I agree with your point on nurse’s role as sentry and collaborators. As we discussed in class, nurse as a sentry should watch over and protects the patient. However, in the scenario, the nurses failed to protect the patient when they let the physician to go against the patient’s wish and disregarded the do not resuscitate order. As collaborators, the nurses should work together to provide the best care possible for the patient. “..collaboration involves a partnership characterized by mutual goals and commitments in which participants willingly become involved in planning and decision making” Henneman et al. (1995). In this case, the nurses and the physicians did not cooperatively solve the issue together and instead, letting the physician to make his own decision to resuscitate the patient. In addition, I also agreed with your point on the physician who forced a difficult decision upon the patient’s family. To start, it must be very hard for the family to accept the fact about the patient’s death. Yet, the decision that the physician made negatively impacted the family’s grieving process because it gave the family false hope when they have finally accepted the patient’s fate. …show more content…
My uncle died few years ago with stage 3 cancer. During the last few months before he passed away, the doctor insisted for him to still receive treatments and therapies hoping to reverse his condition. However, it was challenging for us because we knew how difficult it was for him to endure the pain. When he tried his best to go through the therapies, it was extremely hard for us to believe that he was going to leave us. Therefore, it had an impact on our grieving
When people think of cancer, many automatically murmur negative things. For example, death, Chemotherapy, hair loss, and other symptoms of feeling fragile. What people do not know is that even though you can see the patient suffering physically, their family is also being affected as well. Being a daughter of a mother with Colon cancer has affected me emotionally, spiritually, and virtually.
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.
As a nurse, communication is an essential and important factor to building a therapeutic relationship between a nurse and patient as it is the difference between average and excellent nursing care, as it helps maintain a good quality of life and allows nurses’ and patients to interact and provide comfort when needed. The importance of good communication can become apparent with patients especially when they are in the hospital, as it helps the nurses build a positive relationship with patients and helps overcome barriers including physical, psychological and social. A therapeutic relationship is built on many factors which include both verbal and non-verbal communication which helps maintains the relationship and strengthens it due to the positive impact it has not only on the patient’s experience but also the nurse’s.
Series of interaction amongst nurse-patient and researcher-participant stresses the importance of relationship in an interpersonal process. The nurse-patient and researcher-participant are characterized by their own professional relationship including their own unique features in accomplishing goals. In this paper, I will examine their differences and similarities within the context of interrelationship.
I do agree with you that collaboration require sharing knowledge to improve patient care. Initiating a trust among nurses and other health professional make patient care more reliable and progressive. This discussion relates me to Nurse 208, about the patient and nurse. Patient seek the medical attention mainly to the nurse, because the think that the nurse will help them to relive their illness, also promote adequate caring for them. However, when the patient relies on the nurse, the nurse should make patient to feel more comfortable about their illness by creating a strong communication, trust and caring to their patient. As you mentioned that nurses are the patient advocate to their patient. Collaboration in health care setting
A nurse-patient collaboration experience I encountered stood during my junior year of high school. At the time, my mother was incarcerated and I suffered from constant anxiety and depression.Two attributes of collaboration that occurred in this exchange included communication and teamwork. Communication enntailed three components - silence, remaining neutral, and acknowledgment of emotions. Silence sanctioned me time to truly consider what I needed, and to decide what emotions to share. As I expressed my concerns, the nurse remained neutral in her judgements - giving me options, without pressuring me towards choosing what she considered to be the best choice.Throughout the conversation, the nurse did not focus on lecturing me, but rather
The rapid, relentless evolution of the health care system brings with it the need to
Healthcare professionals have the responsibility to save and preserve lives. Simultaneously, the patient has rights as well. The patient has a legal right to a Do Not Resuscitate (DNR), in which is a legal order written in the hospital to withhold cardiopulmonary resuscitation (CPR) or advanced cardiac life support (ACLS) in respect to the wishes of the patient. In this case, Mac’s legal rights were violated. The facility management made a decision based on his personal feelings. The facility Medical Doctor was at fault in denying Mac a Do Not Resuscitate Order.
