I only observed this situation happen, and I do not know the patient well enough to make a complete assessment. Just from observing this situation, I believe that this gentleman needs further education on the health promotion area of wellness. The individual area this individual may need to work on is mobility, and how he himself and the nurses can work on his movement better. This gentleman I gather from my observation wants to move around more than just in his wheelchair. I believe it is also the nurses responsibility to help this patient work on this area of wellness. In order to avoid any thinking errors, a couple things may have to occur. In order to avoid any bias or close mindedness that may occur there needs to be a thinking of …show more content…
Bias may occur when a nurse may look at his chart and see that he is very weak and assume that means he is incapable of walking. This bias already assumes that this gentleman does not have the motivation to stand up and walk. He may need assistance, but he may be willing to move in other ways besides just his wheelchair. In order to avoid any lack of information, the patient and the nurses should look into how much this patient would like to move and what kind of movement is possible for the patient to do. The more information they can gather, the more the patient may be able to move. In order to avoid illogical thinking, everyone who is involved with the movement of this patient needs to realize a lot of good can happen from moving the patient in other ways than just in his wheelchair. Having the patient get up and walk can help with other aspects of his health. Knowing this information can help avoid illogical thinking. In order to avoid erroneous assumptions, the patient and the nurses need to ask each other questions and clarify on what is expected to happen. Everyone needs to listen to one another’s thoughts and opinions on …show more content…
Specifically, the article talks about mobility in older adults. The main intention of the article is to promote mobility in older adults. The article talks about how many negative health outcomes can be avoided by simply a nurse helping an older adult with ambulation, sitting in a chair, and range of motion. The article also talks about certain barriers that prevent patient mobility such as a nurse having certain knowledge gaps or certain attitudes about patient mobility. The article focuses on hospitalized older adults, but it talks about how the same can occur in a long term care facility if the patient has some sort of disease or is unable to move themselves. From this article I learned that many times nurses do not help with moving patients because they are not taught it is essential or they are not taught how to. I also learned from the article that increased mobility also leads to increased healing of certain injuries or diseases, and better overall health. An evidence based intervention the article discussed was better education and more theoretical framework for nurses about the knowledge or mobility. Another intervention the article discussed was using the knowledge and theoretical framework to change nurse’s attitudes about mobility. The article did state that more studies are to be done to better understand the many barriers that may prevent patient mobility. I think the most
Brionna’s duties as a CNA are to provide basic care to her patients, as well as assist those in their daily routines they might have trouble doing themselves, such as bathing, going to the bathroom, eating and etc. Her job is very personal so she has to be very compassionate and enjoy helping others. Even if she’s having a bad day, she can’t let it interfere with her job. “Some of these elderly people
Karen recently bought Gary a motorized wheelchair for Gary to get around easier. 17.1 What if… Gary is having difficulty getting around the house, due to lack of mobility? You are doing an initial home health visit with him. What things do you need to watch for to advise Gary to be safe in the home and when Gary goes out?
Given that her mentality was not severely impaired and she expressed refusal, I ended up letting her wander in a limited area while observing her behavior, and then she went to sleep after an hour or so. Working in a long-term facility requires a lot of clinical judgment and high morale from healthcare professionals because there are many patients with cognitive problems who are not aware of how they are treated. Therefore, healthcare professionals should be an advocate for older patients and respect their rights based on ethical principles. To do that, healthcare professionals should reflect their behaviors frequently to see if they respect patients’ rights, and it is also important for healthcare professionals to get proper education on ethical principles. In addition, it is essential to develop a trusting relationship between a nurse and a patient because in the relationship, healthcare professionals can communicate with older patients about their wishes and care preferences more truthfully and honestly, which in turn helps patients to make decisions about their own treatment and healthcare professionals to feel less moral
In a hospital it should be someone’s main priority to make sure the patient knows what's happening to his or her
A few years ago, my aunt was diagnosed with diabetes and renal failure. Together, the two illnesses were crippling, forcing her into months of hospitalization. She eventually became wheelchair bound due to chronic weakness from multiple treatments and surgeries. Ultimately, she was admitted into a rehabilitation facility, where she began receiving occupational therapy services three hours a day, three days a week. After weeks of intense leg treatments, she regained her ability to stand and walk with relative ease.
