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Chloe was anxious I knew this because during general observation Chloe had an increased heart rate. Chloe looked pale and when using touch to reassure Chloe I noticed that her pales felt sweaty to touch. Chloe also told me she felt nervous about the central catheter insertion. The doctor reassured Chloe through conversation prior to the central venous catheter insertion.
During the conversation Chloe was given freedom of choice. Chloe was given the option to have the procedure but Chloe also had the option to not have the procedure. In order to have freedom of choice the patient needs to be offered more than one option of treatment. Chloe’s options were limited, this was an emergency procedure so the central venous catheter insertion was the
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The respect aspect is about respecting Chloe’s wishes; in this case consent was gained for treatment to commence. However if Chloe did not want to consent her wishes should be respected by the Doctor. Chloe also had the right to privacy. Chloe’s central venous catheter insertion took place in a side room. This gave Chloe privacy, no other patients were able to listen to Chloe’s and the doctor’s conversation during the consent process. This gave the Chloe the chance to ask questions to the doctor. Had this conversation taken place on the ward Chloe might not have listened fully. She might have been more focused on the other patients listening to her treatment. Compassionate care is also an essential aspect of Chloe’s care. Her renal failure is a new diagnosis, she and her family are going to need emotional …show more content…
He would always inform Chloe what was going to happen next to reduce anxiety. There are three main models of communication in the medical profession these are the linear, transactional and interactive model. There are various forms of communication verbal, non-verbal, visual and written (Boyd & Dare, 2014); in Chloe’s case, the doctor mainly used verbal communication. The tone of the doctor’s language was soft and friendly, which is important because 38% of communication is communicated through an individual’s paralinguistic features (McEwen & Harris, 2010). The doctor was also conscious about what he was saying Communication is a skill that sets the platform for effective care. Communication is a fundamental aspect of care that underpins every patient – health professional interaction (Arnold & Boggs,
Autonomy is a concept found in moral, political, and bioethical reasoning. Inside these connections, it is the limit of a sound individual to make an educated, unpressured decision. Patient autonomy can conflict with clinician autonomy and, in such a clash of values, it is not obvious which should prevail. (Lantos, Matlock & Wendler, 2011). In order to gain informed consent, a 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,
1. What is the difference between a. and a. Which K, S, and A pertain to the care you provided to the patient you have chosen? Why do you need to be a member? K- Describe the limits and boundaries of therapeutic patient-centered care. S- Assess levels of physical and emotional comfort.
Provision 6 states that “The nurse practices with compassion and respect for the inherent dignity, worth and unique attributes of every person” (ANA American Nurses Association, 2015, p.18). This helps to further explain the concept of working relationships in provision 1 are not only between nurses and patient, but across the healthcare team. I agree that when providing the best care there needs to be promotion of respect and human rights throughout the healthcare team. A positive interpersonal collaboration within the healthcare team has a key impact on the outcomes and safety of the
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.
Throughout the Practical Nursing program, there has been many opportunities to closely observe working nurses in different hospitals and facilities. It also has been a great chance to grasp the general idea about professionalism in the workplace and how it can have a great impact in a successful work environment. Combining what was observed and what was learnt from the class, there were three particular aspects of professionalism that seemed to be key characteristics of professional nurses: knowledge from continuous education, autonomy, and positivity. Out of all other characteristics for professionalisms in nursing, those three were the most remarkable features found from the some of the great nurses observed from the clinical sites.
1. In the Essentials, what, if anything, surprised you, is new to you or did you find confusing or unclear about the role of the BSN nurse?
