Without capacity to make particular decisions about their advanced care plan the individual would not be able to participate in the process, an advanced care plan enables those with capacity to state their wishes and choices in relation to their care and treatment in the event that they lose the capacity in the future to decide for themselves or lose the ability to communicate them. 2.6 Explain the meaning of informed consent. Informed consent means permission granted in the full knowledge of the possible consequences, for example a doctor tells a patient the risks and benefits of a particular operation prior to it taking place, the patient fully understands the information given to them and then decides to consent or not to consent to the operation based upon the information the doctor has
Groups that have a higher risk of becoming vulnerable include, children, people with learning and physical disabilities, people suffering with mental health problems, chronically ill people and the elderly. Age concern (1986) defines vulnerability in the elderly as ‘people in need of some support, help and/or advice in order to prevent personal or social deterioration or breakdown. Without this their level of dependency on others or their ability to manage their lives as they wish, might deteriorate to the point of necessitating their removal to institutional care, which is not their preferred option and might otherwise be prevented or postponed (page 11).’ This statement is proven in my clinical experience. Whilst on placement on a busy acute medical ward, at a local hospital, I helped to care for an elderly lady, whom I shall refer to as Mrs Berry. Mrs Berry was 87 and had been admitted to hospital following a fall
Care-plans are very specific to the individual and you need as much information about them to be able to assess the needs of the person involved. Find out what they are they able to do for themselves and what can we do to support them and aide independence. What sort of support do they have from family and friends, what hobbies do they have and what are their likes and dislikes. They may need your support because of ill health so you need to know all about their medical history and what medication they are on. How their sight, hearing and speech is, are they able to communicate?
The emotional distress and other pressures inherent in situations in which patients are approaching the end of their life sometimes lead to misunderstandings and conflict between doctors and patients and those close to them, or between members of the healthcare team. However, this can usually be avoided through early, sensitive discussion and planning about how best to manage the patient’s care. Advanced care planning (ACP) is a process of discussion between an individual and his/her care provider. It is to make clear a person’s wishes in anticipation of a deteriorisation in their condition in the future, with associated loss of capacity to make decisions or communicate wishes to others. It only comes into effect if and when a person has lost such capacity.
In some cases, they may have been granted legal power by the patient, or the court, to make healthcare decisions when the patient lacks capacity to make their own choices. 2. 18. It is important that you
Will allowing family presence during resuscitation put medical staff at risk for increased litigation? Lastly, what are the effects on the families that have witnessed resuscitation; will this help the family grieve and find closure or just
When a nurse breaches this trust patient outcomes can be jeopardized. When a patient fears that their information will not be kept confidential they may withhold information that is crucial to reach a diagnosis and plan effective treatment. References American Medical Association. (2012). http://www.ana-assn.org Nathanson, P. G. (2000).
Consider how each of these factors - historical, social, physical and environmental, mortality and morbidity - can impact on the provision of palliative care for Aboriginal people. Activity 4: View A3: Acknowledging specific needs & answer the following question Sarah contacts Nancy, the hospital Aboriginal Liaison Officer. They get together for a discussion about Tom’s admission. Sarah asks Nancy for some support and advice in how to progress caring for Tom and his family. Their discussion highlights several key issues to consider when caring for an Aboriginal family.
Becoming aware of these laws would be ideal, but not knowing the key points of each law where someone may encounter an emergency should be protected if they act reasonably. Keywords: liable, protect Good Samaritan Laws May Vary In her article “How good a Samaritan should you be?” Penny S. Brooke (2003) describes legal ramifications and duties a nurse has when encountering an emergency situation outside of work. Many people refuse involvement during an emergency due to a possible lawsuit. They may be unaware that most states have Good Samaritan laws. These laws are designed to protect an individual from being held liable when volunteering their healthcare skills in an emergency.
Johns Model of reflection Johns model is based on five cue questions which enable you to break down your experience and reflect on the process and outcomes. John (1995) used seminal work by Carper (1978) as the basis for his model exploring aesthetics, personal knowing, ethics and empirics and then encouraging the reflective practitioner to explore how this has changed and improved their practice. Carper B (1978) Fundamental patterns of knowing in nursing. Advances in Nursing Science. 1, 1, 13-23.