Reflection On Patient-Center Care

Due to my previous work experience working with the elderly, I was quite fortunate but got very limited knowledge in nursing care. It was Monday morning, during handover we were given an updated bed plan of all the patients in the ward, and the senior staff nurse informed us, they have had a new admission over the weekend. Mrs Rees, 89, lives at home with her Husband. She suffers with Dementia, and is currently on antibiotic treating her urinary infection. She came in on Sunday following a fall at home. Mrs Rees has had a very unsettled night, calling out, shouting and refusing assistance with personal care. Once handover was over, my mentor asked me to check on Mrs Rees. I knocked Mrs Rees door, asking permission if I could enter her room. She was sitting by the window and seemed very distressed, tearful asking for “Jim”. I introduced myself as a student Nurse, and I positioned myself to her eye level and asked Mrs Rees why she was upset? She asked me “Where is Jim!?” I pulled my bed plan out of my pocket, and looked if there was any information on there about “Jim”, but nothing apart that she live with her husband. I got closer to her, hold her hand and reassure her that she was ok and I will go and find out about Jim’s whereabouts. There was a sigh of relief on her face, and she squeezed my hand saying thank you. She was obviously very anxious saying Jim has left her here and don’t

Description During my clinical competency placement, I was working on a surgical ward when a registered nurse on duty asked me to assist Mr. A with his shower. This incident happened on the fifth day of my clinical practice. He was a dementia patient and had undergone right knee total joint replacement. She also informed me that the patient did not like too many people in his room because of his dementia. When I went into his room, his wife was there with him. I talked to the patient about having a shower and getting dressed to look smart and he agreed to have a shower. The patient got out of the bed and walked to the bathroom and sat on the shower chair to have his shower. Then I asked his wife if I needs to stay with him to assist with shower, she said she can help him as she was taking care for him at home since he has been diagnosed with dementia. Therefore, I left the patient with his wife to help with his shower and told her to ring the bell if she needs any help. After some time I left the room, the wife rang the bell. As soon as I entered the room, I heard him shouting at his wife and she started crying and left the hospital. So I had to stay with him. He was very capable of washing himself and I just had to help him wash his back as he requested. After he had washed, I asked him if he was ready to get out of the bath, he started shouting at me.

Evaluation After choosing to help my co-worker, to ensure that the client was kept clean and comfortable, I felt that this was my main priority in this situation. As an accountable Healthcare worker it sates within my code of conduct. That I have to make sure that I give care to all clients and treat every person as an individual, with dignity and respect at all times. However, I could still see, and understand why that staff nurse had to explain to me why I had to listen and take instruction.

During my clinical rotation during my last semester of nursing school, I was able to work one on one with a BSN degree nurse named Judy in the ICU. Judy had three years of experience in the ICU setting. She had been a medical surgical nurse prior to her ICU transfer. The ICU at this hospital consisted of two associate degree level nurses and two BSN level nurses on my shift. I rotated three days in this particular ICU. I worked with Judy all three days of my rotation. I was excited about being placed with her for she seemed knowledgeable and skilled. We were given a male post trauma patient to work with all three days. This patient was a 30 year old male admitted for trauma related injuries and was considered unstable and was to be monitored in ICU. This patient had been involved in a motor vehicle accident and

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.

Pain and Sleep and how they correlate to Patient Centered Care. In the physical realm of patient-centered care pain, comfort, sleep, and rest are important aspects of the fourth dimension of patient-centered care. Patient-centered care is the complete focus of the medical team on providing respectful care to meet patient needs, preferences and values guide decisions on each individual patient care. To understand the subjective view of the patient, these four aspects are at the forefront of their needs within the hospital setting to provide the best patient outcome. Nurses provide good patient-centered care by actively partnering with patients to determine care priorities and plans to tailor their level of involvement, according to their preferences, and being flexible by changing the care plan as the situation changes including providing smooth transitions between care goals. By doing this, nurses can assist patients with all pain by providing comfort and assuring the patient that there will be no deficiency of their quality of sleep.

