The assessment of needs forms the background or starting point for further assessments against which improvements are compared. The assessment of needs is therefore the starting point for any decisions on care strategies. Assessment of needs in Asthma Physical: when my individual’s situation had worsened due to severe asthma attacks, her parents took her to the hospital. The doctor gave her a mobilizer which helps oxygen to pass through her blood in order to relax her. To prevent future attacks and to control them the doctor taught my individual’s parents how to do first aid such as helping the person to sit upright and loosening tight clothes and ensuring that the medication is taken during an asthma attack because it helps the service user to breathe better.
2.1 As health care workers we must follow “LOLER 1998 Legislation”, also the home will have work instructions which we must follow, not to work without correct training. We must follow risk assessments in the residents care plans which are tailored to the individuals and their specific conditions. When residents come into the home they are assessed for their specific capabilities by the in house physiotherapist and if a hoist is needed they are then measured and assessed for the type of hoist and sling used so they have the correct fit and weight for the hoist and sling. The residents all have their own slings to be used on the hoist to avoid cross contamination and to ensure they are accessible when needed. 2.2 The health and safety factors that need to be taken into account when moving and handling residents and using the equipment to do this are making sure we follow the health and safety at works act 1974 whilst
In order to prevent infection, and injury it may be necessary for the worker to wear personal protective clothing (ppc). It is vital to always adhere to standard precautions and procedures which will have been explained in training sessions. This protects the worker from claims of incompetence and also addresses the issue of vicarious liability. Although the learner will develop experience and some knowledge s/he can not advise on medication or deal with all queries about the efficacy of the medication. Any queries s/he has doubts about or have not been covered in training must be passed on to the lead practitioner.
Skills in how to communicate effectively with both the pediatric patient and their parents are important for a nurse to foster to maintain good therapeutic relationships. Person centred care becomes family centred care when babies and children are the patients. The dependent nature of the patient increases the need for parental responsibility and advocacy for the child. It is important for all members of the family to be taken into account when nursing a pediatric patient, especially the primary caregivers and siblings. Chochinov, 2007 (cited in Cornwell & Goodrich, 2009), states simply that compassion is ‘a deep awareness of the suffering of another coupled with the wish to relieve it.’ Pediatric patients and their families are highly sensitive to the compassionate nature of health care professionals and a successful therapeutic relationship with them depends on the sensitive, compassionate care offered by the nurse.
Step 3a: Be Reasonable Rights/Responsibility Lens -Identify duties. Which option best fulfills the requirements of this lens? Screens 8-10 Your notes: Duty to support the staff’s professional improvement, duty not to accommodate parents who are harming their child, duty to provide the best patient care possible. The duty that is owed to the stakeholders is: involve the assigned nurse and the parents is assessing need for medical intervention to ensure a safe delivery. Provide contacts for aftercare support and education.
Aiii: The principles to be followed for safe moving and handling are that there needs to be risk assessments and procedures done to minimise the risk of injury to the employee. This may include recommended amount of people required to move an object, specific equipment needed and training to safe about handling equipment safety. Aiv: It is important to follow the care plan and communicate with each individual when assisting and moving as moving them incorrectly may cause them to be injured or discomfort. You need to inform and discuss with the person in concern about how to be moved, provide help and equipment when required. Av: Doctors are responsible for prescribing medication.
The NAON recommended that patients and their families should be provided with education about pin site care before discharge and that this should be supported by the provision of written instructions (Holmes ei a/2005). Information should be available in written, oral and visual formats and should be consistent (Lee-Smith et al 2001 ). In terms of risk, if it is considered that the patient and/or carer is not able to achieve the required competency to care for the pin site, then healthcare professionals with particular responsibility for pin site care should liaise with community nurses to maintain consistency and provide support (Lee-Smith et al 2001 ). Nursing accountability Medical staff often indicate their preference for carrying out pin site care. Healthcare professionals may include the pin site care regimen in the patient's notes.
When contacting other providers they may be treating a client for other mental health disorders. Screening for substance abuse is important as well and a clinician should always keep in mind that with substance abusers co-occurring disorders are not uncommon. They should always screen for keep their eyes open for clients who are bi-polar, experience depression, and manic depressive disorders. At this point a clinician should refer to the DSM-IV for an accurate diagnosis. A clinician should always ask a client about their strengths and weaknesses to find out exactly how the client sees
2.1 Dilemmas that may arise: • Equipment - Clients may refuse to use hoists and stand aids as they have had bad experience in the past with using them which could affect clients hygiene, physical needs and means that staff can’t do their job to a high standard we would take note of what the clients have said and ring the manager to come up with another solution. All equipment must be in date and checked regularly before use. • Training - Training must be up to date and if it isn’t you should not but yourself or clients at risk of danger. All cares should not attempt to do things outside of training or job
And in addition the client may tell us themselves, information which we may deem risky to the clients or others lives. All information should remain confidential, and if the therapist breaches this, then they are likely to be sued. However if the life of the person is at risk or society as a whole then we may deem it necessary to breach confidentiality, however there is no consensus on what is deemed as harmful, and we would need to follow our governing body such as the BACP or Hypnotherapy society guidelines on how to deal with this. In most cases if you feel confidentiality has to be breached you should inform your client, as to the reasons why, this should be discussed in the initial consultation how and when you would do this, so you have an agreement before you start