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Patient safety in the hospital setting
Disabilities in society essays
Disabilities in society essays
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Vulnerable patients are those who cannot act on their own to protect themselves from threats to their health and dignity. A vulnerable patient encompasses a wide range of individuals and includes both adults and children. An adult is a person who is over 18 years of age and is described as a vulnerable patient if they are suffering from learning, physical and sensory disability. This includes disorders such as autism, cystic fibrosis and blindness and also includes sufferers of dementia. A child is a person aged less than 18 years and is described as vulnerable regardless if they have a disability. Irrespective of whether a child is living independently or in further education they are still entitled to services or protection under the Children Act (1989). A child is deemed as vulnerable as they are unable to protect themselves and this vulnerability is judged on varying factors such as, physical and emotional development, ability to communicate needs, mobility, size and dependence. It is important for health care organisations to have policies and guidelines on the safe management of vulnerable patients in the community and hospital for health care professionals, including more specifically the perioperative environment for operating department practitioners (ODPs). This awareness of these patients, policies and guidelines is needed in order to act in a manner to protect and safeguard. Health care professionals must also have the appropriate training in caring for these vulnerable patients, for example professionals caring for children should have up to date qualifications in paediatric care and be able to communicate efficiently with the child and parent/carer. The Royal College of Nursing, RCN (2011) consider that this should a... ... middle of paper ... ...utilise preparation programmes, engage in therapeutic play and encourage active participation. Additionally the use of a family-centred approach involving the collaboration of health care professionals with both the child and parents/carers throughout the perioperative care will all contribute to assisting the child’s ability to prepare for the surgical experience. The RCN (2011) believes that multi-agency and multi-professional working is as essential now as it has ever been, and is not only pivotal in ensuring that the needs of children are met, but also in raising expectations of the high standards required to enhance the health and well being of children. Additionally, in future more research needs to be conducted to find how this care can be improved and therefore inform new policies and guidelines for the benefit of health care professionals, including ODPs.
Through the utilisation of the accompanying text, I aim to discuss and reflect upon one person’s care, to which I have had previous involvement. Using the perspectives set out by Chapelhow et al (2005), I aim to gain a broader outlook on what is expected of me as a Student Nurse. Chapelhow et al (2005) has identified six skills that they feel are required of every Health Care Practitioner. These skills are defined as ‘enablers’ as they are fundamental skills that provide the means for expert professional practice (Chapelhow et al 2005). Although there are six skills outlined, I will only be using two of them to analyse the care I provided. I have chosen to use communication and risk management as my two enablers.
When it comes to educating children and parents about their child’s surgery or illness, it is important to remember the child’s age. A child and parent do not understand the same terms. For example, when referring to a stretcher a child may think it will stretch them out, a child life specialist may refer to a stretcher as a bed on wheels for children who may not understand this term. There are many child life specialists who go through every detail in an office with
Which is very important for nurses or any medical professional to do in the healthcare profession. Nurses are receiving these patients in their most vulnerable state, nurses are exposed and trusted with the patients’ information to further assist them on providing optimum treatment. Keeping patient’s information private goes back to not just doing what’s morally right but also it also builds that nurse – patient relationship as well. We also have provision three that specifically taps on this issue as well, as it states: “The nurse seeks to protect the health, safety, and rights of patient.” (Nurses Code of Ethics,
Abuse could be physical, mental or emotional form. There are some vulnerable groups in the health and social care context who are likely to be abuse because of their condition. The condition could be mental or physical abilities, age, and other forms disabilities which hinders them from going about their daily routines. a group of people in our settings who have certain physical or biological disabilities would be slow to react to incidence of abuse hence their vulnerability. For example, a service user with a neurological condition which requires special needs would be a high risk of abuse (Penhale & Parker, 2007). A vulnerable adult or child could be a victim of abuse from their own family by being
Patient safety is always the primary goal any hospital, nursing unit, and health care team. As the main caregiver, a nurse’s responsibility is to keep the patient safe, and free from injuries while the patient is hospitalized (Smith, 2012). The definition of nursing competency lack a direct universal definition, and technique and ways nursing supervisor and managers can evaluate patient care that was provided by a novice nurses (Smith, 2012). As of now, there is not an exact avenue that can help a novice or new graduate nurses to transition into a competent nurse so that patient care is not compromised (Smith, 2012). The author has chosen the topic of Roger’s nurse competency because nurse competency has been the greatest challenges
Public Expectations: In Health and Social Care, the public expects employees/workers to be caring, respectful towards the patients protected characteristics which means avoiding conflicts such as discrimination and inequality treatments. They should be able to protect personal information of the patients by following the 'Data protection and Confidentiality Act 1998'. They are expected to give good supportive advice towards their patients and employees to improve the quality of work and welfare benefits. They expect higher standards of care, detailed information about their treatment, communication and involvement in decisions making activities and also access to the latest treatments (Thekingsfund,
Ignatavicius, D. D., & Workman, M. L. (2013). Care of Intraoperative Patients. Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier.
