Ambiguity Analysis

This essay will discus a decision that was made on a local male acute ward. Using this example, an analysis of the decision making process has been made and a reflective model has been used in order to generate personal knowledge that will inform further practice (Rolfe, 2011a). A pseudonym of Tim has been used for the discussed patient to maintain confidentiality in accordance with the NMC code of conduct (2010a).

We must not allow any personal views that you hold about service user to prejudice our assessment of their needs, delay or restrict their access to care. This includes our view about a patient's age, color, culture, disability, ethnic or national origin, gender, lifestyle, marital or parental status, race, religion or beliefs, sex, sexual orientation, or social or economic status.

1.1 EXPLAIN THE IMPACT OF KEY LEGISLATION THAT RELATES TO FULFILMENT OF RIGHTS AND CHOICES AND THE MINIMISING OF RISK OF HARM FOR AN INDIVIDUAL WITH DEMENTIA.

The NHS and Community Care Act 1990 promotes the right to be cared for in a way that meets their needs and takes account of choices because it provides care that is tailored to the needs of people through an assessment. A detailed care

In this assignment I will be exploring the issues around communication and assessment in relation to the care given to the patient. I will look at how care was delivered and how successful it was. The NMC (2008) states that healthcare professionals must respect a person’s right to confidentiality; to ensure this I will be using pseudonyms for the service users mentioned in this assignment. I will be referring to the patient as ‘John’ and his wife as ‘Brenda’. I have gained consent from Brenda to talk about her husband’s situation in this assignment, as he did not have capacity to grant consent himself due to dementia.

[of] a decision, policy or practice" that Khajavi reasonably believed, consistent with the standards of his profession, impaired his ability to provide medically appropriate health care to a patient within the meaning of section 2056. Indeed, the trial court had considered the evidence sufficient to go to the jury on this claim before it erroneously narrowed its interpretation of section 2056.

[of] a decision, policy or practice" that Khajavi reasonably believed, consistent with the standards of his profession, impaired his ability to provide medically appropriate health care to a patient within the meaning of section 2056. Indeed, the trial court had considered the evidence sufficient to go to the jury on this claim before it erroneously narrowed its interpretation of section 2056.

3:5 Describe what action should be taken if the individual’s wishes conflict with their care plan of care in relation to health and safety and their risk assessment.

The government White Paper (2006) focuses on the need for individualised care and calls for service to be tailored around the needs of the individual and not the service provider. It aims to place the individual in control of their life and promote independence, by providing a more flexible service, with a view to a reaching and fulfilling a healthy old age. In addition, violence, stress and abuse which pose a threat to an individual’s overall well being, must be identified and addressed. The nurses did not view Joe as an individual because they did not give him the opportunity to choose what he wanted to eat, or allow him to get dressed before leaving his room. To adopt a more individualised approach, the nurses should have let him choose what tine to get up in a morning, allowing him to get dressed and further choose what he wanted to eat for breakfast, therefore adhering to The White Paper guidelines.

a) Select three of the patients’ right below a. Rights to choose a GP b. Rights to hospital treatment c. Rights to refuse treatment d. Rights to opt out of summary care recordsExamine their meaning as applicable to the NHS Constitution or alternative national guidelines………………………………………………………………………………………………………………...

To begin with the person is the centre of the plan, to be consulted with and their views must always come first: It should include all aspects of their care, and every professional should work together to provide it. (Leathard 2000) Autonomy refers to an individuals’ ability to come to his or her own decisions and requires nurses to respect the choices patients make concerning their own lives (Hendrick 2000).However Gillon Argues that the principle respect for autonomy may need some restriction, otherwise we may be morally obliged to respect an autonomous course of action with unthinkable consequences.( Gillon 1986) Every human being has an intrinsic value, they all have a right to well being, to self-fulfilment and to as much control over their own lives as is consistent with others (British Association of Social Workers 2002).Professional Judgement and patient preference cannot be suspended if practice is to be safe and effective rather than routine(DOH 2005) Alex had to attend this session as it was within his Timetable, how could it have been effective?, he was unhappy and

This assignment will critically analyse and justify the decisions based around a fictitious patient using a clinical decision making framework highlighting its importance to nursing practice. The chosen model will demonstrate clinical decision making skills in the care planning process. The patient’s condition will be discussed in-depth explaining the pathophysiology, social, cultural and ethical issues where appropriate in the care planning and decision making process. Any vulnerability that the patient may experience will be discussed and dealt with in the care planning and decision making process. The supporting evidence based literature will be analysed and

This outlines the fact it is crucial to have the best external evidence including both clinical and professional inputs. It also highlights the patients’ rights preferences and their autonomy should be without doubt taken into account during the research process.

Based on the use of language,the kinds of adjustments that I can make about is that the whole time while he was talking to Sonia, his actions towards her screamed out what social sciences call, the “horns effect.” A negative judgement about a person based off of your first impression of them. mick continues to talk to Sonya very pushy. And most of the time she listens silently. Which is a nonverbal cue that she doesn't want to talk to him or see him. His syntax is the workings of a jerk. For instance telling the waiter “Hey, honey, bring me a cup of this, would ya?” Also by saying hey baby, don't forget about that coffee. Nother judgment about Nick is that he has poor listening skills. Sonya tells him more than once that she would like to be

Mary Douglas argues in her novel Implicit Meanings: selected essays in anthropology, that all cultures have concepts within their religions that describe the pure and the impure in opposition to one another. The ideology surrounding purity and danger is an argument based in anthropological theories that talk about how these ideologies are developed. One of these ideologies is found in the beliefs and practices developed within the Karam surrounding the animal the cassowary. The cassowary is a wild flightless bird that lays eggs and walks on two legs. Therefore the cassowary it is an animal in its very own category and therefore deemed sacred, as there is a different attitude within the Karam towards this flightless bird and other animals and birds alike. There are very specific rules that the Karam has surrounding killing and hunting a cassowary that make it sacred, such as a purification practice that must occur after a hunter kills the Cassowary so they are not deemed impure. There is also a very specific way of killing the Cassowary, which is to use the butt end of the spear. Each of these specific beliefs and practices surrounding this animal are what makes it sacred, due to the repetitive process in which the Karam completes them. The Koran holds the situation of the cassowary to be self evident, which relates to the ideology of Peter Berger in reference to the nomos and the cosmos.