For the purpose of this assignment I have chosen to reflect the care given to a middle aged gentlemen in a hospice setting. In compliance with the Nursing and Midwifery Council (NMC) code of conduct (2008) it is increasingly important to receive full consent to use a patient for this case study. As non-verbal consent was used I will reflect later how this was obtained. Therefore I will go ahead in using this patient however, I will ensure that the patient and place of practice remains anonymous due to confidentiality. Maintaining confidentiality is a significant part to a nurse’s role as stated in the NMC Code of Conduct (2008):
For the purposes of this essay the Elderly Care Scenario has been selected. The aim of this essay is to discuss the concept of vulnerability and why the patient in the Elderly Care Scenario is vulnerable. With reference to the NMC Code, the second part of the essay will discuss how the scenario demonstrates/does not demonstrate professional values and how the staff could have empowered the patient and demonstrated respect and maintained his dignity. The third part then discusses the anti-discriminatory issues within the scenario and how it could be promoted. The final part is a reflection on the assignment and the lessons learnt.
This essay will consider ethics in nursing, discuss values and morals and how dignity and respect in patient care is influenced; considering the importance of reflection and the implications it has on effective practice from the perspective of a student nurse. The scenario “Call Me Joe” provided by Nursing and Midwifery Council (NMC) (2010a) highlights concerning issues and bad practice that are happening in modern day nursing practice, and using the Driscoll and Teh (2001) reflective model: What, Now What and So What, to consider the care that Joe is receiving; considering how the nursing practice affects him directly and the implications of the nature of knowledge in nursing practice. Part of the way in which nursing practice is
Human dignity is respect for an individual regardless of sex, race, or gender. This ethical principle promotes respect for life, freedom and privacy. A nurse can promote dignity by providing patient privacy during nursing care procedures, allowing independence, and upholding the cleanliness of the patient. For the nurse, human dignity does not only apply to patients but also to our peer and colleagues. The nursing student can promote human dignity by being respectful to his or her fellow classmates, faculty, and staff. They can also promote dignity by decreasing prejudice, judgment and competition among students (Shaw & Degazon, 2008).
During a late shift on the ward, my mentor asked if I would stay with Mrs Smith whilst she gave out medication in order to ensure she wouldn’t be left on her own and fall. I introduced myself to Mrs Smith and sat with her in her room. It became apparent to me quite quickly that she was obviously very confused and she was not fully aware that she was in a hospital, as she repeatedly asked me where she was. On being told she was in hospital she would say no and shake her head. It wasn’t long before she asked me when her husband would be there to take her home, to which I replied
As part of my clinical experience at St. Joseph unit, I had an opportunity to work with my classmate, Kingly and Dat. Dat was a very kind and efficient nursing assistant and I felt fortunate to have had the chance to work with and learn from him. Our day together seemed as though it was typical for the residence. The first resident was Ms. Nancy; she is in room no. 220A. My duty gave her breakfast and feed her in morning. Upon waking Ms. Nancy I respected her privacy by always knocking before I entered the room and asking permission to enter. I have introduced myself and followed standard precaution by washing my hands before start any procedures. I tried to talk to her while I was feeding her. I tried to wake her up before the breakfast is over. She only ate 35% of her meal. Then, Dat showed me how to use a full sling mechanical lift to move Ms. Nancy to shower chair and show me how to use shower chair while showering Ms. Nancy. After finishing
As the nursing profession progresses throughout the years, its nature becomes more complex in meeting the professional standards and codes of ethics that are required by all nurses. The American Nurses Association has a specific code of ethics that each nurse should follow and adopt as their own beliefs. The public and the patients should be the priority when providing care in the healthcare setting. The knowledge and education that nurses’ gain is valuable and allows them to encourage health, avoid illness, restore health, and aid in coping for those who are all ill. (LeMone, pp.192) Given that the code of ethics is put into place, there are many registered nurses who violate these codes in various situations. The following will discuss
Dignity and privacy are rights that can be forgotten by staff when working in a residential facility like Highfield. They must ensure that the resident’s privacy and dignity are respected at all times. Areas where this is important are dressing and undressing, intimate care, entering private room and examinations.
At the time of the incident, I felt very inadequate. I felt that I was not a good advocate for Ms Lisa, nor did the AMU nurse fulfil the clause of the NMC (2015)’s Code of Conduct and act in patient’s best interests (NMC (2015)). For me, the hardest part was not able to help Ms Lisa. However, I felt that I did help Ms Lisa, only in a small way but could
Nurses have a responsibility to provide safe, quality and competent nursing care and are therefore expected to conduct themselves personally and professionally in accordance with the code of conducts established by the Nursing and Midwifery Board of Australia. The Code of professional Conduct as well as the Code of Ethics for Nurses in Australia together provide a quality framework of professional practice for Nurses, outlining a set of minimum standards Registered Nurses are expected to maintain (Nursing and Midwifery Board of Australia, 2010). Unprofessional conduct is defined as “conduct that is contrary to the accepted and agreed practice standards of the profession” (Nursing and Midwifery Board of Australia, 2010). In the video “Crossing
Patient’s decisions may sometimes be affected by various factors i.e. Their surroundings, they are often vulnerable and out of their normal environment. A conventional health care setting may be in a hospital environment where patients are most likely feel sensitive and insecure. Matiti and Trorey (2008:17) conducted interviews involving 102 patients in 3 different hospitals across the United Kingdom, over a period of 18 months. The purpose of these encounters was to annotate what was being said and also the fundamental meaning of how patients believed that their dignity was being put in jeopardy. One of the key aspects of patient dignity is making choices. Whilst conducting these interviews Matiti and Trorey (2008:17) discovered that despite the fact that patients accepted the loss of a little independence within the hospital surroundings, they wanted the freedom to participate in the decisions about their healthcare. Patients’ understanding in terms of choice, authority or participation in care and autonomy varied extensively. A number of patients were grateful that they were given the option to make decisions and that these were acted upon. On the contrary others considered that their right to making choices was contradicted and often their
Dignity and respect is something everyone has a right to. I have chosen this subject because it is an important part of nursing in that to be able to fulfil the role of a nurse is firstly to respect the person you are caring for. Dignity is a feeling of being valued, respected, having self-worth, supported and being able to show empathy and compassion for the people nurses look after. So for me it’s important to outline the principles in dignity and respect when looking after people who are vulnerable.
dignity of the patient are essential components of caring. Caring in nursing is there to meet the
Dignity is a core element of nursing care. In nurses' clinical practice, maintaining the dignity of patients is an important issue because a lack of dignity in care can affect the health and recovery of patients. To treat a patient with dignity is to treat them in a way that shows they are valued and important, in a way that is appropriate and respectful to the individual. A patient needs to feel safe and secure in the nurses care and should be made feel comfortable, in control and valued at all times.
Giving myself time to read up on nursing experiences, attending more clinical practice labs, participating and watching these duties in the health care setting will allow me to develop a secure level of confidence the next time that this type of situation may occur. Staying in the room allowed me to experience the feeling of support while looking past social norms and how they are challenged. I met my personal values, and I believe that one should respect another person`s privacy. This understanding allowed me to be there to support the resident during her time of need. In the article `starting out` by Jane Schulz, a nursing student shares her experience of helping her colleague assist an elderly patient with daily care. Observing the compassion and care between nurse and patient from fundamental tasks, she took away a valued lesson of how our support and caring methods affect an individual. My relation to this story allowed me to reflect on the effects my care and supporting actions had on our patient.