I actually, do have some experience with this topic. I currently work at the St. Cloud Hospital. As a nurse, I have to go through a bunch of different questions when I admit someone to our department. One of the questions is, do you have an advanced care directive or would like information on one. Sometimes people ask questions such as, “What is an advanced care directive”? Or “What does an Advance care directive do?” or “Why would I need one?” So, then I tell them what one is and the reasons how it could be helpful to them. If they do want the information, then I give them an Advance Care Directive that is supplied by the St. Cloud Hospital. If the patient needs further assistance in filling out the forms, I can refer them to a St. Cloud Hospital social worker.
Furthermore, my husband and I have discussed this topic a few years ago. We decided that we should fill this form out. So, we both have an advanced care directive. We both think it is important so, we do not have to guess at what the other person would want in determining our health care and wishes.
2.) Why do you think that so many people “wait until it is too late” to begin this process?
I believe that many people do wait until it is too late to begin the process of their wishes pertaining to their health. I actually see this on a daily
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After explaining to them what one is, they do decide to fill one out or at least get the advance care directive from me. These folks come to my department for tests and other procedures. Many of these patients were recently diagnosed with things such as, multiple sclerosis or cancer. As a result, they are faced with many challenges in the near future. I feel that they are in shock at first and then realize that this is actually happening to them. So, then they decide to fill out this document so others will know their wishes pertaining to their
What is Hospice? What do we as people think of when we mention the word, Hospice? “Bereavement” in other words that is not always a true statement. I now been with Hospice going on three years; June 17 2016. I have taken care of most of the patients I have had since day one as yes’ there are long term patients not short term.
7: Are you satisfy with the services offered to your relatives 8: Do you sleep undisturbed at nights? 9: Do you like our new shower room? 10: Is there improvement in your loved one since admission into the care home?
Hospice and palliative care can be easily intertwined; they are both concerned with promoting comfort and relieving patient pain. Hospice and palliative care, however, are different in some aspects. Patients who receive hospice care are nearing the end of their lives and there is no effort to cure their disease; the goal is to provide pain relief, a sense of belonging from family and friends if desired, support through the dying stages, and to assure that the person is able to die with dignity. Palliative care is also focused on reducing discomfort; however, the patient receiving care can be at any stage in their disease. Additionally, palliative care can also be administered during a time when a patient is receiving treatment to cure their illness.
Life and Death in Assisted Living Facilities Assisted living facilities are one of the fastest growing industries in the United States. Unfortunately, assisted living facilities have a history of being problematic. Specific cases from the movie Life and Death in Assisted Living Facilities indicates that assisted living facilities are often under staffed, poorly trained, and often admit elderly patients who are not qualified candidates for their facilities (Byker and Thompson, 2013). When taking this in to account, it is important to consider why families may admit their loved ones in to assisted living facilities.
The patient has to be willing and has to contribute towards the situation in getting
3 Describe how you might respond to difficult questions from individuals and others straightforward language, clear information; careful use of medical terms and abbreviations; showing sensitivity and awareness of individual circumstances; referring to others for advice on appropriate response when question is outside of own area of expertise 4 Outline strategies to manage emotional responses from individuals and others professional approach; prepare for the interaction; request support from colleague if appropriate; allow plenty of time; recognise own responses; focussed on individual and others 5 Explain the importance of sharing appropriate information according to the principles and local policy on confidentiality and data protection know what information can be shared and with whom; confirm with senior staff if unsure; follow given guidelines. Element - 4 Know how to access the range of support services available to individuals and others 1 Identify the range of support services and facilities available to an individual and others •Pastoral services •Other professionals •Citizens advice •Self-help
Ask the client there likes and dislikes and there goals for their future this will become the start of your care plan. 1.6 Describe the key features of different styles of person-centred planning and the contexts in which they are most useful? The client is at the centre of the care: this requires having a meeting with the client and listening about what they’d like to do and what they don’t like. This means that the client is at the centre of attention in there care plan. Family members and friends input: this is taking information of their family and friends and using it in a care plan this can be helpful to know more about their cultures and life before entering the home.
