These side effects may affect one person but not another. This would be hard to study as you can not say it is exactly one thing, and then you would have to look at the extraneous variables which affect each problem. However, this could also be good as it is not really being reductionist in its own approach; it is looking at all the possible individual differences. If choosing a different approach, like cognitive, then it would still be difficult because you do not know what the person is thinking. You would have to rely on the patient giving you the information for it not is socially desirable or have demand characteristics.
Abstract Stress in nursing is prevalent in healthcare system; the impact on patient care and other important aspects of nurse’s life is serious. Cognitive strategy was claimed to be the effective intervention toward the problem but evident did not reflect its validation. Stress management 3 Introduction Stress in nursing places patients at risk and threatens nurse’s wellbeing. Various strategies were revealed to have positive outcome on managing the issue but cognitive technique was claimed to be the effective one among the rest which is unlikely to be the fact as it has no concrete data to its validation. Background Stress in nursing is problematic as it affects the quality of patient’s care and, the impact of nurse’s burnout could be serious.
Dementia is generally not diagnosed after the individual’s first GP appointment. However health care staff should consider making a referral to NICE (National Institute for Health and Clinical Excellence) when the individual is showing any signs of mild cognitive impairment for an assessment. 3.3 Describe how myths and stereotypes related to dementia may affect the individual and their
I would need to be structured, creative, and positive to help her find ways to deal with the Alzheimer’s. - Location of Treatment I will treat Mrs. Sanders as an out-patient unless her Alzheimer’s becomes so sever that she can no longer care for herself or is a danger to herself. - Interventions to be used I will educate Mrs. Sanders on depression and Alzheimer’s disease. I will do some individual therapy with her to help her deal with the problems in her life and to prepare her for what will come. -Emphasis of
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.
They felt these patients were not getting proper education and assistance ensuring the wishes were being carried out. From this the Evidence-Based Practice Project began. Problem, Purpose and Research Questions
The primary concern is to ensure that the patient is as comfortable as possible and that any emotional and psychological needs are being addressed. “For many, hospice is a frightening word because it is associated with end of life. But really the confusion is due to not understanding what hospice is and how it can help people who are sick and their families. Often, the biggest myth surrounding hospice care is that the family has given up and hospice is a final surrender. But hospice is a way for people to prioritize the wishes of the patient and the family and is in no way "giving up."
The patient is a minor and may not comprehend the severity of her diagnosis. The nurse as an adult needs to tell the parents so that the patient does not experience harm. The principle of autonomy is another principle that I would use to justify my position in this case. Autonomy is the ability of a patient to give informed consent and make their own decisions (University of California San Francisco School of Medicine, 2008). Because this patient is a minor she is not mature enough to understand all of the implications of her diagnosis and treatment.
Client A has dementia and therefore unable to remember or know what she needs. In order to give the best care to client A ; I would use conversations and questions to find out what the patient understands, what language client A is most comfortable using and how are workplace and facilities can supply the services to ensure well being, safety and health. To understand communication a hands on approach is a must as no amount of reading would
Correct * Remind the client that her mother is no longer living. * Explain the seriousness of her injury and need for hospitalization. Those with dementia often refer to home or parents when seeking security and comfort. The nurse should use the techniques of "offering self" and "talking to the feelings" to provide reassurance (B). Clients with advanced dementia have permanent physiological changes in the brain (plaques and tangles) that prevent them from comprehending and retaining new information, so (A, C, and D) are likely to be of little use to this client and do not help the client's emotional needs.