Definition of the Concept From the previous literature review and defining characteristics mentioned prior, patient advocacy is providing support and guidance of an individual in need. It is within the nurse’s best judgement to ensure safety and protection for the patient. By valuing the patient, the nurse will build a therapeutic trust relationship with the client which will secure the patient’s freedom and self-determination (Baldwin, 2003).
Cases
Model Case A 99-year-old male was admitted on a medical-surgical floor two weeks ago due to dementia. Due to his age, the patient’s health was rapidly declining. The physician explained to the client’s family about placing the patient on comfort measures only. After the medical residents notify the family about the order of CMO, the daughter had questions on the procedure of placing her father in comfort measures only.
When the nurse checks in with the
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The young girl is 12 years old. The nurse is assisting the doctor with the vital signs. When the mother steps out of the examination room, the physician asks the patient if she is sexually active. The girl states that she is, and the doctor discusses about safe sex. In addition, she explains to the patient about different forms of birth control. After discussion, the 12-year-old decides to try an oral contraceptive.
The doctor shares with the nurse that she is going to prescribe a generic oral contraceptive medication for the patient. The doctor also does not tell the mother about the prescription due to doctor-patient confidentiality. She hands the prescription to the nurse, and asks to give it to the patient. The nurse believes that the patient is too young to be on the pill and thinks that she should wait until she’s 18. Although the nurse disagrees with the doctor’s and the patient’s decision, she complies with their wishes.
Related
It’s similar to the scene in the film “Mean Girls” with the coach teaching health class: “Don’t have sex: you’ll get pregnant and die.” (Waters, Fey, & Michaels "Mean Girls" 2004). The association with drugs and unprotected sex in the same category is not what children should be taught. Crank perpetuates this when the author makes Kristina get pregnant by a fellow lowlife. This single story is telling young people that unprotected sex and drugs fall hand in hand, what is not true.
As representatives of the Legislative Committee for Court Appointed Special Advocate (CASA) programs across the Commonwealth, we wanted to take a moment and recognize our appreciation of you and your staff for the ongoing support and partnership DCJS has provided to local CASA programs over the last 25 years. 2015 recognizes incredible service accomplishments for local CASA programs in Virginia, one being, thirty years ago, CASA became a voice to children impacted by abuse and neglect. Safety and permanency for children were the goals then and remain the goals now. Communities committed to this model. Judges, representatives from the General Assembly, and DCJS recognized the potential within this unique public–private partnership and
The nurse's role in this would be to advocate for the patient in granting the order and respecting the patient's right to
20). This echoes Provision 1 of the American Nurses Association’s Code of Ethic’s for Nurses (2015), which states that the nurse “practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person” (p. 1). According to Fowler (2015), from this type of care “flows an expectation of patient participation in care decisions and self-determination” (p.20). This statement begs the question, if there is an expectation of patient participation, wouldn’t not supporting a patients desire to use alternative modalities be a breach of the nurse’s social
Advocate Nurses also function as the primary advocate of the patient. Patients often find themselves in a vulnerable position; they are sick, sometimes alone, and are frequently uneducated regarding their illness. It is up to the nurse to advocate for the patient's care, health, and safety. The nurse must educate their patient regarding their health in terms that the patient can best understand. The nurse then must listen to the patient regarding their needs, so that the nurse can advocate to the health care team on behalf of the patient.
Did you know that 55% of teenage girls in the United States take the birth control pill? That means on average, over half of the girls in your school are most likely taking it also. But, this didn’t used to be the case. In fact, “birth control” didn’t even used to be a pill. Birth control was first invented by Margaret Sanger.
The physician is rendering the aid the patient requests and respecting the patient’s autonomous decision to exercise their right to
It also suggests that, “within the hospital team nurses have the right to autonomy of judgement and decision and in conflicted situations, such as the one described here” (109). This means if the parents cannot come up with a definite answer, the nurses have the right to decide what is best for the child. Also, this article explains the conflicts when parents and medical staff disagree. Many problems can be caused by this issue such as, “what extent is it possible to scrutinize the way devoted parents should act” (108). Then, in another scholarly article, “The Role of The Pediatric Nurse in Promoting Pediatric Right to Consent,” gives specific characteristics that nurses should look for in children to determine how capable they are.
Wilks (2012, p.1), refers to advocacy as being a challenging subject, one of which is highly susceptible to change and an area of disagreement as to what should belong in the field. Furthermore, advocacy is such a multifaceted concept, it is difficult to define in any singular context. However, according to Henderson and Pochin (2001, p.1), advocacy can be broadly described “as the process of identifying with and representing a person’s views and concerns, in order to secure enhanced rights and entitlements”.
Kerridge et.al (2009), developed an ethical decision making model made up of seven steps to guide a social worker to identify both ethical issues and to evaluate the values of the identified issues (Kerridge et.al, 2009). This model is applied to the three options that are elaborated and illustrated in Appendix’s B. C. and D. The first step in the model is to ‘clearly state the problem’ which is the argument of self-determination and own wishes versus Sophie’s mother’s wishes and the law. This elicits questions such as ‘Is a sixteen year old girl mature enough to make the decision of termination?’
Nursing has never been simple or easy, nor is serving as a patient advocate. However, it is important to include advocacy as a part of nursing. Advocacy is standing up for the rights of all individuals and must include interpersonal relationships between nurses, patients, professional colleagues, and the public. Nightingale’s experiences in nursing demonstrated to her the value of advocating for nurses and patients.
Holding an abstinence only class in middle school prevents the knowledge of safe sex to our youth. The curriculum in these classes teach abstinence as the only morally correct option of sexual emotion. They shy away from teaching about contraception for the prevention of sexually transmitted disease and unintended pregnancies. “Abstinence messages are very important, but clearly the coverage of contraceptive topics is also crucial in helping our youth prevent unplanned pregnancy and STD’s,” says Sara Seims, President of Alan Guttmacher Institute (Livni). A report by Government Reform Committee staff in 2004 examined 13 most common teachings and finalized that only 2 out of the 13 were accurate, but that the other 11 held subjective negotiation and unproved proclamations regarding reproductive health, gender characteristics, and life’s timeline.
Missed identification of shock symptoms in Ms. Gadner 2. IV infiltration being missed resulting in her not receiving fluid ordered 3. “Scanty documentation” depriving the physician of information on Ms. Gadner’s current condition 4. Administration of valium and morphine, contraindicated in shock, nursing not questioning the order 5. Didn’t communicate need for transfer to Dr. Dick.
Registered nurses are required to deliver wide-range nursing attention and treatment to all persons in a healthcare setup (American Nurses ' Association, 2000). Notably, they have to offer emergency care and guarantee the safe execution of treatment. It is mandatory for nurses to demonstrate a broad knowledge of the laws and regulations that are in line with their profession. Additionally,
Teenage pregnancy is a social problem with biological and physical consequences. Sexual education is now part of the learning area ‘Life Skills” in schools, but teenagers still fall pregnant because they are not open and lack transparency when discussing sexual matters. Teenage pregnancy has always been a medical problem no matter how many young girls are educated about sexual intercourse, condoms, contraceptives and HIV/AIDS. 1.2 Problem Statement