Nurses provide guidance and address the problems in the end-of-life decision-making process. It is the nurse’s role to explain to families and other healthcare professionals when an advance directive would be put to use. An advance directive serves as a guide for clinicians to respect and honor the autonomous decision of the patient when they are in a position to not be able to express their wishes (Roux & Halstead, 2009). Nurses could assist in ensuring the patient needs are met along with protecting their rights. The registered nurse act as client advocates in health maintenance and clinical care (Standards of Nursing conduct or practice, 2003).
Finally, the nurse should assess the clients' readiness to learn. Luker and Caress (1989) emphasise that the physical and psychological consequences of ill health can affect the learning process. The client's carer and family will also require information, education and support from the nurse to enable them to provide the appropriate support for the client. The nurse may also have to make referrals to colleagues, such as the occupational therapist; so all the information should be available to other health professionals who may be involved in the clients' care.
An ethics meeting was held early in the admission with the patient’s parents and grandparents to discuss the severity of the patient’s condition and to determine the appropriate plan of care for both the patient and her unborn fetus. A plan of aggressive treatment was determined. The parents, despite stating they fully understood the prognosis ... ... middle of paper ... ... in the best interest for the patient. In an effort to better prepare nurses for ethical dilemmas education should be provided. Nurses need continuing education on this topic and should continuously review and discuss cases involving ethical dilemmas such as the case presented in this article.
Documentation is one of the vital components of ethical, safe and effective nursing practices that provide comprehensible image of the clients health status and their outcomes. As nurses we must draw on critical thinking and problem solving skills to make clinical decisions and plan care for the patient being assessed. If any abnormal findings are identified, the nurse must ensure that appropriate action is taken. This may include communicating the findings to the multi-disciplinary team. Davison and Neale, (2001, p.62) state that “The purpose of the assessment process is to diagnose, and to find the best treatment for a disorder and to do this the problem it must be classified correctly”.
43) https://web-ded.uta.edu/wconnect/ace/static/onlinecne/CEDec08.pdf (http://www.medscape.com/viewarticle/766818_2). To advocate for the patient is one of the many important responsibilities of the nurse in order to assure patient safety. An example of a situation in which the nurse would need to advocate for the patient would be if the physician were to order a medication that the nurse knows the patient has an allergic reactions to. It would then be the nurse’s duty to advocate for the patient by reminding the physician of the patient’s allergy. The nurse could then also answer any questions that the patient or the family has regarding the new corrected medication or simply just translating any medical terminology that was not
Care of the Patient in Context of Family In nursing, the patient is often viewed as the main priority of the nursing staff. The nurse works to provide care for the patient based on the patient 's admitting diagnosis. However, the patient must be looked at as a part of the greater system they exist in such as their family or home environment. While the patient may be ill due to a bacterial infection or virus, their family environment also plays a role in their overall health and wellness. Care in (get rid of ‘in’) of the patient in (the) context of family stems from a theory developed by Von Bertalanffy which asserts the relationships between family members are so intertwined that changes in one member can affect other family members (Potts & Mandleco, 2012, p.
The aim of this patient care study is to discuss the care and nursing interventions that a particular patient received whilst staying on acute medical ward. Clause five of the Nursing and Midwifery Council’s Code of Professional Conduct (2002) states that “as a registered nurse or midwife you must protect confidential information” and if information is to be revealed the patient’s consent must be sought. The patient’s permission was obtained after an explanation of the purpose and proposed content of the care study, with a staff nurse present. For reasons of confidentiality, the patient will be referred to under the pseudonym of Kirsty. Kirsty is a seventeen-year-old young lady who was diagnosed with Crohn’s Disease when she was thirteen years old.
In any healthcare setting, a patient should be able to influence their own care and treatment. However, there may be particular obstacles that may prevent a patient from voicing their opinions regarding their care and treatment. The purpose of this essay is to discuss three barriers: how a patient can overcome not being empowered; staff having limited knowledge and insufficient training regarding certain mental health issues and poor communication. These barriers will be related to recent clinical experience. The aim of this essay is to consider how each of these barriers diminished the voice of the patient and how these were overcome.
According to Essentials of Nursing Practice, nursing is a profession that carries a role of directing the care of adults, children, and families. Nurses deliver care for patients in the hope that patients have better health (Delves-Yates, 4). According to Nursing Now! Today 's Issues, Tomorrow 's Trends, “when the RNs accept responsibility for delegating an assignment appropriately, they become accountable for delegation process. Accountability looks to see if the RN used his or her nursing knowledge, critical thinking, and clinical judgment skills in delegating a task” (Catalano, 397).
This is a reflective essay based on my experiences whilst on my six week medical placement on a haematology ward at a local hospital. The aim of this essay is to discuss the psychological and sociological impact on the family when a loved one dies, and then focus on how the nurse supported the husband and relatives through their loss. I chose this particular incident as I felt very strongly about the care given to this patient shortly before her death, and felt the need to reflect on it further. In order to help me with my reflection I have chosen Gibbs (1988), as the model to help guide my reflective process. This model comprises of a process that helps the individual look at a situation and think about their thoughts and feelings at the time of the incident.