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Patient rights and responsibility importance
Importance of communication in medical care
Importance of communication in medical care
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1. Which K, S, and A pertain to the care you provided to the patient you have chosen? Why?
K- Describe the limits and boundaries of therapeutic patient-centered care. S- Assess levels of physical and emotional comfort. A- Value seeing health care situations “through patients’ eyes”.
The patient that I have chosen for this discussion is an elderly woman. Her diagnosis was a fracture of the left femur which happened as a resident in a long-term care facility. Comorbidities include Alzheimer 's disease and diabetes type II. She was described by other staff as being mean, uncooperative, difficult, and lazy; little did they know that I was a nurse at the long-term care facility and have cared for this women many times prior to this hospitalization. The staff seemed to all chime in eager to express the faults in
The general idea of, K, is that a nurse must have knowledge in the diversity of cultures, ethics, and education. The significance of this faction being that if the nurse is cognizant of the patient 's culture, beliefs, family values, support systems, and education level, a more thorough and comprehensive plan of care can be formulated. The premise of, S, is that a nurse must be skilled in the ability to communicate with and advocate for the patient, assess for and properly treat pain, and incorporate the needs and concerns of the patient and their family. The significance of this group and development of these skills include the achievement of pain control, increased rehabilitation periods, and an increase in patient/family satisfaction. The theme of, A, requires that a nurse maintains an open attitude toward the patient and to respect and validate the nurse-patient relationship, which will aid in a positive nurse-patient
The role of nurse practitioner in the Canadian healthcare system is relatively new compared to the traditional roles of doctors and registered nurses, and as with any new role, there are people who oppose the changes and others who appreciate them. Some members of the public and the healthcare system believe that the addition of the nurse practitioner (NP) role is an unnecessary change and liability to the system because it blurs the line between a doctor and a nurse; this is because nurse practitioners are registered nurses with additional training (usually a masters degree) that allows them to expand their scope of practice into some areas which can be treated by doctors. Other people feel that nurse practitioners can help provide additional primary care services, while bridging communication between nurses and doctors. There are always legitimate challenges to be overcome when changing a system as complicated as healthcare,
As a nurse, it is important to address the needs of a patient during care. These needs are unique to each individual and personalizing it, enable the patients to feel truly cared about. It is important to be educated about these needs as the patients and their families look to you as a guide; therefore, education on things w...
538) Kolcaba’s Comfort theory is a patient/family-centered theory that aides in the morale of nurses as well as impacts the overall patient satisfaction. Comfort is a human experience that is more than just a negative physical sensation, which is why it is so important in the healthcare setting. The not-for profit hospital that used Kolcaba’s Comfort Theory states, “…the adoption of [the] Comfort Theory significantly contributed to promoting excellence in our professional practice environment.” (Kolcaba, Tilton, & Drouin, Comfort Theory: A Unifying Framework to Enhance the Practice Environment, 2006, p. 542) The hospital’s turnover rate decreased and satisfaction scores increased as they began to implement Kolcaba’s Comfort Theory into their hospital protocol. (Kolcaba, Tilton, & Drouin, Comfort Theory: A Unifying Framework to Enhance the Practice Environment, 2006, p. 542) This shows that the Comfort Theory not only benefits the patient, but also the institution and the staff
A registered nurse (RN) is someone that went through a university or college and studied nursing; and then passed the national licensing exam to obtain a license to practice nursing. The degree earned by an RN at the need of the program is deemed a professional nursing degree. The RN top nursing staff and they usually works independently. On the hand, an LPN only earns a practical nursing degree after completion of the program. LPNs are mostly recognized only in USA and Canada; they are also named as License Vocational Nurse (LVN) in the state of California and Texas. LPN work under the supervisor of an RN or a physician.
