This involves understanding what the normal findings are and how the patient differs from normal expectation. Firstly, Alice has a history of hypertension, while it is relatively normal for a stroke patient to present with a raised blood pressure, it is abnormally high for someone at the age of 54. Alice’s blood pressure should be monitored frequently to insure it is stable and does not begin to rise. The nurse should educate Mrs. Palmer on the importance of taking her blood pressure medication and if she does not, how severe and life threatening the reoccurrence of stroke can be. Secondly, as stated she receive a perfect GCS score of 15, implying that Allice has the cognitive function and motor skills of a health individual. However, it is clear in the handover information that she has weakening in her left side. It is possible that there was an error made by the previous nurse and the receiving nurse is required to undergo another…
In my role as a specialist nurse I am involved with caring for patients within a community setting and providing a holistic assessment of their needs. This can involve assessing patients as a result of a supported discharge from secondary care or referral from General Practitioners (GP’s) for issues related primarily to their cardiac condition, their general overall health and any other health related issues. These assessments can take place within the patient’s home or within a clinic setting. These assessments are quite commonly carried out with very little prior knowledge regarding the patient and this is currently an area under review. For the purpose of this case study I will look at a lady who attended a clinic session within a GP’s practice.…
As noted in the lead group’s forum, “through observation, [Florence Nightingale] collected empirical evidence that supported her environmental theory and used it to develop evidence-based guidelines that other nurses faced with similar circumstances might find useful” (Selanders, 2010). Nightingale, in essence, was a pioneer to evidence-based nursing practice. She focused on the patient’s symptoms and examined possible environmental causes of these symptoms to steer the care given. McCurry, Revell, and Roy (2009) state that “nursing as a profession has a social mandate to contribute to the good of society through knowledge-based practice” (p. 42). No moves, however, can be made without a vision, or a formulation of what is wanted as the end result.…
4 Be able to manage the risks presented when balancing individual rights and professional duty of care…
of care therefore if it is established that they do not have the mental capacity to give their…
A capacity assessment by a qualified professional should be carried out to see if the individual has the capacity to make decisions. These steps should be taken by professionals as stated in five principles set on in the Mental Capacity Act 2005.…
An Individual is not to be treated as unable to make a decision because they might not always make a wise decision. If a decision is made under the Mental Capacity Act on behalf of the Individual, the decision must be made for the best interests of the Individual. Before a decision can be made on behalf of the Individual we must ask ourselves whether the purpose of the decision can be effectively achieved in a way that would not restrict the Individuals rights and freedom of choice and action. We also have to adhere to the Human Rights Act and code of Practises.…
The Mental Capacity Act (MCA) 2005 - was introduced in England and Wales in 2007 and aims to protect the rights of people whose mental capacity is in doubt and people without mental capacity. It provides the framework for making decisions on behalf of others. It tells us what to do if we are involved in the care, treatment or support of people aged 16 and over who may lack capacity to make decisions. The Act states that everyone is assumed to make decisions for themselves unless shown otherwise. If it is not clear whether someone has the capacity to make a decision concerning a specific issue an assessment of their capacity should be carried out.…
4 Any actions taken or decisions made on behalf of someone who lacks capacity must be done in their best interests, after considering what is known about their preferences (unless they have made a relevant and valid advance decision to refuse medical treatment. It is still…
The controversial topic has been subject of different studies after it was first formulated by Salovey and Mayer(1990). However, tit was not until the psychology and science journalist Daniel Coleman published his best seller Emotional Intelligence (1995), that the subject became polemical.…
The Mental Capacity Act 2005 – was introduced in England and Wales in 2007 and aims to protect the rights of people whose mental capacity is in doubt and people without mental capacity. It provides the framework for making decisions on behalf of others. It tells us what to do if we are involved in the care, treatment or support of people aged 16 and over who may lack capacity to make decisions. The Act states that everyone is assumed to make decisions for themselves unless shown otherwise. If it is not clear whether someone has the capacity to make a decision concerning a specific issue an assessment of their capacity should be carried out.…
Emotional Intelligence is the ability to identify and manage the emotions of others and your own. While in the field of nursing it is vital you use your emotional intelligence skills to understand the emotions of a patient and utilize these perceptions to manage patient situations to be able to give effective patient care. Emotional Intelligence has become more and more of a focus element for having the skills to be a nurse, and is more important in the nursing profession then it was before. The types of skills that are most valuable to those who provide both professional care and compassionate comfort would be being able to be clear and direct. Also to have self-awareness, being able to recognize and do self-management and always be assertive.…
Promoting patient’s autonomy is showing a sense of respect the patients. This can be violated very easy, it is the nurse responsibility to provide some sort of safety to prevent this from occurring. By educating the patients is recommended in all healthcare environment. When these patients understand that they have the right to their medical information, and also they have right to make any decision, they will be able to advocate themselves and prevent it. Educating the patient as a preventive measure that will also prevent any ethical dilemma advanced practice nurses’ moral distress. As a result, this can be done by explaining to the patient all the legal aspect while they are in the hospital. Another recommendation that could be made to prevent the violation of patient veracity and autonomy which may resolve advanced practice nurses’ moral distress in the dilemma, the healthcare providers should always encourage patients to seek care that promotes the individual patient’s medical interests. It might be thought that this approach fails to respect patient autonomy.…
results, and any testing that has been completed in the past few months for comparison.…
In the Code of Conduct 2012, certain values and principals have been put in place to help the nurses carry out professional conduct in practice. There are eight principals which have been based on the four underlying values of ethical nursing; respect, trust, partnership and integrity. The fourth principle of the code instructs RNs to ‘Maintain health consumer trust by providing safe and competent care’. In 4.5 of this principle, nurses are strongly advised to ask for advice and assistance from colleagues whenever the care of a patient may be compromised by either a lack of knowledge or skill (NCNZ, 2012). This standard related to Jo because in her situation she lacked knowledge and the right to prescribe. Instead of taking the situation into…