1. Understand the importance of risk taking in everyday life. 1.1 Every day activities such as catching the bus, travelling on holiday, playing football, setting up home and starting a family all carry some element of risk. Risk plays a part in our health, safety, security, well-being, employment, education, daily activities, using resources and equipment and in community participation. But some adults, for example disabled people or older people, are often discouraged from taking risks.
This nurse should have requested assistance from a nursing supervisor when the physician failed to acknowledge the patient’s right to self determination by stating “No” when the physician wished to intubate him as well as acknowledging that this patient had an advanced directive. This nurse also failed, when she initially spoke with the DPOA, to notify him that the patient had an advanced directive and she should have taken steps to notify him of this as soon as she realized that she had made a
Assignment 301 Principles of communication in adult social care settings 18.06.12 Task B Case study You are a social care worker and a service user, Hannah, tells you that she is unhappy taking her new medication as she thinks she does not need it and so she is throwing it away. You know from her care plan that Hannah does need to take the medication regularly and gets confused. Hannah begs you to keep this confidential and not tell anyone especially her daughter, who she sees regularly, as her daughter will be very angry. Bi How would you explain the term ‘confidentiality’ to Hannah? Whilst it is Hannah’s right to make decisions for herself and choose to take the medication or not, in this case from the information given it could be detrimental to her health and therefore I would explain to Hannah that the information given to me in confidence; through Hannah not taking her prescribed medication she may be at risk of harm and therefore I would need to pass the information on to my Manager to ensure her wellbeing is being addressed.
Hannah begs you to keep this confidential and not tell anyone especially her daughter, who she sees regularly, as her daughter will be very angry. Bi) How would you explain the term ‘confidentiality’ to Hannah? I would explain to Hannah that I do respect her wish to keep this information ‘confidential’, however due to the nature of the information she has divulged, I would have to inform management as she is putting herself at risk by throwing her medication away. This is not following her careplans and the medication has been prescribed to her for a reason and due to her regularly becoming ‘confused’ we cannot be sure that she is fully aware on what the medication is for. I would explain that we can keep certain things confidential such as opinions and beliefs but if information effects their received care or personal wellbeing/health then I have a duty of care to act upon this but only on a ‘needs to know’ basis.
The information Hannah disclosed would be recorded, signed and dated, reported to my line manager and those directly involved in Hannah's care such as her G.P. who could try to help her understand the benefits of taking her medication. If I failed to record/report the information I would not be fulfilling my duty of care to Hannah, this could lead to her becoming ill from not taking her medication, which would then be negligence on my part. If the information was shared with Hannah's daughter without her consent she could lose all trust in me and other staff and could withdraw and not tell anything. It could also lead to tension between Hannah and her daughter.
After Colleen had said she cannot make that decision, Halvorson explained that EMS takes total responsibility for the medical care instructed. Colleen’s word choices and tone did not express sympathy or urgency as she continuously put off Halvorson’s plea to find someone else to keep Lorraine Bayless from taking her last breath (Kern County Fire Department, 2013). Duty-based Ethics Although Colleen is the facility’s Resident Service Director, she identifies herself as a nurse to the 911 dispatcher (Kern County Fire Department, 2013). For a nurse, on or off duty, to see someone laying on the floor as if he or she is lifeless and not do anything about it, is in violation of duty-based and virtue-based ethics. When someone becomes a nurse he or she agrees to the responsibility of taking medical action in the presence of a medical emergency, using their better judgment (Fantz, 2013).
As technology consumes our every- day lives, hospice care facilities will always confront concepts and innovations that challenge and redefine caregiving practices. Video supervision is not considered unethical nor is it a violation of privacy. The sole purpose of the granny cam is to guarantee the receipt of proper treatment by the caregiver at all times. Granny cams presence in the hospice environment ensures protection for the elderly in assisted living facilities. Acts of malpractice can help be diminished by these surveillance practices and can change the negative perception
If she found out that any of the patients like something she would make sure it was removed, and if they hate it, she would have more of it. An example would be when she leaves the music on and they want it to be off. When the doctor helps McMurphy by letting him, and the younger patients have the tub room, Nurse Ratched is extremely furious because she tries to stop it from happening. Every time something went wrong she would gladly take away their privileges, and did not care how they felt. “... Well, today’s Friday and I thought I might just bring it up again, just to see if anybody else has picked up a little guts.
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. The nurse who neglected care towards the patients, in my opinion, should lose their job. Nurses who neglect care are putting their patients at danger. According to the Code of Nursing Ethics, “The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth” (ANA Code of Nursing Ethics). This nurse neglected the patient, therefore, neglected the responsibility in preserving the safety and integrity of the patient.
As a nurse it is important to make sure that tasks are being delegated appropriately to UAPs and they understand when they need to report problems of concern to the nurse. The CNA in Mr. J’s scenario did not take the reddened area on the spine seriously and reapplied the restraints and left Mr. J on his back after toileting. The nurse knows that areas of breakdown occur over bony prominences and the area of breakdown discovered should cause concern to the CNA as well as the nurse. With this not being reported to the nurse, no measures to prevent this from worsening can be implemented. Oftentimes a diet is used not only to complement treatment but respecting individual’s religious beliefs.