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Hospitals for mental health essays
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This essay is a descriptive account of my experience caring for a patient with a variety of needs. The patient I will identify has the following chronic illness of schizophrenia, dementia, physical disability, poor hygiene. Therefore, please note that the patient conditions will be evaluated throughout. Because of confidentiality, I will abide by the Code of Professional Conduct (2008). As a registered nurse, you must respect people's right to confidentiality. I will refer my patient as Patient A.
I have been assigned to work with a patient who has been admitted to an acute psychic ward. On supervision i was allocate to work with patient A, following from her conditions it is observed that patient A refuses to engage with others. She is a 68 year old elderly woman who suffers from advanced dementia having short term memory loss which she is unable to recall recent events leaving her in a confused and aggressive state. Due to her mental state, she has problems attending her personal hygiene and making it difficult to bath, wash, dressing or eating independently. With assistance she is provided with a Zimmer frame to encourage her walking. The reason is because she has sore on both legs making it difficult to gain balance on her own. With a long history of schizopherina, she refuses to comply with medication when given daily of fluxoetine 10mg to help with her mood disorder. Overall, patient a is reserved and does not involve herself with other members on the ward or activities with CPN and prefers staying in her room because its her comfort zone of security. Regular meetings are held with patient A and her health professionals to assess her needs in order for progression.
When delivering care for patients, the main factor w...
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...term mental illness are likely to experienced difficulties in establishing and maintain personal relationship, often result in poor networks of support and social inclusion. Therefore with supervision, I felt that Patient A needed comfort because of her distressing events due to her illness. All professionals visited her regularly to ensure that she understood her condition and ways in which to improve her status.
felt that I could not do much as it was difficult to engage with patient A because of her aggression towards me, but I was confident that all professionals were taken account of her needs in the ward. According to NMC code of conduct (2008), the nurse must support people in caring for themselves to improve and maintain their health. The result of this will affect not only patient A but the staff team and I to deliver care to her.
Bourgeois notified of the decision to detain client for Grave Disability and was in agreement with client being placed for further psychiatric care. Dr. Bourgeois requested the name and contact information for help in facilitating client being transferred to an LPS designated facility, due to being unable to place him on multiple occasions. This writer contacted Supervisor Robin Boscarelli regarding this issue. It was decided that a member of the Treatment Team will be reaching out to the Hospital Unit Clerk, Gina later this morning. Dr. Bourgeois was in agreement with this plan. Client's Clinic to be notified via email of this Crisis
As a healthcare professional, everyone that we encounter with is perceived differently and each patient is treated differently depending on what is needed. Horizontal violence, on the other hand, is considered to be subjective, meaning that the effects differ person to person. The effects of the person may grow if they are not addressed. One of the traits that all nurses, I believe, must have is to be able to work as a team. This trait regrettably can offset due to verbal abuse and other intimidating behaviors that can cause health professionals to refuse to share information needed to provide the best patient care. Communication between colleagues is needed because if does not exist this will again affect the patients care and their own safety.
Client is fully aware that completion of the assigned therapy program is strongly encouraged to be released from skilled nursing with a low possibility for retention or return. He presented with mild cognitive impairment and respiratory failure. Client demonstrated an adequate understanding of his condition and treatment recommendations. Client identified his older sister, niece and daughter as primary caregivers and supporters in case of financial or medical emergency. Client noted older sister as most significantly attentive to his needs. A care plan meeting was scheduled to meet with members of his immediate support system. Client medication upkeep will be closely and frequently monitored as he is on serious life sustaining medicines which need to be administered in a timely manner. Frequent rounds to client room, and follow-up assessments will be conducted and documented to track progress of respiratory rehabilitation. Rehabilitation will include nutritional, recreational, basic breathing and exercise training, specialized care targeting acute care needs. Client is new to the older adult living community therefore care planning will also include and attend to acclimation to daily living at a skilled nursing
McNamara, S. A. (2012). Incivility in nursing: unsafe nurse, unsafe patients. AORN Journal, 95(4), 535-540. doi:10.1016/j.aorn.2012.01.020
I have come to fully understand that in order to treat my patients in a way that is person centred, I have to treat each person as an individual and realise that every individual has different needs and different rights and preferences to me which may go against my morals and beliefs but I always have to maintain my professional boundaries and treat each individual with respect and dignity. If I was a nurse who witnessed a similar situation to Kat’s, where another healthcare professional was disregarding my patient or any patients views or requests I would go into the patient’s room and find out what the problem was. Then I would politely ask the healthcare professional to step outside of the room and I would gently remind them of the code of ethics ((Kozier, Erb's & Berman, 2010, p.97) and the Registered Nurses standards of practise (2016), and how every individual has the right to make their own independent decisions about their healthcare needs/goals based on their own values, morals and beliefs. I would further explain that the patients are our main priority and it is our responsibility as nurses’ to ensure that the patients are safe and are receiving the proper care. I would then explain to the patient what was happening and apologise to them about the situation, and I would rearrange and try to negotiate with the patient when the procedure could be performed. Then I would notify the Nurse Unit Manager on the ward to ensure that situations like this do not occur
The patient is a female in her early twenties who came in the hospital due to sickle cell crisis. She was in grave pain especially in the joints. Her hemoglobin level was low so the Physician ordered 2 bags of packed red blood cells and pain meds Q4hrs. The patient explained many times that the dose the physician ordered was not sufficient and that she needed more help. The nurse promised to contact the physician and to inform her of the response. The fact is she never did and was called urgently hours after to calm her patient who was crying in agony and wanted to go home to be in pain. She screamed out that no one cared. Some nurses were even callus enough to say if she wanted to leave then hand her the relevant document and allow her to go.
