The qualities and characteristics of a ESTJ interfere with this job due to the tendency to be uncomfortable in uncertain and or risky situations, and they do not like change. ESTJs would rather take the traditional way out of things and would like to know exactly how things are going to happen so that they can prepare and organize for the upcoming events. In the intensive care unit patients are critically ill and may even die. With this being said most of the time nurses in this unit may need to use new trails, medications, approaches, techniques, or they may even have to work with a new colleagues or authorities. People who are ICU nurses and are the ESTJ type may have strong difficulties when it comes to day to day duties in this unit, and could cause a multitude of issues that are not acceptable on such critical circumstances.
What’s important is that Ashely as a patient is vulnerable and this would cause him to feel anxiety, discomfort, and distress whenever the care professional is treating him less as a person. The nurses showed poor care towards Ashely, for my point of view “I’m not saying that the system should be perfect on how to look or treat a patient but it’s Important on how to deliver care towards every patient such as Ashely himself.
The one piece of information I found most significant for me is, the ARNP and patient must negotiate a plan of care. This concept is so important for the sake of trust and compliance. The need for negotiations can be due to factors that can affect a patients’ compliance which can range from cost, timing, ethnicity and culture, language, and a whole host of other barriers. Patients need to understand why this medication is being prescribed and the education you are providing them will gain their buy in. For example, if a medication is too costly, or the side effects are unacceptable to them, the ARNP needs to find an alternative treatment that fits their budget and has acceptable outcomes.
Abstract Our life is full with mistake these mistakes might be unnoticeable and not critical, but rather others might be dead and bigly affect our lives. To be a doctor or a nurse is a big responsibility. You should know about all that you are doing and treating with. Especially the patient between your hands since his/her life is your responsibility. All that you make must be the right path, taking in your thought honesty and trust.
The fact that the elderly often lack the support of family and friends makes them especially vulnerable to the automatic and sometimes deviation of their systematic health. So elderly may requires some special challenges, it is unfair to make assumption about a person’s abilities or needs based on age alone. Rather physician should asses each elderly patient individually and deligates treatment option accordingly. Physician must advocate for their patients ethical interests and legal rights, especially in the medical context, about which patients are often ill- informed or misled. Ethical principles:- There are most widely accepted principles that characterized by ethical concern of clinical practices for geriatric are- Respect: - Respect for elders not only in clinical situations but also to all life situations.
It is obvious that the doctor – patient relationship is based on trust and honesty but in few cases if clinician disclose the worst prognosis of the disease to the patient, he or she might not believe him and unfortunately taking wrong steps which could be more harmful for the patient. Factors that should be reviewed before disclosure: 1. Patient’s factors: patient may not be able to tolerate the initial trauma due to her current physical condition and co-morbidities, like fatigue, hearing difficulty, poor eye sight, dementia, etc. she could be in a denial mood. Her anxiety and depression can worsen the situation.
as cited in Roberts 2004). Autonomy is described as an individual’s right to self-governance around their care and the requirement of healthcare professionals to respect these decisions (Kirby et al. 2004). However the patient and healthcare professional can sometimes have conflicting views regarding a person’s capacity for autonomy particularly persons who are acutely unwell. Despite JB expressing his dislike of being placed in seclusion, nursing and medical staff agreed JB’s capacity to make an informed autonomous decision was impaired due to his current mental distress.
Malpractice is negligence, offense, or breach of duty by a professional individual that causes a patient to be injured. Much of the time, it includes when a nurse did not meet a standard of care or to deliver care that he or she should deliver in a similar situation. According to Standards of Practices “Standard 2: Responsibility and Accountability”, the nurses have to maintain, practice, respect and promote patient’s autonomy, as well as to provide care in a responsible and accountable manner. However, keeping the truth from a patient will not enable them to come to terms with their condition and give them the alternative for further treatment. Hence, it would be better to tell the patient the truth to guarantee that the nurse will not face any lawful issues unless the patient has a lack of decision-making capacity which could be caused by mental illnesses, such as dementia or being
The nurse’s decision not to follow through with the resident’s skin issue is a failure when our ultimate goal is to provide optimal care. I have observed these attitudes towards bruises more often because most of the time I was the receiving nurse and consequently was the one to write up the bruise. When it comes to wounds, nurses differ in their opinions as to what appropriate treatment and dressing needs to be used. In the wound assessment guideline, it only states that we need to