It is a path to the open road for nurses to gain critical thinking, differ aspect of life. Nurses can advocate a nonjudgmental help to their patient's autonomy (self determination, chap. 4 pg 56). In the case study of Marianne, who experienced hemorrhagic stroke, unconsciousness, and without advanced directive. The husband wanted to save his wife, but on the other hand, their children belief that their mom wants a quality of life with dignity.
Being able to have this choice allows the patient to maintain some control over their devastating situation. People have different opinions and the quality of life is a very personal one. When a health care professional tries to convince a patient to live they are acting as if they are their parent's telling them what to do. Patients usually trust their physicians and what they say can be wrong and persuasive. Physicians do not like to admit when they cannot diagnose something or fix a problem.
I work in a care home on two nursing units where very often I have to take care about terminally ill patients. Care provided must be very gentle and tailored towards resident's needs as well gaining knowledge about resident's illnesses and their stage from care plans and hospital documents is crucial. Depending on resident's condition accompanying and supporting is extremely important as well, because terminally ill person in most of the cases goes through five-stage process of dying which are: denial, anger, bargaining, depression and acceptance. And on every stage such an individual is going to need appropriate support and understanding. As a carer I have a duty and a desire to help as much as it is possible by meeting all the mentioned needs and reassuring residents using all my knowledge and experience which I have
University of Phoenix Material Personal Philosophy of Nursing Worksheet This is a philosophy of nursing that reflects the beliefs and values of your name Today’s date is October 14, 2010 I chose nursing as my profession because nursing is about caring for others in their time of greatest need. It is one of few professions in which you can go home each day and be happy for what you did. Although you may not realize it, but you have affected the patient’s life in some way. Nursing is about healing and curing the patient’s symptoms of disease or illness. In my nursing class, I learned that doctors cure the sickness and nurses cure the patient.
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.
I try to be caring and kind with my patients and families. I have learned to put aside my judgments about people and instead take what time I can to talk with them. I learn about whom they are and what it is they want or expect from their healthcare experience. Cultural competence is not only the understanding of different cultures and socioeconomic classes but the ability to treat each of these groups with the same amount of care. I believe further education of me could only benefit my patients and their families.
She has a diagnosis of dementia but remains positive and feels she has a good quality of life because of her community and family support. Her GP has referred her for assessment and the outcome is that a hip replacement is indicated. However, the orthopaedic consultant is reluctant to perform the surgery. He is concerned that Edith may not retain the information relating to the post operative regime because of her dementia. This could hinder her recovery and risk further complications such as deep vein thrombosis
It challenges trust between doctor and patient. We expect physicians to heal and preserve life, not to kill on request. I reply that I want to be able to trust my doctor to do what is best for me in every situation. I would not ask a doctor to do anything illegal, but if physician-assisted death were permitted by law, I would not want to be abandoned in my final hours. The main reason I’m against assisted suicide is Its God's place to decide the time and place of a person's death.
To me this is inclusive practice and helps to stop discriminatory practice and respects the preferences of the resident. I find it frustrating when other carers decide for the resident to save time but to remain professional I would not talk to them about it in front of a resident and would stay calm when discussing the issue. I have been bought up in an environment where you always show respect even if you disagree with a person. I play a big part in the induction training of new carers. When carrying out this training I am careful not to push my own beliefs and attitudes onto the new carers and use the policies and procedures to explain the standards expected.