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
There are many who believe that the next shortage will be worse and the demand for nurses will increase. There will be more jobs available especially with the baby boomer nurses retiring. Wood believes that when nurses retire, the next shortage could be even worse than the previous shortage. According to Wood this would lead to an “intellectual drain of institutional and professional nursing knowledge” (Wood, 2011, para 15). Staiger agrees as well that a shortage of nurses is expected again when nurses retire and since the economy will be more stable full-time nurses will go back to being part-time (Huston, 2017). Huston expects for the supply of nurses to grow minimally in the next couple of years and for a large number of nurses
Not all cases is patient autonomy the most important thing to respect and honor. There will always be situations where Medical paternalism is justified. Justifiable paternalism in a medical perspective is prolonging patients’ lives allowing them to exercise their autonomy. Failing to respect a patient’s treatment requests or denials is a violation of the autonomy at that point in time during their illness. While the previous statement is true, the medical professional is violating a patient’s future autonomy. For this reason, medical professionals have the right to act paternalistically, therefore medical paternalism is justified by means of future autonomy and obligations to promote patient
The first part of this is respect for human dignity which is the need for and right to health care is universal, transcending all differences (Code, 2015). The second part of the first provision is about relationships with patients. Nurses set up relationships of trust and provide nursing services according to need, setting aside any bias or prejudice (Code, 2015). When a patient choices are risky, nurses have to discuss the behavior and offer opportunities to change the behavior to eradicate the risk (Code, 2015). The third part of the first provision is about the nature of health. Nurses should respect the dignity and rights of all human beings regardless of the factors contributing to the person’s health status (Code, 2015). The fourth part of the first provision is the right to self-determination. Patients have the moral and legal right to decide what will happen with and to their own person (Code, 2015). The fifth and last part of the first provision is the relationship with colleagues and others. This part is about respect for persons extends to all people with whom the nurse interacts (Codes,
Communication plays a major role in preventing and resolving behavior problems and enhancing your patient’s quality of life by allowing them to feel, even when they no longer know or recognize those around them that they are in the midst of people who care about them and are concerned about their physical and emotional well being.
The American Nurses Association Code of Ethics for Nurses has five elements that pertain to the Principle of Autonomy. Each individual element applies to “respect individual persons” (Baillie, McGeehan, Garrett T, M., Garrett R. M., 2013, p.33). In Chapter 2 of the Health Care ethics: Principles and problems text, it discusses thouroghly the consent of an individual to make their own decisions regarding their health and future requests of care. As a nurse or within all heath care professions, we must treat each individual patient with care, respect, and to remain mindful to the patient regarding any aspect of their lives. In the ANA Code of Ethics for Nurses, it explains ways of maintaining the empathy required in the health field. It further discusses that the respect for human dignity must be a priority, relationships to patients must remain neutral, the severity of the situation, the right to self-rule, and the professionalism that must be upheld by the nurse and their associates.
Several ethical principles that are incorporated in the nursing care of patients on a daily basis are nonmalificence, autonomy, beneficence, justice, fidelity and paternalism. Nurses should strive to comply to as many of the principles as possible. In this case there are principles which support and conflict with the wishes of the patient. The first principle that supports the wish of the patient is autonomy. Autonomy means that competent patients have the right to make decisions for themselves and the delivery of the healthcare that they receive. Another factor that would support the patient’s wish to not be resuscitated is nonmalificence. Non maleficence means that nurses should not cause harm or injury to their patients. In this case the likelihood of injury after resuscitation was greater than if the patient were allowed to expire. A principle that could have negatively affected the outcome of the provision of ethical care was paternalism. Paternalism is when a healthcare provider feels that they know what is best for a patient, regardless of the patient’s desire for their own care. I demonstrated the principle of paternalism because I thought that I knew what was best for the patient without first consulting with the patient or family. This situation might have had some very negative consequences had the patient not have been competent. Practicing a paternalistic mindset might have caused a practitioner in the same instance to force their ideas about not resuscitating the loved one onto the family. This could have caused a sense of remorse and loss of control of care amongst the
Despite the frequency of verbal interactions, miscommunication of patient information occurs that can lead to patient safety issues. . . . ‘Effective communication occurs when the expertise, skills, and unique perspectives of both nurses and physicians are integrated, resulting in an improvement in the quality of patient care’ (Lindeke & Sieckert, 200...