My patient’s chronological developmental level, according to Erik Erikson’s stages of growth and development, was generativity versus stagnation. Because of his terminal diagnosis, he had moved past this stage and was in integrity versus despair, a level of development chronologically reserved for the older patient. This was evident in his reflection on his life, his discussion with me regarding his raising of a healthy and happy family, and the various milestones he had met up to that point. He continued to explain that both of his kids had become very successful in their choice of a career and that he was proud of both of them. The most basic of nursing education revolves around the teaching of effective and therapeutic communication …show more content…
Authentic presence, was provided by the use of silence, patience and relaxation. His story was emotional and difficult to hear but, as a caring and supportive individual, I quietly listened to his story and let him vent his feelings uninterrupted through active listening. Maintaining eye contact, reciprocation of conversation, and confirmation of my understanding of his position in life were key factors I used to be involved in active …show more content…
Procurement of this goal involved clustering my duties as a student nurse to aid in providing a comfortable environment with minimal disturbances. Additionally, keeping him informed of his rights and available options as a patient strengthened this nursing role. By choice of my patient, his scheduled hip replacement was to be performed by a physician that solely worked at Holy Redeemer. After learning of his decision, I focused on vocally confirming this to be his personal option. The nurse is to deliver suitable information to patients, families, and caregivers that pertain to their situation. Unfortunately, because patients are not often asked what role they want to play in treatment decision making, their information needs and those of their family are frequently unmet (Katz 2015). It is a requirement of the nurse following the role of manager of care to coordinate the process and preparation of the patient and their family for discharge and, in this case, admission to Holy Redeemer. Providing advocacy for patients, as guided by the ethical and legal philosophies of the practice of nursing, is a crucial role that nurses perform in clinical practice (Tariman & Szubski 2015). Being depicted as the front-line of communication for the patient and keeping them informed of changes in care are examples of how to fulfil
The first provision of the American Nurses Association’s (ANA) “Code of Ethics” states, “ The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” The second provision states, “The nurse’s primary commitment is the patient, whether the patient is an individual, family, group, or community” (Fowler, 2010). As nurses we need to respect the autonomy and allow for the patient to express their choices and concerns. We also need to provide them with support by giving them knowledge and understanding so they
Nurses have a considerable amount of responsibility in any facility. They are responsible for administering medicines and treatments to there patient’s. While caring for there patients, nurses will make observations on patient’s health and then record there findings. As well as consulting with doctors and other healthcare professionals to plan proper individual patient care. They teach their patients how to manage their illnesses and explain to both the patient and the patients family how to continue treatment when returning home (Bureau of Labor Statistics, 2014-15). They also record p...
The ANA position statement, The Nurse’s Role in Ethics and Human Rights: Protecting and Promoting Individual Worth, Dignity, and Human Rights in Practice Settings pertains to the nurse’s role of standard care of patients in a practical setting. The statement describes the purpose on how human rights and values should be upheld. The values that are outlined in this statement are individual worth, dignity and human rights. This is important because it provides a framework of how to provide the best care to the patient. The nurse’s role is to promote and protect human rights in a practical setting, by being a patient advocate that acts on the behalf of the patient in meeting their needs. The advocacy that the nurse offers comes from a trusting
This paper explores the need of adding Reminiscence Therapy to the National Joint Commission’s list of safety goals for long term care facilities. It links scientific research of psychologist Erik Erikson’s ‘Integrity vs. Despair’ theory as relative to the new goal. It examines research conducted by psychologist Jonathan Gerson in relation to the benefits of Reminiscence therapy in preventing feelings of despair in elderly patients showing its relationship to safety. National Awareness of Mental Illness facts are included to show the correlation of despair (that leads to depression) which in turn creates a plethora of safety risk factors that could potentially lead to significant patient injury. The discussion will also include the
The medical secretary, registered nurses, licensed practical nurses, and physicians communicated consistently and appropriately so that all staff could effectively complete the actions required of their respective roles. I noted the strong relationship between the nurses and the physicians. The nurses held a heavy influence on the physician’s decisions regarding a situation, because the nurses were the ones conveying pertinent information related to the patient’s status. Based on the information provided, the physician would make recommendations and provide guidance to the nurses. The physician’s directions were then carried out by the nurse, influencing the nurse’s plan of care for his/her
The healthcare system can be difficult for clients to navigate and they are often unsure how to access information which puts them at the mercy of others and can lead to feelings of helplessness (Erlen, 2006). Nurses can provide resources to educate patients when they becomes dependent on a health care provider and no longer feel in control of their own body which can lead to fear, hopelessness, helplessness and loss of control (Cousley et al., 2014). The change in roles individuals face can further increase their stress and feelings of powerlessness (Scanlon & Lee, 2006). According to the CNA code of ethics, nurses are responsible for protecting patients from objective risks that place them in an increased level of vulnerability (Carel, 2009). They can do this by providing the resources necessary for patients to educate themselves and be better able to cope with the health challenges they
“Communication is the heart of nursing… your ability to use your growing knowledge and yourself as an instrument of care and caring and compassion” (Koerner, 2010, as cited in Balzer-Riley, 2012, p. 2). The knowledge base which Koerner is referring to includes important concepts such as communication, assertiveness, responsibility and caring (Balzer-Riley, 2012). Furthermore, communication is complex. It includes communication with patients, patient families, doctors, co-workers, nurse managers and many others. Due to those concepts and the variety of people involved, barriers and issues are present. Knowing how to communicate efficiently can be difficult.
