For several years there has been much media attention and professional pressure regarding the use of mixed sex wards. Much of the controversy has been fuelled by the Labour government’s manifesto commitment to abolish mixed sex beds, which they finally conceded was an impossible task early in 2008. However, much of the available fiction, and most of the more inciting press coverage, actually relates to inpatient areas with overnight accommodation, especially the more vulnerable groups, such as those with mental health problems and the elderly. In 2009 the National Health Service (NHS) set a commitment to eliminate mixed accommodation in hospital as part of their commitment to improvement of privacy and dignity of patient (BBC health, 2009). Meanwhile, the report of department of health in 2009 shows that, 99% of trust says they are providing the same sex accommodation and 97% same sex toilet and washing area, but nearly a quarter of patient still complain of being in a mixed sex area when they where first admitted to hospital (BBC health, 2009). In the first quarter of the year 2010, the National Health Service organisation reported over 8,000 trusts that were unsuccessful in implementing single sex accommodation without clinical justification (Blackman, S. 2010). These new information has led the 2010 elected coalition government to take action to finally make mixed accommodations a thing of past in England. Form 2011 health trust which are not performing well and do not comply with the rule will be named public (Blackman, S. 2010). Additional to this, Andrew Lansley health secretary in his comment laid out the changes. ‘‘National Health Service will have clear standard in the future, spelling out when they should report a b...
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...dation, but on extra beds as well (Blackman, S. 2010). In October 2010 it was reported that women were force to give birth in waiting area with less or more than temporary screen to protect their privacy (Blackman, S. 2010). The psychological benefit of nursing patient of together has been revealed in many donors who are partner or parent and therefore may be opposite gender. Patient views are sought to help trust prove the clinical need of exclusion for this group.
Nevertheless, it is important to note that same accommodation is not always appropriate when it comes to hospitals and there are many cases where it is clinically acceptable to place patient in a mixed sex accommodation (Blackman, S. 2010). Mixed sex accommodation is slowly fading away from the UK and total elimination will depends on the efficiency of new government initiatives (Blackman, S. 2010).
The result of the Francis Report means that the NHS is at a turning point in how all Health Care is delivered, as suggested by NHS employers “28 of Robert Francis' QC's recommendations are for changes to nursing regulation or delivery”.
447). In the 1980s, homosexuality was far from being a normalized thing in society. While Sharon and Karen considered themselves to be married, they technically were not by law. This forced yet another limitation on the couple: Karen was denied the right to visit Sharon as well as any other legal rights a heterosexual couple would have had in this situation (Griscom, p. 448). For the time period, the medical staff were highly unprofessional as they performed heterosexism. It is to be expected that all wishes are treated with respect and rights are not taken away no matter the sexual orientation of the patient and their partner or family member. This is where ableism and heterosexism merge to form a new issue. Karen was denied the right to visit Sharon due to fears of sexual abuse based on the fact that they were in a relationship and Sharon was deemed incompetent at the time (Griscom, p. 448-449). If this were a heterosexual couple, there would be no fears of sexual abuse occurring because heterosexuality was considered normal whereas homosexuality was considered abnormal during this time. Yet, if there was sexual abuse occurring in a heterosexual relationship while one of the individuals was deemed incompetent, heads would have turned and looked the other way. Nurses and doctors would have become worried in Sharon and Karen’s case only because of
In this paper I will write about my observation of the Miss Z who was a 28 year old patient in the S hospital where I had my Lifespan 1 clinical placement. Also, I will write about Mrs. M. who is a Registered Nurse at the High Risk Pregnancy Unit of the S. hospital where Miss Z. was a patient. More specifically, I will describe how Non-Stress Test was done by the nurse Z. During this test nurse repositioned Miss Z, strapped two sensors to her belly, and interacted with Miss. Z. In the second part of my writing I will discuss two types of nursing knowledge such as Case knowledge and Patient knowledge. (Joan Liashenko, Anastasia Fisher 1999) I will describe how nurse Z incorporated these types of nursing knowledge into her encounter with Miss. Z.
Its 1:30 am and you are have just experienced a major car wreck. You are in the ambulance where the paramedics are telling you it will be ok just hold still big. You arrive at the emergency room and everything is a blurred. You don’t care if the nurse is a female or a male. You don’t stop the male nurse from caring for you. But what happens when you go to the doctor for a follow up visit and see a male nurse? Do you still see a powerful male that saved your life or a powerless manweak feminine failure ? When providing care for a patient, a male nurse faces challenges such as gender bias and judgement .
