These symptoms can compromise the care of a patient or patients if not managed correctly. Nurses have a crazy schedule which usually includes 12 hour shifts but they do need to understand that stress management is important. When a nurse or anyone is stressed their sympathetic nervous system lets out acetylcholine and puts there body in a fight or flight mode which affects the entire body (Murphy) and carelessness can occur if this is not dealt with properly. Your brain is responsible for interrupting events and situations. When a nurse effectively gains control over adverse behavior and
Case Study Option 2 The main conflict of this case gyrates around whether or not it would be appropriate and moral for the caretakers, Mary Grange and Fran Lapointe to force treatment on Mrs. Black, after she obdurately refuses action for the pressure sore on her buttock. The issue arises when the nurses have to decide whether to act paternalistically, and do what is best and most beneficial for their patient. Or, respect the autonomy of the patient, though it may be harmful or even deadly, for her. Briefly, the principle of utilitarianism “recognizes that certain activities are more conducive to happiness than others and that those experienced in a variety of activities will agree” (utilitarianism handout). It seeks to promote the greatest happiness for everyone that is affected by the act.
during a lingering illness. However, if the patient does not desire to use these medications due to not wanting to become “addicted”, feeling “out of it” or for other reasons, the nurse needs to respect the patient’s decision. It is the nurse’s duty to make sure the patient has been accurately informed of treatment options including side effects, common misperceptions, etc. but to not sway the patient’s decisions for treatment based on his/her own beliefs. A nurse may personally feel that a patient who is dying of cancer should utilize any and all pain management options available to them, however, if the patient does not wish to use pain medications because he/she feels “out of it” or is afraid of becoming “addicted”, the nurse needs to respect that patient’s choice.
It is important not to make promises we cannot keep. The next step is availability. Nurses are constantly busy with filling out paper work and caring for patients so it may seem that sometimes we are unavailable. Patients and their family members may feel like they are being ignored. Sometimes these feelings are unreasonable but they can be justifiable.
The necessity for nurses to be able to communicate effectively is vital for the continued care of patients. More specifically, it is crucial that Nurses are able the change their language patterns and vocabulary, depending on the person they are talking to. The communications a nurse has with their patient is completely different to how a nurse would speak to a fellow Medical Officers (MO). There must be a strong, clear wording, instruction and diagnosis when talking to colleagues; otherwise there may be confusion as to the treatment of a patient. However, when speaking to a client, using jargon and medical terms can be considered as inappropriate and confusing for the people involved.
According to the case, as a nurse responsible for the patient as a nurse must be aware that Mrs. Flynn has early dementia and must be observed and check for side rails up to prevent fall and injury. Due to the case that Mrs. Flynn falls from the bed and suffer from a bruise on the forehead because of the negligence of one member of the staff responsible for her. Then, when seeing Mrs. Flynn fall down, a nurse must treat the situation quickly, and stay with the patient and call for an assistant nurse to help her and inform the doctor. (Hicks, 2016) In addition, the nurse should assess the patient because she may develop symptoms later that can show serious changes in their state, and assess the pain and conscious level. Although, If the patient
Effective communication is an important skill that the professional nurse needs to develop in order to interact effectively with patient and bring about a better resolution in patient’s health condition. Johnson (2010) emphasizes the importance of effective communication by nurse with patient and staff. He says, “ The communication process enhances the broadcasting of information needed to ensure patient safety and promote quality patient care”. When nurse clearly communicates the details of a patient’s condition or progress verbally or writing to other members of the healthcare team handling the case as well as nurses that deal with the patient on other shifts, the likelihood of mistakes that put a patient in jeopardy greatly decreased, so patient are safe. The consequences to the patient if nurses do not clearly communicate all important patient information may be greater pain, a worsening of the patient condition, permanent injury or even death.
In this case, if a patient in the ward was to catch one off these infections from dirty cups, it would be harder for them to recover due to them being elderly and having a lower immune system than someone that was young and healthy, so in some cases little infections like this from been given a dirty cup to drink from can sometimes lead to death. Another recommendation that was made in the scenario in a ward which included a patient suffering from dementia was that staff should be trained more regularly on how to manage patients when lifting them to different places. I recommended that
Today’s health care focuses on quality of life. The experience of watching someone die as a nursing assistant can cause feelings of helplessness. Working with a terminally ill patient can be exhausting at times due to the emotions involved but can also be the most rewarding nursing experience ever. Understanding the dying patient will allow you to become a more compassionate and effective caregiver. Stages of Grief Preparing for death affects the patients’ behavior and emotions.