From Patient To Seclusions: A Case Study

The nurse should have never allowed the doctor to proceed in that state. If she would have stopped him the injuries to Mr. Hicks would not have happened. No doctor should ever be allowed to operate in that state he was in at that time. Not only is it dangerous it in ethically wrong of the doctor to perform such a reckless act.

In the Code of Ethics for Nurses provision 4 states “The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care.” This was not done, there was no regard for human life. The patients in the hospital were treated as a burden. A meeting was held where the doctors agreed that

Nursing is very broad and beyond nursing process; assessing, planning, implementing and evaluating. Nursing deals with knowledge and knowing. “The nature of knowledge changes with time, but the fundamental values that guide nursing practice have remained remarkably stable.” (Chin and Kramers , 2011, p. 5). Nursing is a practice that focuses on wellness and healing in wholeness; body, mind and soul. As we practice nursing, we take into action acquired knowledge, experiences and insight from various aspects of our lives within the ethical limitations or frameworks. One of these fundamental values includes emancipatory knowing. According to Chin and Kramers (2011); “Emancipatory knowing is the human capacity to be aware of and to critically reflect upon the social, cultural, and political status quo and to figure out how and why it came to be that way”. Take for instance, the incident that happened in Utah in July 26th, 2017, between the Salt Lake Police officer and a University of Utah Nurse; where she was unjustly arrested because she refused to give blood sample of an unconscious patient to the police officer even after reading the hospital policy as it relates to obtaining blood sample from an unconscious patient. The hospital policy states that for blood samples to be obtained from an unconscious patient, there has to be; a court order, electronic warrant, patient consent, or a patient been under arrest. In this case, none of this applied to the patient and so the nurse

The two provisions from the Nursing Code of Ethics that were violated are Provision 2 and 3. Provision 2 states “the nurse’s primary commitment is to the patient, whether an individual, family, group, community, or population” (Brown, Lachman & Swanson, 2015). Provision 2 focuses on “the nurse’s obligation to assure the primacy of the patient’s interests regardless of conflicts that arise between clinicians or patient and family”(Brown, Lachman & Swanson, 2015). Provision 2 was violated because the nurses

His actions were unexplainable to the relatives of the patient and unacceptable in care industry as this controversy raised issues and concerns about the care/nursing homes on how they treat the residents and this only put doubts and worries on the patient’s relatives about the work being done in a care/nursing home.

The nurses did not act as sentries towards the patient or the family. They did not protect the patient’s choice to die in peace, instead they just let the doctor jump in into the situation and try to resuscitate her even though she did not want that.The nurses should have stepped in and asked the frazzled husband what he wants the nurses and doctor to do. Not let the doctor yell at him until he is forced to allow it.

Conjointly, the value of "Promoting Justice: Nurses uphold principles of justice by safeguarding human rights, equity and fairness and by promoting the public good" was also tainted (Canadian Nursing Association, 2008). Whatever the circumstance or reason behind the nurses partaking in the conversation, the client was still demeaned. There was an open conversation about how nobody wanted to be there because of the client discussed with the client being in the room. I am unsure whether or not it was the fact that the client was in a state of delirium that deemed it acceptable to be discussing that matter; however, that kind of conversation is inappropriate, no matter the circumstance. It demonstrated a poor treatment for those who experience

On Wednesday 09/21/2016 at approximately 2056 hours, Security Officers Lourdes Garay and Supervisor Steven Evans were dispatched to ICU room #4112 for a (53B) Disorderly Baker Act Patient in Medical Unit. Upon arrival, Officers saw Nurse Cassandre Jermaine and Charge Nurse Cristina Sisneski attempting to calm down an irate Baker Act patient. The patient Adam Bargar (DOB: 02/05/77, FIN #86198457) was upset about not being able to make a phone call, he then ripped his IV out and attempting to leave the unit. I explained to him what a Baker Act patient is allowed to do and what limitations are obligatory. He was also explained to him that he was not allowed to leave his room until medically clear by his Physician. Security staff was asked to stand

