Missed nursed care by its very essence challenges the nursing professions mandate for patient advocacy and weighs heavily on the minds of patients, direct care nurses, and management alike. The model of concept analysis introduced by Avant and Walker (2010), will be used to define what constitutes a missed nurse care. This approach to concept analysis attempts to clarify unclear concepts and provide a clear definition of the application of the concept in the context of nursing. Selecting a concept completes the first step. The concept of missed nurse care will further be analyzed to determine the aims of the analysis, identify the uses and the defining attributes.
Subjective evaluation utilizes professional judgment in essay examinations, written assignments, and clinical performance. The methodology of critical thinking skills and contextually-complex performance offers no validity of measurement by objective criteria. Valid evaluation requires the advanced subjective perception of an experienced professional. Several evaluation strategies allow for optimal subjective appraisal of a nursing student’s clinical competency. Literature Review of Evaluation Strategies A review of nursing literature suggests no one decisive methodology in evaluating clinical performance, but advocate a diffuse approach based on the curriculum evaluation model.
Schizophrenia is a mental illness that most often requires multiple therapies that help a person manage their mental disease. For the larger portion of individuals with schizophrenia a combination of psychotropic medication and a psychosocial therapy is most successful (Townsend, 2008). Schizophrenia has been reviewed and presented in steps for nursing to help diagnose people. The cause of the mental disease remains a puzzle to psychiatrists, but identifying the type and care needed for people is clear. Schizophrenia can be managed, but it requires the assistance of medication and possibly other therapies.
It is important for psychiatry to recognize the difference between alienation and internal distress, and treat each accordingly. In prescribing Prozac excessively, the profession has created a society that turns to a medicine instead of altering one’s lifestyle when unhappy. Alienation has been a part of our society for many years, and in the past individuals used forms of art such as music, painting, and literature to express dark feeling and isolation. I feel we should return to that time and take control of our
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
Supposedly, the switch was to create operational diagnostic criteria’s, which is seen as more consistent than ones based on clinicians descriptions. The shift in the DSM paradigm was not based on scientific information or the recognition of disorders by their biological causes. It was due in part to politics and discord in the psychiatric field the government’s involvement with research and policy making in mental health. Insurance companies demanding proof of diagnosis and that treatment are necessary and pharmaceutical companies needing an avenue to push their products. The DSM has been unreliable in helping clinicians consistently diagnose patients, 2e children remain victims of the diagnostic system which can lead to misdiagnosis thereby children are prescribed dangerous
Living With Bipolar Disorder Bipolar Disorder, or Manic-depression as it used to be referred to, affects those that have it in very different ways. Therefore it is important to treat patients, and their disease, as individualized rather than lumping them together by the standards of textbook care. Kay Redfield Jamison is a professor of psychiatry and psychiatric disorders at John Hopkins School of Medicine. She was also diagnosed with bipolar disorder, in which people exhibit polarized behaviors ( wild swings in emotion), in the 70’s. In her memoir An Unquiet Mind, she shares some of her own experiences dealing with this disease, and she teaches that it is impossible to live a balanced life without medication and therapy if you are suffering
In this research project, the nurse’s proved that they lacked evidence in their practice. They chose to believe it was acceptable to have omissions of medication for certain medications and diagnosis in patients than with others. In nursing, if a medication is prescribed as an order, you are to give it. If the patient is having a change in medication that requires you not give that medication i.e. low blood pressure for an anti-hypertensive or patient is lethargic and unable to swallow medication, you should be communicating these findings with your physicians to receive further directions.
This would be an inevitable next step if society first accepts assisted suicide as a legitimate legal option. Conclusion The question of PAS continues to challenge society; ethical, moral, legal, and medical controversies surround an emotionally charged issue. The traditional Western medicine focuses on diagnosis, treatment, and recovery; terminal illness does not neatly fit into this matter. Works Cited Marilyn Golden - CDA Executive Committee, Why Assisted Suicide Must Not Be Legalized Ziegler SJ; Journal of Law, Medicine & Ethics, 2009 Summer; 37 (2): 318-30 (journal
The article explains what Post-traumatic stress disorder is, the symptoms, risk factors, causes, complications, test and diagnosis, treatments and prevention. Although, this article generally explains the depth of PSTD one might experience or not, but it lacks psychological and scientific support and reasoning in describing its research. The academic sources used earlier in this paper emphasizes on the same topic of Post-traumatic stress disorder but leads the information of the disorder by focusing in strength about the history and natural factors associated towards it. The second non academic source is by; ‘Medicinenet.com’ which also explains the PTSD detailed aspect by showing various factor involved in this disorder just like our first non academic research. Both researches are applicable and strongly convey the background information related to PTSD.