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.
A -- A carotid bruit #2 Due to Nancy's deteriorating condition she is referred to a neurologist. The emergency room nurse realizes that she has probably suffered from a left-sided brain attack. What clinical manifestation further supports this assessment? D -- Global Aphasia #3 What nursing intervention should the nurse implement when preparing Nancy for a noncontrast CT scan? B -- Explain that the client will not be able to move her head thoughout the CT scan #4 The neurologist also prescribes a magnetic resonance imaging (MRI) of the head STAT, why?
Hannah begs you to keep this confidential and not tell anyone especially her daughter, who she sees regularly, as her daughter will be very angry. Bi) How would you explain the term ‘confidentiality’ to Hannah? I would explain to Hannah that I do respect her wish to keep this information ‘confidential’, however due to the nature of the information she has divulged, I would have to inform management as she is putting herself at risk by throwing her medication away. This is not following her careplans and the medication has been prescribed to her for a reason and due to her regularly becoming ‘confused’ we cannot be sure that she is fully aware on what the medication is for. I would explain that we can keep certain things confidential such as opinions and beliefs but if information effects their received care or personal wellbeing/health then I have a duty of care to act upon this but only on a ‘needs to know’ basis.
Culturally congruent care means taking in to account the beliefs and traditions of the patient and working them into the care plan. This is one of the key factors in having the patient’s attention; to understand and accept the advice of the care providers. If the patient is comfortable, they are more likely to follow the medical advice and promote the facility to their friends and family (Potter et al., 2013). The Hispanic culture believes that a post-partum woman needs to wear an abdominal binder to prevent air from entering the uterus, thus promoting healing. Marie needs to get Carla to ambulate, but Carla refuses to get up until Marie gets an abdominal binder for her.
Assignment 301 Principles of communication in adult social care settings 18.06.12 Task B Case study You are a social care worker and a service user, Hannah, tells you that she is unhappy taking her new medication as she thinks she does not need it and so she is throwing it away. You know from her care plan that Hannah does need to take the medication regularly and gets confused. Hannah begs you to keep this confidential and not tell anyone especially her daughter, who she sees regularly, as her daughter will be very angry. Bi How would you explain the term ‘confidentiality’ to Hannah? Whilst it is Hannah’s right to make decisions for herself and choose to take the medication or not, in this case from the information given it could be detrimental to her health and therefore I would explain to Hannah that the information given to me in confidence; through Hannah not taking her prescribed medication she may be at risk of harm and therefore I would need to pass the information on to my Manager to ensure her wellbeing is being addressed.
The lack in education and experice results in lower levels of trust in medical care. They are skeptical about receiving care from physicians, nurses and the entire medical care regimen as a whole. Women who are skeptical about the care will reject prenatal testing. For example referring back to the story about tracy, she rejected getting an ultrasound because she believed that the radioactive rays would affect her fetus. If she was educated about the importance of prenatal testing Nahla might have been normal today.
Throughout the story Granny Watherall expresses herself through verbal communications and also her inner self-talk. Granny appears to be in denial of her death and has a hard time accepting her sickness that is pointed out by others. Fuming with anger and depression from her past, Granny cannot let go the thought of things such as, her first love George who left her on the wedding, to the death of her husband John and her daughter Hapsy. Granny’s psychological stresses give her difficulties in her death bed. In 1969, a psychologist by the name of Elisabeth Kübler-Ross came up with a method of supporting and counseling personal trauma associated with death and dying called “Stages of Grief”.
One time in the very beginning of the story Elgin goes to visit Christine in the hospital, Rayona had not seen him in 5 months and Christine did not want to tell him about her sickness. Christine and Elgin get into a huge fight and yells at her husband to go back to his little black girl. (Dorris 7) “Forget us. Who needs you anyway” (Dorris 7). Christine collapses into the pillows and waits for Elgin to respond and expects him to say sorry but he doesn’t.
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
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.