Graded Unit Planning Process

Mrs Gale is a 70 year old widow and retired unskilled worker. The patient lives alone and relies on her son to provide basic care, medication and meals. Mrs Gale has a history of weight fluctuation owing to lifestyle but is currently at risk of malnutrition due to Parkinson’s disease. Mrs Gale shows signs of early dementia and suffers from poor mobility and pain caused by arthritis. Mrs Gale also has mild depression triggered by loss and has become socially isolated. All names have been changed as per the Nursing and Midwifery Council confidentiality guidelines (2008).

2.4. Support the individual to understand the plan and any processes, procedures or equipment needed to implement or monitor it.

According to the Oxford Dictionary consent is defined as ‘giving permission for something to happen or agreeing to do something’. They define confidentiality as ‘entrusted with private information and if something is intended to be kept secret or in confidence’ (Soanes and Hawker, 2005). As a healthcare professional consent and confidentiality are in place as protective vices, by gaining consent and keeping a patients confidentiality it protects both the patient and the healthcare professional. There are three types of consent: Verbal consent, consent in writing and implied consent. Depending on the situation each type of consent may not be acceptable. For example if a procedure is putting a patient at risk, is complex or invasive for example an operation, written consent is

When working with an individual it is important to uphold their rights to be fully involved in their own care, whilst adhering to legal requirements. It is also the individuals right to refuse any care, support or treatment they do not want. It is also essential that people not only give you their consent but also that they understand what they are consenting to and the implications of this. Gaining consent protects not just the career but the individual receiving the care and support as-well. If no consent is given then you cannot proceed with the care. It is illegal to pressure anyone into

Identify the processes and assessment tools involved in planning support for individuals with different needs who use social care services.

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In this assignment I will be discussing Adult Nursing and Mental Health Nursing and issues regarding consent. Consent is important within all fields of nursing as it is essential to conduct any medical procedures. The Nursing and Midwifery Council Code of Conduct (NMC,2008) states that all healthcare professionals must presume that all patients have the mental capacity to accept or deny medical treatments after being given all information which may be needed. However there may be some instances where consent cannot be obtained. An example of this is if the patient is in a medical emergency and may be unconscious or if the patient lacks the mental capacity to make a knowledgeable choice. In this situation treatment would be

Person centred practice can inform how consent is established. All staff that work for ACRC Care are given training in how to obtain consent from individual clients and the different ways that we can obtain consent.

The scenario also states that the nurse tried going through the admission process by asking the patient some questions. This process was carried out in the presence of Mr. Jones daughter. Clearance was never sought from Mr Jones as to whether he was comfortable going through the questioning process in the presence of the daughter which was a violation of Mr Jones’s right to confidentiality (IBID).

The key aspects of this skill are consent, preparation and prevention. The nurse must obtain consent from the patient and explain the procedure. The patient must be made comfortable and placed in a suitable position

My current cardiothoracic surgery stepdown unit has recently formed a Patient Satisfaction Committee in order to improve our HCAHPS scores. It would be beneficial to get the Patient Satisfaction Committee involved, as well as, the education coordinator for cardiothoracic surgery stepdown units. The nurses on the three cardiothoracic surgical stepdown units would need to be screened as full-time registered nurses, who participate in direct patient care, and participant demographic information. Once nursing participants have been randomly selected and consents signed, the nurses will be interviewed for baseline knowledge data collection. When I work on obtaining consent from the nurses and the cardiac surgical patients, I will include adequate

Consent can be quite tricky, a legal minefield for healthcare teams, this is due to the patients who will give or refuse to give private information about themselves who is legally competent but

In assessing Mrs Carter based on the selected AL which is her ability of eating and drinking, and her ability of mobilising, Miller (2009) suggests that the nurse has to assess the patient’s ability to safely perform the activities of living (AL). Her ability of eating and drinking assessment will determine her risk of difficulty with swallowing caused by left sided hemiplegic; which could also lead to the risk of malnutrition and dehydration. Mrs Carter will be nil by mouth till she is assessed by the speech and language therapist. If it unsafe for her to swallow, she may require tube feeding. The speech and language therapist can help Mrs Carter to regain her swallowing skills and speech. Also, a dietician will be needed to maximise her dietary intake (Williams et el 2013). Also because of the hemiplegic Also, Mrs Carter may not able to self-feed and may require assistant with feeding. The nurse should record Mrs Carter daily food and fluid intake in a food chart and fluid balance charts for monitoring as per the NHS trust policy.

Blackwell, w. (2014) states that we live in a society governed by an excessive extent of rules and regulations. Many of these rules apply to every individual within society for example rules relating to the use of public services; while other rules will focus and apply only to specific groups of individuals such as healthcare professionals. The aim of this assignment is to discuss the concept of consent in relation to the role of the nurse, with the purpose to demonstrate the ethical and legal implication of consent on nursing and professional practice.

This case could be analyzed through functionalism, “a sociological school of thought that stresses how human behaviour is governed by social structures that are based mainly on shared values and that contribute to social stability” (Brym and Lie 2015:5). Through sociological imagination, “the quality of mind that enables one to see the connection between personal troubles and social structures” (Brym and Lie 2015:7). I am able to look at the case in a different perspective, in which I can analyze the case above by using concepts of functionalism including culture, socialization and social stratification.