Nursing indicators such as education on unnecessary use of restraints and not repositioning the patient every two hours, are failures to deliver quality care. The staff increased the chances of Mr. J to develop pressure ulcers. Also the use of restraints increased the chances of Mr. J to develop a deep vein thrombosis or pneumonia from lack of mobility. All members of the healthcare team are responsible to provide the best care possible and be an advocate for the people they care for. (American Nurses Association, 2015).
It is also argued that Mr. Bartling was not medically fit to make meaningful decision because of his vacillation. The nurses had on several occasions heard Mr. Bartling make several statements to his doctor and nurses to the effect that he wanted to live and did not want the ventilator disconnected(“Bartling v. Superior court”, 1984). This clearly gives a strong prove that the hospital had the responsibility to treat Mr. Bartling based on his persistence request to the doctors and
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.
From the time the project was introduced, organizational inertia was present in the way physicians responded to the changes that would be required to implement the new system. Board members had a lack of belief in the project and did not believe it could be done in 18 months. To help ease the anxiety over the implementation of the project, it would help for board members to see step-by-step plans for implementing the CPOE. It would also be beneficial to include any problems anticipated as well as ways to overcome them. Having a plan of action shows the board members that every aspect has been considered.
TASK D Ipswich Hospital Criticised for Care of the Elderly In March 2011 Ipswich Hospital was visited by the Care Quality Commission. They reported that they had some “moderate Concerns” about the care provided by staff in two particular wards, for the elderly at the hospital. One of the areas of concern by the CQC was regarding “respecting and involving people who use services” They noted that patients names were on display on boards, so all visitors were able to see every patients details. It also stated that the elderly on the 2 wards were toileted on a commode in their bed area and not taken to a bathroom area. Patients were not given the option to get dressed, and that they were left in nightwear all day.
Having been by the bedside, I have dedicated my profession to help people take care of themselves as I would myself. I believe that these people are sick and they are not equip to with the right knowledge and equipment to take care of themselves to the best of their abilities. And because they are sick, I should be helpful in comforting them during their stay. I have learned to equality for all patients. Since they are in a hospital bed, dressed in a hospital gown, I cannot judge or formulate an opinion of people’s background i.e.
If Dr. Hilbun had stayed at the hospital for a few hours after the procedure he could have kept a closer eye on the patient. When he did leave he could have called the nursing staff that was on Halls’ case to check on her condition. By doing that he would have known about her worsening condition before it was too late. In conclusion, Hilbuns’ neglect cost Hall her life. He could have provided the correct standard of care to his patient, which was his duty when he agreed to treat Hall.
eWinterbourne View was a hospital in Bristol that treated people with leaning difficulties and autism. Terry Bryan , a 35 year experienced nurse turned to the BBC Panorama programme after his complaints to the management and The CQC were ignored. An undercover reporter took a job there as a support worker, first he had training to show him how to reduce the chance of them getting violent and posing a risk to themselves. The message was all other options should be explored before resorting to holding someone down. During the reporters first days there he found that some of the staff ,as a first resort restrained the patients.
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
After different nurses had went in and tried working with this patient I went in. After entering the room I introduced myself to the patient and got straight to the point. I informed the patient that medicine could not be left at bedside it was against the hospital policy. Also I explained that the only medicines administered to him were the ones ordered by his doctor; and some medications that the doctor ordered was multiple dose. I discussed with the patient also that some medicine is not as effective when not taken all at the same time.