Describe and discuss the use of the Ex-Plissit model (Davis and Taylor. 2006) to support nurses to discuss sexual health issues with patients/clients. Discussing sexuality, sexual health or sexual problems with a patient can be an awkward task for any nurse. Nurses may find it difficult to bring up the topic of sex when engaging with their patients. The sexual health needs of a client should be evaluated when the nurse is assessing the patient’s physical, mental and emotional needs. Sometimes the sexual health needs of a patient are not seen as a priority, and can be overlooked or dismissed. The PLISSIT model was created by Jack Annon (1976), and is a tool nurses can use to evaluate and assess a patient’s sexual needs, or sexual problems a patient may be experiencing. The letters P.LI.SS.IT represents four stages of intervention: Permission, Limited Information, Specific Suggestions, and Intensive Therapy. In this essay I will be examining the use of the Ex-Plissit model, which is slightly different. The Ex-Plissit model is an extended version of the Plissit model, and was recreated by Sally Davis and Bridget Taylor in 2006. In the Ex-Plissit model, the stages of limited information, specific suggestions, and intensive therapy are all based on the initial ‘permission giving’ stage, in other words no further stages of intervention can be carried out without the patients permission. The Ex-Plissit model requires the nurse to reflect and review all stages of interactions with the patient. (Davis and Taylor 2006). The sexual health needs of a patient can be easily identified using the Ex-Plissit model, and it makes discussing the topic of sex more comfortable for both the nurse and the patient. It is vital for the nurse to crea... ... middle of paper ... ...stand the importance of constantly incorporating permission-giving questions when talking to a patient. I know if I had a sexual concern I would not feel comfortable addressing it to a nurse on my own, however if the nurse addressed the issue first, I would feel more confident voicing my concerns. I did not understand how important it is for nurses to consider the sexual health needs when assessing a patient. I believe there is not enough information provided on this topic. When on placement, I have never seen the sexual needs of a client being addressed or discussed. Before completing this assignment I did not consider the sexual health needs of a patient to be a priority, however my opinion on the matter has certainly changed. Studying this important topic has been an eye opener, and I hope to implement all that I have learned when I go out on placement.
For instance, our doorway assessment led to a heightened awareness of the other components involved in a patient’s care. Upon an individual assessment of my assigned patient and the clinical surroundings, I noticed a note on his door explaining the importance of good hand hygiene. The note also alerted those entering the room to not enter if they felt sick or if they have been sick recently; the note was had written so it could be assumed it was written by a family member. Additionally, on the patient’s dry erase board, there was a short narrative about the patient and his life prior to his illness. The more critical issues observed was that the patient’s brain injury resulted in complete paralysis, which placed him at a risk for falls; thus all four side rails of the patient’s bed were raised. All of these observations prompted me to be engaged with the patient, his mother and baby sister, his nurse, and the speech and physical
Still, the previous advantages discussed should influence the nurse to improve in identifying patient vulnerability. This is evident by this patient where I utilized my interpersonal skills to communicate to this patient so that he/she is aware that he/she is not alone in this journey. Nurses need to utilize models and theories to guide nursing practice. For instance, McCormack’s framework focuses on patient-centered care which influences nurses to understand the patient as a whole and their values (Abley, 2012, p. 42). Being able to identify values will give nurses and myself a better comprehension about the patients resulting in worthiness and belonging expressed. As a result, informing nurses about patient’s subjective vulnerability because a trust and understanding relationship is established. This is supported in a clinical experience where a patient “felt understood and opened up for further interactions based on trust” through an honest, supportive relationship with a nurse (Gjengedal, 2013, p. 134). Nurses should provide patient-focused provision of service, and assist this patient in overcoming his/her obstacle as a way of encouragement. Furthermore, Sellman (2005) explains how encouragement may compromise human flourish (p. 7), it is dependent on the situation and it cannot be assumed all encouragement will lead to harm. This informs nurses to be aware of the consequences that prevent the
Each nurse has a duty to protect the patient as well as their right to privacy and confidentiality (ANA, 2011). Each nurse should advocate for an environment that provides sufficient physical activity, including privacy for discussions of a personal nature (ANA, 2011). It is a nurse’s responsibility to maintain confidentiality of all patient information. If this standard is not maintained, the patient’s well- being could be jeopardized. The patient’s rights, well-being, and safety should be the primary factors concerning information received orally, written, and electronically (ANA, 2011). It is the nurse’s responsibility to be...
...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.
This article by Diana Spechler surprised me. For all that the Human Sexuality is what I vainly looked for in Sex ED and sex books as a teen, a sex coach would be taking that idea of practical sexual education even farther. The idea of a sex coach is something my friends and I have joki...
