The types of information to be gathered-objective, subjective and secondary sources
Data can be gathered through several different methods, interviewing, examination etc. However, there is different types of information that can be gathered within these assessments. For a nurse when they first look at any patient, being a patient with anxiety or not they are always taking in several different types of data, objective, subjective and secondary information.
Objective Data
Objective data, is information that is collected through observation. For a patient with possible anxiety this would be looking at how they are behaving, for example are they pacing back a fourth nervously or is their heart rate high? Both of these are examples of objective
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Evaluation
-Development of a relationship with the patient themselves that is therapeutic for the individual (Boyd, 2008). Are they from a certain religious background and not adhering to that religious belief may impede on their health, these are answers that may be found by building a therapeutic relationship (Boyd, 2008). This may mean collaboration with those close to the individual effected by the mental disorder with consent, people such as family, or loved ones that may be imperative to the individuals care (Boyd, 2008).
-Play an imperative part in the treatment of the individual on their way to recovery, meaning that the individual can live in a well manner despite their issues(Boyd,2008).
- Nurses also are required to insure that all the rights of the individual, which means ensuring the patient receives their own human liberty and freedom however this is done so in a manner in which is within the nurses scope of practice and care and doesn’t compromise the safety of the individual (Boyd,2008).
-Documentation is one of the biggest things a mental health nurse must perform. The nurse must document all information that is gathered so that is reading the patients notes all allied health and medical staff are aware of what’s going
Nurses everywhere face problems and challenges in practice. Most of the challenges occur due to a struggle with the use of ethical principles in patient care. Ethical principles are “basic and obvious moral truths that guide deliberation and action,” (Burkhardt, Nathaniel, 2014). Ethical principles that are used in nursing practice include autonomy, beneficence, non-maleficence, veracity, confidentiality, justice, and fidelity. These challenges not only affect them, but the quality of care they provide as well. According to the article, some of the most frequently occurring and most stressful ethical issues were protecting patient rights, autonomy and informed consent to treatment, staffing problems, advanced care planning, and surrogate decision making (Ulrich et. al, 2013). The ethical issue of inadequate staffing conflicts with the principle of non-maleficence.
...the responsibility to exercise the wishing on the behalf the patient. Hospital has the right to enforce the wishes of the individual. Many time family members are so emotional and tried to reverse the patient wishes in court but the court has many times sided with a appointee the appointee has the right to make importance decision in the care of the patients, for example:
The first provision of the American Nurses Association’s (ANA) “Code of Ethics” states, “ The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” The second provision states, “The nurse’s primary commitment is the patient, whether the patient is an individual, family, group, or community” (Fowler, 2010). As nurses we need to respect the autonomy and allow for the patient to express their choices and concerns. We also need to provide them with support by giving them knowledge and understanding so they
Subjective data could be described as the vision that the individual has of a situation or series of events. This information cannot be determined by the nurse regardless of relationship or communication with the individual. Subjective data are often obtained during nursing anamnesis and include perceptions, feelings and ideas about the patient himself and on personal health status. Examples include descriptions of pain the patient does, weakness, frustration, nausea or confusion. Mary this information provided to the nurse that she was experienced nausea, vomiting, abdominal pain increasing in severity, diarrhea, and fever, and dry mouth. She tells, the nurse that she have had about abdominal pain for 12 hours with nausea, vomiting, and diarrhea.
...iation. (2009). ANA Position Statement: Patient Safety: Rights of Registered Nurses When Considering a Patient Assignment. Washington, DC: Author.
According to the American Nurses Association (ANA), (2010) “the nurse promotes, advocates for and strives to protect the health, safety and rights of the patient” (p. 6). Nursing responsibilities should be acted upon at the highest standard and must be based on legal and ethical obligations. Healthcare provider’s perception and judgment of the patient’s well being, as well as taking into account the rights of the patient in every action, is one of the key elements in nursing practice. International Council of Nurses (ICN) (2006) states “The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence” (p. 3).
Nursing documentation is an important factor of healthcare delivery today. The use of information and communication technology offers opportunities for improving patient care delivery while reducing nurses’ documentation load and increasing the time available for caring for various patient populations (Munyisia, Yu, & Hailey, 2012).
