Involved In The Service-User's Care

As health care workers we are under a legal obligation to protect an individual from any kind of abuse, whether it is physical, financial, emotional, sexual or psychological .Legislation, policies and procedures exist to promote a safer working environment and reduce the potential for risks occurring. They are tailored for the needs of each setting, known and understood by employers and employees and reviewed on a regular basis.

In my experience as student nurse during clinical placements and as a PCA, I engaged, selected and prioritized patient safety. I can clearly communicate the evidence base (strength and type) for the patient safety practice topic(s) and the conditions or setting to which it applies. I am aware that being engaged in adopting patient safety initiatives when I understand the evidence base of the practice, in contrast to administrators saying, “We must do this because it is an external regulatory requirement.” However busy the my work may be, I clearly know the importance of the evidence-based rationale for doing fall-risk assessment and I understand that fall-risk assessment is an external regulatory agency expectation because the strength of the evidence supports this patient safety practice.

To ensure that the clients are living in an environment that is safe and promotes independence there is training and policies and procedures in place which ensure that staff inform management on health and safety issues they find around the home and this needs to be acted on with immediate effect.

As people get old a few of them will experience changes in cognition with age related capacity rather than intellectual capacity. There are some people who get both disparities of mentally and physically impaired that will led into depression due to aging process of their body. Even though, the forgetfulness is a common among older adults, we as healthcare providers must evaluate altered mental status of the patients. “The evaluation and management of altered mental status are broad and require careful history and physical examination to eliminate life-threatening situations”(Patti & Dulebohn, 2017). Therefore, it is very important to recognize the importance of difference between normal age-related symptoms and developing new health problems that can arise in this specific population. As elders get older their memory lapses it frustrating to them leading them to be more worried about changes in their memory. Nurses have a unique capability to promote a cognitive health and determine the possibilities of potential cases of the impairment in elders. The movie “On Golden Pond” Mr. Norman was a perfect example and showed that his symptoms were interfering with his everyday live when he almost burns down the house with fire, calling Bill by his daughter’s name Chelsea and getting lost in on the lake. Even though, Mr. Norman had heart and dementia problems his wife never discouraged him to do what he liked such as

Adequate staff is vital in keeping Patient safe and keep up a positive patient Outcomes

Should a community have to choose between the right to practice their culture and the right to health? The right to health is a highly contestable right, especially when it may conflict with traditional rights or local customs. In the article “Health Systems and the Right to the Highest Attainable Standard of Health,” Paul Hunt and Gunilla Backman discuss the components of a health system and how to implement it and right to the ‘highest attainable health.’ Notably among the components, Hunt and Backman argue that there is a need for “international cooperation [to actualize] health as a global public good,” a “respect of cultural differences,” and balances between “competing human rights” (83-86). Many irreconcilable conflicts arose,

I like that you mentioned patient’s safety on your post. Patient safety is such an important part of our health care system and it helps define quality health care. Keeping our patients safe is a challenging issue because errors can and do happen. As nurses we need to make sure we are taking all appropriate actions to limit the amount of mistakes that will put our patients at risk.

In Invitation to Psychology, Carole Wade, et al informs us that “memory refers to the capacity to retain and retrieve information and also to the structures that account for this capacity” (Wade, et al., 2015, p.269). It is possible that the patient's concern stemming from a not entirely accurate memory. What we consider facts that we have remembered is often times a little fact and a lot of fiction. We actually remember bits and pieces of information and our brain automatically fills in the rest of the story so it is often distorted.

Most patients, when asked what they remember most about being in the hospital, say that their fondest memories are of those who took the best care of them. Some may say the families, and very few may actually say the physician. The majority of patients, when asked, stated that the team member in their recovery that took superior care of them, they answered their nurse.

Patients were recruited from the Late-life Depression Clinic and Memory Disorders Clinic at New York State Psychiatric Institute (NYSPI)/Columbia University Medical Center. Patients were eligible for participation in a long-term open antidepressant treatment trial, if they were 55 to 95 years of age with a minimum 8 years of education, who had subjective memory complaints and met the inclusion criteria: 1), the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) criteria by SCID for major depressive disorder or dysthymic disorder for a minimum of 6 months; 2), a baseline 24-item Hamilton Rating Scale for Depression (HRSD)(Hamilton 1960) score was ≥ 14; 3), the criteria for cognitive impairment, a score ≤ 11 on the Logical

“Dr. Lozano says you are suffering from short-term memory loss, a fairly common condition when recovering from a trauma incident. You should have your memory back by the end of the day. Sleeping will help bring your memory back. When you remember anything, please give us a call.” Lambert hands Geoff her card.

enhancing communication with covering of all aspects of patient care to prevent risk in assessment and decision making towards patient safety by reducing time of reporting?

Risk management is important as it minimises the risks to patients, this includes being able to recognise what can and does go wrong during care and the factors that can influence this (Grol, Wensing, Eccles, Davis & Grol, 2013). It is imperative that lessons are learnt from events and that action is taken to prevent any recurrences in the future to protect patients (University Hospital Birmingham, 2016).

Beck, (2013), states that within the ‘hospital culture’, patients’ who are vulnerable present with varying degrees of physiological, psychological, spiritual and social perspective complications that require care. However, nurses on the other hand, are expected to follow the hospital protocol, that encompass performing routine assessments on patients, with the expectation that the nurse will ensure they are responsible in their clinical practice, (Beck, 2013). These role sets, serve to uphold and influence hospital protocols which are precautionary to ensure patient safety and that optimal health outcome are met, (Van Beuzekom, Boer, Akerboom, & Hudson, 2010).

Fiduciary duty is a service relationship whereby the individual that owes the duty or the trust, such as the board of directors to the individual empowering the trust, such as the shareholder, performs a service. The board of directors carry out the services to the best of their ability on behalf of the individuals empowering them with that authority. Directors or board member’s responsibilities are to be aware not only of the Witten laws- statutes, thing that they are responsible for but also to unwritten law- precedent and their duties. These duties are: duties of care, diligence, obedience, loyalty and so on. Fiduciary duty or duty of care is exercising a judgement that is reasonable an important person would exhibit and process of