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Two concepts of patient advocacy
Two concepts of patient advocacy
Two concepts of patient advocacy
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I arrived at my office today at 10:00am, armed with a Starbucks cappuccino, a Fiji water bottle, and my laptop. I am greeted with a sweet smell of vanilla initiating from a glade plug-in. I look out the window and see massive buildings, hundreds of tiny cars whoosh in all directions, and I see people that are dashing among the busy sidewalks of New York. Above it all is a perfect clear and sunny sky that just happened to brighten my mood just by looking at it. . I sip on my cappuccino while thinking about today‘s appointments. I think of the patients I am going to see today and what procedures will be done to help them progress with their conflicts. I start wishful thinking and imagine if I were to help any of them make a breakthrough today and how happy I would be to feel the sense of accomplishment knowing that I helped someone completely overcome an issue. I was suddenly determined to take my career to a new level of accomplishment. I notice that I finished my cappuccino and have been sipping on air for the past five minutes. I laugh at myself and toss the empty cup in the trash. Then I fall back into my thoughts and thoroughly think over how I am going to help one of my patients that has experienced a difficult tragedy in their life and cannot stop dwelling on that incident. They have been my patient for quite some time and regardless of what advice and treatment I apply to them, they seem to just stay stuck feeling remorse for themselves. Her name is Ava and the main conflict that is keeping her from making a breakthrough is that she does not understand why such a horrible situation would occur in her life. She cannot correlate a reason as to why this occurrence would happen to her of all people. I went about my day and treat...
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...lders and files of the patients waiting to be treated, the confidence I have in myself when I am giving someone advice, the way I worked so hard to be able to say that I love my job. I'm exultant of how eager I am to come in here every morning and I never want the day to end so I can stay just a little longer because helping people brings joy to my heart. It makes me feel valuable and that I actually have a constructive reason to be here. I left work with a smile on my face because I know that someone is starting to look at life from a whole new perspective which is going to cause them to live a much more positive and productive lifestyle, and it is credible to me. I enjoy knowing that I have the ability to put people at ease while still having somewhat control of the situation. Many people can only dream of what I have, therefore I am grateful for every moment of it.
I often ask myself, “Can I handle it?” I learned from other doctors that in order to provide the best care, a physician must be able to detach himself or herself from the patient; they say it would be better for both the doctor and the patient. But, with that kind of thinking, the doctor is not fully giving himself to the patient. So, is it right to not fully give oneself to care for the patient? Learning from Patrick Dismuke and those who loved him, it seemed that the hospital was able to care for him best by loving him. Nurse Kay, Patrick’s favorite nurse, not only answered his late night calls, but enjoyed talking with him. This always calmed Patrick down before and/or after surgery. Dr. Aceves was always optimistic and hopeful for the future of Patrick’s health, never giving up on him by pushing for surgery. He did this because he knew Patrick all 16 years and was emotionally attached to the boy, even though Patrick did not feel the same way. Thus, though I can understand that a physician must put a wall between himself or herself and the patient, there should still be a strong connection in which they would do anything for the patient’s comfort and
Formulation of Problem/Needs: The client 's presenting problems are caused by her mother’s emotional verbal abuse. In spite of all, her emotional problems Ana maintains a positive outlook towards her future. Ana demonstrates self-determination as she clearly expresses her current issues. She struggles with overeating because she feels unloved and worthless. Ana is seeking services to overcome the resentment she feels towards her mother. She is requesting help to manage her coping skills and reduce her feelings of depression. According to Ana these feelings started at a young age. Ana’s current challenges are learning to cope with her mother’s verbal abuse. Anna will arrange monthly meetings with her social worker to talk about what methods she’s used to coping with her depression. Ana agrees that she needs to find positive away to communicate with her mother. Ana also stays that she wants to learn to be selfish and break free from the traditional stereotypical life of East LA. Ana would like to begin addressing the following
...anding, so it's important to take the time out to remember how many lives you're changing and how your life has changed by your patients. Remember every smile, take pride in every stride towards healthier patients and never forget that a career doesn't have much meaning if you're not happy in it.
The case would be approached with the notion that a persons' way of thinking affects their feelings and actions regarding any particular situation. Approaching the case from this perspective forms the basis for cognitive behavioral therapy (CBT). The CBT approach allows the individual to develop a positive response to life challenges even though the situation may tend to remain similar. CBT focuses on learning, unlike other psychotherapeutic approaches which rely in abundance on analyzing and exploring individual's relationship with their immediate environment. The therapist’s role in CBT is to guide the patient through a learning process on how to develop and implement new methods of thinking and behaving throughout
Major current stressors in patient H’s life are normal for a girl of her age; attending college at a prestigious university, a new puppy, and friends. Patient H also is suffering from a variety of mental illnesses (this will be discussed later), and her family majorly stresses her. Patient H is an only child and therefore has had her parents
...mprovement in communication between the healthcare team responsible for Josie's care and through healthcare providers providing increased advocacy for patient safety. Moral courage did not play a role in Josie's medical care because the nurse administered the methadone to her despite her mother's wishes and had caused her a life-threatening complication. Pain, suffering, and compassion were all relevant to Josie's case. I learned a lot by reading Josie's Story which includes the importance of patient advocacy, communication between healthcare professionals, and the disclosure of adverse events. I was thoroughly enjoyed reading this story because it helped me to understand my role as a healthcare provider in advocating for patient safety and reducing medical errors. I plan to use everything that I learned from this story to implement into my future nursing practice.
