In the NUR 203 lecture, the instructor did not mention and include the content of turning fork test in the lecture, but in the NUR 605 lecture, the instructor focused and clarify this type of hearing test. The last difference between both lectures is percussion the sinus areas. This type of assessment is not existing within the NUR 203 lecture, whereas it occurred within the NUR 605 lecture. It might be important that nurses make percussion the sinus areas through examining the nose and sinuses of
This assignment is a reflection of ethical dilemmas in nursing practice as a registered nurse; this paper is based on the group assignment which was completed for NURS3004. This reflection will include an explanation of the role that I portrayed in the group, the preparation that I did for the role, what could have been done differently, how this group assignment has impacted me in terms of working in a team and finally explain how this assignment will assist me in my future clinical practice as a newly registered nurse. The role that I played in the group was a patient who has a mental health disorder and I didn’t want his mother to know about the illness, as a front it seemed as though we had a close relationship. When my mother leaves the room I asked the nurse to keep my illness confidential as she does not really understand it. As a group we all decided that it is best for the patient’s notes to be filed in the nurse’s station due to issues surrounding confidentiality and privacy.
Therefore, the clinical staff, at Pro-Active Resources, can diagnose the level of care a person needs and will make referrals based on those needs such as: detoxification, half-way house and inpatient treatments. Referrals create an ethical dilemma with therapist because one always needs to put the client’s needs before your own. Therefore, therapist must be careful when referring a client as not confuse competence/scope with personal beliefs and values. Another ethical dilemma stems from dual relationships because counselors, who were once addicts, are now attending the same AA meetings as their clients. This ethical issue leads to the major legal concern in substance abuse counseling.
Klinger was unable to answer because it is outside the scope of his practice, but he assured her he would express her concerns to her doctor who would then come and discuss them with her. By giving her some assurance, the patient felt relieved and could stop stressing about potentially having a second miscarriage. Responsiveness Emilio Jones is in charge of transporting patients to the hospital. While he was taking a patient to the emergency room, he noticed a call light was on. After transporting his patient and walking past the patient’s room again, he recognized the light was still on.
As a registered nurse, I had admitted countless of patient in the hospital I work at. As part of our facility 's admission questioner, we nurses are required to ask our patient or their loved ones (or caregiver) if patient has any Advance Health Care Directive (AHCD) or Provider Orders For Life-Sustaining Treatment (POLST). Furthermore, our facility has two different forms, AHCD (authored by our facility) and POLST (authored by Kokua Mau). In reviewing these two forms, it appears that the AHCD is more comprehensive that the POLST. The AHCD covers what is asked on the POLST with additional questioner on pain relief, patient able to appoint an alternate to the designated agent, able to appoint an alternate to the alternate designated agent, patient is able to limit the agents authority by allowing the patient specify the limitations, and allows the patient to donate his/her organs or body upon the patient 's death.
Overhearing Joanie expressing to Isadora that she could not help but be in the manner she treats me, soon after being told she will no longer be allowed to continue with her hostile behaviors, drove me to seek higher aid in resolving this matter, if it be with a change in behavior for me or for the others. These matters can easily turn into legal issues if not handled properly. I would love to have this corrected in-house before another reoccurrence, which would force me to seek professional advice on my next plan of action. Joanie 's statement " I can 't help it" informs me that the hostile behavior towards me is not of my doing. with that being said, I believe its time to start approaching each other in a respectfully and mature manner.
Just like you, Gersten’s suggestion to review the client’s existing records during the integration phase of the assessment exercise to avoid the priming effect in order to have a more objective assessment of a client, is also one of my “aha” moments. This confirmed my personal belief to get to know someone personally first and not listen to other people when I am meeting a person or when a new co-worker starts at work, for example. The readings reiterated the importance of the counsellor’s ability to respond sensitively to patients needs, maintain open and clear communication, and communicate empathy and openness, as these are factors in establishing a therapeutic relationship with a client. The reading also emphasized the importance of
“Kantian Ethics can help us determine what we must not do; but how are we to decide what we should do.” (p16) There are strong views to why some individuals agree and disagree on Dr. Brody dilemma, and personally I believe its how you as a individual view the situation along with your beliefs. In todays world doctors are placed everyday situations to where they are forced to make the right ethical decision possible for the patient. Some might view it as been wrong and others might see it been perfectly okay. And reading others post on this dilemma with Dr. Brody did help me understand why others seen it been okay to help end Mr. Lasken life and did not view it as a wrong action. As individuals we have different opinions and beliefs, and would handle situations differently however, I still stand on what I believe would be wrong in this situation.
(Whitehead 2007) Sometimes the patients are not aware of the possible outcomes unless the outcomes are explained to them. Would you chart the incident and would you report it to anyone, why or why not? I would definitely chart the incident and discuss my findings with the physician. I feel that it is my duty to let the physician aware of the situation and let him decide if the patient is stable enough to go home. I would hope that the patient understands my reasoning for discussing the findings with his physician.
There were some questions that I would tell a story about to get my point across, but there were others that I did not expand on. I would say something along the lines of, “Well, I would do this in this situation.” Instead of telling them, “I’ve done this in this situation” and expanding upon that. When you have real-life examples and further shows how you’ve implemented that point into your practice as a nurse. When thinking about the critique I received, I remember Ms. Jenkins talking to me about keeping eye contact and speaking up. I have a very soft voice and think I’m being loud enough but sometimes that is not the case and I’m not asserting myself correctly.