So although I may have individual ways of communicating they have to be reassessed every shift to ensure they are still relevant. As a link senior carer I have to purvey these methods of communication with junior staff members to ensure the client’s needs are met. The main barrier to effective communication in my workplace is dementia and the unpredictable nature of the illness, dementia is a well researched illness but as yet is generally untreatable medically, but is managed to ensure the client is able to have the richest and fulfilled life possible. Although my main communication during a
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. The nurse who neglected care towards the patients, in my opinion, should lose their job. Nurses who neglect care are putting their patients at danger. According to the Code of Nursing Ethics, “The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth” (ANA Code of Nursing Ethics). This nurse neglected the patient, therefore, neglected the responsibility in preserving the safety and integrity of the patient.
Coates (1999), claims that when people are in a highly aroused or socked condition in the clinical environment, they are often unable to process and retain important information. Advantages of written information as described by Coates (1999) include being permanent, consistent and easily reproducible, it also gives the patient time to reflect on the information and share it with others. Little et al (2004) found in their trial that giving clients’ information leaflets encouraged patients to raise issues with healthcare professionals, giving them a sense of empowerment, support and improved satisfaction. The Department of Health (DH) (2004) express that information gives patients power and confidence, helping them to build trusting relationships with clinical staff and work in partnership in their
This essay will examine the methods of pain assessment and whether nurses tend to underestimate patients’ pain or lack of adequate pain management is provided due to the medical orders for pharmacological means. The essay will also discuss the physiology of pain and the effect of different pain management strategies in relation to pain physiology along with the issue of effective pain management in adults and children and how effective pain management will be achieved. Pain assessment is an essential method to providing effective post-operative pain management and in the general promotion of patients’ comfort. However, despite the increased awareness and knowledge of pain assessment, Horbury and colleagues (2005) suggest that nurses continue to underperform pain assessment not only in the post-operative patients but also in other hospitalised patients. Moreover, this is indicative to be one of the most problematic aspects of achieving optimal pain management (Nash et al, 2001, p.180-189).
Nursing Documentation and Malpractice Law HCS/545 Health Law and Ethics May 31, 2010 Mary Nell Cummings Nursing Documentation and Malpractice Lawsuits Proper medical documentation can prevent liability issues and malpractice lawsuits. The focus on my paper will concentrate on nursing documentation and malpractice lawsuits. I presently work for a home health care agency. The entire staff throughout the company was recently informed of increased Medicare denials and possible lawsuits as results of inadequate documentations. A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation.
We have had a recent decline in our T.J.C compliance, HR will play a vital role in ensuring the members we bring into our organization are motivated and compliant to our guidelines. They will also be the focal point of ensuring our staff members are treated fairly and are able to perform their duties without discrimination. One of the issues we are currently facing is a shortage of clinical staff, to include registered nurses, respiratory therapist, and medical technologist – and an abundant number of physicians on staff. The team, along with the HR office will need to reevaluate the services that our organization provides and redefine the positions we will maintain. For example, if we have three pediatricians on staff and the majority of patients we receive is the elderly population – we may have to revise our
Safety in Nursing. Safety in Nursing According to Gordon, Darbyshire, and Baker (2012), “Extensive work in high-stakes industries has demonstrated that improving safety is not just about enhancing knowledge or skills, but also concerns the addressing of human factors and poor performance of non-technical skills that can lead to errors.” Safety has and will continue to play a vital role in nursing. It does not apply to only the patients, but also the nurses. This paper will address different safety techniques and how it affects the patients and their care-givers. Safety Techniques Nurses need to know and apply proper hand washing techniques, wear gloves during patient care, and use anti-bacterial hand lotion or soap.
In his age, even changing his diet is big thing. With this in mind, nurses should find the correct approach to Mr.’s P care. Nurses should choose holistic approach for this patient’s care, which will include his wife and all the circumstances of their life. In this case, not only the physical condition should be treated, but psychological and cognitive as well. Treatment plan “Approximately 28%–58% of individuals with heart failure (HF) suffer from cognitive impairment, commonly identified as difficulty with concentration and/or memory” (Bauer, Johnson, & Pozehl, 2011 p. 577).
It’s important to observe mental status changes and functional status changes, this can determine how well the patient can take care of themselves and deal with their health promotion on their own. Altered cognition is not a normal part of aging and the nurse may need to pay close attention to the possibilities of the onset of dementia. Activities of daily living include everything we do during our normal day to properly take care of ourselves and as we get older these tasks may become more difficult. Nurses need to assess how well a patient can see or hear, vision and hearing loss can be quite debilitating to performing ADL’s and it’s the nurses job to make sure our patient is in a safe environment and that they have proper vision/hearing care with proper strength prescriptions for their glasses or hearing assessments. It is very important to remember that hearing and vision loss is normal with aging and that when we perform our assessments we should talk slowly and annunciate clearly so the patient can understand any direction or education that is given (GCU, 2012).
Then only I understood that patient is running an event of SVT. Even though we were successful in reviving the patient, he had to be transferred to ICU for a day. This incident always reminds me that if I was trained to think critically and quickly on my feet as a BSN is trained, I could have avoided the Rapid Response Code event. Thus, I believe earning BSN would help me to think critically if such situation shall arise. As one can see, there are several differences in competencies for ADN and BSN nurse.