This patient is a very elderly woman and is need of a great deal of support and medical care. For her to achieve a healthy and happy lifestyle she does need these issues to be addressed. It is a lot of work for just one caregiver to manage on their own so family and nursing care should be resourced. Also proper medical care needs to be addressed to assure that her physical and mental needs are assessed and…
The form is a proxy advance directive because it assigns another person the ability to make decisions on behalf of the person in a situation. Proxy advance directive involves another third party who will be responsible for the decisions that will be required to be made in future. The above advance directive form is meant for planning important health care decisions. The forms asks the one filling of what will be done when they are incapacitated and they are unable to make decisions for themselves hence have to be relieved of them. The reaction involves relieving one of the ability to make decisions to a different person whom they know very well. The surrogate will be able to make decisions in case the victim will be incapacitated. The advance…
Many of the pieces of information needed to assist Marianne’s family in making decisions in her care were included in the case study. The first thing we would need to know is if Marianne has a plan in place in case of a situation like this such as a living will or advance directive. Sometime’s people make…
It is a right of the patient is not to have or feel the pain or the suffering in the any phases or stages of disease.…
Hi Kim, I agree with you that nurses need to discuss advance directives with their patients and provide the information that is needed. The nurse also needs to be prepared to discuss the advance directive with family members if the patient decides to include them in the decision making of an advance directive, when adding family member to the conversation the nurse will need to provide more time to answer the family member’s questions and concerns.…
Advance directives are a legal document that allows a person to plan, along with making their own choice of end of life wishes, in the event that; they are no longer able to communicate for themselves. The advance directives consist of a living will, which will help guide power of attorney and health care providers on the choices of medical treatment that, they wish to receive. A medical power of attorney is a trusted person that has been chosen to make decisions about the medical care they wish to receive if they are no longer able to communicate for themselves either temporarily or permanently. More so, this would, also include, any end of life decision, along with, any other medical treatment plan. Therefore, medical power of attorney should…
late. In order to aid nursing home residents in an effective manner, one must not only integrate preferences and options, but also refine nursing home environments (Choi et al., 2008, p. 545). The changes in the nursing home facilities may range from no longer including structured activities to making residents feel at home. In addition, adding complex tasks to residents daily life may help with feelings of unworthiness. According to Bhar & Brown (2012) reestablishing problem solving in nursing home residents produces feelings of worthiness, proficiency and significance (p. 121). Restoring problem solving in residents may be a key to preventing suicide. However, further research is necessary to effectively aid nursing home residents. Further…
I would tell her that there are written instructions that she can give to describe the kind of health care she wishes to have or not have if she becomes incapacitated. The instructions are called advance directive which provides guidance to family members and health care providers in the event that the patient is unable to communicate her wishes at times a decision must be made. The are two types of advance directives in the health care setting which are living will and power of attorney. A living will is a document that provides instructions as to medical care the patient should receive in the event she is unable to make personal decisions. It shows the family members and health care providers that they will act in compliance with the patient’s…
Integrated working is a coordinated, person-centred concept of care. Being person-centred allows the quality of care being delivered to be at an excellent quality. This is because the care remains tailored to the needs and preferences of the individual. Additionally Integrated working steers away from the episodic care and allows a more holistic view on an individual, in regards to their healthcare and support requirements. To achieve this individual care there are many aspects that allow health and social sectors to work together to support a person. Shared care plans is one of these aspects as this allows everyone involved with the care to all have access to their personal care plan. This allows the service user not to repeat themselves to…
Wow, that is very disheartening to know that your grandfather’s advance directive was missed. An advance directive is a document that holds very important information about a person’s wishes. It was good that your mother and grandmother knew about the DNR to assure that they honored your grandfather’s wishes. There are other things that can cause advance directives to be missed or not be followed. Sometimes people fill out forms but never have thoughtful conversations with their family members or their physicians. Other times administrative errors, like what happened with your grandfather, occur. Whatever the situation, it is important that these documents be followed not only by health care providers, but by family members as well. These…
In this paper, I will discuss advance directives, what it is, and the reason for it. I will talk about the issues that are currently facing advance directives care and talk about whether it has failed, or not. Finally, I will prove my stand on the issues with evidence.…
Roux, G. & Halstead, J. A. (2009). Issues and Trends in Nursing. Sudbury, Massachusetts: Jones and Bartlett Publishers.…
Imagine laying in a hospital intensive care unit critically injured, unconscious, yet fully aware of your surroundings but unable to interact. Imagine hearing your family discussing with the doctors your slim potential for recovery or insurance coverage running out and you can not articulate your wishes to continue treatment. In a situation like this, advanced directives provide the hospital, the staff, and your family the necessary guidance to authorize the use or withdraw of medical procedures. According to the Federal Patient Self Determination Act of 1990, advanced directives are "an individual 's rights under State law to make decisions concerning such medical care, including the right to accept or refuse medical or surgical treatment" and such directives will ensure that the patient 's wishes are followed to either conduct procedures to save your life or no procedures to allow you to pass on. In either case, advanced directives are an extremely important step in patient health care in providing quality service to the patient and relieving the physician from liability if some people do not agree with the advanced directives.…
This paper will reflect on the palliative psychiatric nursing care for terminally ill patients, families and caregivers. As Clark (2003) stated this is an emerging role for nurses and that the support for the acute mental health needs of patients, families and caregivers, going through the grieving process of terminal illness are not being met. The role of the psychiatrist in terminal care is limited in the availability of these services within the health care system (Clark, 2003). Nurses need to be aware of the psychiatric issues involved with terminally ill conditions and be educated on these. Chochinov (cited in Clark 2003), stated that the conditions frequently occurring in patients who are dying with a terminal illness are anxiety,…
Identify sources of information about the individual and specific care plan activities having a holistic approach will allow us to know better our service users and so, support the individual in the best way accordingly with their wishes. By actively involving the service users we may obtain most of their relevant information such as health state, employment, level of education, their social context and circumstances and their religious and cultural background. Accounting with service users provider permission we may obtain more information contacting the individual’s relatives. Other way to get information is contacting service users friends, neighbors and previous care providers (always keeping rules of confidentiality and the legal restrictions as to how much information may be passed on)…