In Nursing, there will always be instances where the patient's nurse needs to advocate for their patient. There are numerous reasons why a nurse would advocate for their patient ranging from getting the doctor to change the patient’s orders, helping the patient’s treatment team understand what it is the patient is requiring for the day, to expressing the patient’s last wishes before death. In every situation, the nurse should do what is in the patient’s best interest. Tomajan (2012), “Advocacy skills are the ability to successfully support a cause or interest on one’s own behalf or that of another. Advocacy requires a set of skills that include problem solving, communication, influence, and collaboration”(p. 2). With those skills, the nursing staff will be able to work together to advocate for their patients. Along with those skills, nurses need to keep in mind the three core attributes that are: safeguarding patients’ autonomy; acting on behalf of patients; and championing social justice in the provision of health care. (Bu & Jezewski, 2006)
Claireece Precious Jones is currently experiencing the adolescent stage of her development and is transitioning into adulthood. Her experience as a teenage mother, growing up in poverty, and history of abuse all have implications for the development of her identity, cognitive functioning, and biological factors. We will focus on Erikson’s Psychosocial Stage for Adolescents to gage the evolution of Precious’s growth, while addressing the person in environmental theory that also attributes to the biopsychosocial context in which a young person develops.
Erik Erikson developed eight psychosocial stages that occur through life. These stages help parents of younger children understand what the child is thinking and why they are acting the way that they do. For a person to become a well-rounded adult they need to succeed in each level. This essay will discuss the first six stages into young adulthood.
The Purpose of this Paper The purpose of this paper is to apply two developmental concepts, as proposed by Erikson, to the real life experiences of Joe Smith. This paper will emphasize the influence of social structures expressed as risk or protective factors and any traumatic experiences that have shaped their developmental outcomes. Concept #1 will include an exploration of Joe’s psychosocial development during puberty, tied in with Erikson's fifth stage of development: identity versus identity confusion. Concept #2 will include an exploration of Joe’s psychosocial development in middle adulthood, tied in with Erikson's seventh stage of development: generativity versus stagnation.
Nontherapeutic techniques such as giving advice and close-ended questions can prove detrimental for the nurse-client relationship. In addition to asking “why” questions, which challenges the client’s actions, the strategy of focusing or using minimal cues and leads may prove more effective. For example, the nursing student asked, “Why do you feel that way?” Instead, she should have said, “And then? Tell me about it,” which encourages the client to continue further. The nursing student does not sound too harsh or instigative, which can improve communication between the client and the nursing student. Effective communication requires “an understanding of the patient and the experiences they express” (Kourkouta & Papathanasiou, 2014, p. 65). As a result, nurses who practice good communication skills as a result effects good quality of care as
Communication is an important concept of caring in nursing because the nurse has to know how to communicate efficiently in order to get the patient to trust the nurse enough to open up to the nurse and also the nurse needs to communicate respectfully to show the patient that they genuinely do care about their health and want to help them as much as they
...through 8 different psychosocial stages of life. Each step has to be completed in order to have gained knowledge and to be able to be successful in the next stage of development. Researching this topic has taught me that we can’t skip over skills and expect to have success or live happily ever after. I now realize how important learning from my mistakes can be. Childhood becomes the remembered past and adulthood the anticipated future (McAdams, 2001).
This was a nice work of exploring our inner. It was presented so well that it felt like listening to a story. Yet it explored things in detail that helped to better explain how we are affected by our brain. I was astonished by how AJ remembered every single detail of her life. I still doubt how a human can remember a date and specific time when an incident happened. If it’s a serious issue, we might make a note of it but we cannot remember every single event in detail. However, our brains are just scratched not yet explored, so AJ’s might be a true story. Although it seems fascinating at first to remember everything that happened, it might not be that good as we think. We cannot even imagine how her brain revs up every second to reflect back on previous incidents. I cannot process too much thinking or else I would