RTT Task 1 Shawna Setzer Western Governors University Nursing-Sensitive Indicators In the given scenario involving Mr. J’s hospital stay it is important to integrate nursing- sensitive indicators in delivering quality patient care. Every patient has the right to receive the appropriate care without causing harm. Mr. J was starting to develop pressure sores related to being in restraints, and when his daughter pointed out the areas to the CNA she didn’t realize the severity of the problem and report them to another care giver to assess the red areas. The CNA also did not reposition Mr. J onto his side to relieve pressure to that area of the body. Nursing indicators such as education on unnecessary use of restraints and not repositioning the patient every two hours, are failures to deliver quality care.
Therefore, the hospital had no option but to abide with the laid rules. For this reason they had to treat Mr. Bartling and not fall into his wishes. The doctor’s opinion was that Mr. Bartling’s case was not terminal therefore he could live for at least a year if he was “weaned” from the ventilator. However, weaning was not likely due to Mr. Bartling medical and psychological problem that were not under control. It is also argued that Mr. Bartling was not medically fit to make meaningful decision because of his vacillation.
It includes making sure discrimination doesn’t happen but also promoting anti-discrimination. For example, you can treat everyone equal but you need to promote this by doing things such as having policies in place to show people that you cannot get away with discrimination because it is not right, or by providing staff training on how they should act with patients to ensure they are providing an anti-discriminatory practise. For example if someone in a care home has a problem with speaking clearly due to her stroke, instead of just accepting this and not speaking to her because they
While the physician did not believe that, at the time of treatment, the patient was competent to make this decision, the patient had an advanced directive that clearly stated that he did not wish to be intubated. Provision 2.1 of the ANA Code of Ethics also directs that the nurses primary concern is always for the patient and the best interest of the patient while Provisions 3.1 and 3.2 discuss the nurses responsibility for providing the patient with privacy and confidentiality, all of these provisions were ignored, to a degree, during the course of this scenario. While the scenario describes Mr. E as having a mild developmental disability we do not know his actual level of competence at the time the advanced directive and the medical power of attorney was signed. Just because he has a developmental disability does not mean that the disability was severe enough that the patient was unable to comprehend the choices he made when instituting these
Although Dorothea was not a psychologist or therapist of any kind she knew that improving conditions for the mentally ill would help them. In one of her testimonials to legislature she shared this “some may say these things cannot be remedied, these furious maniacs are not to be raised from these base conditions. I know they are…I could give many examples. One such is a young woman who was for years ‘a raging maniac’ chained in a cage and whipped to control her acts and words. She was helped by a husband and wife who agreed to take care of her in their home and slowly she recovered her senses”.
Communication Style Regina Haney, Ann Crane, Farida Biobaku, Kendall Larsen HCS/ 350 July 11, 2011 Randall Webb Communication Style Effective communication in healthcare is essential to deliver good patient care. When delegating tasks to co-workers, one needs to be clear and precise. When people have a full understanding of what their job is, they will perform better and patients will get better outcomes. Without effective communication we are setting up our fellow co-workers for failure and our patients as well. Effective communication is necessary to convey the importance of instructions and task to co-workers so they can fully understand the importance of their task and the steps necessary to manage the task.
For example, side effects of appropriately prescribed and administered chemotherapy are an example of adverse events not caused by error (Hoy, 2006). Medical errors should be disclosed to patients for a number of reasons. Because of their fiduciary relationship with patients, physicians have an ethical responsibility to disclose errors to them. To withhold this information undermines the public trust in medicine and damages the therapeutic relationship between physician and patient. In fact, patients may be caused additional, avoidable harm by failure to disclose because they lack information that would allow them to receive appropriate treatment should further complications arise (Hoy, 2006).
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.
Physician Assisted suicide The phrase “do no harm” is not actually mentioned in the Hippocratic Oath but that dose not mean that the words in the oath are not upheld, the oath goes much deeper to cement the extreme responsibilities of a doctor and to ensure that it is a patient is first a person not a disease. As a doctor should always exorcise every available option to treat a healthy patient there is an ongoing debate on weather the same treatment is carried out on a patient thought to be terminally ill. The debate has stirred up a great deal of emotions and is near and dear to many American hearts. With the issue of Physician Assisted Suicide many points are discussed for and against In the Articles: “Death And The Law: Why Government Has An Interest In Preserving Life” By Lawrence Rudden and Gerard V. Bradley and “Promoting A culture Of Abandonment” By Teresa R Wagner. Physician assisted suicide is something I disagree with because It would violate the trust between a patient and a doctor, It opens the floodgates for other such abuses and generally such requests are made out of fear for the dying process.
The communication of the patients lack of compliance is that the mother did not call the doctor back to help clear up her questions and she jumped to conclusions and switched doctors and didn’t even try to get a hold of the doctor’s office for clarification. o How might the caregiver improve communication in a way that would promote patient compliance? The caregiver