just about being alive but also about how we may deny the right to life or indeed death. Frost (2011) maintains nurses must arbitrate their role and confront their own moral status in conjunction with their own personal values and beliefs. Habitually patients die due to a terminal illness or old age and medication is prescribed for pain management and to alleviate symptoms (Panzer 2000). Chamberlain-Webber (2005) states it is within situations of terminally ill patients that a nurse can truly be an advocate for the patient. However, Panzer (2000) states some doctors have administered large doses of medication then necessary required, resulting in adverse reaction and consequently death.
Palliative care is provided by prescribing medications and diversified other strategies for improving overall health and well-being of individuals (Ingleton & Larkin, 2015). On the contrary, the end of life care is only recommended for patients, who could not be further treated due to their terminal illness (Dixon, King, Matosevic, Clark & Knapp, 2015). It involves agitation which is distressing for cognitively impaired patients and their families for which psychological therapies and mini mental state examination (MMSE) should be performed (Oxford Medical Education, 2015). De Souza & Pettifer (2013) suggests that psychotherapy and MMSE are necessary because agitation and anxiety is linked to biochemical abnormalities and it might effect on body organs to fail (De Souza & Pettifer, 2013) In the year 2014, the fundamental priorities related to the provision of care during the last days of life and previously implemented policies and procedures implemented in Wales were reviewed (NHS Wales, 2016). This review significantly contributed in launching care decisions for the last days of
It is possible that the patient was irritable that night, but it is also possible that the nurse did not take the time to understand how the patient wished to be cared for. I think that understanding my patient’s connection to his spirituality helped me see a larger side of his holistic needs, and may have been an intervention that could have been implemented earlier. Nursing can at times be stressful, which can lead nurses to be impatient or rushed when working with patients with complex needs. It is necessary for us to recognize our weaknesses as nurses and adapt our abilities to cater to all patients. For example, when a patient is frustrated and acting out verbally to the staff, it would be necessary to address exactly why these feelings are present.
So, that appropriate plan of care can developed among the health care team to ensure positive outcome for this episode of care. For example, if this health crisis is related to mental health disorder that resulted in physical health emergency then case manager would need to talk and include the mental health provider and medical doctor as part of the health care planning team. The case manager would need to know all past mental health breaks or if this new mental health issue for the client. This may sound trivial but many times not all providers are included in planning process for patient, when all participates not included can lead to adverse outcome. This could result in malpractice or lack of care standards on the part of the case manager.
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 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. It was guilty about the incidents of ignoring patient safety.
In circumstances where respect is not availed, it becomes impossible to achieve promising results. 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.
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Lancaster Advocacy (2006) cited in Community Care (2006), believe that “Older people can be particularly vulnerable”. Many, older people will go straight into a care environment straight after hospital. Some may have been treated poorly in hospital but “find it difficult to challenge doctors, nurses or social workers”. The ageing process can suppress people; consequently, they not strong enough to face the stress of taking on complaints systems alone (Lancaster Advocacy, 2006 cited in Community Care, 2006). Therefore, advocacy can ensure that if the person wishes to make a complaint, they will be well informed of the options open to them and will be able to access external independent support in order to pursue said complaint (Advocacy QPM,
Knowledge and assessment skills are required to improve the patient safety (4, 17-19). Clinical pharmacist can play an important role in nurse training as an effective method to reduce food-drug interactions in hospitals (18). However, we found that patients who instructed by nurses were also at high risk for potential food-drug interactions. It means that they do not pay enough attention to nurse recommendation. But they should know that communicating with physicians and pharmaceutical consultants seems to be an effective ways to preventing food-drug interaction interactions (19).