Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Importance of communication skills for healthcare professionals
Importance of communication skills to health providers
Importance of effective communication skills in healthcare
Don’t take our word for it - see why 10 million students trust us with their essay needs.
INTRODUCTION In contemporary psychiatry, timeout, sedation and containment measures such as seclusion and mechanical restraints continues to be a commonly utilised approach in managing predominantly short term risks and other potentially aggressive situations. Seclusion in particular is thought to be therapeutically useful in enabling patients calm down and de-escalate an increasingly agitating consumer. It is a tactic believed and hence widely used as a control measure in facilitating behaviour adjustment. As a mental health clinician and having worked in various inpatient units, I recall on certain situations relating to the initiation of seclusion that caused me a great deal of concern over its instigation. As a result, I was left perplexed …show more content…
My impression was that the nurse could have taken some time to explain to the patient that the rules of the ward requires all patients to be present at the dinning room during meal times as it enables the nurses to continue supervision of each individual. This I believe was a clear case of abuse of role and power on the part of the in-charge. Better alternatives could have been employed to manage the situation and ultimately avoid the improper seclusion of the client. The incident involving the late return of the patient and the manner in which the nurse reacted in conjunction with events of similar nature all stemmed from the nurse in question infuriating clients over minor issues that could have otherwise been de-escalated using CALMER TECHNIQUES. This was solely due to differing views and opinions which is not cause for confining the patient in seclusion by the clinician. These in my view were emotionally driven as opposed to patients been secluded for reckonable purpose. I was bothered each time was unable to come to terms with voicing my opinions as I felt it was not my position to do so been a casual staff
I agree with you that the nurses violated provision 9 of the nursing code of ethics. Nurses have an obligation to themselves, their whole team and to the patients to express their values. Communication is key in a hospital, so everyone knows what is correct and what isn’t within the workplace. In order to have a productive, ethical, positive environment. These values that should be promoted affect everyone in the hospital, especially the patients, and can have a negative outcome if those values are not lived out. Nurses have to frequently communicate and reaffirm the values they are supposed follow frequently so when a difficult situation comes along that may challenge their beliefs they will remain strong and their values will not falter.
Yet, solitary confinement is still considered necessary in order to maintain control within the prison and among inmates. Solitary confinement is seen as an effective method in protecting specific prisoners and altering violent/aggressive disobedient behaviors, (Maria A. Luise, Solitary Confinement: Legal and Psychological Considerations, 15 New Eng. J. on Crim. & Civ. Confinement 301, 324 (1989) p. 301). There is some discrepancy among researchers as to the varying effects on inmates who have undergone an extensive solitary confinement stay. Most researchers find that inmates who had no previous form of mental illness suffer far less than those who do, yet most if not all of these individuals still experience some difficulties with concentration and memory, agitation, irritability, and will have issues tolerating external stimuli, (Stuart Grassian, Psychiatric Effects of Solitary Confinement, 22 Wash. U. J. L. & Pol’y 325 (2006) p. 332). Although these detrimental psychiatric repercussions of solitary confinement currently appear, several researches have made suggestions as to how these may be avoided. These requirements being that
When I am older I would love to be a Nurse Practitioner, I enjoy helping people when they are sick and taking care of them. Another reason I want to be a Nurse Practitioner is because my sister is also a Nurse Practitioner.
There were patients who had chronic illnesses and were subdued by restraints and sedation up to 1950s. Moving forward towards the 60’s, the criteria of hospitalization started to change when questions on how well asylums worked and the ethical problems with patient care was raised (West, 2010). Due to the Community Mental Health Centers Act of 1963 these institutions started to close all around the states and shifted away from rural to urban areas. Psychiatric hospitalization had a new criterion stating that an individual had to pose a threat to themselves or others and or show evidence of severe psychiatric illness that renders him or her gravely disabled (Caple,
Every school, psychiatric unit should always make an effort to prevent the need for restraint and seclusion. Everyone has their own opinion on how they feel about these two issues and what the laws should be set on. School policies on seclusion and restraint will always differ from the psychiatric unit’s policy since they are two different environments and may deal with different clientele. There have been many laws that have been set and also changed throughout the years regarding how you should and shouldn’t restrain a patient or student because you could eventually seriously injure them. It can also be bad to seclude a student or patient because they could do multiple things to hurt themselves when they are being secluded.
