Henry is not so convinced and as the procedure looms closer he asks his nurse to help him make a decision on whether or not to go ahead with the procedure. The conclusion will involve how the nurse negotiates with Henry and what outcomes will be possible for Henry and his daughter. It is the responsibility of the nurse and multi-disciplinary teams to identify and protect vulnerable patients. Defining what is vulnerable is very difficult; The Department of Health (DOH ) describe a vulnerable adult as “a person aged 18 years and over, who is in receipt of or may be
Individual's approach to this difficult stage of life may be very different from considering it as the beginning of a new life through fear up to denying. Disregarding person's attitude towards what is happening to them they need help in many ways. From mine, care assistant's point of view the most important aspects of end of life care are: psychological and spiritual support (if requested), basic personal hygiene, supporting with eating and drinking and meeting continence needs. Another one which does not belong to my duties is administering proper medication which is basically pain reliefs. I work in a care home on two nursing units where very often I have to take care about terminally ill patients.
The principles used in ethical decision-making and the Nursing and Midwifery code of professional conduct will also be discussed. The writer will be looking at a scenario within her practice exploring some legal and ethical issues that arises during practice, adhering to confidentiality at all times. A summary of the main points will be discussed in the concluding part of this essay. In this essay, the writer will explore a scenario of an elderly patient who had a hip fracture was admitted into the ward from the accident and emergency unit. Her medical history included advanced senile dementia and severe heart problems with a ‘DO NOT RESUSCITATE ORDER”.
2009). In order to guide their patients to health, nurses must be able change medical lingo into everyday language. For example; instead of asking a patient if they have ‘voided’, he or she should be asking their client if they have passed urine. In most cases, finding the appropriate language to get the message across can be easily predicted. However, in some cases, Nurses have to re-ask a question in order to allow an understanding between them and the patient.
My question was: Mrs. Thompson, I would like to know from your experience which is better for the patient and his/her family, hospice at home or in a hospital setting. Sometimes, there are many problems for the family to care for their love ones at this time due to emotional feelings and physical burden. What do you think is best? Mrs. Thompson answer: Philosophically and practically, the goal of hospice care is to stabilize the patient's condition in order to permit him to return home, where most people say they would prefer to die. There are several points to note, in this context: 1.
Nonverbal communication consists of any type of communication that is not spoken out loud. This article, Assessing Contentment and Distress, talks about how nonverbal communication is key in understanding patients who can no longer communicate verbally. Since it is very difficult for people to understand and be able to perceive what these signs really mean, the medical field has come up with a tool called the Disability Distress Assessment Tool, also known as the DisDAT. This tool can recognize nonverbal expressions and can tell when these are signs of the patient’s distress. The author of the article explains her experience with the DisDAT and its use on a patient she had with a learning disorder and the final stages of dementia.
The goal of palliative care is achievement of the best quality of life for patients and their families. Many aspects of palliative care are also applicable earlier in the course of the illness in conjunction with other treatments. [2] Many look to palliative care at the end of life; and with the present concern over the issues of euthanasia and assisted suicide which seen to feature on a daily basis in the media, many feel that palliative care has many aspects that could negate the need for people wishing to end their life. Palliative care had its origins in the 1960's when the hospice movement begun by Dame Cicely Saunders, in when she established new methods of pain control and a
The purpose of this assignment is to explore the patients lived experience of the altered health status prior to their admission to hospital, I will also discuss the role of the professional nurse in meeting some of the needs of the patient and examine the care give whilst hospitalised. An altered health status can interrupt the patient in numerous ways, and lives can be influenced in social, emotional, physical, spiritual, financial and other ways. It is crucial that a full and accurate assessment is carried out as soon after admission as possible to establish the patient’s previous routines, levels of independence, and health needs, both actual and potential, related to each activity of daily living (Roper et al 2000). It is necessary to consider all these factors to ensure that the patient receives holistic care and is not just treated from a medical point of view. For the purpose of this assignment I will refer to the patient as Mary who’s care I was involved with whilst on placement on a medical ward.
With this knowledge, the patient can self-promote their wellbeing. It also help nurses assess the patient on their learning readiness, barriers, what they already know or not know and reinforce the basic skills that patients has already mastered. My first teaching encounter was a patient who came in with pneumonia. She also has a history of Diabetes Mellitus Type 2, asthma, tachycardia. Pneumonia is an inflammatory infection of the air sacs and surrounding lung tissue that can be caused by many microorganism, but commonly viruses or bacteria.
An article by Nathanson (2000) described the condition of the ethical problem when a nurse had to disrupt the confidentiality of patient information to a suitable person. In this situation, nurse faced an ethical dilemma. Take the decision for patient safety or keep patient's confidentiality is the choices in this situation. The purpose of this article is to explain the possible decisions taken by this author in the situation mentioned in the above article. Ethical Implications of a Breach of Confidentiality Confidentiality is the right of every patient.