The purpose of this paper is to discuss that as a patient’s life deteriorates care is no longer able to improve a patient’s quality of life but their projected outcome is thought to be a continued degeneration. It is further considered to be in the best interest of the patient and their family to terminate active care. Also, ethical issues need to be addressed concerning what is right for the patient and how making decisions on withdrawing care affects nursing. As stated in Hickey and Montgomery (2009) “with the continued growth of technology, it is difficult to determine if the patient ‘truly benefits’ from such advances”. “Truly benefits” will be used to mean the patient will, in time, have an improved quality of life (Hickey and Montgomery, 2009).
Resources management and promoting good team working are an integral part of risk assessment and management. After looking at the issues surrounding this policy and how it helped in the incident referred to here I would recommend that teams work on strengthening supportive structure to deal with the aftermath. An incident of violence or aggression can be very unnerving even to the most experienced and report and studies still indicate that a lot of incidents are not being reported. In the assignment a study has shown that closer supervision in social work has benefits and strengthening this with nurses will go a long way to support them but also to help in risk
End of Life Issues Alicia Lange Indian River State College End of Life Issues In today’s society with the advancement of modern medicine and technology, ethical dilemma’s regarding quality of life versus quantity of life exists. Everyday families and loved ones are faced with the grueling decision to keep their loved ones alive as opposed to letting them die a peaceful, natural death. Being faced with the notion that modern medicine and technology can keep someone alive, but not add to the quality of their lives is a difficult decision we will all possibly face one day, either with ourselves, or our loved ones. Because of the advances in medicine and technology today, people are living longer with a growing number of elderly persons. Even though many of these elderly patient’s have Living Wills in place, the dilemma at times is that the family is not quite ready to let go.
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.
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 process of understanding the patient and making that connection is valuable especially when there is a relation between one’s health and spirituality. Even though the medicine and treatment procedures help the patient with curing the illness, there is that factor of spirituality that goes into complete recovery. That’s where it’s important for the health care professional to go outside of the medicine routine to make that connection and help the recovery process. Healing hospitals have different components that would help relax a patient’s or family’s mind and body which will only benefit them physiologically. According to Lane (2005), when body is relaxed it helps to lower blood pressure and heart rate, increase blood flow to the GI system and endorphins are released to the brain.
The lack of a definition is part of the problem. Some gerontology experts with dementia experience who recognize the ambiguity of the term care, target the social and emotional aspects of care with phrases such as “therapeutic Caregiving” as Barbara J. Bridge’s (1998) does in her book of the same title Therapeutic Caregiving: A Practical Guide for Caregivers of Persons with Alzheimer’s and Other Dementia Causing Diseases. Joanne Koenig Coste (2003) refers to a “habilitative “approach to care giving in her book; Learning to Speak Alzheimer’s. Using the terms social care and emotional care remind us that the everyday care that all of us already know and use holds power. At times, I will give social and emotional care separate attention in order to elaborate on the importance of each.
Once in employment many IRNs experience difficulties due to differences in language and culture in their new country of practice. Barriers to effective communication have implications for all nurses but particularly those functioning in a second language and culture. This article suggests strategies for IRNs, UK-educated nurses, managers and policy makers to improve the experience of IRNs and to ensure patients receive the best possible care. Keywords Communication; Culture and religion; Language; Overseas nurses These keywords are based on the subject headings from the British Nursing Index. This article has been subject to double-blind review.
From a patient and their family’s perspective, nurses do not have good responsive skills. Although we may be busy, we need to remember that we have other patients to care for and must attend to them quickly to ensure that they are happy and safe. The most important thing is that we must be empathetic to those in our care and communicate professionally as nurses. As
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.