The nurse should be aware of the patient’s medical history and know their patient well. Patient safety is very important. “Nursing management of older adults with any form of dementia always considers the safety and physical & psychosocial needs of the older adult and family” (Potter & Perry, 2012). Quality Improvement Interventions An intervention for quality improvement is to make sure the patient understands what is happening. The patient should be given time to express their thoughts.
If you look out for the wellbeing of you patient and express what is best for your patient then you are actively practicing the value of altruism in the field of nursing. Next, the professional value of autonomy. Autonomy is the personal value of one over themselves, free form control of others (96). An autonomous person is one who acts intentionally, with understanding and without the influences of others opinions on them. As a nurse it is important to know when to give your input and when to hold off.
Lack of monitoring and keeping track of patients’ medication use is a main cause when a patient is given inappropriate drugs. When the nurse fails to communicate successfully with patients, it costs. It costs in unnecessary pain, in avoidable deaths, in poor health outcomes and in the prolongation of
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.
Kaysen wants her readers to understand the stigmatization that occurs not only within these institutions but in the world. She explains that by going into this hospital and being deemed mentally ill that she was hurting people or she is some type of burden to her family. She knows that having a mental illness is not something that is viewed as normal or right. People expect her to just get better and to snap out of it. Moreover, they see her as some type of monster or a pathetic excuse for a person.
Also, ordering treatments in which the patient is purely passive. For example, performing surgery leaves a patient completely passive. These last two restrictors can be very damaging for patients being treated with mental illness. Counseling treatment is a partnership, not a dictatorship. If a Psychotherapist does not listen to the patient or not giving them options, then their patient will not
Starting with the doctor, did the doctor explain to the patient why he recommends that the patient go to occupational therapy. It also seems like the nursing staff doesn’t know why the patient did not receive any therapy. Had the nurse known of the refusals, they could have talked to the patient to find out what the reasons for not wanting to go were. The nurse could have then taken the time to explain the therapy and stress the importance of going to the patient, as well as, try to calm any fears that the patient may have. The other problem could be that the patient does not understand what type of impact occupational therapy could have on his recovery while at the hospital or to help them recover
This type of disclosure is an organizational violation, but could also lead to legal ramifications as well. Incidental disclosure of protected health information is not considered to be a “violation of the HIPAA medical privacy regulation provided the covered entity has applied reasonable safeguards” (Hatton, 2003) to help prevent them. This error also has the potential to cause distrust in the patient that the nurse is transporting, causing them to lose faith in the company. The nurse stopped Sue in the hallway (a public space), while transporting another patient, to tell Sue that there was an issue. The nurse made no attempt to keep the issue private and rattled of the details in front of the escorted patient, even though the situation was not an emergency or life threatening.
This scene displays paternalism towards the patient. Paternalism is the best interest of the person whose autonomy is being compromised. Jason does not respect Vivian's right of not wanting to be resuscitated because he only views her as 'research'. The nurse Susie protects Vivian's paternalism by calling off any act of resuscitation. The nurse displays extreme paternalism because she is preventing harm to her patient.
1. What makes this problem important? The issue of nurse staffing and patient safety is vital to the health of our patients and the longevity of out nursing licenses. No one wants to be the sentinel event that forces the change, so they leave making the problem of staffing worse. The departures cause inexperienced nurses to arrive and make the critical situation of staffing even more challenging.