The average patient is in hospice 59 days. Hospice is for those who are terminally ill, who can no longer take care of themselves and their families are unable to help, and it is also for the cancer patients when chemotherapy and other drugs are at its end and are enable to fight the disease. The decision of hospice is decided by the patient, family and physician. Hospice services are provided by a group of professionals who works as a team to develop the best care plan for the patients as well as their families; those professionals include: Nursing services, physician participation, medical social services, counseling, Pastoral or spiritual bereavement counseling (for family up to one year after patients death), dietary, home health aide services, medications, medical equipment, other medical supplies, laboratory and other diagnostic studies related to terminal illness. Therapy (physical, speech,
Once I started researching a career in nursing I realized that there were a lot more types of nurses then I had originally imagined. I have not decided on which field of nursing I would like to specialize in yet but I just imagine myself as a general nurse, working in a hospital setting. A Registered Nurse (RN) is not a doctor assistant; a RN gets to treat wounds, give IV’s and basically get to treat their own patients. Right now my main priority is to stay focused on taking all necessary steps to pursuing Nursing as a career.Gwendolyn Mink describes most Registered Nurses as working directly with the patients and their families. They are the families’ contact with the medical world, in the hospital and at the patients’ home.
From a patients perspective : Since this hospice provides care for those that are in their last days of living from terminally ill diseases. Their objective is to enable their patients to “die with dignity”. While at the Hospice patients are going to through many emotions like stress and anxiety. The patients are told what is happening at every stage of their care. The hospice provides patients with the treatment and care they specifically need.
Hospice care provides medical services, emotional support, and spiritual resources for people who are in the last stages of a serious illness, such as cancer or heart failure. Hospice care also helps family members manage the practical details and emotional challenges of caring for a dying loved one. The goal is to keep you comfortable and improve your quality of life. Hospice services usually include: Basic medical care with a focus on pain and symptom control. Access to a member of your hospice team 24 hours a day, 7 days a week.
I asked her what made her decide to get into this line of work, she stated “It was the same kind of work she did when she helped her husband who is a Chaplin.” They would go to hospitals, nursing homes talking to them and she really enjoyed it so that is what made her decide to get into this line of work. I was going to then ask her if she enjoyed what she did but I really did not need to, as we began the interview, it ended up being more like a story of her how she began working at Faith Hospice of
Change, though a part of our daily routine in nursing was difficult. My history with this organization was that often nurses found that practices that were adequate during their own experience as a patient and therefore should not be changed or improved on. More well seasoned nurses had told me during my initial fact finding phase that they prefer specializing in either mothers or newborns, but not both. All my nurses had certification in neonatal resuscitation and basic life support which was the basic structure of being competency in couplet care. After assuring the support of my clinical coordinator and my senior leader, I spoke at a staff meeting about the benefits of couplet care.
When I started my placement at the surgery I was assigned a mentor for the day, she showed me how to operate the booking system. I was very hesitant at first because her facial expression portrayed her to be very closed off and strict, however this changed when I started interacting with her. She showed me how the operate the booking system. The system showed the times that the doctors were available and when they were on home visits. I made sure that I listened as she spoke and made notes as she was talking.
This highlights again the importance of collaborative working and effective handovers ( ). This information I felt was necessary to prepare myself for what may potentially be a difficult visit and also to prevent a potentially difficult situation had I been unaware of the family’s circumstances. Upon meeting Mum for the first time I observed a sociable lady who appeared happy and adjusting to life with a new baby. This was her fourth child and appeared to be confident in meeting babies’ needs, with good interactions observed. I began with routine questions asked at a new birth visit, however as I was aware of the families recent loss I felt it appropriate to
Personal Philosophy of Nursing As a Registered Nurse and a Health Care Provide, I impact and influence patients and the people around me. It is important to know what your philosophy is and how you integrate that into how you care for and work with people. In my paper, I want to write about why I became a nurse, what I believe about nursing and where I think the profession is headed. Choice of Nursing I worked in health care for several years prior to becoming a nurse. My first health care job was as a pharmacy tech in a retail pharmacy.
Speaking to a loved one about end of life decisions is never easy, and in most cases is not discussed until someone has been diagnosed with a terminal illness. When a loved one is faced with a poor prognosis, the family is confronted with important decisions on how to provide end of life care for them. The nurse can be instrumental in helping the patient and family decide whether they want to stay in the hospital, or go home for their final days. Helping the family set up an advanced directives is important so the family is aware of the patient’s wishes in the event that they can no longer make their own decisions. It also reduces any anxiety that the family members may be feeling if the patient has their wishes laid out for them to follow.