Therefore, a knowledgeable nurse will implement skills in promoting patient and individual safety. Strategies such as sedation, restraints, sitter, or security at the bedside can be implemented before the escalation of work place violence occurs. Furthermore, a nurses attitude towards this patient matters in order to de-escalate anger. An angry or confused patient must be a handle wisely with proper nursing intervention. Nurses must listen, acknowledge, and control tone and body language during communication.
When they take care of patient, they often forgot the practice of preventing harm from patient which influences the practice. Stage2. Feelings As a nurse, it is significant for us to promote safety during the practice. Yet, some of them only focus on the surface quality but not holistic one.
Stressors are capable of producing negative effect on a person system and therefore alter the person lines of defense. JB’s flexible line of defense is compromised due to multiple stressors surrounding her life, which Neuman called wellness / illness continuum. The lines of resistance will be then activated to protect JB 's integrity and return her to a steady state. According to NSM, acceptance of the disease and adequate social support are primary interventions that will strengthen JB’s flexible lines of defense. As the nurse caring for JB, I understand how CD can negatively affect her physiological and psychosocial well-being, I provide JB with physical and emotional support along with adequate education that is important to help prevent
I am able to identify early signs of escalating aggressive behaviours and intervene accordingly. Patients with dementia need a lot of prompting to complete tasks and therefore I ensure that I give out clears short instructions to allow them time to process
Concerns over palliative withdrawal of ventilator support in patients causing undue suffering have been discussed in the literature. Certainly, terminal withdrawal of support should be treated with the same aggressive measures that we use to treat those patients that are better able to communicate their symptoms. However, to simply state that we need to treat symptoms aggressively is naïve in assuming that we know completely what the patient is experiencing. High quality evidence does not exist to describe the best methods for which palliative ventilator withdrawal should be performed under. That being said, withdrawal of ventilator support will continue and it is our responsibility to perform such procedures informed with the best available
The Francis report is clear confirmation that when the 6C’s, a therapeutic relationship and ethical boundaries are ignored in patient care it becomes a major barrier that leads poor healthcare. (Department of Health, 2013). It is evident that a therapeutic relationship and effective communication underpins good healthcare (Brown & Bylund, 2008). Communication is therapeutic and building relationships is the cornerstone of nursing work, particularly with patients who have learning disabilities or mental health issues (Clarke, 2012). With such patients, nurses have to consider emotional factors as the patients may find it hard to listen, concentrate and communicate if they are emotionally, scared, anxious or maybe just do not understand the
An accurate risk assessment may also help identify patient’s problematic thinking behaviours (Encinares et al., 2005). The first limitation noted in this article is the lack of up to date studies to support that nurses must conduct risk assessments and that these risk assessments will identify the patients risk level and help create an effective risk management plan. Encinares, McMaster, and McNamee (2005) provide a clinical vignette that they believe demonstrates and justifies the role of the forensic nurse in conducting a forensic risk assessment and management plan. However, they do not provide their own research study. A second limitation is that the author’s express forensic psychiatric nursing as a new field and that longitudinal data have not been regularly published (Encinares et al., 2005).
When the nurse spread the word that the patient was more difficult to work with, the oncoming nurse was immediately wary of that patient. While not all nurses will take that kind of information to heart, some will. It will impact the quality of care that the patient deserves because the nurse will more likely spend her time with her other patients, than with the difficult patients. His needs may not be fully met because the nurse wanted to avoid any difficult
The society indeed taught me the essentiality attached to respecting others thus serving a source of encouragement, the consideration that I carefully examined before venturing into the nursing profession. It is natural that patients do need not only drugs but also respect for survival. In other words, it is difficult for someone who does not value others to find solace in nursing. For example, nurses are expected to respect the voice of the patients so that there can be a sort of understanding to facilitate better treatments and caregiving. For example, patients come from different religious backgrounds that accommodate certain beliefs as far as the provision of Medicare is