Patients with paranoid schizophrenia are more opportunistic in behaving aggressively or violently towards co-patients and/or staff, which is why implementation of such assessment tools have been put in place (Langan, 2008). Upon completion of regular risk assessment screening tools the nurse must implement measures to minimize risks which have been identified. Good examples of this on an inpaitent unit are increased visual observations,
Using a laminated card and by displaying the Whooley questions discreetly I have implemented them at each clinic I have undertaken since. It is essential that the HV is both confident and competent in the delivery of the questions and committed to exploring any concerning outcomes fully. It has been suggested that many new mothers will not disclose feelings of low mood due to the perceptions a health professional may have if she does. Edhborg (2005) suggested women who are depressed after giving birth often struggle with tremendous guilt over their depression and believe that it means they are a bad mother, this inhibits their likelihood to disclose feelings of low mood to a practitioner. I have seen mothers react after presentation of the Whooley questions, with a sheepish “No” on occasion.
In many professions, nursing especially, one can find rationale for every action. Rationale can be defined as the fundamental reason to account for something (Potter & Perry, 2006). While rationale may be present in many professions the importance of rationale may only be distinctly evident in a certain few. In nursing, rationales are used in everyday practice as nurses interact with patients (Potter & Perry, 2006). The way in which a nurse practices can greatly affect the outcome of the patient (Potter & Perry, 2006).
1288 women (mean age 28.7 years) hospitalized for cesarean or vaginal delivery were enrolled. Patients were contacted and a computer-assisted, scripted telephone interview was conducted by the Research Survey Center of Wake Forest University to assess the presence of persistent postpartum pain, intensity, frequency, location, treatment and impact on daily activities,
I recently worked in an Intensive Care Unit and aggressive patient were always a potential problem sometimes from alcohol withdrawals or other times from an acute medical condition. I wish there were more studies on the use of chemical restraints as far as when they are deemed appropriate and how often they are used incorrectly. I used to get frustrated when I would see a patient snowed when I came on to shift and I wondered if it was because that nurse just didn't want to deal with the time consuming behavior and problems that patient would cause or if the medication given was for justified reasons as the patient was that out of
The importance goes further to the core of the problem focusing on the nurse and evaluating what is needed to be done in order to educate this patient group. The research problem involves nurses who are not comfortable discussing end-of-life issues with their patients and is identified in the first few paragraphs of the article. This is a significant problem nurses and doctors can educate, manage and monitor for these chronic patients. The purpose is not clearly stated in the study, but is inferred within the abstract of the article as well. Patients and families dealing with potential end-of-life issues is a very common problem in health care today.
Case Study #1 The image of nursing is now centuries in the making, giving us a long history of mental pictures from Florence Nightingale to Edith Cavell to more recent images of Hot Lips Hoolihan and Nurse Ratched. Some of the more recent media images have portrayed naughty nurse images with multiple negative stereotypes associated with nursing. The majority of people view these negative images and unfortunately that will be the picture most retain. Even though these multiple misconceived images abound, nurses continue to be quite invisible in the media, compared to other cultural groups. “ The Woodhull Study on Nursing and the Media, conducted by Sigma Theta Tau International, found that nurses were severely under-represented in print media, including in comprehensive coverage of health care.
Hazardous Substances: A nurse going around the ward giving out medication to service users should always give out the correct amount of medication as the medication is what service user needs to get by. If the nurse for some reason does not provide a service user with the correct amount of medication or the wrong medication this could lead to many problems, for example; if a service user is being prescribed morphine for serious pain and the nurse gives them too much, it could kill them, or if the nurse gives the service user the wrong medication they could possibly be allergic to it, which would cause them to have an allergic reaction which could make them ill in many ways depending on their situation. Giving them the wrong medication could also mean the pain they’re in might not go away as it might not be strong enough to help or on the other hand it might be too strong and mean they will get drowsy and possibly pass out. These mistakes could cause serious damage on the hospitals reputation and lead to an investigation on the nurses and doctors present. Hazards from infections: A big infection that has
In the case of malpractice witnessed by a nurse against a fellow nurse and the facility that they worked, the code of ethics also has provisions to protect nurses as well. Provision 2 addresses the conflict of interest a nurse may have, but ultimately provides clarity for protecting the patient's interests. Provision 3
The study was planned and carried out as a descriptive and cross-sectional study. There 600 experienced and 87 newly graduated nurses in a military hospital. The researchers used a data collection form to report characteristics and their views on the causes and reporting of medication errors. They applied this existing theory to this new situation in order to determine generalizability to different subjects, age groups, races, locations, cultures or any such variables. The researchers obtained a written approval from the ethical committee of the military education and research hospital and got approval from the nursing department as well.