According to section 149(b) of national law, tribunal has authority to exercise any power under subdivision 6 of National Law if the practitioner admits it in writing to tribunal. Section 149C (1) (a) and (b) of national law empowers tribunal, if it is satisfied a practitioner is not competent to practice the practitioner’s profession, or a nurse is guilty of professional misconduct, to suspend or cancel the registration.
Nowadays the concept of patient-centeredness plays an important role in high-quality health care. Patient-centeredness joins the care the patient is getting together with the care that the patient is willing to receive, giving therefore the patient a certain ethical authority. This particular approach to practice is built upon important concepts such as patient’s preferences respect, whole-person knowledge and creating an effective relationship between the patient and the clinician. These particular concepts might vary taking in consideration the condition of the patient and the patient himself. Patient-centeredness is also known as patient centered care. [1] [2]
The grid has three types of comfort listed at the top and four contexts in which comfort occurs listed down the side. The three types of comfort are relief, ease, and transcendence, while the four contexts are physical, psycho-spiritual, sociocultural, and environmental. Kolcaba does not believe that a focus on comfort is unique to nursing, and she believes that her theory can be interdisciplinary. She thinks that multiple professions can converge around her theory of comfort and provide holistic care to patients. Internal Evaluation: Major assumptions underlying Kolcaba's (1992) theory include: 1.
a.) The theory is related to the modern nursing and only needs a common sense approach. This common sense knows comforting interventions enhance patients’ comfort. If the patient is comfortable then patient satisfaction is improved as well. When the patient comfort is met the patient strengthens which can help the healing process.
Erica Howard is a 19-year-old African American female who dropped out of high school due to becoming pregnant with her first son, Eric. Erica’s boyfriend Jayce is supportive of her and the baby. Erica’s newborn is only 6 months old and she is surprised that she is pregnant again. She is now in her second trimester and has a lack of prenatal care. When she received her first ultrasound, at 14 weeks, she was concerned when she saw that the baby was almost fully developed. According to the doctor, she became pregnant only three months after her first delivery. When spoken with Erica she expressed that she was very ill with this pregnancy and the baby does not move at all. The doctor explained that the baby might be
these formulate the basic fundamentals of patient care, with the patient’s care being the first concern (General Medical Council (GMC) 2012).
In this case, I, the nurse, can convince Marie to change her mind and receive the operation that can ultimately save her life. In doing so, I would breach her trust in me as her caregiver. However, I would decrease her risk of death and increase her family members and the health care team’s happiness. On the contrary, I can respect Marie’s choice of not undertaking the operation. I would honour her wishes and explain her position to her family and the health care team. I believe that the latter action should be chosen in this case. As Marie’s nurse, I have a duty of respecting her wishes and honouring the trust, which is the foundation of the nurse-and-patient relationship. Therefore, I choose to explain Marie’s position to her family members
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
Patients usually describe their pain in a variety of ways depending on its intensity and its area of localisation (McCaffery and Pasero, 1999). Pain to the patient has a meaning and through the appreciation of this fact can nurses comprehend why the pain is there, what it showcases, and if could getter better or worse for the patient. The story told by the patient to the nurse assists him or her to feel the patient’s pain, what that pain means to the patient and what the patient has done to control the pain thus far (Rapport and Wainwright,
Reflection is extremely important as it allows for strengths and weaknesses to be recognised, make sense of the situation, and improve care (Jasper, Rosser, and Mooney, 2013). This experience helped me to understand how my own values, communication and interpersonal skills played a part in Mrs Mill’s care, and ways it could have been enhanced. Communication between staff members is vital, something I have learnt from this, ensuring that I seek out support and speak up if I feel a situation isn’t being dealt with appropriately. As I gained more knowledge about Mrs Mills and her condition I believe my ability to communicate with her improved, enhancing the standard of care I provided. Non-verbal communication was important when interacting with Mrs Mills and therefore became a priority of mine, engaging in assisting her at meal times etc.
the act of patient centered care which is defined according to QSEN/NOF, as holistic care that