If a person convicted of a crime shows no signs of being mentally ill when entering a prison which enforces the long-term use solitary confinement, by the time they completed their sentence and are released, their mental health will have been severely compromised. Studies have shown that the long-term use of segregation in prisons can cause a wide variety of phycological effects such as anxiety, psychosis, depression, perceptual distortions, and paranoia, often leading to a desire to self-harm or in more severe cases suicide. Not only is it wrong to hold a criminal in solitary confinement for any longer then fifteen days, it is unconstitutional. Although many believe the use of solitary
Metzner, J. L., & Fellner, J. (2010). Solitary Confinement and Mental Illness in U.S. Prisons: A Challenge for Medical Ethics. The Journal of the American Academy of Psychiatry and the Law, 38(1), 104-108.
I have come to fully understand that in order to treat my patients in a way that is person centred, I have to treat each person as an individual and realise that every individual has different needs and different rights and preferences to me which may go against my morals and beliefs but I always have to maintain my professional boundaries and treat each individual with respect and dignity. If I was a nurse who witnessed a similar situation to Kat’s, where another healthcare professional was disregarding my patient or any patients views or requests I would go into the patient’s room and find out what the problem was. Then I would politely ask the healthcare professional to step outside of the room and I would gently remind them of the code of ethics ((Kozier, Erb's & Berman, 2010, p.97) and the Registered Nurses standards of practise (2016), and how every individual has the right to make their own independent decisions about their healthcare needs/goals based on their own values, morals and beliefs. I would further explain that the patients are our main priority and it is our responsibility as nurses’ to ensure that the patients are safe and are receiving the proper care. I would then explain to the patient what was happening and apologise to them about the situation, and I would rearrange and try to negotiate with the patient when the procedure could be performed. Then I would notify the Nurse Unit Manager on the ward to ensure that situations like this do not occur
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
Q.3 Nurses as part of regulated health care practitioners are responsible and accountable to abide by the standards, codes and guidelines of nursing practice (NMBA, 2016). The nurse in the case study has breached the standard 1.4 of the Registered Nurse Standards for Practice. According to standard 1.4, the registered nurse should comply with "legislation, regulation, policies, guidelines and other standards or requirements relevant to the context of practice” when making decisions because this will be the foundation of the nurse in delivering high quality services (NMBA, 2016). The nurse in the scenario did not follow the hospital policy concerning “Between the Flags” or “red zone” and a doctor should be notified of this condition. Furthermore, the nurse failed to effectively respond to a deteriorating patient.
Describes life within a psychiatric hospital. Fascinating account of diagnosis and treatment with facility. Portrait of the inner workings of the psyche. Treatment controversies and economic pressures.
Seclusion is a clinical intervention used in mental health inpatient settings that focuses on the management of violent and aggressive behavior when that behavior compromises the safety of the consumer, co consumer, visitors and staff.
Certified Registered Nurse Anesthetists (CRNA) are high trained nurses who use their developed training in the use of anesthesia to alleviate patient pain and discomfort due to medical procedures. Nurse anesthetists have been providing anesthesia for more than 125 years, dating back to the early Civil War. ("Nurse anesthetist," 2014). They undergo rigorous training post nursing licensure that allows them to hold a high position in the nursing field working beside surgeons, anesthesiologist, dentists, podiatrist, and many other skilled healthcare professionals ("Nurse anesthetist," 2014). Pain management is one of the main aspects in any procedure, if not the most important to the patient, therefore giving nurse anesthetists a wide spectrum of work settings in the medical field that they can practice in.
There is a great importance and focus in modelling a contemporary nurse. The framework for improving this focus is accountability with three main areas: professional, ethical, legal. They all cross over and interlink with each other in many of the topics that are raised within the profession. The approach of the framework were inevitable to reduces to blame and defensive nursing attitude. This attitude can lead to nurses believing accountability is the same as blaming a professional however it is conversely nurses making decisions for individuals and engaging to improve better health outcomes. The topic around this contemporary approach is confidentiality and broken into the principles of the approach.
Saying that you are a registered nurse is a broad statement. Registered nursing is a job that has many aspects. Registered nurses work in many different settings and they carry out many different routines. As a registered nurse you could be exposed to many different opportunities. My goal is to be a registered nurse but, I need to learn a lot. Becoming a being a registered nurse requires a lot of hard work and effort but, if I focus on my goal I will be able to achieve it.