Quality of Life for the Patient and Family

By being able to identify my own values and beliefs is an important aspect of my continual personal growth. I use them to guide my actions and behaviours throughout my life as well as helping form attitudes towards different things. Some are rally core to me and they define who I am, whilst others change in importance dependant on my needs at any given time.

At the same time, we have a need for positive self-regard - to develop a sense of trust in the accuracy and reliability of our own inner experienced, it is on this we must depend if we are to become independent from and able to make good decisions about life and how we are to be in it.

It has often been said that what people value can be determined only by what they

Sense of Self- This component focuses on how an individual should recognize one’s self, in terms of attitudes, behaviors, and values.

The ups and downs of the 1920’s and the fight for women's right to vote have changed America overtime. Following the United State’s victory in World War 1 but the good times didn’t last long. The early 1930’s the United States experienced disasters. One example is rebellion and suffrage. Women were happy of the ratification of the nineteenth amendment.

It describes what is important to the person - what matters to them, from their

factors in how one would live his or her life. The only way he can retain his own dignity in

In this article, Working Together to improve the Patient Experience, author Richard Billingsley(2014) explains how working together amongst providers, the patients, and the patient's family improves the patient experience, thus markedly heightening the quality of care. In this article, he also shares how other organizations have successfully adopted a model to facilitate cultural change within their facilities. This cultural model is referred to as patient family centered care (PFCC), and while it is not a new concept, it's emphasis has gained popularity as insurance companies adjust the criteria that encompasses what constitutes as high quality care.

This gives the implication that values can differ from person to person, so it is therefore important to identify and understand one’s own values in order to work effectively in the field.

A tragedy involves a character with a tragic flaw that the character cannot overcome and potentially leads that character to a tragic downfall. While reading Macbeth, a play written by Shakespeare, it is evident that the tragic hero, Macbeth, has a flaw, and this flaw is excessive ambition. Mixed with being manipulated and an ambition so strong that it overcame his morality and judgment, Macbeth Throughout the play, we as the audience seem to follow and sympathize with Macbeth because he is the main character. When Stephen Booth says, “the tragedy of the play Macbeth is not of the character Macbeth and that it does not happen on the stage.

- Allowing others to make their own decision and be responsible for your own behavior and decisions

The use of substances for physical, mind and social advantage has been around since the beginning of documented history. Contemporary use of prescription medication for these advantages has led to a national epidemic of substance abuse. Health care providers need to recognize the disease process of addiction in order to effectively combat the growing epidemic of substance use disorders (SUD). Strategies to decrease the prevalence and incidence of SUD include defining addiction, understanding epidemiology, evaluating treatment options and decreasing stigmatism associated with SUD.

• encourage you to develop self awareness of your own personal values through critical reflection.

The case study based on the palliative patient Mrs. Mavis looks at issues both the family and the patient are dealing with in regards to the end of life treatment Mrs. Mavis is receiving. Mrs. Mavis is a palliative patient, currently unconscious, who is dying and only wants comfort measures within her nursing care. This was made clear through her advanced care directive, which was made weeks before beginning to receive her end of life care. Mrs. Mavis’ comfort measures include pain relief, hygiene and keeping her comfortable. Mrs. Mavis’ family want her to have fluids and medications to help improve her health. They also want oxygen and pain relief to help with her breathing. Issues such as educating and supporting the family, pain management, the effectiveness of having an advanced care directive and pain assessment will be evaluated to determine the best effective interventions for Mrs. Mavis and her families care. Interventions that will be discussed through-out this essay include the use of analgesia medication, the use of subcutaneous injections and syringe drivers, emotional support for the family, effective communication, educating the family on Mrs. Mavis’ wishes and the importance of having an advanced care directive. These interventions will be evaluated to ensure they are the best practice for Mrs. Mavis’ care.

“Nursing is an art, and if it is to be made an art, requires as exclusive a devotion, as hard a preparation, as any painter’s or sculptor’s work...” (Nightingale, 1868)