This is counterproductive towards the patients’ own recovery from the ward to a normal life
This essay will consist of different sources that explain the inappropriate behaviour an emergency Nurse’s response at handover due to a male patient who has been admitted into the Emergency Department in a dishevelled state. As a Registered Nurse assigned to care for this patient when handing over the patient’s care to another Registered Nurse, the nurse responds in an inappropriate manner; stating, ‘I really hate looking after old people – they’re all senile and they smell’. This essay will analyse the attitudes of the nurse and the beliefs that support such comments are improper thus leaving a significant impact on the performance and the nursing care for this patient.
This was a radical idea at the time when it was common for children to be separated from their mothers for lengthy spells during hospitalisation, where the nursing care focused mainly on hygiene and medical procedures and not on emotional needs. The child's or parent's emotional needs or distress were not taken into consideration as only the medical care was seen to be of importance.
Nevertheless hospitals need beds to work with the demand of care. And from admittance to discharge can be a long time. If all trusts prioritised elderly care it would free up 5,700 beds across hospitals and ensure elderly people like Mr Bates were not kept in hospital unnecessarily. (Imison, Thompson, and Poteliakhoff, 2012). This would benefit him as long stays prolong the start of recovery and normalisation. To start his recovery sooner he could be admitted him to a step down bed. This is a cost effective way to getting preparing him for home without having a long hospital stay. A stepdown care bed is a less clinical setting and is easier to start returning to normality (Boyd et al, 2012).
Consent is an issue of concern for all healthcare professional when coming in contact with patients either in a care environment or at their home. Consent must be given voluntary or freely, informed and the individual has the capacity to give or make decisions without fear or fraud (Mental Capacity Act, 2005 cited in NHS choice, 2010). The Mental Capacity Act perceives every adult competent unless proven otherwise as in the case of Freeman V Home Office, a prisoner who was injected by a doctor without consent because of behavioural disorder (Dimond, 2011). Consent serves as an agreement between the nurse and the patient, and allows any examination or treatment to be administered. Nevertheless, consent must be obtained in every occurrence of care as in the case of Mohr V William 1905 (Griffith and Tengrah, 2011), where a surgeon obtain consent to perform a procedure on a patient right ear. The surgeon found defect in the left ear of the patient and repaired it assuming he had obtained consent for both ear. The patient sued him and the court found the surgeon guilty of trespassing. Although there is no legal requirement that states how consent should be given, however, there are various ways a person in care of a nurse may give consent. This could be formal (written) form of consent or implied (oral or gesture) consent. An implied consent may be sufficient for taking observation or examination of patient, while written is more suitable for invasive procedure such as surgical operation (Dimond, 2011).
The reason for selecting this topic is that being an enrolled nurse in an acute mental health inpatient unit for the past 7 years, I have found myself in the situation where I have been a participant in placing a patient in seclusion on numerous occasions and I have conflicting views as to its appropriateness.
I believe this can only benefit the hospital and patient care, and have a new way that the patient is cared for. Treating the whole family, instead of just the patient is what the future is all about. Implementation of this type of care requires creating a partnership between the patient, physicians, nurses, and patient’s families. This can only improve performance improvement, and treat the patient the way we would want to be treated. My goal is to decrease the patients and families anxiety throughout their hospital experience, and keep the whole family informed of the patients treatment plan.
This element in their lives involves many of the determinants of health including, gender identity, sexual orientation, culture, biology and genetic endowment, social environments, and social support. On its own gender identity issues are a major deterrent within the health care system, as many transgendered individuals feel like their identity is not included in the health care they receive. This is largely due to the heteronormative categorization tendencies used in health care, as evidenced by the fact that “rarely do health questionnaires or interviews contain questions that would identify people along a transgender continuum” (Eliason, 2014), instead the options provided are generally female or male. This causes problems for transgendered individuals, like Madie, who are not able to express their identity, or feel their identity is unwelcomed and unsupported, in a health care setting. Transgender identity issues in health care also involve the determinant of biology and genetic endowment. Biology and genetic endowment described as one’s predisposition to certain diseases (Waldron, 2017a), which includes predispositions related to the sex of an individual. This can be problematic for transgendered individuals as the conditions they are at risk for due to their birth gender are in conflict with how they identify themselves, making it a difficult
Davis, C; Finlay, L; & Bullman, A. (2000) ‘Changing Practice in Health and Social Care, London: Open University Press
This article explain how healthcare providers should treat people as individuals, not to discriminate and act as an advocate for individuals receiving care. Also, how nurses should provide individual holistic care by playing an active role in ensuring that services within the hospital or community reflect the diverse needs of every individual irrespective of their background and also highlight the purpose of the Equality Act 2010 to healthcare providers and who it protects as far as discrimination is concern.
This profile adheres to the School of Health and Social Care’s guidelines set by Teesside University’s code of conduct in relation to confidentiality and consent. The profile also adheres to the NMC guidelines referring to consent and confidentiality as a real person has not been used; therefore consent did not need to be gained.