Standard 2 (Engages In Therapeutic And Professional Relationships)

There are a number of legal and ethical duties expected of nurses. Most of these involve care for patient’s autonomy and confidentiality despite the medical care. Failure to act regarding these can give rise to liability. One aspect of Patient’s autonomy involves giving or withholding his consent about treatment. This paper takes into account ‘consent’ as the aspect of law regarding nursing.

The research was conducted to explore the issue, and ethical principles presented. Personal ethical viewpoint was given along with professional examples. The work was actively discussed with classmates and received compliments. In the Case: Lack of Consent and Patient Death physician’s failed to obtain the consent from the patient. The failure resulted in inappropriate procedure, which led to the patient’s death (Pozgar, p. 1243, 2012). The work included my opinion regarding court’s decision, analysis of ethical and legal dilemmas, analysis of failed hospital’s ethical duty to the patient, and personal intake for “What would I do” situation. I chose to present this piece of work as my exemplar as this module incorporated all aspects of the course, and included ethical and legal concepts from contemporary issues in nursing we studied for the duration of the

The clinical problem being examined in the research study is the way in which nurses obtain consent prior to administering nursing care procedures, and the way nurses manage patients who refuse any nursing care procedures. By stating that nurses “do not

Sule stated that, “The Patient Bill of Right adopted by American Hospitals Association states that ‘a patient possesses the right to be informed of the medical consequences of his or her actions and decisions and refuse treatment to the extent permitted by the law’. However, this is true only if the patient is in position to understand the consequences of his treatment. Incompetent, senile patients neither have the correct judgment regarding which treatment is appropriate for them, nor are they in a state of understanding the implications of their treatment. In such case, their willingness to grant or deny consent cannot dictate the course of treatment.” Problem with the Act is being able to find that the patient component enough to make such a call. Another issue that Sule stated was on confidentiality and autonomy. According to Sule, “This is another ethical issue erupting from the conflict of patient's rights and professional ethics in nursing job and profession. The Patient Bill of Right makes it mandatory for the medical practitioners to reveal the form and extent of the ailment along with the course of treatment to be undertaken by the practitioners. However, this law of autonomy clashes with the nursing ethic that the professional should maintain high degree of confidentiality regarding the patient's health and treatment.” This can cause conflicting issues in the NP’s

This assignment will critically analyse and justify the decisions based around a fictitious patient using a clinical decision making framework highlighting its importance to nursing practice. The chosen model will demonstrate clinical decision making skills in the care planning process. The patient’s condition will be discussed in-depth explaining the pathophysiology, social, cultural and ethical issues where appropriate in the care planning and decision making process. Any vulnerability that the patient may experience will be discussed and dealt with in the care planning and decision making process. The supporting evidence based literature will be analysed and

Nurses have to respect the dignity of patient’s rights. Patients have the right to refuse

The aim of this assignment to explore the assessment and care planning phase of nursing process, communication and interpersonal skills related to a chosen case study. Nursing process is the systemic organised approach used by the nurses to improve the quality of nursing care and it consists of mainly five steps, assessment, diagnosis, planning, implementation, evaluation (RCN,2016) this essay also explain the basic pharmacology and nurses responsibility in medicine administration related to the case study. This essay focused on a 70 year old lady, shoo was admitted in the surgical ward during my placement. She was diagnosed with oesophageal cancer recently and now admitted with swallowing difficulty and neck pain. The patient is referred

Healthcare provider’s perception and judgment in the patient’s well being as well as taking into account the right of the patient in every action is one of the key elements in nursing practice. International Council of Nurses (ICN), (2006) states “The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence” (p. 3). Furthermore, nursing action guided by theory and principles of moral and legal

With the development of the nurses understanding, the nurse will be able to clearly communication across relevant information. This will promote patient participation (Tobiano, Marshall, Bucknall, & Chaboyer, 2016) and empower the patients voice by actively involving them in the decision-making process. Per the Health and Disability Act (1994, as cited in Medical Council of New Zealand, n.d) patients should have their treatment explained to them, including the benefits, risks, alternatives and costs; as well as having the option to change their mind at any time. This all contributes to the development of a partnership and ensures that the patient will cooperate with tasks at hand. However, the lack of communication with the patient regarding their treatment can cause severe anxiety and ultimately a breakdown in the trust between the patient and the nurse. The successful implementation of this in practice can be seen in an observational study conducted by Tobiano et al. (2016).

Patients have the right to self-determination and individuals should have control over their own lives. With respect for human autonomy comes respect for patient rights. Apart of the nurses job is to promote, advocate and protect the rights, health, and safety of our patients. Patients have the right to determine their health needs, make informed decisions, and the right to information regarding their treatment and also the refusal of treatment. Nurses are obligated to know the rights of a patient and to make sure the patient understands their treatment plan. Supporting patient autonomy includes making decisions in the best interest of the patient, considering their values and recognizing differences between cultures. In the treatment

Standard 2: Engages in therapeutic and professional relationships. Subclause 2.2: communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights. A therapeutic relationship is established through a nurse assuming professional responsibility for their patient and focussing on their goals and needs (Berman et al. 2015, pg. 523).

Nurse’s care for several patients in a day and it is important to understand the patient as a whole person to treat them effectively. The purpose of this assignment is to explore a patient’s disease to understand the nursing judgments and interventions involved, the medications for this diagnosis, and to understand the disease. The patient described in this paper will be referred to as Jonathan to ensure patient confidentiality.

Rules and guidelines are important to give order to society. Codes of conduct are stablished in comunities and we start learning them from our homes, « say please and thank you ». For this paper I’ve chosen to analyze in detail the code of conduct for the Nurse Anesthetist, this group of nursing have advanced degrees specialized in providing and supervising anesthesia, they manage very sensitive medications that contain opioids and are present in most Operating Rooms suporting surgeons. One of the main reasons I chose the CRNA group is because I work everyday by their side, and until a year ago I knew nothing about them.

Patients seek medical attention for preventative measures, as well as, diagnostic measures. Patients must have a trusting rapport with their collaborative medical team, as the nurses and the doctors are the people who they trust their lives with. Patients do not always present to hospitals, urgent cares, walk-in clinics, or even doctor’s offices only when they are sick; patients visit to ensure their good health will continue, treatment regimens are of benefit, changes that may be needed in regimen. When someone thinks of a patient they may think of some of these characteristics: illness, disease, hospital, medications, health, and prevention.

The nurse supposed to be aware of time consuming techniques and avoid those in emergency cases. For example, techniques that takes a long time, such sitting next to the patient and listening to the patient’s concerns must be avoided in emergency situations, instead the nurse can make eye contact with the patient and reassure him or her that everything will be done for the patient. Therapeutic communication must be used for all patients regardless of their ethnicity, race, age, sex, and religion. All nurses must apply these techniques in practice for all their patients in the same manner. Mostly all therapeutic techniques are under nursing scope of practice due to the reason that they are done psychologically and there is no specific use of medications, physical tasks, or decision making involved. Therefore, all nurses can apply these techniques freely since they are all under the scope of practice. Nurses must be aware of external and internal regulations while using therapeutic communication techniques. Sometimes, the techniques take time to be done and nurses must make sure they will do all other tasks that the organization assigned to them on-time. Potential breakdowns in these areas can be the low amount of time to apply the techniques at bed-side or in emergency situation. Nurses have multiple patients and multiple tasks to perform at all times and applying