Recent developments in standard of care and professional relationship with patients have made law fundamental to the study and practice of nursing. At every stage of patients care, law helps bring up to date nursing practice and it is essential that nurses understand the legal and ethical implications of law in their nursing profession (Griffith and Tengrah, 2011). The purpose of this essay is to discuss the concept of consent in relation to the role of the nurse. This will aim at demonstrate ethical and legal implication of consent on nursing practice and professional working. In the Code (2008, cited in Griffith and Tengrah, 2011) the Nursing and Midwifery Council set standards for nursing professional to follow. Among the rules is the requirement of nurses to obtain consent before care is given.
Professional standards of practice and behaviour for nurses and midwives’ (2015) which states that obtaining patient’s informed consent is an act in their best interest and that nurses and midwives are required to respect individual’s right to accept or refuse treatment, moreover, support and document their decision, give evidence-based information, use clear language, cooperate with patients to help them with making the decision and be aware of the current legislations. This includes ‘Mental Capacity Act 2005’, ‘Mental Health Act 1983‘and ‘Human Rights Act 1998’. From a healthcare perspective vital articles are those which set out the rules for accessing patient’s capacity to make a decision, clarify who makes decisions for those who lack capacity and how this should be done, likewise those that regulate how to treat and protect patients without their consent but also those that specify basic human rights: to life, privacy, receiving information and other such as right to be free from discrimination or inhuman, degrading treatment. Other regulations to consider are ‘Human Tissue Act 2004’, ‘Human Fertilisation and Embryology Act 1990’ (GMC, 2015). Professionals should also consider common criminal
The healthcare system can be difficult for clients to navigate and they are often unsure how to access information which puts them at the mercy of others and can lead to feelings of helplessness (Erlen, 2006). Nurses can provide resources to educate patients when they becomes dependent on a health care provider and no longer feel in control of their own body which can lead to fear, hopelessness, helplessness and loss of control (Cousley et al., 2014). The change in roles individuals face can further increase their stress and feelings of powerlessness (Scanlon & Lee, 2006). According to the CNA code of ethics, nurses are responsible for protecting patients from objective risks that place them in an increased level of vulnerability (Carel, 2009). They can do this by providing the resources necessary for patients to educate themselves and be better able to cope with the health challenges they
Out of all the duties of a nurse, one of the most important duties is how the nurse honors the trust of a patient by maintaining the patient’s privacy and safeguarding the patient’s information confidentially. Privacy is the ability of the patient to make the choices in how to handle information regarding him or herself that other individuals are not aware of. As an example, prior to releasing the patient’s private information, the nurse must notify the patient on how their information will be handled and get consent from the patient
One of the goals of nursing is to respect the human rights, values and costumes of a patient and his or her family and with the community as a whole. The International Council of Nurses states that nursing practice can be defined generally as a dynamic, caring, helping relationship in which the nurse assists the client to achieve and maintain optimal health. As health care providers, we have some fundamental responsibilities such as to promote health, to prevent illnes...
Nursing surrounds the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the knowledge and skills of the nurse and relies on patient and nurse trusting one another. The use of nursing skills can ensure these boundaries are maintained, it allows for safe patient care. Professional boundaries are the line that nurses cannot cross, involving aspects such as patient confidentiality and privacy, ensuring legal aspects of nursing and the boundaries put in place are not breached. However, nurses accepting financial or personal gain from patient can also cross these professional boundaries. It is only through education in this area that the rights of patients can be preserved, as well as the nursing standards. Through education in areas such as confidentiality, boundaries can remain in tact and the patient care can remain within the zone of helpfulness.
In order to promote healthy living in young women, nurses play a crucial role in patient education, in regards to the sexually transmitted disease such as Chlamydia.
Successful sex education programs have several high points. The high points include exercises to encourage the appraisals of values, and skills in which students are taught how to negotiate while in sexual situations (" What type" )
"Treatment for Sexual Problems." Kazdin, Alan E. Encyclopedia of Psychology. Washington, D.C.: American Psychological Association, 2000. Print.
This also that nurses need to make sure that patients have the information about their care and the information about themselves is shared suitably and correctly. Nurses have to respect a patient’s right to confidentiality and privacy in all form of their care and also after they have died. In healthcare, nurses need to ensure that patients are well informed about how and why their information is used for and shared by healthcare providers who will be looking after them. Nurses only can share the patients’ information when necessary with their colleagues and agencies when the interests of client safety and public security revoke the need for confidentiality and also share with patients’ family and their carers, but it needs to be allowed by the law, the information they need to know about patients’ health, care and the treatment that goes on continuously and in a way they will be understand. Nurses can also cooperate with the media but only when it is suitable to do, therefore it always needs to be protecting the patients’ confidentiality and