(Joint Commissions, 2014).It is important for nurses to explain how to use the call light to the elderly patients, and also to ask for help before getting out of bed. Vulnerable patients should be placed close to the nursing station for close monitoring. It is very important to educate health care workers on the approaches used to prevent falls. The measures used to prevent falls in the elderly could include; carrying out a risk assessment during admission, placing colorful stickers outside their doors, stopping the use of psychotropic medications, teaching them the best way to use their assistive device, placing their call light and belonging within their reach, placing their beds in the lowest position with brakes /wheels locked at all times, removing throw rugs from their surroundings, making sure that they are wearing non-skid shoes/socks before ambulating and also giving them their prescribed Vitamin D supplement as well as encouraging them on the use of their corrective glasses or hearing aids. It is very important to educate health care workers on the approaches used to prevent
The feeling of being able to alleviate the suffering of an acutely ill patient is at once incredibly satisfying and immensely humbling. I am constantly in awe of the fact that by coming to work everyday, I have the privilege of helping others who cannot care for themselves. During my time in my Clinical Care Extender Internship, I developed a special interest in caring for the geriatric population and have had the opportunity of serving as a personal caregiver to an elderly woman with dementia. I do not take the trust and confidence that my patient places in me lightly and work hard to advocate and provide for her safety because she deserves no less. Thus, in the interest of patient advocacy, as a nurse in your facility, I will seek to improve the practices that will keep my patients safe and promote their healing.
Occupational therapists use knowledge of sensory integration in planning and adapting activities for individuals with disabilities to achieve the desired outcomes. A routine of organized sequences of five stages reestablish the likelihood of an automatic, habitual response as well as restore environmental interaction for impaired individuals. Since the OBRA-87 requires nursing home to create individualized care plans for residents to focus on maintain and improving the ability to walk and complete ADLs, the five stages method is one of the treatment methods can be used by occupational therapy practitioners to focus on maintain and improving the ability to walk and complete ADLs, the five stages method is one of the treatment methods can be used by occupational therapy practitioners to facilitate balanced healthy routines in institutional care settings. It helps clients to achieve the greater ability in ADLs and decrease disruptive behaviors throughout the day. In addition, it helps clients to shift an attitude from “I can’t” to “I can” in order to improve quality of life, happiness, and
Each morning patients came in for assessment and the treatment team developed or altered existing treatment protocols. I longed to be part of this team, working to stabilize each patient so they could return home to pursue their goals. The nurses stood out to me as the team members at ground zero in the unit, working directly with patients, and advocating for them in meetings. As a Nurse Practitioner, I will provide this same standard of holistic care to my patients, taking into consideration their biological, social, psychological and cultural needs while developing and implementing treatment decisions.
Aseracare Hospice located in mobile; Alabama is where I did my field placement for social worker. In this paper I will discuss the importance of Aseracare and how it can relate to different theories in the social worker world. Aseracare provides in homecare and care in different facilities where I was placed in two different nursing home in mobile, Alabama where I will discuss the different environment that I encounter during my field placement. Aseracare “Provide patients and families the best possible quality of care and quality of life. Their objective is to help reduce the stress and pressure on patients and their families, allowing them to make the most of their remaining time together (The Right Care at the Right time, n.)”.
Even if this effects them in the long term and their health gets worse or the problem comes back as far as they are concerned, it is their decision and it is the right decision. In health and social care, the staff should do everything to help patients this could be providing a book for a blind person with Braille. This is also a part of their work contact to help them as much as possible and make them feel worthy. As health and social care professionals, they must also help make individuals feel empowered by encouraging them to do well and to be independent. In health and social care setting they must also help apply certain aspects around individual’s environment to help their individuals needs or if a group have the same needs to make sure they are treated fairly.
Clinical question The clinical question for my article was based on quantitative search, nurse to patient ratios must increase to improve safety and the clinical question that is identified in the quantitative research article is how to increase nurses to patient ratio in order to improve patient safety and quality of life especially in older adult patients. Description of the Problem The problem description in this article identified is that when there are too many patients assigned to a nurse there will not be an effective and well done job by the nurses and the patient will not be save.
The wellness of a human being has been broken down into five sections. These sections are: emotional wellness, intellectual wellness, physical wellness, social wellness and spiritual wellness. I think my strongest section for my personal wellness is my emotion, intellect and physical wellness. However, my weakest sections are social wellness and spiritual wellness. I believe that my emotional wellness is my strongest section.
A nurse must be able to perform activities like moving a patient, lifting heavy equipment, being on their feet for much of their shift, etc. The nursing profession can be very taxing on a person’s body and society as a whole is seeing the effects of this. Older nurses who have been in the field for a long time are no longer able to perform these tasks and it is causing them to change their area of expertise, or even leave their profession entirely. This has negatively impacted effective health care delivery and proper patient-centered care because these nurses are not able to effectively help their patients. Research shows that there are a large amount of nurses that are near or at the retirement age.