In his age, even changing his diet is big thing. With this in mind, nurses should find the correct approach to Mr.’s P care. Nurses should choose holistic approach for this patient’s care, which will include his wife and all the circumstances of their life. In this case, not only the physical condition should be treated, but psychological and cognitive as well. Treatment plan “Approximately 28%–58% of individuals with heart failure (HF) suffer from cognitive impairment, commonly identified as difficulty with concentration and/or memory” (Bauer, Johnson, & Pozehl, 2011 p. 577).
Speaking to a loved one about end of life decisions is never easy, and in most cases is not discussed until someone has been diagnosed with a terminal illness. When a loved one is faced with a poor prognosis, the family is confronted with important decisions on how to provide end of life care for them. The nurse can be instrumental in helping the patient and family decide whether they want to stay in the hospital, or go home for their final days. Helping the family set up an advanced directives is important so the family is aware of the patient’s wishes in the event that they can no longer make their own decisions. It also reduces any anxiety that the family members may be feeling if the patient has their wishes laid out for them to follow.
Husband wants to try everything, but children believe she would not want the surgery and a poor quality of life, which they agree is the likely outcome. The ethics committee is meeting to discuss the situation before meeting with the family. What pieces of information are needed to assist the family in making a decision regarding Marianne’s care? What are the statistical outcomes of the surgery following removal of the clot? Has Marianne ever discussed end of life care or issues with her husband and children?
http://www.helpguide.org/life/senior_nutrition.htm Staying on Track In order for the elderly too successfully stay on track when it comes to reaching their recommended nutrition needs there are several ways. The person could ask for help. Ask people with more knowledge than you such as a nutritionist or maybe just family too help you shop or structure out a meal plan. The elderly should also focus on breaking bad habits. Break bad habits such as watching TV.
Although it is not possible to know every detail about every different cultural, it is expected that the nurse refresh or familiarize his/herself with the cultural and difference of their patients. With Jane, it is important that the nurse know that she typically does not eat regular American food or she likes to meditate every morning. There are several theories that are available to help understand why Jane acts different and looks at things differently that most people. Erickson’s adult growth and development theory explains that most people between the ages of 18 and 35 seek to find satisfying relationships. This may be with an intimate partner or friends.
Our facility only offers the advanced directive written information in English which is a disadvantage to many of our cultural minorities. Our palliative care team will meet with any patient and family to discuss end of life care and they will also call in interpreters to help facilitate their meetings with is a definite benefit to these patient populations. the biggest concern that I have with our CLAS compliance and advanced directive is that if the patient is not at the end of life and I am the intaking nursing speaking with a patient who has limited english, sections of the admission questionnaire are often skipped and the areas that are considered to be of most importance to immediate care is focused on such as current medications being taken and symptoms that led up to the hospital admission. Interpreters are utilized during the hospital stay to discuss major changes in status and to get consent for procedures, but interpreters are not often called to provide daily care which is when patients may often discuss their wishes if they were able to communicate with their care
In general, however, she and her community followed Western medicine and as their financial resources were scarce, one only went to the doctor when very sick. She also indicates that “If you had money, you could see better doctors”. The only well care/preventative care they received were vaccines provided by government run programs. In general, the elderly women preferred to be cared for by female care provider. JCL remarked “We do not like to ask too much, we will do everything for ourselves, even changing the bed”.
The current restricted visitation policies in Intensive Care Units across the country should be revised or just completely overhauled. The belief by most units across the country is that restricting family and friends helps the patient heal faster. No studies have proven this belief. Families can be a very important part is patient’s healing process. The current policy of many Intensive Care Units dictates the time and limits the number of visitors that can see a patient at one time.
Mandatory Vaccinations-by cnhuff “Does Jane know that she is endangering the population to not getting little Joe his vaccinations done?” This question could famously exist in many communities after parents find out that selected parents do not follow the doctor’s orders when it comes to vaccinations. This stigma may stand as the reason that vaccinations continue as medically necessary, furthermore, pushed as mandatory. The question for many individuals remain, just how safe are these vaccinations? The lion’s share of the public view vaccinations as safety nets that could prevent diseases and should stand as mandatory for everyone with very few exemptions in the population. However, philosophical beliefs, hazardous beliefs, and religious
Oakley found that up until the 1980s pregnancy and childbirth were seen as natural processes and consequently there was less intervention from doctors. However Oakley notes that since then doctors have increasingly medicalised childbirth and pregnancy and taken control from midwives. Doctors now treat pregnant women as ‘patients’ in need of medical treatment. The body as a social construct Feminists have long argued that in modern societies the patriarchal media has pressured women to possess a certain identity and to be thin which can endanger their health by causing diseases such as eating disorders and body dysmorphic disorder. Mental health Chesler says labelling is done by a male dominated profession who are more susceptible to mental illnesses.