Unwell Patient Assistant

importance of, but also the difficulties of, distinguishing between ordinary aging changes and possible signs and symptoms of disease. The best way to ensure older adults’ safety, she says, is to “always expect the unexpected” (Gray-Vickrey, 2010). In a patient over the age of sixty-five, a nurse may observe extra heart sounds; however, because the arterial walls of the heart tend to thicken with age, and because this often leads to left ventricular and atrial hypertrophy, it is quite common for older adults

role of the nurse is something that cannot be replaced. They as nurses contribute and are a number one factor for the patient centred care (Fantahun, Demessie, Gebrekirstos, Zemene & Yetaye, 2012) they work around the patient and at the patient’s care and needs. If a patient is feeling unwell or needs treatment, the nurses are the number one person to cater for the needs of the patient and will continue to over years. In order for a nurse to continue to carry out their job, they must continue to enhance

principlism. This phenomenon is well illustrated by the problem of decision making when the patient cannot participate. It is widely accepted that competent patients should be able to make their own healthcare decisions. This claim is underpinned by the principle of respect for autonomy which is realised through processes such as informed consent and shared decision making. But what happens when the patient cannot participate in decision making;, under these circumstances whose voice should be heard

dignity of patients is an important issue because a lack of dignity in care can affect the health and recovery of patients. To treat a patient with dignity is to treat them in a way that shows they are valued and important, in a way that is appropriate and respectful to the individual. A patient needs to feel safe and secure in the nurses care and should be made feel comfortable, in control and valued at all times. Providing dignity in care is: • Being sensitive to the needs of the patient • Respecting

criminal convictions who are too mentally unwell to be in prison. My time in my current work place has given me distinct insight into the variety of mental health problems individuals can suffer from, and has become one of the main inspirations behind my career choice. This experience has given me a deep understanding of the challenges mental health nurse's face, but also a great awareness of the satisfaction and achievement to be found in being able to help patients live a more normal life, to achieve

also support service users to undertake activities designed to help them towards recovery and to regain independence and participate in recreational therapeutic activities in the community. I also form therapeutic and meaningful relationships with patients to enhance their care and improve their inpatient experience. I work regular bank shifts on the male intensive care ward (P.I.C.U.), elderly, triage and single sex and mixed acute wards. Both my current post and previous training has equipped me

A REFLECTIVE PIECE ON A PATIENT WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. In this reflective piece of writing I will be explaining how chronic obstructive pulmonary disease (COPD) affects the patient physically, psychologically ,and socially ,I will also explain how the disease affects his daily routine and how it impacts on his family life. I will give an overview of the clinical signs and symptoms, how the disease alters the pathphysiology of the lungs, and what these changes cause within

that mask ventilation is possible and reduce the development of hypercapnia, acidaemia, and hypoxia. Some guidelines advocate use of mask ventilation for this reason in patients at elevated risk of hypoxia, for example, the pregnant patient.4,5 Apnoeic oxygenation is increasingly used, especially in critically unwell patients, to provide an oxygen-rich environment in the oropharynx to minimise hypoxia during the apnoeic period of RSI.6 This is provided by an alternative oxygen source, commonly

M.S. in 1945. She worked at Providence Hospital in 1934 and St. John’s Hospital in Lowell, Massachusetts, in 1936. During this time she focused primarily on patient care. After obtaining her Master’s degree Orem’s work began to focus on education, administration, and the development of nursing theories that affect the way nurses apply patient care to this day. Orem became the director of both the Nursing School and the Department of Nursing at Providence Hospital in Detroit from 1940 to 1949. She

chosen to reflect on from my practice is based on privacy and dignity for a patient admitted in the hospital. To enhance my reflection development, Driscoll (2007) model of reflection; What? So what? Now what? will be apply. According to (Lowenstein, Bradshaw, and Fuszard, 2004), reflection is the method of analysing and reviewing one’s practice as a nurse, with the aim of improving one’s interactive skills with both patient and colleagues. Reflection is a method of re-evaluating practice accounts