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.
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.
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.
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.
“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.
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.
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
At the end of the meeting, I observed the team (nurse, social worker, and nurse practitioner) debate on the patients’ request for increasing their level. The decisions were mainly based on the patient’s behavior and interaction with other patients on the wing. Being compliant with medication, therapy, group sessions, and self-care were also factored in the consideration. I did observe an RN and psychologist discuss a plan to prevent two patients from arguing or becoming violent. They were discussing ways that were fair to both patients without compromising their needs or care.
If the patient in the last minutes of surgery wants to change anything in the advance directs, we should give them a chance to change it. Even in preoperative phase, we want to teach the patient what will happen after surgery and things they should do like ambulation. As the nurse you should explain what the purpose of ambulation is to the patient. You should always teach and educate the patient about their well being. In future practices, I will use what I learned today.
This causes some problems with Lucy’s clients because they will call her supervisor to complain about how they feel that they were left in the dark about her relocating and unimportant. Now after reading Lucy’s story, one can make some critical judgments on what Lucy did wrong in this scenario. The first red flag is when Lucy violated the Code of Ethics Principle I. Principle I rule E states that individuals, “…who hold the Certificate of Clinical Competence may delegate tasks related to the provision of clinical services to aides, assistants, technicians, support personnel, or any other persons only if those persons are adequately prepared and are appropriately supervised. The responsibility for the welfare of those being served remains with the certified individual”.
Week Nine Initial Discussion Post NURS6053, N-20 Throughout my working career as a registered nurse (RN) I have experienced various types of leaders. The purpose of this discussion is to talk about a particular manager and their leadership style.
May also report in the facility once clients come to the facility they have more client leaving before been release by the