As a group we all decided that it is best for the patient’s notes to be filed in the nurse’s station due to issues surrounding confidentiality and privacy. As a group we chose to show a clinical scenario which started off with a role play and ended with a debrief discussion which also incorporated the Australian nursing and midwifery code of ethics (2008) and the competency standards for registered nurses which explained where an ethical breach had been made.
According to Singapore Nursing Board Code of Ethics and Professional Conduct (2012), value statement five mentioned about deliver care in a responsible and accountable manner. As a nurse or a student nurse, we should prioritize our patient safety by safeguard and be aware when patient encounter danger situation. For example, patient fall. It's our responsibility to take care our
It also clarifies nursing values and development and allows for accountability. It involves patients in co-ordinated nursing care (Feo and Kitson, 2016). The Roper, Logan and Tierney model helps nurses to focus on patient care by following the fundamental rights of maintaining independence of the ADL’s without diminishing dignity. Recognising that their knowledge, attitudes and behaviour may be influenced by biological, psychological, sociocultural, environmental and politico-economic factors and respecting their decisions in such. Overcoming and preventing illness to maintain independence is the nurses key focus in delivering patient care which follows the direction of the RLT model of nursing (Roper, Logan and Tierney, 2001).
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
Nurses have a Code of Ethics that includes safeguards of the patient’s right to privacy and the duty to maintain confidentiality of all patient information. (Westrick, pp. 16-17) The nursing Code of Ethics,as of 2015, explicitly mention social media and emphasizes the nurse’s duty to maintain vigilance in postings, images, recordings, or commentary that intentionally or unintentionally breach the duty to maintain privacy and confidentiality (Westrick, pp. 16-17)
The degraded ability the victim has to "perform" in these different ranges of his/her life is the root cause of all these impacts. Thus a seriously depressed person will become morose, incommunicative, withdrawn, and unable to participate actively in what is going on. He will often become a "wet blanket", boring out whatever joy there might be in any occasion, and most will agree that they don 't enjoy having this person around. It, therefore, can become a rather heavy burden upon family and friends to have to compensate, on the one hand, for the loss of the "social ' ' contribution that would customarily be expected from the victim in the normal family setting, while at the same time making an extra input of care, encouragement, supervision, and listening to him/her. Dr. Edgardo Tolentino, the professional psychologist, states that “Not because somebody is suffering from some form of psychiatric problem, but they are not harmful.
As the role of case management becomes apparent so are legal and liability claims. It makes no matter what practice setting a case manager is in they can be held for damages if their actions fall below the normal accepted standards of care and if the patient has a bad outcome. The case manager needs to be aware of the standards of care and document all intervention done. When preparing to case management a client gather information that appropriated health care history from admission to discharge. So, that appropriate plan of care can developed among the health care team to ensure positive outcome for this episode of care.
The ethical guidelines and principles that guide nurses in the protection of the elderly abuse are as follows: • Be understanding kind and caring to all patients that are in your care • Protect patients privacy and dignity while in your care • Always listen to what the patient is telling you and ty your best to help them and make them feel safe, secure and cared for. • Keep a kit book of all the patient’s belongings and keep all the patients valuables in a safe which they may collect once they are ready to go home. • Make sure the patient understands the procedures and medicine being taken • Also ask the patient for consent before performing any procedure or administering any medication. • Speak to the patient in a manner and language in
Discrimination against patients by physicians is well known. In recent years, we have seen a rise in physicians rejecting patients of sexual orientation, disabilities, patient's unwillingness to vaccinate, particular race, and religious views. Discrimination against patients is a real issue that needs to be addressed and ended. Most of these rejections are solely dependent of the physician's conscience and beliefs.
This provides the standards for judgement and decision making. Beneficence- This demands the nurse to do good,and choose the best choice of care in any situation and always be kind. Non- Maleficence- Nurses are required to desist from harming any healthcare users.
As a nursing student I am taught how to document using special medical terminology, and the importance of documenting, however the article “Stay Out of Court with Proper Documentation” by Sally Austin confirms just how critical it is to be accurate, timely, and unbiased with patient documentation. Proper documentation not only helps keep the patient safe, but just as importantly protects the nurse should a lawsuit occur. Austin’s article defines the legal terms used in the more common lawsuit, negligence, involving nurses and how to avoid them. First, the patient must prove four things in order for a lawsuit to be deemed in their favor: A duty to the patient existed, a breach of duty occurred, the patient was injured, and lastly the injury
Promotes Trauma-Care Approaches People often turn to drugs when suffering from psychological or emotional problems as well as any type of severe trauma. SAMHSA 's unique “trama-care” approach is designed to identify past traumas and to help you work through them to heal emotionally. SAMHSA 's trauma-care approach allows rehabilitation centers to diagnose trauma in individuals, family members, and even staff members of the care facility and helps modify care plans by including trauma treatment options. This helps avoid adding new trauma to your life, trauma that may make your recovery even more difficult.
The ANA will provide consultation to nurses working in states where assisted suicide is legal, to assist them in upholding their professional responsibilities. The ANA also recognizes the moral distress they may encounter when confronted with these situations. It is important for nurses to stay up to date with current legislation and ongoing debates associated with euthanasia. Education should impel nurse to be advocates for their patients and decide with the coherent and lucid patient what is best for their quality of
Professional boundary, boundary crossing and boundary violation. Professional boundaries are the spaces between the nurse’s power and the patient’s vulnerability National Council of State Boards of Nursing (NCSBN), (2014). An example of a nurse using professional boundaries would be if the patient offered the nurse a gift, and the nurse responds with thank you, but we are not allowed to accept gifts, it is my job to provide patient care. Then the nurse reports the incident to their supervisor.
Assisted suicide is an ethical issue which is reliant on a person’s values, morals, religion, and experiences. Debated this topic can bring out strong emotions and opinions pulling away from the focus of this paper which was simply to describe view points from both sides of the spectrum. There are many nursing implications that are associated with assisted suicide. Among these is the importance for nurses to be aware of their own beliefs about end-of-life care. Self- awareness will prepare nurses for challenges they will face when dealing with death.