Preview

Advanced Directives

Good Essays
Open Document
Open Document
842 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Advanced Directives
When asked what I do when I am at work I often have a problem just laying my finger on particular nursing things. When you say “I give out medicines, I start IVs, I make sure my patient’s are comfortable, etc.” It is almost like people are disappointed and confused why I am so tired when I get off work. People do not understand that I am a patient advocate, I hold hands that are scared, I have mastered keeping a baby asleep while I do an assessment, I take stress away from parents, I listen, I watch, I walk between rooms until my feet cannot walk anymore and chart when I can.
But when reflecting on what I do that is just nursing I feel that those things are the things that I have to do to maintain my job. Those things involve following a doctor’s orders, giving and receiving report, charting, and following my hospital’s policies. The things that are just nursing I feel are those things that you are trained to do. I feel that nursing school is a large part of learning what is “just nursing.” We learn how to assess, how to calculate drugs, how to hang IV fluids, how to start an IV all of those things that are necessary in clinical settings. We also must know what to do when certain situations arise such as an allergic reaction or a code. We have to be able to act and think quickly.
However I feel that people, and even ourselves, do not give us credit that we chose to be “just a nurse.” All of those things mentioned above are nursing techniques that make our jobs what they are. There is so much more though to be just a nurse than those things. We take those things that are “just nursing” and add what makes us a nurse to them. We give our hearts to our patients and make sure their needs are met before our own. We hold going to the bathroom until we feel our bladders are going to explode. In the video “Sentimental Women Need Not Apply” a nurse is in bed and is having trouble getting out of bed by stating “I can’t. I am too tired.” The elder nurse responds to her



References: Garey, D. (Writer), & Hott, L. (Writer) (1988). Sentimental women need not apply. [DVD]. Godon, S. & Nelson, S. (2005, May). An end to angels. American Journal of Nursing, 105(5), 62-69.

You May Also Find These Documents Helpful

  • Satisfactory Essays

    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.…

    • 443 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    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…

    • 152 Words
    • 1 Page
    Good Essays
  • Satisfactory Essays

    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…

    • 202 Words
    • 1 Page
    Satisfactory Essays
  • Satisfactory Essays

    Advance directives allow a person to state their preferences regarding medical care in advance. This legal document lets health care professionals know the end of life actions to take regarding health care. The patient may have an illness in which death is inevitable. This document encompasses utilizing treatment to prolong life such as a ventilator, unnatural nutrition and hydration, providing comfort care, DNR orders, and an option to be an organ or tissue donor. These wishes detailed out in the document must be respected and followed.…

    • 252 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    It is interesting how the media has portrayed nurses for years. Years ago the image was of a blonde, skinny female in a sexy white outfit that waits on her male only patient hand and foot. She is there to give him a sponge bath and feed him even thou it is only his leg that is broken but hands work just fine. Now that image has changed because of shows like Nurse Jackie. This HBO show is about a nurse who struggles to juggle her hectic life as a nurse at a New York City hospital. It’s based on her everyday tussles with physician other nurses and her drug addiction. Even though the show has questionable ethical circumstances it undoubtedly shows her compassionate caring nature. “Jackie is smart, caring, respected by her peers and a vigilant advocate for her patients” (Sorrell 2009). However, due to Nurse Jackie’s questionable ethical practices many nursing organizations feel that this portrayal hurts the image of nurses and hinders them from recruitment, retention, and allocation (Nemeth 2011). In which many organization have fought to refocus the community and general public’s attention on what good nursing incorporates. An organization of nurses, named The Truth about Nursing, has given awards to shows for best and worst portrayal of nursing in order to steer Hollywood to more appropriately depict nurses. Unfortunately, chaos in the media sells and I don’t believe that will change. However I am glad to see that, even thou the negative aspect of nursing as a profession are portrayed, nurses are being viewed now as compassionate, caring, smart individuals who are strong patient advocates rather than the sexy blonde who…

    • 386 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    To conclude the importance of having nurses among us is a vital thing. Judging these professionals is not something that should be going on because these are they people who take care of you and give you the best patient care. Not only does the society take place in this but as well as the media. It exposes what a nurse does even if that is truly not what happens. The public eye does not know what really does happen and the media influences others. The art of nursing is what makes these nurses proud to be one. They enjoy giving back no matter what society thinks of them nor how the media impacts their lives. These nurses who work hard everyday pulling a double deserve to gain respect from the public and understand what they go though. To help…

    • 230 Words
    • 1 Page
    Satisfactory Essays
  • Better Essays

    Who has the right to decide when to end life sustaining measures? Is it the individual, the health care provider, or the government? This has been an ongoing debate for many decades in the healthcare field. Advanced directives were suppose to be the simple solution to this dilemma. However, this simple solution has become very complicated and has evolved over the years. According to Watson et al. (2010) end-of-life care highlights the following issues: competency, persistent vegetative state, living wills, best interest standards. Oftentimes people, including nurses have a difficult time speaking about end-of-life care. Advanced directives should be a legal document that allows a person to decide their wishes about…

