Reality orientation is one of the most widely used management strategies for dealing with people with dementia (Holden and Woods, 1995). It aims to help people with memory loss and disorientation by reminding them of facts about themselves and their environment. As I said earlier Trudy would have lucid periods where she knew she was in hospital. At these times I could say “Trudy you are staying in hospital for the moment Paddy is not well enough to take care of you at the moment”. Trudy would accept this and understand that I was a nurse and I was there to help.
The way in which a nurse practices can greatly affect the outcome of the patient (Potter & Perry, 2006). For this reason, nursing practices based on theories and concepts should be researched. The process of using concepts, theories, research and practices to form rationales usually begins with a concept or theory and is cyclic in nature, as each component may lead to the other (see Appendix A). In the nursing profession, several concept-directed theories guide both research and practice. The purpose of this paper is to select and analyze one of the many nursing theories that exist.
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.
Taking in new information People with dementia find it very difficult to understand and retain new information and events. In some cases of dementia the area of the brain that processes new information may be damaged , which means the individually not be able to recollect hearing information they have already been given. As the brain has not been able to retain the information the individual may think its the first time they have been given it. Recognising people and places People suffering with dementia may lose the ability to recognise people, places or things. This is because the brain no longer the the capability to remember or process the information it needs.
Nursing Documentation and Malpractice Law HCS/545 Health Law and Ethics May 31, 2010 Mary Nell Cummings Nursing Documentation and Malpractice Lawsuits Proper medical documentation can prevent liability issues and malpractice lawsuits. The focus on my paper will concentrate on nursing documentation and malpractice lawsuits. I presently work for a home health care agency. The entire staff throughout the company was recently informed of increased Medicare denials and possible lawsuits as results of inadequate documentations. A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation.
Mitigating Lateral Violence: Design for Change in Practice Stacy Lacaillade Chamberlain College of Nursing NR451 Capstone Course 28 November, 2010 Design for Change in Practice Evidenced based practice (EBP) is an empowering process for improvement in the health care professions. Rosswurm and Larrabee (1999) credit the research studies which used meta - analysis, randomized clinical trials and systematic studies of patient outcomes over the last few decades as having started this shift from the “tradition of intuition – driven practice…to the new paradigm of evidenced based practice” (p.318). However, evidence has encountered a certain amount of difficulty being implemented into practice, thereby necessitating the use of a model when implementing a change based on evidence into practice. This paper will discuss the six steps in the Rosswurm and Larrabee (1999) model for implementing change as they apply to the necessary change of mitigating lateral violence in the nursing work place. Step 1: Assess This step of the change process begins with the identification of a problem.
Many people who do not realize these dissociative experiences are greatly affected. Living life normally is very hard and for these people. Everyday life for them is different FROM those who are not dissociative. Dissociative states are very different from the outside world and thus can be very harmful to ones life which ultimately limits their perception of reality. CITATIONS Armstrong, Karen.
Research Article Analysis Paper Abstract The abstract is a detailed description including the study problem, the particular patient population studied, the method of study used and a brief description of the results. The authors present the question and significant results of that question within the abstract. The abstract would have been strengthened by clearly stating the sample size and conclusion of the research. Introduction The authors of the research article found it important to educate nurses directly working with renal disease on end-of-life issues. They felt these patients were not getting proper education and assistance ensuring the wishes were being carried out.
Poor communication between the service user and carer is a factor, he or she may be unable to express their concerns or opinions. If an individual is not mobile or bed bound, they are frail and powerless to defend themselves. Someone who suffers with dementia and is aggressive may be susceptible to abuse as care staff may not know how to deal with this and become frustrated and lash out. Question 2a (Weighting:
In addition, lack of preparation for palliative care is likely to cause stress and anxiety among nurses providing such care, potentially affecting their own health in the long run (Desbiens, Gagnon, & Fillion, 2012, p. 2114). Palliative care for children and young people (CYP) has been “increasingly recognized as requiring specialist input. Nurses with…the requisite knowledge, skills and experience in …CYP palliative care are often few; have inadequate…service development; educational provision,…resulting in feelings of inadequacy, emotional distancing, and burnout being reported more prevalently among professionals who have been insufficiently prepared, educated or