A medical condition may be traumatic to a patient and the severity of Henry’s condition may have devastated him, so a psychologist may be necessary to focus on his mental health. Moreover, Henry’s family members will also be affected by Henry’s illness. Besides worrying about Henry’s illness, his wife and children have other worries in their life, such as work; so, they cannot physically and mentally handle so much at the same time. Thus, a case manager or social worker may be needed to offer the support and resources Henry and his family desperately needs to lessen their burden. A medical condition is already stressful enough and Henry and his family also have other important concerns in their life, so they need all the support and assistance to manage their
According to the American Nurses Association (ANA), (2010) “the nurse promotes, advocates for and strives to protect the health, safety and rights of the patient” (p. 6). Nursing responsibilities should be acted upon at the highest standard and must be based on legal and ethical obligations. Healthcare provider’s perception and judgment of the patient’s well being, as well as taking into account the rights of the patient in every action, is one of the key elements in nursing practice. International Council of Nurses (ICN) (2006) states “The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence” (p. 3).
Provision 6 states that “The nurse practices with compassion and respect for the inherent dignity, worth and unique attributes of every person” (ANA American Nurses Association, 2015, p.18). This helps to further explain the concept of working relationships in provision 1 are not only between nurses and patient, but across the healthcare team. I agree that when providing the best care there needs to be promotion of respect and human rights throughout the healthcare team. A positive interpersonal collaboration within the healthcare team has a key impact on the outcomes and safety of the
Thirteen years of working as a nurse in the UK has provided the author a vast experience in her speciality. Included in this practice was eight years of working before in High dependency
The patient was transferred into my care via the Emergency Assessment Unit for Surgical Patients (EAUS). I was given handover by the charge nurse who has already pre-a...
Nurses continually strive to bring holistic, efficient, and safe care to their patients. However, if the safety and well-being of the nurses are threatened or compromised, it is difficult for nurses to work effectively and efficiently. Therefore, the position of the American Nurses Association (ANA) advocate that every nursing professional have the right to work in a healthy work environment free of abusive behavior such as bullying, hostility, lateral abuse and violence, sexual harassment, intimidation, abuse of authority and position and reprisal for speaking out against abuses (American Nurses Association, 2012).
...care. It is not easy to prevent unjust practice in health care facilities, because each individual deal with each circumstances differently. All we can do is continuously teach nurses that the patient come first and our job is to advocate for client’s right to autonomy, respect, privacy, confidentiality, dignity, and access to appropriate information. Practice in accordance with the Nursing Profession Act and its regulations and bylaws, the Canadian Nurses Association (CNA) Code of Ethics, principles, statements, guidelines or documents. Nurse most also responds to and reports to appropriate person, when there is a situation, which may be adverse for clients or health care providers, including, incompetence, misconduct and incapacity. In conclusion, you should act as and role model for student nurses, colleagues and others, by doing the ethical thing.
After the handover, I was asked by my mentor to attend to a patient who is bed ridden to have her personal care done with the assistance of one of the health care assistant staff. The patient was recently admitted to the ward and she looks sc...
Mrs S. is an 88 years old female patient who lives on her own, and was admitted into a rehabilitation ward following a hip operation due to a fall at home. She has a past medical history of Congestive Cardiac Failure (CCF), diverticulitis, and asthma. Also, Mrs S presented with rapid weight loss, palpitation, feeling tired, peripheral oedema, fatigue, difficulty breathing when lying flat in the bed, waking up at night with shortness of breath and anxiety. In addition to all that she had a pressure sore in her bottom that was not broken. In order to have good holistic care of Mrs S, the nursing process was used as identified by Sibson. Sibson (2010) identifies four key steps to the nursing process, which are assessment, planning, implementation and evaluation; which are important for ensuring a quality standard of nursing care.