Essay on Care of the Vulnerable Adult

There are a number of legal and ethical duties expected of nurses. Most of these involve care for patient’s autonomy and confidentiality despite the medical care. Failure to act regarding these can give rise to liability. One aspect of Patient’s autonomy involves giving or withholding his consent about treatment. This paper takes into account ‘consent’ as the aspect of law regarding nursing.

This essay aims to represent an argument between two view points: to remain in their own homes with ongoing support from families and the health system or going to residential aged care of elderly in Australia. Especially, it deals with the issue of increasing ageing population in Australia includes statistical information highlighting some causes and telltales. The context presented is economic and social. It also looks at the effects that increasing of the ageing population has on society, the individual and the Australian economy.

1.1 Analyse the differences between the concept of safeguarding and the concept of protection in relation to vulnerable adults

The purpose of this essay is to reflect on my personal role in the inter-professional team and the delivery of healthcare that I have encountered during my duty as a health care assistant in one of the hospitals here in England. In accordance with the NMC (2002) Code of professional conduct, confidentiality shall be maintained and all names have been changed to protect identity. The purpose of reflection as stated by John's (1995) is to promote desirable practice through the practitioner's understanding and learning about his/her lived experiences. I have decided to reflect upon an incident with the nurse in charge in one of my shifts and in order to structure my reflection I

Taking care of the individuals that are getting older takes many different needs. Most of these needs cannot be given from the help of a family. This causes the need of having to put your love one into a home and causing for the worry of how they will be treated. It is important for the family and also the soon to be client to feel at home in their new environment. This has been an issue with the care being provided for each individual, which has lead to the need of making sure individuals have their own health care plan.

Concepts of reasonable limits refers to limiting one’s actions or in reference to nursing, limiting what one can say or do in terms of a patient’s care (Jonstone & Fry, 2002). When discussing reasonable limits, a nurse has to take into consideration at what point is enough, enough. For example, in the case study regarding Mrs. Z, reasonable limit would prevent the nurse from pushing the patient further into pursuing treatment and disclosing her medical prognosis to her family. Mrs. Z is a lucid individual, so the nurse and doctor caring for her would have to limit their interference in disclosing information to her husband due to reasonable limits. In nursing, there are times when breaking a patient’s confidentiality becomes an ethical issue. If the nurse was thinking in terms of Utilitarianism, breaching confidentiality would be the only reasonable thing to do. For example, if a patient who is HIV positive is knowingly having unprotected sex in order to infect other people, it would only be right to break the confidentiality of their diagnosis to prevent further harm to other individuals in the future. Sometimes, in order to protect the greatest amount of people, confidentiality has to be broken. Another example where a healthcare individual can break confidentiality is if a minor is being harmed and the minor does not want to disclose to anyone their situation. For

Appropriate adult in legal term represents someone who takes a specific role when young people and vulnerable adults are in custody. A vulnerable adult is characterized as a person who is or may need group consideration administrations by reason of mental or other inability, age or disease and who is or may not be able to take care of him or herself, or not able to protect him or herself against huge damage or abuse in any consideration setting. The Police and Criminal Evidence Act 1984 (PACE) and the accompanying Code of Practice guarantees that at whatever point a youngster who is 17 or less, or an adult who is more than 17 but may be rationally cluttered or rationally powerless is captured and kept in a police headquarters, she or he will be joined by an independent adult known as an Appropriate Adult.

From the beginning of this year, and into the summer I worked as a CNA (Certified Nursing Assistant) at an assisted living facility in Colorado. It was a great experience and it made me realize that helping people is something that I want to do no matter what. Working as a CNA has taught me so many things, but something that stands out to me is that I learned to have patience so that I could understand what someone is communicating, or trying to communicate.

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.

I am going to write about the discriminatory practices in a care setting and the effects they have on individuals using the service. People can be discriminated against in a number of different ways which can be described as telling people apart, and seeing the differences instead of the person’s individualism.

This essay will discuss the assessment and care of a fabricated patient named Mrs Ford using a problem solving approach. Mrs Ford is a fictional patient as protecting patient confidentiality is an essential part of professional practice of human rights (Nursing and Midwifery Council (NMC) 2008).

Nurses have a professional responsibility to ensure that safe boundaries are kept in the relationship between patient and Nurse. It is these boundaries that provide the nursing profession with integrity, and according to Baca (2010, pp.195) it is essential these boundaries be maintained because of the difference in power between the nurse and patient. However, boundary violations can occur, when a nurse crosses from the zone of helpfulness to over involved, the ANMC (2011 pp.3) believes that when a violation occurs a nurse is behaving unprofessional manner and misusing their power in the patient nurse relationship. This misuse of power can be categorized into 3 types; boundary crossing, boundary violation and the extreme form of sexual misconduct. Often by mistake a nurse could cross the boundary without thought, a

The Nurse in Scenario one made it clear to the patient that she was busy and had other patients to tend to. Effective communication is not demonstrated here because the Nurse has not respected or placed herself at the service of the client (NMBA, 2008). As observed in the video the Nurse speaks quickly and interrupts the patient.

Individuals living in Long Term Care facilities are among the most vulnerable of populations during a disaster. Many lessons have been learned from devastations like Hurricane Katrina, Rita, and Wilma that occurred in 2005 in regards to the disaster preparedness levels of Long Term Care Facilities (LTC).

Social Security Fund- The US government, offers a statutory requirement that calls for its nationals to remit a certain percentage of their income. Eighty six percent of people age 65 or above receive these funds on a monthly basis. Some people, however, delay this payment to a later date (past 65) to claim a larger share as a monthly check and balance. About ninety-two percent of 80 and above years receive this check regularly with a median of about $15700. Social Security fund as a retirement income is the largest source in the US with a majority of retirees getting half their salary or more. Other retirees of about a third receive, at least, ninety percent of their security check as their income (Cornwell, 2010).