The patient should be given time to express their thoughts. The family should be informed about the condition. Their participation is essential in making sure the patient is being taken care of. “To meet the needs of the older adult, individualize nursing care to enhance quality of life and maximize functional performance by improving condition, mood and behavior” (Potter & Perry, 2012). Information Management Interventions Since there is no cure for dementia the nurse should be mindful of the pharmacologic and nonpharmacologic interventions used to treat the condition.
Beneficence is the core principle that refers to the act of ‘doing good’ and advocating for the patient. All nurses should take positive actions to help their patients and to have the desire to do good. On the other hand, nonmaleficence is the core of the nursing ethics and it revolves around the idea that nurses have to remain competent in their field as to avoid causing injury or harm to patients. Nonmaleficence also requires all health care professionals to report any suspected abuse. The last ethical principle is justice.
Need to give answers were associated crosswise collections of hospitals, resolute created on their part of duals, to evaluate difference impressions of the HRRS. But she also mentioned the strong points for my proposal, through this readmission reduction program, now patient will not get nervous or scare for readmission and it will be good for rules to decrease hospital readmissions necessity stability the want to confirm sustained admission to excellence maintenance for helpless peoples. This is a good reimbursement of a program to decrease readmissions accumulate to together the recipient and the Medicare program and patient get better care in the hospital, extra support transitioning from the hospice to other settings, improved organization amongst the patient’s providers external the hospital, and evading an pointless hospital
Mr. R.A.M feels a great sense of gratification of his accomplishments in life and agrees death as an inevitable reality. He looks forward to death with open arms and believes it will take him to his ultimate goal of being one with his creator. The most significant thing that I got from this interview is that Mr. R.A.M always reflected life in a positive manner. Mr. R.A.M accepted responsibilities for the past and was able to correct his mistakes in a timely manner. During the interview, Mr. R.A.M stated, “I have learned from my failures.
Despite her disease progression nine months status- post surgery and three months after chemotherapy the treating oncology team was reluctant to discuss the risk/benefit aspect of chemotherapy and did not consider the option of palliative care in the face of progressive ascites and pleural effusion. Despite her continued decline the palliative care team offered her second-line of aggressive chemotherapy. This makes one wonder is this just bad medicine or is it seriously unethical? A wide range of medical and ethical issues arose in the provision of palliative care for this patient. This exemplified the need for patient’s autonomy, beneficence versus non-maleficence and truth telling.
Both the patients are unhappy with their experience in assisted living and skilled nursing facilities. The author mentions that nursing home prioritizes the provision of ‘nursing’ over the creation of ‘home.’ This is upsetting for patients because they do not sense the comfort of being home. In his 1961 study Asylums, Goffman noted some shocking similarities between nursing homes and prisons. In many nursing homes residents are not allowed to walk alone in case they fall, eat certain foods in case they choke, use knives in case they cut themselves. In fact, in many institutional homes patients are not allowed to keep pets in case those pets cause inconvenience to the staff.
Pro-Side: By allowing the family to be present during resuscitation of their loved one they are made aware of everything that was done to revive the patient. This could be beneficial to the family member in the circumstance that the patient doesn’t survive so that the family would know for sure that everything possible was done. This may help with the grieving process of the family in that they would not dwell on what more could have been done for their loved one. After the patient passes, the family becomes the nurses primary focus and it is our responsibility to help the family along in the grieving process. As for the patient being resuscitated, the patient may want their loved one to be by their side in case they don’t make it, and if the policies prohibited the family’s presence, the patients dying wishes would not be followed.
I would speak very calming to help calm the patient down themselves. It is very important that we show compassion and that we empathize with patients. While we do this, it is also important to remember not to pity the patient in any way. Some ways a Medical Assistant can demonstrate professionalism when supporting patients who might be uncomfortable with having their skin examined are using relaxed words, showing gentleness, and making sure that the patient feels home-like at all times. Also, as a Medical Assistant you have to respect a patient’s culture when you’re in care for them ask questions and be prepared if the patient needs someone else present at the time.
Being offered these services further highlights his declining health. This hospice clinical made me experience a variety of emotions. My first initial emotions were nervousness and awkwardness, I believe I felt this way because I have never been directly involved with hospice. The second wave of emotions consisted of sorrow and hopelessness. I felt these emotions because I couldn’t fathom being in their situation, but then I realized I cannot let these emotions affect the way I care for this patient and his family.