What does it mean to be human? I Rememberon last week of my orientation for my first nursing job, I met a patient who was in our facility more than two months for vent weaning. I
remember the first morning when I went to reposition him, he was very aggitated mouth wording leave me alone, let me die. I felt very bad, and explained the
situation to my preceptor. I found out that patient was not oriented to the situation at all time, therefore his son was his durable power of attorney. His son wanted
to keep him alive as long as possible even after the doctor told him there is no hope any more. The patient was suffering a lot when he was oriented as he was
attached to ventilatior, feeding tube, foley catheter, and rectal tube while he was not even able to move his hand. One week later he was my patient on the fisrt night
of me working as a nurse by myself, and he died after midnight. That was the first time I was seeing a dead body in my entire life as in my culture it is prefered to
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I always thought it will be very harf for me to see one of my patient is dieing but I was happy for that patient. As it was mentioned in the video series Doing the right thing, "the foundation of our thinking about ethics is the basic principle that every human being
regardless of how rich or poor, intelligent or not, healthy or severly disabled posses a profound and inherent an equal dignity and the right to live" (n.d.). I agrre with
this statement compeletly but what about people who do not have any quality in their life and cannot speak for themselves. As we all know the population of elderly is increasing drastically these days. " In 2050,the number of Americans aged 65 andolder is projected to be 88.5 million, more than double its projected
The patient is a 45 year old male who was in a car accident that
Develop plan of care that meets the needs of the patient in this particular situation.
...iple treatments to regain their own ability to breathe. In building the device, the inventors examined other methods of treatment for people who were unable to breathe. The doctors discovered that manually attempting to force the patient into breathing did not provide enough air, but all mechanical methods until this point forced too much air in too quickly, causing damage to other important organs. One of the goals for the design was to be able to put almost any person in it successfully.
“Every individual is equal before and under the law and has the right to the equal protection and equal benefit of the law without discrimination and, in particular, without discrimination based on race, national or ethnic origin, color, religion, sex, age or mental or physical disability.”
In today’s society, what was once said to be true and taken as fact regarding older people is no longer the whole story. As Laslett states, “At all times before the middle of the twentieth century and all over the globe the greater part of human life potential has been wasted, by people dying before their allotted time was up.” (1989a), and to a great extent a lot
My first patient that I started as student nurse on one of the long Rehab Center was a seventy two year old man who had Clostridium difficile (C.diff), Dementia, Hip replacement, and Obesity. Due to the above sickness he had many complications. I can still remember his face suffering from pain. Because of his lack of ambulation and incontinence, he had developed a very serious pressure ulcer under his sacral area. I went through to the room with my instructor and the instructor introduces me for the patient as his student nurse from Towson University and will taking care of him. However the patient was not happy and he becomes a challenging patient in my first experience day. But I may learned more from that challenging patient for my future experience.
As more and more Americans are living well into their 70’s, the children of these ageing parents are left with the responsibility of taking care of them. "By 2030 approximately 80 million Americans, or 20 percent of the population, are projected to be sixty-five or older, and 2.3 percent of the population will be eighty-five and older" (Bookman & Kimbrel, 2011 pp. 118). Several variables will determine what service and type of care the elderly can reasonably expect. These include health services such as Medicare, Medicaid, social security, government's involvement in regulating health care, and society in general.
The different stages of life are inevitable; one day we will find ourselves older and unable to perform simple daily tasks. One day it will be difficult to remember things we swore would never leave our minds. One day we may lose many of our loved ones and discover a new sense of loneliness. Maybe not anytime soon, but one day it may happen. It is crucial to realize that millions of people are going through this stage today; the elderly do not deserve to be overlooked.
Identity-“Ones personal qualities.”Identiy is something only he or she can fully define. My uncle says I am affectionate,cheerful, and calm. My grandmother sees me as slim, pretty and sweet. My dad described me as perky, cheerful and happy, my mom says beautiful, gentle, and self-conscious. These adjectives describe me accurately, yet they are only abstract versions of me. Adjectives cannot begin to describe me and I aknowlege these descriptions for what they are, a condensed translation from my outward self to the world. It is impossible for anyone to understand me completely because nobody has experienced the things I have. My mother has never cherished a raggedy doll named Katie and my father never spent hours upon hours making collages and scrap books for his future children. My uncle never hid in the back of a pick-up-truck and traveled four hours to New York and my grandmother has never walked hours in the rain looking for the Queen of England. My identity is something only I can define.
The child life specialist encouraged the children to think about if they would like to see their father and what they would like to do/say to their father prior to his death (Sutter & Reid, 2012). Adult staff often do not feel prepared or comfortable to discuss support needs of children, as they lack the experience and training to do so with children. This is when a child life specialist can be consulted, to assist in these conversations and this process. When the children returned for a final visit prior to the removal of life-sustaining interventions from their father, they were each offered a choice of visiting AA and final tasks they hoped to achieve were discussed (Sutter & Reid, 2012). Each child had different personal preferences and was given the choice and control to make their own decisions regarding these opportunities. Referrals and consultation to child life services were often beneficial when milestone events in patient care occurred (e.g., difficult explaining prognosis to a child, abrupt decline in health, relapse, or inevitable death), or when there were reports of poor coping, developmental regression,
So that, the diagnostic and therapeutic course of management should have been commenced sooner. Contacting other therapeutic members and explaining the situations to different people including nurse manager, consultant, senior registrar and anaesthetists have delayed the management. However, I believe that my action benefitted the patient and his family by avoiding further delay in the management. And also, ensuring the presence of a staff member with Michael’s wife should have assisted her to go through the unforeseen situation. I understand the neurological deterioration of GCS >8 and respiratory distress are indications of intubation of neuroscience patients. However, intubation is also indicated for therapeutic and diagnostic procedures in aggressive and uncooperative patients (Souter & Manno 2013). This scenario highlights the importance of the person-centred approach to clinical judgement and decision
After almost one hour of “tube procedure connections”, I got up to go to the restroom with an IV pole following my s...
Seconds after he was put in there he started screaming and saying someone else was in there. two days of screaming and it finally stopped and they went to check in on him.
Eventually, every individual will reach this stage in life, and it is a shame that we do not do more to engage our elderly in