This exemplified the need for patient’s autonomy, beneficence versus non-maleficence and truth telling. The nurse faced a barrier due to the physician hierarchical working style. Collaborating using a multi-disciplinary approach and communicating effectively in explaining the disease process could have better manage her symptoms and improve the quality of her remaining life. It is important that early detection and treatment options are discussed by the physicians in an honest and open manner. As patients performance status decline healthcare members should provide informed decisions regarding diagnosis, prognosis and
Restraints are protective devices that are used to limit the activity of patients whom may pose threats to themselves. Restraints can be considered physical or chemical. Often times the use of seclusion can be deemed as a form of restraint as well. Physical restraints are any physical or mechanical device, material, or equipment that is attached to the body of the patient so that it cannot be easily removed. Physical restraints can potentially prevent the freedom of movement and one’s normal ability to access one 's own body.
Other preventable interruptions defined in the literature are the propensity of nurses to impede each other with discussions without correlation to medication administration while arranging drugs and reply quickly to demands from other staff when interrupted. The research synthesis reinforces the plan that interruptions are an acceptable area of nursing operation and proposes the necessity for culture modification to restrain preventable disruptions, specifically during convoluted or vulnerable to commit errors nursing activities such as medication administrations. The greater number of disseminated clinical quality ingenuity to limit interruptions during med pass are nurse expert quality clinical improvement projects creating or involving implementations of a set techniques to restrain interruptions. The goal of the project is to guide nurses with time to be mindful, attentive, smooth, and unruffled while preparing for medication to
COPD people can depend on people a lot because for them its easier if other people just do it. This can effect they health and their equality of life. When they don’t move because they are asking other people to help them, its just making it worse for themselves because then they don’t get the exercise they need and eventually they can’t even do ADLs by themselves anymore. A nursing intervention can be to gradually increase activity with the person, allowing that person to position themselves, transfer, and do as much self care as they possible can. Teach patients to dangle from the side of the bed to reduce dizziness when they stand up.
They have to be trustworthy of the inmates who may have done something against their beliefs and religion. In an ethical standpoint the correctional nurse have to set the tone for how they will set their ethical, legal and professional issues that nurse’s face especially in the correctional setting than a traditional medical setting. Say in a traditional medical setting on some occasions there may be a dilemma but not as often as correctional nurse’s face. They have to make decisions all the time on care of delivery, caring and advocating on behalf of patients and providing safe care however there are other ethical principles on top of a nurses work in the correctional setting such as having, “respect that uses autonomy and self-determination; doing good, trying to avoid harm; having fairness; telling the truth and remaining faithful to one’s commitment” (www.ncchc.gov ) This helps guide the nurse in making ethical decisions though the correctional nurse relates to the
Often the use of restraints has an opposite effect of the intended purpose, which is to protect the patient. The risk of using a restraint must be weighed against not using the restraint and the right decision should occur. Uses of restraints should be documented, be on a time limit, and be frequently re-evaluated. Basic education of professional staff who orders restraints is another missing element in position to statements and recommendations. Successful removal was grounded in staff education, commitment of staff, residents and families, and in alternative equipment (Wang, W., 2004).
Inaccurate documentation could potentially lead to medications being misused, which would in turn harm the patient. Critical thinking is necessary in order to think of innovative ways to deal with problematic patients and family members. Nurses must always keep the patient 's best interst in mind while at the same time convincing
The various middle-range theories are preferred over grand theories, as researchers need the generation of testable hypotheses. (McEwen, 2014. pp. 213-214). This discussion will identify how the middle-range theory Interpersonal Relations and how it is applicable in solving nurse fatigue. The assumption is that only nurses who work in the hospital setting are subjected to nurse fatigue, but this problem affects in the rehabilitation facilities, home care nursing, specialized clinics.
These pain characteristics can be major complains of patients, they influences surgical outcomes, effect coping strategies and pain perception. Many patients have difficulties in defining which response is best for their pain situation. (Spine, 2006) To provide ideal patient care, nurses require applicable information, skilled abilities, and new approaches toward pain assessment to help with control. Assessment information based on all available indications of pain assessment prevents patients from suffering. It is a crucial element in delivering effective pain management.
Restraints Leading to Decrease in Quality of Life Restraints are still being implemented today within the geriatric population for a variety of different reasons. Physical restraints can be described as any object or material that is attached or near a person that impedes movement of any body part (Scheepmans et al., 2014). The use of restraints ranges between 4% and 85% in nursing homes and between 8% and 68% in hospitals (Scheepmans et al., 2014). Typically in today’s nursing, restraints are being used for prevention of harm to the patient and/or staff. However, there are more uncommon and unethical uses for restraints in other countries; such as, when they are understaffed or to prevent the patient from disturbing employees and other patients
Some dementia patients are combative and hostile and need special attention to ensure their safety. A most common way to do this is using restraints, and this practice is criticized because restraints may cause physical and body harm to the patients as well as infringe on patients’ rights of respect, freedom, and autonomy. The staff at the long-term care facility must walk fine lines in making the determination when a restraint can be used, how it should be utilized without violating the patients ' rights of freedom and
“Poor communication is at the root of most complaints made by patients against osteopaths. Effective communication is a two-way process which involves not just talking but also listening.” A2 1 found in the Osteopathic practice standards highlights the importance of interpersonal communication skills and the ability to adapt communication strategies to suit the specific need of a patient and enable the best possible results in treatment. Topics that can influence when working with a patient and what could potentially happen are verbal communication, non-verbal communication, law, consent and confidentiality. Having a full understanding of these skills and how to apply them to a patient in a clinical situation allows them to have confidence