing care with proper strength prescriptions for their glasses or hearing assessments. It is very important to remember that hearing and vision loss is normal with aging and that when we perform our assessments we should talk slowly and annunciate clearly so the patient can understand any direction or education that is given (GCU, 2012).
Support your response with evidence-based literature. Include in-text citations and references for each of the scholarly sources used. Respond to other learners' posts in a manner that initiates or contributes to discussion. End-of-life care can be a very complex and emotional issue for a nurse to talk to their elderly patient about. It is important for the nurse to be familiar with end-of-life care options and opportunities in order to educate the patient and support them with whatever decision they choose.
Some cases seem to be complex, more so when the parties involved maintain opposing positions, yet both make sense. In the case of physician prescriptive authority, administrators must think censoriously to make a determination on whether it should be adopted. The concern should be to offer the best service to the patients without harming them. However, nurses are very important in this matter since they give the primary care to the patients. On the other hand, the physical is trained to diagnose and plan the treatment for the patient.
The patient themselves will need to know what to expect and how to cope. I think it is very important that counseling be integrated into the care of the patients with Dementia. I know that once people fall out of control of their own bodies they need someone to talk to teach them how to cope with these. No one likes to admit they need counseling, but I know that if I do not get it myself for caring for my mother that eventually it will get the best of me. It is a lot to ask of yourself to care for someone who is your parent and then be a student, wife, and a mother.