    • 1334 Words
    • 6 Pages
    Better Essays
  • Good Essays

    To be a registered nurse certain skills are very important. Abby talked about how time management is one of the most important skills there are. If a nurse does not have good time management they will fail at some of the tasks that are crucial. For example, turning your patient every two hours to prevent bed sores, failing to give the patients medication on time can have terrible results, not bringing a patient meal on time, and that is only a few examples. Another skill nurses need to be able to do is prioritize. They need to be able to pick out the most important cases and treat that patient first before the minor ones, such as treating a stab to the abdominal region or putting a cast on a broken arm. Nurses need to know the medications and their side effects. If they give a patient has a reaction to somethings they need to be able to see which side effect they are experiencing from what…

    • 496 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Nursing is closely related with caring because you cannot be a successful nurse if you do not demonstrate any emotion/compassion to your patient. We as professionals should understand that nursing involves caring for everyone regardless of what they believe in, what mistakes they have committed, or what they look like. Being a nurse is such an honorable profession because we are the person who helps patients get through tough situations. Nursing is integrated into the nursing practice because the relationship built between the patient and nurse is initialized by the patient feeling cared for. In order for a patient to allow you to administer any medications, injections, or other healthcare treatments, the patient must trust that you are treating them with the same care you would if they were a loved one.…

    • 461 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Throughout my nursing career up until this point I have not thought about way I practice nursing the way I do. I have always been a caring person. A nurse that is always willing to help anyone that required my assistance. Always going above and beyond the call of duty to make sure my patient is taken care of. These are some of the reasons why I became a nurse. My style of nursing has not changed over the semester but I was made to think about and develop my personal philosophy of nursing. To provide holistic care, applying the concept of caring, health, environment, being the patients advocate and making sure the patient receives the best care possible to promote optimal health within their environment. The patient must be the nurse’s…

    • 238 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    English 111 Career Essay

    • 1199 Words
    • 3 Pages

    I believe that nursing is both art and a science consisting of psychosocial and biological sciences that work together to continually improve the health care field. As a nurse it is crucial to carry the attributes of being caring, compassionate, understanding, nonjudgmental, realistic, open-minded, honest, ethical, and moral. I also feel that it is important to maintain sensitivity to all cultures when providing care. I believe it takes someone with a huge heart to do what nurses do. Some things you cannot be taught. If you are not a generous and caring person I cannot say I would think one would survive in the hands on medical field.…

    • 1199 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Nursing is often not viewed as a career for smart and capable individuals. In fact, nursing is not viewed as a career at all. The truth is that nursing is a diverse field with many areas of expertise and the backbone of healthcare. However, the media insist on objectifying nurses as merely helpers to those who are really knowledgeable and in charge. "Historically, nurses have played a secondary role in health care. Furthermore, the media focused on TV shows, that perhaps shows up as the attractive “naughty nurse” or not featured at all" (Patino, 2012, Para.2). Doctors are the ones who are viewed and portrayed as competent individuals and nurses as their…

    • 524 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Perhaps one the most respected professions on this planet is certainly being a nurse, of any kind, whether you are a Licensed Vocational Nurse, Registered Nurse or a Nursing Assistant, the amount of adoration that follows those jobs around is obvious to most. But one of the better kept details of the downside of being a nurse are often mocked as mistreatment from doctors and administration who belittle them hilariously on TV or patients who are cranky old men who don’t want to take their medication that the nurse had to bend over backwards to get despite it being regular Tylenol.…

    • 1862 Words
    • 8 Pages
    Good Essays
  • Good Essays

    Health Care Interview

    • 1059 Words
    • 3 Pages

    For this paper I am interviewing my friend's mother who lives down the street from me. Her name is Kimberly Addison and she is a registered nurse in the State Of California, who acquired her registered nursing license August 31st 1987. She has experience as a hospice nurse, Charge nurse, trauma nurse, Head nurse of the ER and Director of Nursing. One of the first questions I asked Mrs. Addison was that if I wanted to take up nursing what should I do and what are the primary requirements. She responded by saying, “perspective nurses should complete a diploma program or an associate, bachelor's degree program in nursing. She told me all nursing programs require students to take courses in anatomy, physiology, chemistry, microbiology, psychology and social behavioral science”. When you have completed completion of state approved training programs and the passed the national Council licensure examination for register nurses you will be recognized in the medical community as an entry-level registered nurse. She also mentioned when you first start out you will be evaluating and implementing care also administering medication according to the orders by the doctor. She also mentioned that when she was training as a nurse’s aide her nurse that was training her taught her that assessment, diagnosis, planning, implementation, and evaluation are the core principles then you will carry with you no matter what type of care you provide as a nurse or a physician.…

    • 1059 Words
    • 3 Pages
    Good Essays
  • Better Essays

    An advance healthcare directive, also known as a living will or advanced directive, was proposed by Luis Kutner in 1969 as a way to express one’s health wishes before they lose their ability to express these same wishes. This loss of expression may be due to a mental or physical ailment which leads to an inability to communicate one’s wishes. These wishes take a multitude of different forms that help facilitate the health care of an individual who is no longer competent. They make decisions clear when the patient's autonomy and self-determination are compromised.…

    • 1787 Words
    • 8 Pages
    Better Essays