The author will also discuss the principles of the Mental Capacity Act (2005) and the Mental Health Act (1983) and how it protect an adult who is vulnerable and lacks capacity. Likewise, the author will discuss ranges of nursing interventions, person-centred care, and ethical dilemmas.
Discharge planning is a routine feature of health in many countries. The aim of discharge planning is to reduce hospital length of stay and unplanned readmissions to hospital, to improve the co-ordination of services following discharge from hospital thereby bridging the gap between the hospital and community (S. Shapperd, 2008). The focus of this story is discharge planning that occurs while
There are some ethical dilemmas evident in this scenario, starting with an End of life dilemma, refusal of care and informed consent.“End of
Making decisions for patients are difficult in general, but the decisions for end-of-life is the most challenging because it is tough and it involves family. Although we want to remain the autonomy of the patient, but I can empathize the hardship of the loved ones being able to let go. As a healthcare provider, the reasonable and ethical thing to do is to be completely honest about their condition and prognosis, then assist them to the best of our capabilities. I agree with Gawande (2014) that there is always something we can do. Whether the patient decides to fight the battle or to manage their symptoms to treasure the remaining time, nurses should and will respect their decisions.
Many families considering next care site options are not prepared and in need of some type of direction. Families may not know the range of available options or understand the benefits of each or have well-thought-out plan for therapeutic goals. The Case manager should be the advocator and organizer for their patients. Making a good long-term care decision requires proper information, but one must realize such decisions are often made during a stressful period as part of a hospital discharge. Case management intervention and guidance is well suited for this role. The case managers have two major roles in these transitions: one to ensure the continuous delivery of care and secondly to advocate to ensure decision making is in the best interest
Having a patient on life support is a mentally challenging and exhausting time for the patient’s family members. It is an even more mentally exhausting for that patients attending healthcare provider. As Advanced practice nurse step more into the role of primary attending healthcare provider, they are faced with the dilemma of how and when to wean a patient from a ventilator without causing the patient any psychological distress. Many healthcare facilities have a written protocol on specific criteria that the patient needs to meet before terminal weaning is considered. Even if these criteria are met, a family can object to the wean and prevent it from happening. There is certain thing that the advanced practice nurse must think about before considering to discontinue life support. These include, patient’s quality of life, family of the patient and their concerns, hospital protocol, and most importantly, the wishes of the patient.
Although clinical decision-making and clinical judgements are closely linked, but the concepts are separate. Clinical judgement defined as “an assessment between alternatives” whilst clinical decision-making defined as “a choice between alternatives” (Dowie, cited by Thompson and Dowding 2009). To choose the best between two alternatives requires the rationale behind decisions which can obtain by asking questions to create information (Standing 2010). Furthermore, Levette et al’s (2010, p. 515-20) define clinical reasoning as “the process by which nurses collect clues, gather information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes and reflect on and learn from the process”.
The purpose of this assignment is to explore the psychological and sociological factors that influence health choices. As a Trainee Assistant Practitioner (TAP) on surgical ward, clinical experiences will be used in addition to academic resources in order to explore the major psychological, sociological and social-economical influences on health and well being on a patient with Alzheimer’s. An explanation of communication and barriers to communication will be given and how it can affect the therapeutic relationship between the TAP and the patient. Confidentiality and anonymity will be maintained throughout the essay by following the Skills for Health and Skills for Care (2013) Code of Conduct for Health Care Support Workers.
Transformational Leadership, is grounded on building relationships and motivating staff members through a shared vision and mission. Transformational leaders naturally have charisma to communicate vision, confidence to act in a way that inspires others, staff respect and loyalty from letting the team know they are important, and are masters at helping people do things they weren’t sure they could do by giving encouragement and praise.
What makes a good leader? Many people have their own perceptions on what entails a good leader. People have high expectations when a leader is involved. Our country is led by a Commander in chief and without their leadership things would be chaotic. A transformational leader, such as the Commander in chief, is known for being strong person, observant, and exercises great listener skills (Zerwekh&Garneau, 2015). They have a clear vision and will have an influential impact on others (Zerwekh&Garneau, 2015). In this in paper I plan to describe what makes a good leader, how transformational leadership function within the field of nursing, how transformational nursing can be implemented in my own practice, how I have gained personal growth and how Stephen Covey’s book The Seven Habits of Highly Effective People implements leadership.
Therefore, communication should be established between the nurse and the patient to ensure that effective communication takes place. Thus, the nurse can establish when the patient is ready to change the levels of care. The main objective of the nursing intervention in the process of discharge planning is to provide patients and families the essential knowledge, attitudes, and skills necessary to implement the discharge plan. The teaching related to continued care should not be done immediately before the discharge because the patient’s concentration ability and attention span will be hindered by the natural anxiety associated with the upcoming transition in care. Moreover, teachings done under the pressure of a deadline may not be effectively
Discuss three leadership attributes this person possessed AND provide specific examples you witnessed when these attributes were used to demonstrate effective clinical leadership
As transformational leadership relies heavily on the leader’s ability to influence the subordinates and communicate his or her vision to them, it’s imperative to study the traits the leader must have. In this section, we’ll examine not only the traits the leader must show, but also the key competencies required to be a transformational leader.
The second subgenre that falls under the relational theory is known as transformational leadership. Transformational leadership is one of the four types of leadership styles defined in Daft’s textbook. The transformational leader is the one that cares most about the well-being of others just like the servant leader. A transformational leader is able to develop not only followers, but is also able to develop the overall vision of the company in a positive manner. Deschamps (2016) found that, “The high correlation between transformational leadership behaviors and perceptions of justice also indicates that leaders are highly capable of promoting fairness.” The transformational leader is one that is able to keep calm while change is happening within the company.