The Impact of Patient-Centered Care on Quality of Patient Care Rachel Stoller, RN Robert Morris University What would happen if patients were able to create their own healthcare experience? What would it look like? How would they benefit? I plan to discuss these hypotheticals through research regarding Patient-Centered Care. After all, studies and surveys performed by the Institute of Medicine and the Institute for Healthcare Improvement, read that engaged patients in any health care setting, have better perceived health outcomes, thus higher actual quality patient outcomes.

ntroduction: The article I have chosen for the purpose of this essay is “Use of physical restraints in nursing homes: clinical-ethical considerations” by Chris Gastmans and K Milisen. The ethical dimension of care is an essential part of good nursing practice, and ethical reflection is necessary for nurses to come

While arranging maroon table cloths and utensils, I hear a resident calling for help. “Everything okay?” I ask her. In a slow, tormented manner she tells me her position in her wheelchair is hurting her bottom, and she needs help sitting up. I am not trained in this field, so I explain the situation to the first nurse I see. The grimace on the nurse’s face indicates that she wishes I had not interrupted her. I make my way back to the dining room to continue setting up for lunch. “The nurse is on her way,” I assure the resident. The wait, though, is much longer than anticipated. I want to help, but I am afraid that without proper training I may do more harm than good. I imagine myself in her shoes - how I would feel if I were in pain and unable to help myself.. I decide to alert another nurse, though I soon realize that she is also in no hurry to help.

Introduction In recent years, the concept of patient-centered care has become a goal in itself and a tool for enhancing health outcomes for patients. If patient-centered care is properly implemented, it can have a huge impact in the health care profession. Due to the increased attention on improving the health care system, patient-centered care is an essential aspiration of high-quality health care systems. The physician-patient relationship remains an integral part of the healthcare system but there are other aspects that affect patient-centered care. According to Greene, Tuzzio, and Cherkin, patient-centered care “honors the patient’s preferences, needs, and values; applies a biopsychosocial perspective rather than a purely biomedical

Patient in room 372A Janet Smidt, MRN 000220366 is here for dementia. Her son has come in many times to visit and has upset her when he does. He forced her to write checks out in his name and took her belongings he believe to be of value. The nurses felt that is was important for the patient that he not be allowed back to her room. On 7/26/17 at around 4:45pm he came back into the maternity lobby demanding that he see her. I checked with the house officer and the head nurse of telemetry and they informed me that he is definitely not allowed to see the patient. He then demanded that she discharge herself, but because of her altered mental state she is not able to do so. It was at that time he had us call the police for him. He said he intended

An enrolled nurse has a duty of care to ensure a patient’s rights and dignity is preserved throughout every interaction with the patient. Also a enrolled nurse is bound by the code of conduct and code of ethics to protect the patient’s rights. This includes knocking on the patient’s door before entering the room and when meeting a new patient for the first time it is important to introduce yourself. Also explain to the patient that as new patient being admitted to the ward that there is an admission process to go through. As it is the patient’s right, before proceeding reassure the patient that all information discussed will remain private and confidential, (Forrester & Griffith’s, 2010, p 79). This also means the enrolled nurse will ensure

There were numerous occasions where residents with dementia would approach me at the centre who appeared confused or agitated as they were unsure of where they were and what was going on around them. As time progressed, I had the opportunity to work closely with these residents and provide them with the immediate support they needed. However, a specific situation which stood out to me was nearing the end of my field placement when one of the residents was having a difficult day. There was a resident who I frequently worked with who was relatively new to the home and was having an extremely difficult time adjusting. I had worked with on numerous occasions in the past and helped her during her first month at the home in attempts to make her transition as smooth as possible. The resident was often confused and would think she was at the time that she was a teenager and just had surgery. On this specific day, the resident was very uncooperative and wanted to leave the centre. It was the beginning of lunch and all of the workers were bringing residents into the dining room. I could hear the client becoming agitated as one of the personal support workers (PSW)

Last week I was at the hospital, doing my usual clinical rotations. I was assigned a patient who was admitted to the hospital for altered mental status. I was a bit scared to work with this patient because I was never exposed to people who are not mentally stable. When

Early in my career, I worked as a patient tech while pursuing my baccalaureate degree. On some evenings, I was allowed to work as a student nurse with another nurse signing off on my work. I had a habit of introducing myself to my patients’, sort of a, “meet and greet” after shift report and before going about my duties. The patient of concern was recovering from hip replacement. He also had chronic obstructive pulmonary disease (COPD) and was on a non-rebreather mask. Upon entering his room, I visually assessed the environment to make sure that the gentleman was comfortable and had everything he needed. He was sleeping and his wife was at his bedside. Everything looked in order. I left explaining to his wife that I would be back with medications and for further assessment.