Patients Should Be Allowed To Eat Their Snacks

Nurses face numerous challenges in their daily advocacy duties. Some physicians may not respond to nurses in a timely manner as they prioritize their task differently (Mendes & Ventura,2016). Additionally, institutional limitation frequently makes barrier for nursing to be able to advocate for patients (Mendes & Ventura,2016). Some professional who support nursing advocacy believe nurses should have higher autonomy to protect the patient in better way (Mendes & Ventura,2016). Nursing ethics constantly deals with challenges to freedom of practice, especially in hospital settings.

Nurses have ethical and legal obligations to protect the privacy of people requiring and receiving care. This encompasses treating as confidential information gathered for professional purposes only (Privacy Act, 1988), therefore in regards to the case study this registered nurse has failed to uphold her professionalism and failed to comply with her Code of Conduct and has accessed his medical files in order for her to gather his personal information, then proceeded to message the partner of the patient to inform her of his diagnosis therefore, breaching her duty of care to the patient – even though she is not

The first thing I will do in this situation is take the visitor aside and explain to him that this is not the right time to be talking about this subject. I will obviously stop the treatment and give time to my patient to process the incident and express his/her feelings if he/she wants to

A nurse is given an opportunity to help patients, either if its by helping them through a very serious sickness or just helping a patient get to the bathroom on time, or a time when happiness is overfilling the room and a child is being born. Registered nurses provide a wide variety of patient care services (Mitchell, p.12). A Nurse must always know where to begin and where to stop, as any other career in the health field there is always something that cannot be done by everyone but only the certified person, a nurse must always remain inside her scope of practice to prevent any misunderstandings. A nurse must also follow a code of ethics , the code of ethics of the American Association of Medical Assistants states that a nurse should at all times render service with full respect and dignity of humanity, respect confidential information obtained by a patients file, uphold the honor and high principles the profession and accept its discipline, and last but not least always want to improve her services to better serve the health and well being of the community. (Mitchell, p.65).

In an inpatient setting, patients admit with a mental health crisis and are especially sensitive to interactions with others. Often the first levels of engagement are challenging due to medications that are first given to stabilize each patient. During the engagement with Mark, it was important to encourage the sense of wellbeing towards recovery and placing a focus on his strengths. Engaging a client with their challenges and goals are suggested to be of focus instead of an individual’s mental health status or symptoms (Novotná, Urbanoski, & Rush, 2011).

Theorist Hildegard Peplau set the foundational elements for newly graduated students to introduce the importance of patient/nurse relationships into their practice (Peplau 1991). Peplau’s book is mainly directed toward psychiatric patients, but improving interpersonal skills with patients from all disciplines will create a caring, informative environments for individualized care plans (D’Antionio, Beeber, Sills, & Naegle, 2014). Also,

There are laws in place that protect a patient in the health care setting. The Health Insurance Portability and Accountability Act of 1996 or HIPAA, as it is known in the healthcare field, was designed to protect the privacy,confidentiality and security of patient information (Pozgar, 2013).Employees the health care field are very aware of HIPAA and the rights of their patients. All staff knows that patient information can only be discussed with qualified individuals on a need to know basis. Speaking about cases outside of work is strictly prohibited. Photography or recording of any patient interaction is also a breach of a patient's rights as well. The problem with this is that there are many policies in place to protect the

You, as a staff member have to realize that each patient is an individual. Each patient has unique healthcare needs. There are

Managers must always maintain an open door policy for staff, with no fear of reprisal, when voicing any concern. Patient safety should always be the top priority. When dealing with an impaired nurse, the first step in “the nurse manager’s role in the process is removing the nurse from patient care is essential, which will assist the nurse in focusing on the care and treatment of the disorder and the sooner patients are protected” ("A Nurse Manager’s Guide," 2014). In addition, the nurse manager should occasionally review and become familiar with any facility policies or procedures on this topic and ensure that confidentiality is always

Acute psychiatric inpatient nursing is primarily focused on the assessment and treatment of patients admitted in times of crisis. To effectively assess a patients needs a nurse requires an overview of the patient’s interactions with their external & internal environment. Fundamental to this been successful is the nurse patient relationship, forming a trusting relationship and maintaining this throughout the patient’s care. The nurse’s ability to listen, talk and understand are identified as key to positive patient experiences of feeling supported and cared for (Gilburt et al 2008).

This puts added responsibility and pressure on the care team to ‘do no harm’ and abide by the patient’s previously stated wishes if available. In an acute care setting, patients advancing diseases processes can require many unwanted (and sometimes unnecessary) medical interventions. With that said, I encourage care teams to put themselves in place of the patient’s family and not only be their provider, but their voice and protector. There was this 92 year old women with sepsis and dementia who we lost two peripheral IV’s on, therefore requiring two new IV’s and not a candidate for a central line. From the hallway, her distress was apparent from her screaming and crying, all the while trying to bite and punch the nurses and nurse aides as new lines were attempted. The care team was frustrated and their communication in the patient’s room aligned with the situation at hand but was inappropriate for a advanced dementia patient. Having taken care of this patient before, this RN entered the room, grabbed the patient’s free hand, and came eye to eye asking the patient what was wrong. With tears in her eyes she clearly and blatantly exclaimed, “I don’t want to do any of this anymore. Please no more.” At that moment, her behavior was understood leading to care that aligned with her

According to the ANA (American Nurses Association), it is the duty of nurse to protect the patient’s rights, safety, health and advocate for the patient. By treating the patient in an open area, invades their privacy, can cause embarrassment and most of all jeopardize trust between the patient and care giver. This negligent care could also lead to legal ramifications in the future against the hospital. By breaking this trust, the patient may also omit valuable information that could affect their treatment ultimately causing them harm. Some patients may become noncompliant with their prescribed treatment. It is essential that effective communication between patient and care provider occurs at all times. . Healthcare providers are obligated to give safe and effective care.

Disclosing patient information to a third party, without a patient’s consent or a court order is considered a breach of confidentiality. Legal liability for a breach of confidentiality covers a broader spectrum than ethical guidelines, which lend to doing what is morally right. Confidentiality in nursing comes with an ethical need for creating rapport with patients. Trust established facilitates increased communication and comfort for discussing personal information. There are some exceptions in terms of patient confidentiality; they are ethically and legally justified as a result of social considerations that are overriding. For example, exceptions are made upon

Focusing on communication skills, this assignment will reflect on how I began to build a therapeutic relationship with my chosen service user. My clinical placement area centres on adults living with physical disabilities, with the establishment providing both residential and nursing care. Due to the type of facility, the individuals prefer to be referred to as residents as opposed to patients or service users, so I will use this term from here on in when referring to individuals living within my practice area. Confidentiality is crucially important as highlighted by the Nursing and Midwifery Code of Conduct which states “as a nurse, you owe a duty of confidentiality to all those who are receiving care” (NMC 2015, page 6, point 5). This safeguards

Nurses are subject to a plethora of legal, ethical, and professional duties which can be very challenging on a day to day basis. Some of these duties include respecting a patient 's confidentiality and autonomy, and to recognize the duty of care that is owed to all patients. As nurses our duties are always professional; however there are legal implications if these duties are breached. We also must consider when it is okay as nurses to breach these duties and therefore ethical issues arise. As nurses one of our main priorities is to advocate for our patients, without our own personal feelings on the matter taking over.