RTT Task 1 Shawna Setzer Western Governors University Nursing-Sensitive Indicators In the given scenario involving Mr. J’s hospital stay it is important to integrate nursing- sensitive indicators in delivering quality patient care. Every patient has the right to receive the appropriate care without causing harm. Mr. J was starting to develop pressure sores related to being in restraints, and when his daughter pointed out the areas to the CNA she didn’t realize the severity of the problem and report them to another care giver to assess the red areas. The CNA also did not reposition Mr. J onto his side to relieve pressure to that area of the body. Nursing indicators such as education on unnecessary use of restraints and not repositioning the patient every two hours, are failures to deliver quality care.
This is a popular order because this gives the patients that suffer from a terminal illness, the ability to end their life instead of prolonging the pain. There also are other consents for this Act which also help the families make decisions for their loved ones if they are not in the position to make the decisions for themselves. The records management procedures have had to change since this Act was taken into effect because they have had to make sure that when the patient signs any of the consents, they this record is in the patients files so the medical staff is aware of what the wishes are. There could be consequences toward the medical staff if they were to revive a patient when their wish was to be let go. This can cause a lawsuit and possible termination of the
End of Life Care Krissy Torkelson OKWU End of Life Care As a person grows older the thought of death and dying begins to be more realistic. Everyone wants to be cared for properly when they are nearing the end of their life. Same for family members, they want their loved ones to be cared for with no suffering. By recognizing certain behaviors and being intuitive to the patient’s spiritual beliefs healthcare providers can help a family and a patient deal with the end of life. When someone is dying there are legal concerns that a nurse must keep in mind when caring for the patient.
While I do have my own beliefs of how such a patient should spend these last stages of life, I understand that as the nurse, my role is to be supportive and assistive. I can offer support and my nursing expertise but ultimately, the decisions reside with the patient and the family. In the case of Mrs. Thomas, the 56 year old mother who has gone home with the poor prognosis of breast cancer with metastasis to the lungs and a recommendation of palliative care I feel there are some strategies that I could offer as the nurse to help her and her family improve the quality of life in these final months as she struggles with this disease. I would suggest that she take her pain medication, hire some in-home help, and explore emotional and psychological support. Mrs. Thomas was prescribed Vicodin to control her pain but has been reluctant to use it based on fear of dependency.
They also argue that Physician-Assisted-Suicide allows terminally ill patients to avoid unnecessary pain and agony in their final days and also allows the patient to control the manner and timing of his/her own death. Cons Just like there are many pros there are cons to Physician-Assisted-Suicide. Society is fearful of Physician-Assisted-Suicide because they fear being pressured to terminate their lives by the people around them and/or the medical staff. In addition, patients might feel as if they have become a burden to their families and committing suicide will resolve that for his/her family. Another concern would be the message being sent, especially to those who are not terminally ill. Would our younger generation have the understanding that committing suicide is appropriate?
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.
People With Dementia Do Not Need to Be Grounded in Reality. When someone has memory loss, he often forgets important things, e.g., that his mother is deceased. When we remind him of this loss, we remind him about the pain of that loss also. When someone wants to go home, reassuring him that he is at home often leads to an argument. Redirecting and asking someone to tell you about the person he has asked about or about his home is a better way to calm a person with dementia.
One point that I wish to advocate are that the elderly should be carefully watched so that they will take their medication correctly and on time. I chose this because some elderly people are stubborn and really don’t think that they need help. The other point I wish to advocate is that the elderly should be assisted at home for the care that they receive in the hospital. Most elderly people live their independence. Sometimes the hospital depresses them.
P2: Explain the individual rights of people who use services A local health centre- short report People who have their right to have their privacy which they don’t want the doctor would tell his colleagues or his family. A client make an appointment to see doctor, she is worry that she might have a cancer which the doctor comfort her and wouldn’t tell about this to her family or someone else. This client have their right to ask doctor to show her personal information about her. They can complain what they are not happy with the doctor or a nurse done to them, it could be wrong information details about them. Example of this, a patient is staying at hoptisal for overnight, a nurse bring them a food which is bacon sandwich but this patient is a Jewish.
A doctor's job is not only to prevent death but also to improve their patient's quality of life. Waiting can be very painful for both the patients and the people who surround them. Not practicing euthanasia at the request of a dying person is violating a person's rights, creating an economic burden, and increasing suffering. Should a terminally ill patient in a great deal of pain and discomfort be allowed to terminate their life, if that is what the patient desires? And who has the right to deny a patient who is in complete suffering a less painful ending to their lives?First of all, I personally agree with Euthanasia.