Aside from the firm decision, being familiar of the concept in paediatrics and its set-up must also be considered. Previous exposures to paediatric wards as well as acute care units can sharpen the skills of a nurse practitioner. Most part of the work involves taking into consideration the growth and development of children and how the nurse should manage to intervene when alterations occur such as hospitalization, procedures and operations to the child. This external factor does not only influence the child...
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
In the article Advances in Patient Safety: New Directions and Alternative Approaches, the authors go into depth about the ways that all the health disciplines, including social work, can use interprofessional communication effectively and efficiently to make sure that all the patient’s safety, health, mental, and emotional needs are being met.
...nover of these workers they need to address these areas. The message being sent out to these workers is that they are not worth investing in. This message must be changed urgently. Unless governments adopt standardised training, regulation of HCAs and Improved pay and conditions; excellent levels of patient care and safety will not be attained. in order to deliver excellent patient care and to better the training, employment and living prospects of the largest proportion of the ‘nursing’ workforce. The paradox is that the lowest paid care workers are those who we expect to work the most independently, going into the homes of strangers, and having to deal with what they find there, without any direct supervision. This requires a high level of resilience. Calling this “basic” care does not reflect the fact that getting it right is a deeply skilled task (DoH, 2013).
1. Legal, ethical and professional principle frameworks underpin all fields of nursing, and it is a requirement for all Registered Nurses to be competent and knowledgeable, act with integrity and maintain professional standards set out by Nursing and Midwifery Council (NMC, 2015). Working with multidisciplinary teams within our profession, it is important to acknowledge and recognise the way in which all the professionals are guided by law and their independent regulatory bodies. The needs of the individual patient is to be considered by doctors and nurses alike, who share professional values and are set out in the respective codes of practice, The Code (NMC, 2015) and GMC (2013).
Nursing surrounds the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the knowledge and skills of the nurse and relies on patient and nurse trusting one another. The use of nursing skills can ensure these boundaries are maintained, it allows for safe patient care. Professional boundaries are the line that nurses cannot cross, involving aspects such as patient confidentiality and privacy, ensuring legal aspects of nursing and the boundaries put in place are not breached. However, nurses accepting financial or personal gain from patient can also cross these professional boundaries. It is only through education in this area that the rights of patients can be preserved, as well as the nursing standards. Through education in areas such as confidentiality, boundaries can remain in tact and the patient care can remain within the zone of helpfulness.
There are many members of the inter-professional team, all of which are contributing to the healthcare of acute and critically ill patients. Every member of the team has had education and obtained a license of practice compatible to their level of knowledge (Prater, Fundamentals of Nursing, 2013). As a practical nurse you need to be mindful of your scope of practice in relation to registered nurses, certified nurses’ assistants and other healthcare professionals. With so many different people involved in the immediate care of a patient, there is always the possibility of a mix up. The purpose of this paper is to help differentiate between the roles of the healthcare staff, which will in turn help develop a knowledge base for prioritizing care;
Safety is a primary concern in the health care environment, but there are still many preventable errors that occur. In fact, a study from ProPublica in 2013 found that between 210,000 and 440,000 patients each year suffer preventable harm in the hospital (Allen, 2013). Safety in the healthcare environment is not only keeping the patient safe, but also the employee. If a nurse does not follow procedure, they could bring harm to themselves, the patient, or both. Although it seems like such a simple topic with a simple solution, there are several components to what safety really entails. Health care professionals must always be cautious to prevent any mishaps to their patients, especially when using machines or lifting objects, as it has a higher