According to me as nurses we should incorporate these research findings in our practice. In next paragraph it will be discussed why the nurses should include these findings in their career. There are several ethical issues involved in these kind of situations, such as autonomy of patient, non-maleficence etc. because allowing someone to suffer and die is unthinkable from one prospective. However, it is chosen by various patients who are critically ill yet competent enough to make this decision.
Conclusion Pressure ulcers remain a major health problem for patients in all health care setting but may gaps still remain in the understanding and prevention. Studies indicate that comprehensive prevention techniques such as repositioning and pressure relieving aids have slightly reduced incident rates but areas of high skin-bed interface pressures still remain in jeopardy. By preventing pressure ulcers, it would reduce health cost and patient comfort will be increased. Additional research is needed to determine the most appropriate preventative responses, thus, more research should be conducted in regards to the frequency of turning plus the use of pressure releasing equipment. (change and improve outcomes)
Patient care technologies of concern to nurses range from simple equipments likes syringes and catheters, to extremely complex devices, such as electronic health records and barcode medication administration systems. Adherence and compliance issues are significant to ensuring patient safety. Some patients blame their failure to adhere to medication regimes to factors such as miscommunication, complex treatment regime and poor understanding due to need for additional guidance. Tele-health is applicable for communication with and monitoring of patients beyond the hospital setting. Furthermore, it also had an impact on health care use by redu... ... middle of paper ... ... of mistakes in the health care practice.
Pain Management An ethical dilemma that is currently happening in the medical field regards pain management. Doctors as well as other medical professionals are faced with this ethical decision on whether to prescribe strong pain medication to patients who claim to be experiencing pain, or to not in skepticism that the patient is lying to get opioids and other strong medications. “Opioids are drugs that act on the nervous system to relieve pain. Continued use in addition to abuse can lead to physical dependence and withdrawal symptoms,” (Drug Free World Online). Opioids are often prescribed to patients experiencing excruciating pain, but doctors are faced with prescribing these drugs as an ethical issue because only a patient can measure the
Nurses as front line staff have the ability to influence lifestyle modifications in the constipated older adult. There are also many evidence-based nursing strategies that can be utilized in the elderly to prevent to occurrence or progression of constipation (McCrea et al., 2008). However in often cases, the older adult may be unaware of methods that can be used to help alleviate signs and symptoms related (RNAO, 2005). As a result, nurses can play an important role in educating clients. In this section, I will explore and discuss toileting regimens and education as forms of evidence-based nursing strategies to decrease the risk of constipation in the older adult population.
Medication errors can result in a nurse losing her job or possibly her career. Therefor it is important for nurses to be able to identify the major factors that contribute to medication errors, and weak links in healthcare organizations communication structures. Research has developed conceptual models that healthcare facilities can use to determine the reason a medication error occurred. Healthcare facilities and the nurses they employ can both benefit from this research, by using it to help develop their medication safety guidelines. By implementing a medication administering system that effectively integrates technology, communication, and patient-centered care, healthcare facility can drastically reduce the number of medication errors that occur each year.
Registered nurses must also continue their education on med error prevention to prevent future errors. Another significant problem with registered nurses was that they did not have positive attitudes when reporting an error. Once these negative attitudes were changed, more errors were reported (Harding & Petrick, 2008). The three main problems that cause medication errors... ... middle of paper ... ... T, (2008). Nursing student medication errors: A retrospective review.
Although nurses do give a quick verbal instruction such as, informing patients to immediately report to provider if they observe bruises on skin, excessive gum bleeding or blood in urine, patients fail to fully understand the danger of taking anticoagulants medications. Campbell and Selton (2010) explain that patients’ discharge teaching about the complication of warfarin is inadequate and “ failure to follow prescribed medication, and simple lack of understanding Coumadin therapy often results in re-hospitalized soon after discharge”(p.374). The research further confirmed that since “Hemorrhagic compl... ... middle of paper ... ...ing transition of geriatric patients from hospital to home: a prospective observational study. BMC health services research, 10(1), 1. Nosbusch, J. M., Weiss, M. E., & Bobay, K. L. (2011).
Looking at a ventilated patient who requires many different modalities, assessing the need for such ther... ... middle of paper ... ...ese patients Parker et al (2007). In this care model plan, priorities can be set to advance the health and wellness of these patients as well as bring differing solution options to these somewhat complex case scenarios. As patients are trached and weaned from mechanical ventilation, there is always a risk for developing an infection. Although, infection rates are low compared to those in patients with an endotracheal tube still in place, trach patients are not free of an infectious state themselves (Miller, 2008). Trach care in addition to ET tube care, and strict hand hygiene care, all play a key role in preventing the spread of various infections (Miller, 2008).
Introduction A medical ward round is, according to the Royal College of Physicians (RCP) and the Royal College of Nursing (RCN) guidelines “a complex clinical process during which the clinical care of hospital inpatients is reviewed” . Unfortunately, the importance of ward rounds for achieving good medical care is often underestimated by healthcare professionals . While their real life application varies from one clinical setting to another, ward rounds have several important purposes. These include aspects that directly influence the patient’s medical care, such as establishing or reassessing the patient’s diagnosis, creating a management plan, and arranging for their discharge, while communicating this to the patient in appropriate terms. The ward round should also function as a point where the multidisciplinary team (MDT) responsible for the patient can communicate and coordinate their efforts towards holistic treatment.