Mr. J was kept in restraint without considering that Mr. J was not trying to get out of bed by himself. When the pressure ulcer was identified, the nurse neglected evidence which should have been a basis of removing restraint. Even if the risk of falling was high, a sound alarm could have been placed at the bedside, which Mr. J could have used when he wanted to use the bathroom. The body of Mr. J was in unnecessary discomfort due to restraint and constant pressure was causing ulcer in the back. Mr. J was diagnosed with mild dementia and was drowsy, so the nursing staff had put him in restraint.
A professional characteristic I possess is being serious when needed. While on the job I would handle every situation, rather it be changing a patient’s bed or administering the right medication, I would do so in a professional and serious manner. Nursing is a highly serious job and the wrong move could threaten the patient’s life. These are only a few characteristics that will help me become a great nurse and make the right decisions in difficult situations. Being top of the class in the nursing program is one of my main goals.
Nursing Expertise Self-Report Reflection Shanti Bhatta HCS/350 December 10, 2012 Frances Johnson Nobody is perfect in communication skills. It is important to improve communication skills in every section (ex. verbal and non-verbal). We have to be conscious on how we are communicating. Effective communication is important to get information from patient or staffs.
Whether we are exploring the best way to arrange shift cover or discuss with patients and their families the most appropriate community care, how we communicate depends on our professional relationships with all those involved.” In other words, communication is a key aspect in nursing as a whole. We believe, without it high standard of care will not be delivered. Communication within Child Nursing, in all forms is vital to enable the best care and to reduce fear and anxiety for the child/young person and their parents. Not using nursing terminology e.g. “E-Coli or Staphylococcus aureus”- to confuse the child and their parents, but instead breaking it down in plain clear English of what “E- Coli” actually is, will help them understand what is going on.
The critical care nurse plays a vital role in the withdrawal of life support because they are present at the bedside more than any other team member of the health care team and are responsible for carrying out physician’s orders to withdraw artificial support (Kirchhoff & Kowalkowski, 2010). However, ethical and legal conflicts may occur, when there is not a mutual agreement between the physician and patient or (and) family members regarding withdrawal of life support. It is the nurse’s role and obligation to facilitate discussion among the patient and family members when conflicts evolve. Therefore, it is imperative that the nurses have moral courage and have ethical humility to resolve conflicts, to assist the patient or family members, to make informed end of life decisions when death appears evitable. Hypothetical patient scenario Mr. Brown is an 89 year old male patient who has been recently diagnosed with advanced pancreatic cancer with metastasis to the
Dealing with Difficult Patients in the Medical Field Unit 6 Project Danielle Robinson CM 107 Outline Introduction A. Dealing with the difficult patients can be very stressful to your health if dealt with in the wrong way. B. All medical workers should have the availability to be able to take seminars that a. are offered to them throughout their career to keep them informed and update with b. any changes or new ideas or policies that might come into play on how to c. More effectively handle any or all situations. C. Difficult people are everywhere and dealing if them is an everyday life.
Each situation has to be assessed; the nurse may use the Six-Step process in assessing their ethical dilemma. Ethical decisions making requires your thoughtful reflection and logical judgment even though the situation usually presents itself in a mumbo jumbo of partial facts and strong reactions (Doherty & Purtilo, 2011). According to Doherty & Purtilo, the following steps allow you to take the situation apart and look at in a more organized, coolheaded way while still acknowledging the intense emotions everyone may be experiencing about the situation and how these feelings factor into addressing
This is one department where teamwork is essential and a lack of leadership amongst co-workers can lead to ineffective care (36). It is important to have communication and training because patient’s conditions are more serious and can change quickly. Because the conditions of a patient are more serious, any health care provider on that unit needs to know who to call or what therapies to use/change to improve a patient’s condition. 2) Medical Teams in the Emergency Department: Providers in this department include Nurses, Respiratory therapists, and physicians. Physician assistants, X-ray technicians and lab technicians may also be called to the department.
The nurse has a responsibility to find out if Henry is a vulnerable adult and if so what makes him vulnerable and what makes people in general vulnerable, including concerns that could arise from being vulnerable for example abuse. Patients have rights, so the role of the nurse will be looked at in great depth which will include clinical skills, communication, decision making, teaching, caring and knowledge, and how to address the patients’ rights using some of these skills. Henrys autonomy will need to be promoted by the nurse along with confidentiality, the nurse will have to justify professional conduct and any interventions needed to support Henry and his daughter, this will include autonomy and advocacy. Henrys daughter is very keen to see her father have the operation even though there are major risks involved. 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.
It is therefore crucial by which the nurses can figure out themselves in order to be able to establish on existing strength and applicable forthcoming action. As a care assistant I have worked in prevent infection, for instance through maintaining hand hygiene. However, I unfortunately witnessed bad handwashing technique by the qualified member staffs and among my colleague in many times which has conclusively brisked me to do my own research. I belief that by doing this I could able to expand my knowledge and skills in those areas of imperfection with enable me to provide high standard of evidence based care to the patient. In this essay I have not followed any reflective model as on one hand, I found difficult to cover all aspects of this ample topic and the other hand I will not describe only one particular event because there were many occasions which shown wrong pratice of hand washing.