While in the hospital, Cahalan's roommate warned her "The nurses here are bad news" (89). This likely fed the paranoia she was already experiencing, as she was now afraid of the healthcare staff. Cahalan even tried to escape from the hospital, which led Dr. Russo to add "Transfer to psych [ward] if psych team feels this is warranted" on her file (92). Later, a nurse even asked Stephen "' Has she (Cahalan) always been so slow?"' (120). Additionally, NYU medical students would randomly arrive in her room to learn about the disease, which not only invaded her privacy but hurt her as well, "'In about 50 percent of the cases, there is a teratoma in the ovaries. If this is the case, this patient may have her ovaries removed as a precaution.' As spectators nodded their heads, I caught this somehow, and began to cry. [...] His voice bounced around the hospital room. 'Never come back,' [...] Instead of apologizing, he waved his hand, urging the other interns to follow him toward the door, and made his escape." (160). It is never a good sign when patients in the hospital are warning about the hospital staff. I have concluded from this that the hospital definitely had issues in the past. I reviewed the hospital's reviews on google, and my conclusion was confirmed, as the hospital was reviewed with 3.8 stars out of five. Additionally, the fact Dr. Russo was willing to transfer Cahalan to a psych ward infuriated me. It made me feel like the doctor was giving up on the patient, and I do not feel this is every acceptable, not only in healthcare but in life in general. Also, I tried to place myself in Stephen's shoes when the nurse asked Stephen if Susannah had always been slow. I cannot imagine the strength it took of him to hold himself back, as I likely would have lost my mind over such an unprofessional comment such as that. Finally, having a group of medical students randomly enter your

I do agree with you on provision one which states that the nurse should practice with compassion, respect for the inherent dignity, worth, and unique attributes of every person but unfortunately that was the case with Henrietta Lack. I also like the point you made on how frustrating our profession could be. I work in an acute psychiatric hospital where most of the population, we serve are very psychotic on admission. During this acute stage, staff has been threatened, verbally abused and assaulted on several occasions but we have learned to treat all patients with dignity and respect regardless of their present situation. One of the things that I observed working with this group of patient is to love and show compassion towards them knowing

During the argument David was racially abused by the patient. After the incident David was moved to another ward whilst the other patient remained on the ward. That night, whilst David was on the other ward, he lashed out and hit a nurse. Following this he was restrained by five nurses and a struggle developed. The correct procedures for restraining a patient were not followed; subsequently, David collapsed and died (NSCSHA, 2003).

The greatest moral issue on the NY Med segment was filming and then releasing the last moments of Mr. Chanko’s life without his permission, nor his families permission. Mr. Chanko has, as all do, a right to privacy during any medical incident. The fact that his care team allowed individuals who were not there to make him better is a clear error in moral judgment. Furthermore, the idea that they then shared this incident with the rest of the world, without receiving permission from him, or anyone else in his family, is another clear moral error. Mr. Chanko had the right to privacy, and those final moments should have forever stayed in the emergency room between his caregivers and himself.

Years ago, the thought of seclusion and restraints would not phase the minds of anyone. Seclusions and restraints can affect both the patient and the working staff. Many effective strategies are recognized to reduce the seclusion and restraints in many mental health institutions. Seclusion can be defined as being away from others and in their own area of privacy (Where did you get this?). Restraints are quite similar but is defined as a limitation from others because of a certain measure or conditions (Where did you get this?). In recent years, the use of seclusion and restraints have been debated and seen as highly criticized as to whether it is safe or not. Many psychiatric institutions, including Danville State Hospital in Pennsylvania, have shifted away from the use of seclusions and restraints (Where did you get this?). Instead they use more observing techniques which are more helpful to the patient. The purpose of this paper was to review studies of secluded patients and recognize the actions against seclusion and restraints.

Your discussion caught my attention, the world of psychiatry. I work on an inpatient psychiatric unit and we use seclusion and restraint for patients. However, me personally, I do not prefer to use them due to the ethical aspect. Though in some cases, the use of seclusion and restraint are necessary, such as safety. First, I attempt to de-escalate the situation and redirect the patient. If not, I then proceed to the next intervention. For example, we had one patient was fast tracked onto our adult unit because he was continuously banging his head against the wall. The patient would not stop banging his head though verbal de-escalation and redirection was given. It was thought that the patient was possibly on some type of drug and the patient

When I worked in the Intensive Care Unit, a patient became combative and I needed to restrain her with wrist restraints. She had grabbed my wrists and dug her fingernails into my skin that it left bruises and marks. Lane and Hughes (2016) wrote that the primary reason for physical restraint is to avoid injury or harm to the patient or others, however, research evidence confirms it can cause trauma and injury. Patients become combative for many reasons: anxiety, frustration, metabolic, or personality disorder. So, the alternative would be to use chemical restraints. Chemical restrains does reduce agitation, however, these medications cannot be used all the time. For example, valium is a great antianxiety medication, but, highly addictive. According