The Treatment Of A Nurse

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

The nursing practise has continually evolved and can be described as autonomous due to the significant involvement of nurses in patient care. This then necessitates critical reflection as a way to continually develop and improve the nursing practise. The Gibbs' model, one of the reflection models, assists nurses in complying to the codes and guidelines of nursing practice. For example, developing action plans, evaluating patient outcomes, and thinking critically. This essay will describe an event involving nurses and explain the feelings it evoked. It will also provide an evaluation of the positives and negatives, analysis and enhancement of learning, and an action plan.

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

I must be aware, as the patient’s advocate, of the choice of each individual patient regarding his or her medical management or, as in this case, the withholding of treatment.

The Human Rights Act 1998 upholds the person/patient rights to make decisions on whether to accept or decline treatment ("UKCEN: Ethical Issues - Consent", 2016).

In our day today lives we make complex decisions, continually weighing up the risks and benefits of our actions. However in the hospital environment, the Doctor knows best attitude has prevailed for many years, patients deemed unable to be involved in decisions regarding treatment. Development in law relating to consent has been slow, based on paternalistic approach and therapeutic privilege to decide treatment choice for patients. Whilst health care practice moved towards informed consent, the law lagged behind. In 2015 informed consent has finally been recognised in Law. The author will describe the changing attitude in the law of consent from 1950’s to present day and how these changes affected nurses duty to obtain consent from patients

It is a basic principle of law in this country that an adult, mentally competent person has the right to refuse treatment. The court of appeal has emphasised that provided the patient has the necessary mental capacity, which is assessed in relation to the decision to be made, then he or she can refuse to give consent for a good reason, a bad reason or no reason at all (Dimond, 2008). However, in this case it is in the best interest of the patient that the MDT administrated medication covertly. The legal issue identified in this case relates to the issue of consent. Within the case study professionalism had to challenged when it came to the capacity of the patient. The MDT had to resolve the legal issues associated with capacity and consent.

In the United States all patients are granted certain rights and if denied these rights they can take legal action. Every individual has the right to participate in all aspects of their care (Pozgar, 2012). Patients must be informed by their care team of the risks, benefits, and alternatives to treatment. After that it is up to the patient to determine whether or not they want to forego treatment or not. “Failure to respect this right can result in legal action for assault and battery” (Pozgar,

Mary Martinez is a 72 year-old female that is here in Prep and Holding for a scheduled elective right knee replacement surgery. I am performing a final pre-op exam at 6am. The patient is awake, alert, and oriented to name, place, and date. Patient has no known allergies. Patient stated her past medical history included: atrial fibrillation, hypertension, coronary artery disease, Type II diabetes mellitus, hyperlipidemia, and osteoporosis. Medications were reviewed with patient. Patient stated taking Coumadin, aspirin, metformin, metoprolol, calcium, and simvastatin. The last time, she has taken her medications were last night at 2000, including her warfarin and aspirin. She has been NPO since midnight. Physical assessment was performed. Patient complains of chronic pain in the right knee. Pupils are equal and reactive. Lung sounds are clear with auscultation on all lobes without any respiratory distress noted. Respiratory rate is 18 breaths per minute. Patient is on room air with oxygen saturation of 97%. Heart sounds are irregular with no murmur noted. Heart rate ranges from 92 to 120 beats per minute (bpm). Blood pressure is 140/67. Labs were reviewed. Abnormal values were International normalized ratio (INR)

contemplates his/ her views, beliefs, values ideologies and opinions as well as those of others in healthcare.

Independently plan and provide professional nursing care for patients in accordance with physician orders and established policies and procedures. Provide Nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.

(2014), the use of Rivaroxaban in elderly status-post hip and especially knee arthroplasty was associated with a lower risk of VTE and 30-day risk of hospitalization with no difference in the risk of bleeding than Enoxaparin use. In another retrospective study, Xavier et al. (2016) emphasized that Rivaroxaban is as effective and as safe as Enoxaparin in cancer patients with or without cancer-related thrombosis. These findings are also supported in Büller et al.’s (2012) randomized trial in which the standard dose or the intensive regimen of Rivaroxaban is equivalent to Enoxaparin/VKA in preventing recurrent VTE with fewer major bleeding events in individuals who have acute symptomatic PE with or without DVT. In contrary, Cohen et al.’s (2013) randomized clinical ‘MAGELLAN’ trial highlighted that Rivaroxaban is associated with an increased risk for minor, major, and fatal bleeding events in acutely ill medical patients. Despite of its safety issue, Rivaroxaban is superior to Enoxaparin when used as an extended therapy (Cohen et al.,

Death is a universal part of life. Everyone will eventually experience it. Nurses play an integral role with their patients when it comes to dealing with bereavement, grief, and mourning. Nurses provide bereavement care by listening to patients, helping them express their emotions, and involving them in the entire process. Nurses frequently tend to the emotional needs of their patients, but not their own, which can result in nurse burn-out. Nurses are expected to be resilient when it comes to death, but when they sweep their emotions under the rug to get on with the day and are not given the resources needed to grieve successfully, how can they achieve this?

The issues of the nursing profession have been inflating across the country, and require immediate solutions to stem this growing tide.

I have chosen this article because as a nurse we will come across this kind of service users in the hospital environment and understanding their experiences will helps to improve the quality of care given to the patients. In nursing practice, research is one of the main tools available to question practice and seek answers and also to generate knowledge for nursing staff to contribute towards the development of nursing as a profession (Parahoo, 2006).Therefore, to ensure nursing practice is effective both for patients’ and nurses’ perspectives, it has to be questioned and improved where necessary (Boswell and Cannon, 2014). It is vital for nurses to have the ability to critique research in order to identify what is best practice for caring the patients and to deliver best practice to the care and underpin evidence based practice (Boswell and Cannon, 2014).It has been stated by (Peat 2001 citied in; John and ward 2007) critique is to identify the issue of the study. The critique framework by (Caldwell K et al 2005) will be used here to guide my research.