Nursing Boundaries

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Recommended: Impacts of providing care to the dementia person on the caregivers

Introduction

This assignment will discuss a critical incident that occurred during placement which demonstrates ways in which a nurse operates within the boundaries of the law, specific legislation and act accordingly to local the agencies policies and procedures when safeguarding vulnerable adults (Norkett, 2011) using Gibbs (1988) cycle of reflection format. Safeguarding is a range of activities aimed at preventing harm and abuse occurring and responding where harm and abuse occurs. The law states that a vulnerable adult is a person who is or may be in need of community care because of: mental health, disabilities, age and illness (CHANGE, 2011). The Department of Health: No Secrets (DOH, 2000) states that abuse is a violation of an individual's human and civil rights by any other person or persons.

Description

Magaret was a ninety year old female who lived by herself in a two storey home (names have been anonymised to ensure confidentiality in accordance with the Nursing and Midwifery Council: Code of professional conduct, NMC, 2008). My mentor Hana had arranged for for a home visit. Margaret details had been referred to my mentor as she had been identified as a vulnerable adult at risk as she was age over 75 and had recently been to hospital after a fall in her home. When we arrived we explained who we were and the purpose of our visit. We asked consent to perform the risk assessment. Margaret and her nephew answered the questions. We learnt that Margaret was partially deaf and her mobility had declined to the point she was confined to the living room. The zimmer frame that she had was too big to fit through the doorframe to the kitchen which meant she did not have access to the kitchen. Margaret told us that her neph...

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...60.

Nursing and Midwifery Council: Standards for pre-registration nursing education (2010) [Online] Available: http://standards.nmc-uk.org/Pages/Welcome.aspx [Last Accessed 07/09/2013]

Nursing and Midwifery council: The Code: Standards of conduct, performance and ethics for nurses and midwives ( 2008) [Online] Available:http://www.nmc-uk.org/Documents/Standards/The-code-A4-20100406.pdf [last Accessed 07/09/2013]

Penhale, B. Parker, J. (2008) Working with Vulnerable Adults. (2nd Edition). Cornwall: TJ International Ltd.

Safeguarding Adults (2013) [Online] Available at http://www.tameside.gov.uk/socialcare/adultabuse/signs [Last Accessed 07/11/2013].

still need to reference GIBBS

The National Assistance Act (1948), section 42-47, states the objective of an assessment is to identify needs and to determine if a person requires the use of other services.

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