For example: A Service user cannot understand a menu when It is present in a list form , so we could help them make their choice by getting images of meals they would be presented with to eat. Also try to explain the importance of a healthy diet. If the dilemma was to be a reoccurrence or become a bigger issue at meal times, it would be a good idea to report it to the NIC or the service users case manager to then discuss other options available with the chef. 2. Each service user is different and they all like/ dislike different foods.
This is a condition in which the action of swallowing is difficult to perform (Royal Marsden, 2008). It is important to note that all confidential information relating to patient, ward, hospital and professional colleagues has not been included in this paper to ensure ethical practice and adherence to the NMC code of professional conduct (NMC, 2008). This nursing intervention was essential for a patient in my care, who for the purpose of the essay will be referred to as Sylvia. Nasogastric tubes are used as a short or medium term nutritional support and also for aspiration of stomach contents (Royal Marsden, 2008). Food can be administered through the tube directly into the stomach and the swallowing process does not need to take place.
An example of this is how health care organizations have sought to deal with specific clinical ethical issues surrounding death and dying, organ transplantations, and informed consent before they have assessed the ethical organizational life and ethical infrastructure of the total organization. However, to change the way an organization practices, one must take the culture of its employees and customers into consideration. Ignoring culture in attempting to refocus the values orientation of an organization is similar to ignoring causes and treating symptoms (Cipriano Silva, 1998). Another example of ethical issues in the workplace involves patient confidentiality. On several occasions, administrators are instructed to perform based on standards of the company not congruent with their own.
("Nursing world," 2013) Knowledge of these indicators could have assisted the nurses in several ways involving this case. Knowledge of pressure ulcer prevalence could have helped the nurse prevent one in this patient. The nurse and CNA would have known to reposition the patient to prevent them, and would have recognized the red area as the first stage of a pressure ulcer. The CNA would not have put the patient back on his back when he got back to bed. Restraint prevalence could also have assisted the nurse’s understanding of when restraints should be applied, and the proper way of managing a patient on restraints.
RTT1 - Organizational Systems and Quality Leadership Western Governors University RN-BSN Pre-Licensure Program The situation with patient Mr. J is quite frightening to say the least. There are multiple issues at hand here that put the patient’s health in jeopardy. As nurses, we have an obligatory responsibility to protect our patients and to practice the principle of beneficence. Having an understanding of nursing-sensitive indicators is crucial in preventing the development of hospital-associated injury and increased mortality/morbidity. These are principles instilled in us throughout nursing school, and guide nurses in our practice.
Results indicators evaluate measure the quantity or quality of patient care. In applications to the hypothesized scenario, nursing sensitive organizational indicators would include nursing knowledge of the prevalence of pressure ulcers that result from patients being restrained in a bed. An understanding of procedure indicators would have guided the nurse and CNA to reposition Mr. J. with relative frequency as a preventative measure against the sores, and would have allowed them to recognize the red area on Mr. J. as the first stage of pressure ulcer development. The CNA would have then avoided placing Mr. J. on his back when placing him back in the bed. Moreover, knowledge of the appropriate use and prevalence of restraints would have given the nurse the knowledge to discern whether restraints were the proper measure to take as well as the procedures necessary for proper restraint care.
Recognizing at restraint use is a nursing specific indicator can help the staff in this situation develop an appropriate care plan. Having a set care plan makes it possible to easily identify when care is beginning to deviate from the care plan, resulting in lower quality patient care as well as risking patient safety. Quality indicators should be used to standardize all care for patients in restraints, making it less likely for the staff in this situation to experience issues. Another important indicator that can be used in this scenario is the prevention and management of pressure ulcers (Montalvo 2007). Nurses play an important role in the prevention of pressure ulcers.
Merit 2: review strategies used in health and social care environments to overcome barriers to effective communication and interpersonal interaction. In health and social care environments several strategies are used to overcome barriers to effective communication, these include non-verbal communications (body language etc.) and verbal communication (e.g. addressing the service user by their name) and the use of aids to communication in the following scenarios and case study, I will review the communication strategies used. In this scenario, the two care professionals are being disrespectful to the patients by talking about them in front of them; they are showing no interest and not trying to communicate with the patients in anyway.
The apparent disregard for religious dietary guidelines/restrictions indicates to the public a cultural insensitivity in general. This impression has led to widespread dissatisfaction and lead possible clients to seek treatment elsewhere. Understanding the whys of the substandard care Mr. J. is receiving, will aid his nurses in making the changes needed to improve that care. Why is Mr. J. in restraints? Why is the staff not exercising or repositioning him more frequently to prevent skin breakdown?
The patient listening to the doctor’s Advice about the special diet and to avoid red meat is very advisable for this process. While Nathan throws the diet sheet away he is not willing to help cure the