Based on your experiences in practice, identify a vulnerable client/patient or group, reflect on what contributed to this individual's/group's vulnerability and discuss how this was addressed in practice. Studying vulnerability, three problematic issues recur throughout the literature. Firstly, it is an important concept for nursing students to understand as Daniel, (1998),explains, it is through vulnerability that nurses and patients engage. Vulnerability has implications for and effects on health, (Rogers, DATE).
Nurses are continually faced with the challenges of the treating pain. To ensure the best quality of care for patients, nurses need effective knowledge, skills, and attitudes to address pain issues (Stanley & Pollard, 2013). Despite the findings and recommendation of substantial past research, nurses continue to demonstrate inadequate knowledge of pain assessment and pain management interventions (Wells et al., 2008). From reports in the literature, knowledge about pain management and attitudes which underpin nurses’ pain management decisions are problematic. Nurses’ knowledge of the mechanism of pain, pain assessment and pharmacological and non-pharmacological management are essential components in promoting positive patient outcomes (Al Shaer et al., 2011).
Introduction Since the ancient age of medicine till the present times, nurses and their professionalization through the exposure to advanced education and latest techniques has been a subject of very many significant debates. Worldwide, nurses have developed themselves into professionals with a great deal of knowledge, as witnessed by the development of nursing protocols and guidelines. Despite these progresses, it has been concluded by many studies and a thesis that nurse are not able to avail the fair recognition that comes with these advancements by the masses. Smith & Mackie identify and define stereotyping as ‘a cognitive representation or impression of a social group that people form by associating particular characteristics and emotions
As a result, the healthcare system and practitioners become aware of the need to review patient care. Some countries have seen the need for a change but focus on external factors rather than caring. However, Watson implies, that the state of been different is to focus on competent, compassionate, knowledgeable, and caring nurses and health practitioners. (Watson.p.471).
These are two potential of nurses one is misconduct when guidelines are not adhered to and second is the factors that might promote or inhibit guideline adherence among nurses. (Davies, Edwards, Ploeg, & Virani, 2008) According to Ismaile Samantha (2014), there are similar and different promoter and barriers to adherence with clinical Practice guidelines. The two main factors that impact to adherence with clinical practice guidelines among nurses, one is environmental factors that are patient, organization, standard guidelines, and second is personal factors which included knowledge, attitude, and skills, intention.
When considering and discussing vulnerability, it is important to immediately acknowledge that any person entering a healthcare setting for treatment and care puts themselves in a vulnerable position. However, the perception of vulnerability greatly differs from person to person dependant on experience and individual factors (Phillips, 1992). As such there is a continuum of vulnerability that encompasses a myriad of factors such as potential, circumstance, permanence and inevitability (Copp, 1986) As a nurse, it is vital that we consider, understand and assess all factors relating to the patient with regards treatment and advocacy in relation to their care plans and beyond. Vulnerability refers to the difficulty or inability of an individual to cope with external risks and shocks to their person or their circumstances. Combined with internal factors, such as a feeling of helplessness, a patient will be unable to cope without damaging loss; where loss is defined as someone who becomes physically, mentally or emotionally weaker as a result of these internal and external factors (Chambers, 1989).
Nursing is a highly respected profession and patients will seek advice from nurses. Therefore, nurses should learn how to react to situations that may not align completely with their own personal moral or ethical beliefs. Abandonment in the practice of nursing is not only detrimental to the health of patients involved, but to the nurse responsible for their care. If a nurse abandons his or her patients he or she has now been placed in a situation open to possible litigation, board discipline of classes or fines, and loss of licensure. As stated by the Oklahoma Board of Nursing, “abandonment may occur when a licensed nurse fails to provide adequate patient care until
This concept of nursing is explored brought forth often in Tilda Shalof’s novel A Nurse’s Story: Life, Death and In-Between in An Intensive Care Unit, where she discusses difficult situations wherein she had to hold herself accountable for her actions. Therefore, due to the sensitive and intense nature
The main idea of this study is to bring out some of the experiences patients with sickle cell disorder. Patients need more comprehensive assessment of pain from nurses that understand the impact of the pain on their patients. Sickle cell pain is found to be challenging to the patient 's life as the pain is not predictable when to be intense and when to strike next. (Ballas, 2010; wilkeite al., 2010) The pain is also perceived from both Nociceptive (tissue damage pain) and Neuropathic (pain from the damaged peripheral nervous system).
This study will explore both chronic physical and mental illness in the context of the family, focusing on marriage, parent-child relationships, and the use of narratives. This will help assess the problems that come with illness, and find out what happens to family communication when a family member gets diagnosed with a chronic illness. Literature Review Chronic physical illness and chronic mental illnesses are reviewed separately here due to the tremendous differences in the two. In this study they will be compared against one another to cross analyze the differences and similarities in how the family member is treated depending upon their type of illness.
The one piece of information that will most likely affect my nursing practice will be to ensure I inquire about a caregiver’s emotional state and how he or she is coping. As an intensive care unit (ICU) nurse, I see firsthand how caregivers resume care at the hospital for his or her loved ones, even though there are health care professionals ready to take care of personal needs. It seems as if a caregiver does not know when to stop giving. A caregiver will at times, succumb under mounting challenges and tribulations at some point and will need support. For caregivers experiencing stress, self-help groups can be beneficial (Tabloski, 2014).
However, this would lead to a report of the research. As a result, a deeper investigation needed to be accomplished to learn about clinical issues surrounding sedation management. According to research by Wøien and Bjørk (2012), nurses do not consistently practice SATs consistently. Their findings suggested there were assessment tools available and nurses reported using both "personal experience and clinical judgment" in their daily routines (p. 133).
Today both nurses and physicians are educated on the significant risks of venous thromboembolisms and the extreme importance of their prevention. A large role of a registered nurse is to be a patient advocate. Nurses can play a vital role in venous thromboembolism prevention by adhering to written orders, policies and procedures, and asking a physician for a medicinal or physical prophylactic order if one is missing. It is the responsibility of the nurse to recognize the risk of venous thromboembolism development, educate patients on the importance of preventative measures, and obtain proper
Are these coincidences or not? There are many individuals facing the dilemma of admitting their loved one into a nursing home. When they do finally make that heartbreaking decision, their parentis there, then they are faced with the realities of what happens in nursing homes on a daily
Furthermore, there is a vast need for additional research. There is a necessity to gain knowledge on risk factors and on ways to prevent suicide in order to aid nursing home residents (Bugeja et al., 2015, p. 811). The knowledge of preventing suicide in a nursing home can be helpful for residents as well as for social services. Suicide occurs in nursing homes partially fur to the lack of knowledge on depression. Current research depicts that physicians fail to recognize depression and tend to provide inaccurate treatment (Allgaier, Fejtkova, Hegerl, Kramer, & Mergl, 2009, p. 355).