The husband wanted to save his wife, but on the other hand, their children belief that their mom wants a quality of life with dignity. When a nurses engaged such a complex ethical situation, the Ethical Committee resources included multidisciplinary groups that are needed to assist patient and family. Based on statutory law, patients have the right to make a decision to withdraw or withhold any treatment (Blais & Hayes, 2011). In the case study of Marianne, the patient do not have advanced directive on file, therefore, the statutory laws are not against family's decision related to her care. The nurse can only educate and provide information and be the patients' advocate.
I would talk with my neighbor about the different products however with pricing and another patients’ information I would not discuss that kind of information. It is a different case from patient to patient depending on insurance. I would advise her to call the office and make an appointment. 27. I would seat the physician in a private room, just out of respect.
When I’m carrying out all of these, I remember person centred values which helps me to be able to do what’s right for the client or what the client wants before carrying out any activities for the day, I go through my clients care plan but I also ask family of the clients if there has been any changes for example if my client needs to be awake and ready for a certain time, earlier or later than usual set time. I agree with them because it’s their right to change their mind. At this stage we talk together and rearrange. Personal relationships are based on emotions sharing similar attitudes, values and interests. They are also very informal, in personal relationships you share support between each other with feelings and thoughts as you can be who you are with family or friends.
I also reassured her by explaining what was happening and letting her know what was next. I empathized with her situation, listened to her and watched her non verbal clues and was able to offer her comfort and develop a plan to inform her and let her know that she was not alone and keep her informed of what the surgery would be. Listening also helps me in my professional life with clients as I try to find solutions for their situation that will be beneficial for both the customer and my employer. By improving my listening
Critical incidents are snapshots of something that happens to a patient, their family or nurse. It may be something positive, or it could be a situation where someone has suffered in some way (Rich & Parker 2001). Reflection and analysis of critical incidents is widely regarded as a valuable learning tool for nurses. The practice requires us to explore our actions and feelings and examine evidence-based literature, thus bridging the gap between theory and practice (Bailey 1995). It also affords us the opportunity of changing our way of thinking or practicing, for when we reflect on an incident we can learn valuable lessons from what did and did not work.
During the therapy, the sufferer is not obliged to attend. Falloon et al (1985) developed a form of family management to be used when the patient returned home from the hospital. Each of the family members are interviewed and the emphasis is to teach everyone in the family certain things. For instance how to be constructive, be empathic in their dealings with each other and with their schizophrenic relative and how to avoid causing stressful interactions with him or her. Another alternative psychological treatment is the use of cognitive behavioural therapy.
This helped her feel safe to disclose her issues. I informed her I would be using counselling skills during our sessions but made her aware of my limitations as a trainee. This helped Sara: feel confident to trust me to listen to her without judging; provided a solid foundation for a collaborative relationship; and gave her a degree of assurance of what she could reasonable expect Early on I felt empathy with Sara’s issues and conveyed this non-verbally by maintaining eye contact and open body language, while leaning slightly towards her and nodding appropriate understanding. I further confirmed my empathy verbally by reflecting her feelings of frustration and isolation, thereby validating her emotional response. This had the effect of clarifying to Sara I was listening
There are many steps to take in order to improve communication skills in nursing such as honesty, availability and responsiveness. The first step towards effective communication in nursing is honesty. As nurses, we may often find ourselves making promises that we can’t keep. This could be anything along the lines of, “I’ll be back in 2 minutes” or “The doctor will be with you shortly.” Although we may have good intentions, and we may often forget the promises we make, our patients are relying on us to be honest and follow through with these promises. It is important not to make promises we cannot keep.
In many cases the abused individuals will not yet be ready to break from all they have known and leave their abuser. Educating my client with information on domestic violence statistics as well as signs and warning of a non-healthy relationship will also be provided to my client. My client will be able to identify and become aware of their legal rights. Education will allow him or her to focus on helping, instead of ignoring or blaming, which is the only way to stop the abuse and break the cycle. With the proper education and training, my client will be able to get back on his or her feet.
Clients, have the capacity to find their own solutions to most problems they are faced with, clients often just need an environment where they are able to express themselves freely. This, to me was different to what I thought I knew and experienced about counseling. I suppose I felt this way due to how counseling is portrayed by the public, media and my friends and family. After reading all the materials for week one, I spoke to a close friend who was going through a very tough personal situation and would often call me distressed. I would usually just agree with her and tell her what I would do if I was in her situation.