During my course with NSCC, where I am studying to become a Continuing Care Assistant. Each student is required to work in a continuing care facility alongside other health care providers for a month. I attended skills development placement at Harbour View Lodge located in Sheet Harbour. This placement has given me the opportunity to apply my knowledge, and skills that I have studied and practiced in the classroom. When entering the facility the first week I felt nervous and excited at the same time.
Being a nurse is not always as easy and picture perfect as people paint it to be. A nurse is expected to act perfectly professional, even when tears, anger and all-around emotions are begging to come out. A nurse must always be the one that has their life together, especially when others do not. They are there to be the ones to hold and care for others in desperate times of need. Nurses are expected to be more than just a nurse, but rather an advocate, caregiver, support system and professional.
It is very important in your job role as health care assistant to know all the information about the individual take for example they wont know there children as adults they would only know them as children and even though there husband has died they still will think they are alive. You might get upset or frustrated in trying to explain to them there children are all grown up and that there husband died along time ago you have to patient it is important to use the right tone of and to role play along with service user in order to make them feel comfortable or remind them of what day and year .Sometimes it can be very difficult to get threw to an individual who has dementia. It is very important to always smile using eye contact greet them good morning how are you today the weather is really sunny
(2008) Preliminary report of a palliative care and case management project in an emergency department for chronically ill elderly patients. Journal of Urban Health, 85 (3), 443-51. Montefiore Medical Center created a program in their Emergency Department that identified chronically ill, elderly patients. They found that these patients were more likely to need palliative or home care, and later on hospice care. This preliminary report and case management pilot project made connecting patients to such services and ultimately allowing patients far more accessible options to these types of care.
Every decade our population gets older and a whole new generation of seniors comes along with a new set of attitudes and expectations as to what they want from an assisted living facility. And now that people are living longer, there is a much greater need for these facilities. They can provide a refuge to many family members that may become severely burdened by the arduous task of taking care of a loved one who can no longer take care of themselves. When simple tasks such as bathing and feeding become near impossible to manage alone, not to mention driving to the store and shopping, decisions about placement into a home become paramount. Most important to the family members is the ability of the facility to provide the adequate care that is needed for their loved ones.
Patient centered care focuses on getting to know the older person as an individual such as their values, Aspirations, health, social needs, preferences and providing care specific to their needs. It enables the older person to make decisions on what kind of options with assistance available, promoting his/her Autonomy and independence. It involves them in such way to be included in shared decisions between healthcare teams and families, so the can be control with a choice of specific care / services. It provides information that is tailored for the individual in order to assist them in decision making based on evidence, helping them to understand their options and consequences of this. Supporting a person on his/her choice and letting them pursue their stated wishes, As a patient centered approach so they are involved as equal partners in their care ( Manley et al,
Signed by a competent individual, an Advanced Directive is a legal document that manages medical and health-care decisions in the occurrence an individual becomes incapacitated. Advance Directives are not just for the elderly in a medical crisis nevertheless a medical crisis can happen at any age, at any time, leaving an individual unable to make health care decisions. Advance Directives act as a guide for making a patients choices known for doctors and caregivers if terminally ill, in a coma, near the end of life, critically injured, or in the late stages of Alzehmeiers and Dementia. There are several legal documents individuals can use when making their requests know and the procedures are simple for filling the forms out, however an attorney
Describe the duties of the professional nurse in this case with Mr. Cole As a nurse we are supposed to have compassion and build a rapport with our patients but we must uphold our ethical principles when it comes to this dilemma. As for analyzing this situation and coming to a decision I would use the nursing process since it provides a helpful mechanism for finding solutions to ethical dilemmas. (Whitehead 2007). I would assess the situation and ask myself about the medical facts, psychosocial facts as well as cultural beliefs, patients’ wishes and what values are in conflict. I would then move on to planning and make sure that everyone is involved during this stage and continue on down the line with the nursing process.