Autonomy is identified as another professional value and one that the nurse must possess. Autonomy is the right to self-determination. Nurse’s respect the patient’s right to make a decision regarding their healthcare. Practical application includes, educating patients and their families on their choices, honoring their right to make their own decision and stay in control of their health, developing care plans in collaboration with the patient (Taylor, C. Lillis, C. LeMone, P. Lynn, P,
A lot of information has been stipulated concerning how patients should be treated and the legal rights involved in the health care system. Different values are, therefore, involved. In the correctional setting, the patient entirely relies on the nursing service offered and various services are expected to be offered by a nurse. However, in the process of providing these services, a nurse has to uphold all ethics that dictate the profession (National Commission on Correctional Care, 2011). The legal ethics include right to autonomy where the patient’s view should be respected and incorporated in the provision of nursing care. A nurse should always tell the patient the truth according to how he or she is fairing on health wise. The principle of beneficence also allows a nurse to concentrate on provision of services that are beneficial to the patient. A registered nurse also ensures equitability and fairness in the provision of care to the patient (National Commission on Correctional Care, 2011). Another principle that a nurse understands is the principle of fidelity that allows a nurse to remain committed in the process of provision of care. The principles help a nurse in making ethical decisions in the process delivering nursing care to the patient. For instance, having in mind the principle autonomy, one can be able to appreciate an advance of health care directive that enables one to act as per the patient’s
By definition, the empirical referent, are classes of actual events that demonstrate the presence of the occurrence or the actual concept. The tool designed to assess the occurrence is the Nurse Stress Scale, (NSS) which is a questionnaire that assesses situations that could potentially be stressful. These tools are only designed to detect symptoms already experienced related to stress. These tools are not great for primary prevent needs (Riahi, 2011).
The American Nurses Association Code of Ethics for Nurses has five elements that pertain to the Principle of Autonomy. Each individual element applies to “respect individual persons” (Baillie, McGeehan, Garrett T, M., Garrett R. M., 2013, p.33). In Chapter 2 of the Health Care ethics: Principles and problems text, it discusses thouroghly the consent of an individual to make their own decisions regarding their health and future requests of care. As a nurse or within all heath care professions, we must treat each individual patient with care, respect, and to remain mindful to the patient regarding any aspect of their lives. In the ANA Code of Ethics for Nurses, it explains ways of maintaining the empathy required in the health field. It further discusses that the respect for human dignity must be a priority, relationships to patients must remain neutral, the severity of the situation, the right to self-rule, and the professionalism that must be upheld by the nurse and their associates.
The basic rights of human beings, such as concern for personal dignity, are always of great importance. During illness, however, these rights are extremely vital and must be protected. Therefore, healthcare providers should make an effort to assure that these rights are preserved for their patients. Likewise, health care providers have the right to expect reasonable and responsible behavior on the part of our patients, their relatives, and friends. This is where the patient’s bill of rights comes into play.
In conclusion, there are numerous legal and ethical issues apparent in the nursing practice. Nurses should study and be as informed as they can with ethics and legality within their field in order to ensure no mistakes occur. Ethical issues vary based on patient’s views, religion, and environment. Nurses are influenced by these same views, but most of the time they are not the same as the patients. As a nurse we must learn to put the care of our patients and their beliefs, rights, and wishes before our own personal
The nursing process in psychiatric nursing is the key components to help patients achieve a positive outcome. By utilizing the nursing process which include proper assessment of the patient, identification of the nursing diagnosis, desire outcome, planning, implementation and evaluation. Implementation of these process has proven to help shorten the patient stay in the acute psychiatric nursing facility
By receiving all the information needed from the patient and family the nurse is then able to collaborate better with other health care professionals in providing a plan of care that is best for the individual patient (Potts & Mandleco, 2012). There are many ways for a nurse to achieve this, and one way is through therapeutic communication. One therapeutic communication technique is validation. When the nurse uses validation they provide soothing assistance (regulating emotions), creating a safe place, helps strengthen persistence through difficult times to reach a goal, enhances problem solving, decreases stress and conflict, leads to positive change, reinforces positive relationships, and leads to happier and better functioning families ( Harvey & Ahmann,