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.…
In these cases, charting was a very important part of the care provided by her. Per her, improper charting and incompetent care could have potentially led to legal ramifications for her and the institution. She also addressed some of the ethical issues by stating that in her practice, she made sure that she didn’t release the patient information to the party that was not directly involved in that patient’s care.…
Miranda, you did wonderful in this situation. We have all gone through situations like this, and I think as long as we remain nurses situations like this will keep arising. Being an advocate for the patient will never be easy, but we as nurses must keep persevering just like you did. If we allow ourselves to be intimidated by doctors, then our pledge of being a patient advocate will be null. Masters (2017) states “the ability of nurses to think critically and make sound clinical judgments is essential to providing safe, competent, and quality care” (p. 216). You did exactly what was required of you as a nurse, and I believe if you had not been persistent to the point of getting a cardiologist on the case, the outcome would have been dire…
Susan and I had a nurse-patient relationship that's based on mutual trust and respect. I had been providing care in a manner that enables Susan to be an equal partner in achieving wellness. I had always make sure Susan has privacy when provide care and be sure that her basic needs are met, including relieving pain or other sources of discomfort. I too had actively listened to her to make sure I understand her concerns by restating what she has verbalized. I had maintained professional boundaries like respecting differences in her cultures. We as nurses help Susan achieve harmony in mind, body, and spirit when engaging in…
I understand some of these steps would be a great start for Joanna to incorporate into her practice to prevent a similar situation happening in the future. These steps are “Speak up! Identify the problem, gather the facts, and voice your opinion. Be deliberate, know whom you need to speak with and know what you need to speak about. Focus on changes in the work environment, focusing on the work environment will be more productive than focusing on an individual patient. Remember, similar problems tend to occur over and over. It’s not usually the patient, but the system, that needs to change. Be accountable, sometimes, our actions are not quite right. Be ready to accept the consequences, should things not turn out the way you had planned” (Epstein & Delgado 2010, para.…
Doc needs to put a message together to explain to patients what is going on and how this has to be treated. There are ethical obligations, ethical dilemma, and constraints, along with limits to help you decide his course of action. Rights and responsibilities, duties, and obligations are on the docs mind. In this situation he has to decide what his rights and responsibilities are, and what rules should he follow. All patients need to be treated with respect, and you need to be able to handle the consequences and can you tolerate it all.…
My role as a manager is to act in the best interest of the resident and I Immediately informed my local safeguarding team , had a conversation with our GP and family -in the family meeting were we did decided to asses her needs again by involving a psychiatric nurse who did a mental capacity assessment.…
Marla sat in my office nervous and unsure as if she was even in the right place. I asked her if she was okay and what brought her to see me. Marla told me of her symptoms and said she was unsure if she should even be here. I asked her if she has been to a family doctor to discuss her problems that she was having and she assured me that she had and came out with a clean bill of health. He doctor suggested to come see me and talked about what she was feeling and going through. With this and much reassurance from me telling her she did the right thing. I proceeded to ask her the following questions:…
You are working in a community outpatient clinic where you perform the intake assessment on R.M., a 38- year-old woman who is attending graduate school and is very sedentary. She reports overwhelming fatigue that is not relieved by rest. She states that she is so exhausted that she has difficulty walking to class and trouble concentrating when studying. Her face looks puffy, and her skin is dry and pale. She also reports generalized body aches and pains with frequent muscle cramps and constipation. You notice that she is dressed inappropriately warm for the weather. Initial vital signs were 142/84, 52, 12, 96.8®F.…
• The hospital staff was “apathetic and callous”. Tristen’s drips were falling out of his arm. The nurses were careless and did not reflect a positive attitude towards their work.1,3 • [8] Be given full and accurate information so that you can make a decision on testing or…
Raising my voice was not therapeutic and could have further upset the Mr. Jones. By assessing Mr. Jones nonverbal cues (agitated state), instead I could have said ‘I’m sorry that the officer was not able to help you. I can see that you’re not feeling well, so why don’t I check you finger-stick and then we’ll go from there.” This would have shown Empathy (could have been Therapeutic) towards the patient’s situation, being able to relate and understand him. Without asking why his sugar was high I assumed that he had eating sweets. –Direct and Judgmental (Non-Therapeutic)…
I picked up CK at HESTC at 3 PM. CK and I went back to the house. CK arrived at the house and went to her room. CK was in her room for a bit and come out and spoke with staff. CK and I went to Walmart, and Dollar Tree. CK asked staff "I am thirsty, buy me a drink." I informed CK that I cannot buy her a drink and we will be going home. CK was very laid back and tired. CK took her daily medication and went to bed. CK had a snack before she went to bed. CK had steak, peas, and mash potatoes for dinner. CK is currently a…
I was on my third day of residential care placement; the staff had just started to take turns for their morning tea break so I took the time to catch up on my case study patient’s medical history in the nurses’ station. Within a few minutes the Manager of the rest home ran in to gather the blood pressure machine and bandages. She informed another student nurse and myself to “take these to Max’s (pseudonym) room NOW, while I call an ambulance”.…
* I do believe there is a bit of deception in this patient’s case. The hospital not disclosing this personal information to her is wrong. I believe she has a right to know anything that is known about her condition as soon as it is known to the physicians.…
This week’s clinical was pretty emotional for me. This is the first time I didn’t wanted to say goodbye to my patient. I kept thinking about him and his wife after my clinical day was over. Before I have the chance to meet with my patient this week, the regular nurse already informed me that this is the worst patient in the whole unit because of his wife. The regular nurse told me that she probably is the last nurse in this unit that is willing to take this patient; she also told me that actually is not the patient himself, it is the wife that everyone hates because the wife would yell at the staff and record them with her phone. With this kind of information prior to meet my patient, I already have a bad feeling that I might face some road…