The nature of the disorder makes it difficult to treat, since patients are convinced that they suffer from a real and serious medical problem. Indeed, the mere su...
Larson, K., & Elliot, R. (2010). The Emotional Impact of Malpractice. Nephrology Nursing Journal, 37(2), 153-156.
“We can’t turn away from a patient’s pain just because it’s difficult” (chapman, 2015, p. 88). I know the path of least resistance is taking a path of ignorance. Easy, is to ignore or neglect the true pain patients experience in times of crisis. As caregivers I believe we all want to heal others or we wouldn’t be in the field of nursing, but there are only handfuls willing to be present during the healing process because sharing one’s pain hurts. As a surgical nurse, I find being genuinely present takes hard work on my behalf, not only mentally but emotionally. On a unit where patient’s needs and conditions are changing at astonishing rates, being present requires mental strength in order slow down enough to recognize the value presence
It was a quiet and pleasant Saturday afternoon when I was doing my rotation at the surgical medical unit at Holy Cross Hospital. It’s time to get blood sugar levels from MM, a COPD patient. His BiPAP was scheduled to be removed before his discharge tomorrow. When I was checking the ID badge and gave brief explanation what I needed to do. The patient was relaxed, oriented and her monitor showed his SPO2 was 91, respiratory rate was 20. His grandchildren knocked the door and came in for a visit. I expected a good family time, however, the patient started constant breath-holding coughing and his SPO2 dropped to 76 quickly. With a pounding chest, the patient lost the consciousness. His grandchildren were scared and screaming,
During my community placement of the cataract clinic at St. Joseph’s Hospital, one patient I observed looked extremely anxious and when I took a further look and watched her behaviour more closely, I recognized the concepts of stress and vulnerability were playing a key role in how she perceived the upcoming operation. I seized an opportunity to quietly speak with her and she explained that she had not received an adequate amount of rest the night before and the travel down had been exhausting. She also expressed concerns of being fearful about going into the operating room. I overheard a nurse earlier ask the group as a whole if anyone wanted an ativan to ease anxiety and the group consensus was no. I felt that because it was unanimous, she may have been embarrassed if it was only her that requested it. My concern for this patient was for her to remain comfortable and provide any healing initiatives that would reassure her that she was safe. I took it upon myself to advocate for her and asked if she would like an ativan, explaining it would provide a calming effect. She agreed and I asked one of the nurses if I could a...
I truly love what I do because it provides me the chance to care for my residents in their most vulnerable and personal moments, whether it be their first steps after surgery or their last breaths in this world. This experience has also allowed me to grow in my knowledge and familiarity of the medical culture and environment. For instance, I have seen the importance and benefit of having several professionals, such as doctors, PAs, therapists, and others, working together on one patient to provide the best quality of care. Additionally, I have been volunteering writing resumes and giving practice interviews for disadvantaged individuals, as well as tutoring homeless and foster children. Working with these individuals is beyond doubt an amazing privilege as I am able to aid those who think that they have no place to turn. Whether it is bringing school supplies to a teenager who has been living on the streets or helping a former inmate acquire his first job after his release, I cherish helping those who feel marginalized by society find their way to a better way of
I read the client file before I went to meet her. According to her file, she is a singer mother and has a family history of severe depression and she has a 3 year old boy live with her. She asked us to help her to apply a public house. Due to her case that my supervisor and I went to home visit her to get more details about her needs. I thought that would be an easy case to handle it because I have previous knowledge about psychology and mental health. Unfortunately, during the home visit time, she was under depression mood and pushing me to answer her questions rather than answer my prepared questions. My mind was blank and I have no idea how to response and answer her questions at that moment when I realized that situation already off track. Then I have no choice to ask help from my supervisor and let she deal with it. Thus, I failed my first mission in my placement. It is a pity that she is the only one client who has mental illness but I could not help her until I finished my placement in last month. I was thinking why that happened and why I could not use my knowledge to help her. Through my failure case study that I strongly realized that theory is not same as practical experience, and what I learned mental health knowledge is based on the general psychological perspective. I think it will be totally different as what I am studying now.
Before my shift started, I did my research about my new client for week three clinical. I thought I was well prepared for the clinical, I knew the client’s mental and medical conditions but I was more focused on the client’s mental health issues and not the medical illnesses. When the nurse informed me that client W was experiencing shortness of breath due to his COPD, I was a bit shock because I was not expecting that to happen.
Upon my exit from the Rehab Center, I consider my interaction with the patient who had spin my new world upside down. Thrown completely off guard, I realized two things: sickness can change people into something you, or even they, might not expect, and the second, I don't take things personal. No one wants to be sick or in the hospital by any means, and as a nurse student it is part of my education and professional obligation to hold my anxiety and disappointments of my patient’s odd behavior. Finally I promised to myself to deal with people at their worst, and always have positive attitude toward them and try to heal them back to their best.