Family Nursing Care

For the patient, unrestricted family presence facilitates opportunities for family members to support their loved ones by providing reassurance, and emotional and physical comfort 20,21 Patients report feeling a sense of security when family members are present, as their needs and desires are more likely to be accurately communicated to the healthcare team.20,21 In a qualitative focus group study (n=8) family members attested that they knew the patient more than anyone and were in the best position to provide accurate patient information, make decisions based on the patients needs and desires, and advocate for their loved ones.4 Furthermore, unrestricted family presences provides opportunities for nurses to learn about the patient, gather an in-depth and realistic history, and determine appropriate needs and care requirements, including post-hospitalization

I also attended classroom workshops on inter-professional working and communication by Helen York, where I learnt the important features of inter-professional working, and also the importance of communication in improving patient satisfaction and outcome. During inter-professional working workshop, we had healthcare professionals from various hospitals that came to our school to share more about their roles and responsibilities. An activity was carried out, where the healthcare professionals will walk around the teams to discuss more about their roles in the healthcare field. We were supposed to identify and make a list of the healthcare professionals who would be involved in getting into contact with the patient with a certain condition or

Dr. Diane Meier states just as you wouldn 't send a young physician to do a surgical procedure without a lot of training and practice and supervision, having conversations with persons and their families about very complex medical decisions, in the context of a serious illness, is a procedure and it requires training and practice and supervision for doctors as well as nurses in palliative care. Dr. Diane Meier illuminates essential points and helpful advice when discussing illness and end of life concerns in a supportive setting of particular importance is step 6: Ask, Tell, Ask: Part II – “Tell” • Possible script: “I’m sorry to have to tell you Mrs. Jones, but your PET scan has shown a progression of ….” • Once bad news is delivered, STOP

As a family nurse, it is important to focus on the family as a whole and ensure each member is addressed. The nurse can collaborate with the family to formulate a plan for what are the most important issues to work on and create goals. The family nurse should always be aware and value the racial, ethnic, cultural, and socioeconomic differences of the family (Kaakinen, Coehlo, Steele, Tabacco, & Harmon Hanson, 2015). It is vital that the strong relationships with the church, extended family, and counselor be supported throughout the plan of care. The nurse could encourage A.L. to seek another primary care physician, specialist, or holistic practitioner who would address her emotional needs as well as her physical needs.

My role in this experience was being the secondary nurse. Some previous knowledge that I could have help with this experience was to communicate with the patient more and just reinforce that she is okay and tell her where she is at. My beliefs working with this patient was to help the patient be a little bit calmer so that she could eventually go

(2015) as it states that when the nurse looks at the family as a whole then the nurse will be able to assess the needs of the entire family, this in turn this will enable the nurse to implement a treatment plan that will not only impact the individual, but the entire family (p.4) empowering the nurse to treat with a holistic approach therefore, meeting the moral and ethical duty which is to include the family in the healthcare needs of the individual (Kaakinen et al., 2015, p.4). 3. Have you had an experience as a family member in which you were on the receiving end of family nursing care (care from a nurse or even another healthcare provider whose care went beyond just the primary individual to include the wellbeing of family members) for a family concern of some kind? This experience does not have to be illness related.

Expected Outcomes: The client will agree to follow medication therapy and to stay motivated throughout courses of psychotherapy. Nursing Interventions: 1. Maintain open communication, speak to the personality that is forward RATIONALE: encourage patient to verbalize thoughts, feelings, and concerns. 2.

The patient is confused, scared, and agitated I feel we are just adding to by changing her catheter when she did not want it done. My nurse stated we need to hurry and get this done we have another patient at such and such time. I agree we are on a time constraint but, at the same time we are agitating V.B. Summery

Today, I mainly collaborated with my nurse preceptor and the CNA. I was so excited and pleased to say that my preceptor allowed me to do almost every nursing task and he would assist me whenever needed. Adam and I worked together and efficiently by assisting one another in performing assessments. For example, I would perform vitals and respiratory exams while he performed the cardiovascular exams, then we would each chart our own findings. Also, I was able to prepare all of my clients’ medications and administer them independently; however, although I performed the three rights and six checks while passing medications I would still have him double check everything before administering them just to be safe, especially with medications that I was not familiar with.

The event was very meaningful for me because this is something I will have to do for the rest of my nursing career and I want to be able to do it correctly. It was my first time so I was very nervous and made a mistake that could have put the patient in danger. This journey allowed me to reflect on my weaknesses in patient’s safety and improve myself to become a more competent nurse in the future.

Suzanna, I can definitely relate to your experience. It is so important that the patient knows you are their advocate. Unfortunately, physicians and residents often get upset and frustrated with nursing staff for asking for additional help. It is critical that everyone set aside their pride or “ego” when patient care is concerned. I have a similar scenario.

The ability to work as a team member and collarborate with other health care professionals is one quality of a good nurse. I did learn a lot this day. My nurse and I help other colleagues with turning of patients. Because patients are hooked up to so lines, it is very challenging to move them around and it requires a lot of team work. My patient was on a mechanical ventilator so we have to work together with the respiratory therapist and other team members to bring quality care to my patient.

During my job as a CNA, I tried to approach each patient from where they were at and put myself in their shoes in order to understand what each patient

Patient safety is the highest priority of the health care providers. This manifested as the doctors work night and day for the patients’ health and safety. To establish this important goal in the medical practice, coordination and teamwork should be followed thoroughly. Here I will specify the teamwork role in the surgical department that aim to reduce the medical errors. It is agreed universally that the best way to decrease the error occurs in the medical field is by the application of the best practice tools.

Description: This situation occurred during the second placement of the diploma of nursing, which was in the rehabilitation centre in the psycho and podiatric ward. For me the most important and good experience that I had on this placement was the day when I got appreciation from the nurse in charge and the manager of that ward. I was working with my buddy nurse and suddenly in the morning when the ward is busy there was a MER call in the next ward so the nurses were supposed to go there to help them in that ward with the emergency. In that mean time there was the only the nurse in charge of our ward, we( 2 students), one nurse in the other part of the ward where the mentally retarded patient were living which can harm others sometimes or who eagerly wants to go out of the hospital. That ward is usually locked and they sometimes open the ward for the patients to move around under supervision.