A norm has been broken and has effected my family. My grandpa, Lewis Wayne, passed away October 11, 2016 at the age of 89. His death had caused many of broken norms throughout his life and even toward his last days that my family had grown so use to seeing. My grandpa was a great, hard working man that could never fail to make you laugh. Unfortunately, he was diagnosed with skin cancer in October of 2014. As a family we chose for him to receive radiation/chemo and fight the cancer. He began chemo in February 2015. During his rounds of treatment, there had been shown an amount of reduction. Later in the year of 2015, they had found that the cancer came back and even grew, so he began radiation for 5 days a week for 5 weeks total.
Understanding that part of the success in recovering the patient lies in a good communication and it makes part of the success in recovering the patient. Starting the work with the patients, the first one that I consider the vital importance is in the form in which we establish a verbal and non-verbal communication. The first and most important thing I can do for a patient beginning the day is just to smile using a calm and welcoming voice. Then, as a patient care provider, it’s when I begin to develop a close nurse-patient relationship
I completely agree with your statements in this week’s discussion post. Personally, I do believe the nurse completed an assessment on the patient. After realizing the patient was in distress the nurse did what she thought was right and called the emergency physician for more help. I still believe the nurse should’ve written down the patient’s vitals and assessment information on a piece of paper for example and charted the information once the patient was stable. “The basic purposes of standard of care are to protect and safeguard the public as a whole” (Guido, 2014, p. 55). I have confidence that the nurse was doing what she believed was right, but was caught in a messy situation. As all of us know health care is a hectic profession and everything
Lipchick (2002), describes the therapist-client relationship as a structure coupling between to unique human beings in complementary roles. In a healthcare context, Sabo (2006) states that empathy and compassion are critical aspects involved in understanding the clients’ needs to create a therapeutic relationship between client and nurse. The integration of the concepts of compassion and empathy could become a negative facilitator of ‘the cost of caring for others’ later described as Compassion Fatigue (CF) (Figley, 1995). The definition is contested, though; the first definition was proposed by Joinson (1992) characterising CF as a unique form of burnout that nurses experience because of exhaustion. Coetzee and Klopper (2010) explain that CF is a concept established in relation to the burnout of nurses’. Their duty to tend to sick and traumatised patients exposes them to pain and suffering daily, and thus many lose their ability to nurture. Supported by Pack and Roberts (2012), CF occurs when individuals are unable to continue bearing the trauma of others, consequently leading to a significant reduction in wellbeing and work capacity. Whilst CF has regularly been observed in a healthcare environment, no such research has been conducted in a sport and exercise context.
Estimates are that 20-50% of patients do not adhere to prescribed medication regimens and that this nonadherence may be responsible for up to 10 percent of all hospitalizations.1 Preparing patients to manage their medications upon returning home from the hospital is a critical component to illness management and preventing readmission to the hospital. Patients who report they are unprepared to care for themselves after discharge from the hospital are likely to be readmitted.2 Readmission to the hospital is associated with increased cost,3 and increased risk for mortality4. Thus, understanding how nurses can best support patients to self-manage their medications is imperative.
The aim of the assignment is to provide the therapeutic relationship to the nurse and patient’s, recognises professional boundaries. The most important part of nursing is the nurse-patient relationship, which is essential to nursing practice, one of the most important in this relation is empathy, trust and respect for the dignity and potential of the individual/group. The concept of therapeutic relationship is particular interest to nursing as it has been identified as an important element in the nurse-patient relationship. There is there stages in therapeutic relationship, orientation, working phase and resolution phase. It established by service offered, trust, communication, expectation of nurses and patient. Problem and issues should be identified and plan should be addressed and put in an action (iaBPG,). A patient has been chosen from ‘city of horizon’ for this assessment, a patient name Agnes who is 91 years old has been chosen and has been discussed about providing care and building the therapeutic relationship (City of Horizon).
In conclusion, it can be identified why it is imperative for a nurse to reflect on interpersonal skills in action and on action, and how this process can be of further benefit to the therapeutic relationship. Through using the Gibbs reflective tool, I have been able to identify my strengths which includes my ability to be self-aware whilst providing effective verbal and nonverbal communications skills that are of benefit to the nurse-patient therapeutic relationship. Additionally, it also allowed me to identify my weakness such as my ability to provide information that was relevant to certain conditions. However, this will now further enable me to develop (through my implementation of action planning) in the areas that I may not have otherwise