...Assessment is the first stage of nursing process in which the nurse should carry out a complete and holistic nursing assessment of every patient’s needs, regardless of the reason for the encounter. Usually, an assessment framework, based on a nursing model is used. This assignment attempts to define the points of view of two different frameworks used to collect health assessment data, which are Majory Gordon’s Functional Health Pattern (1994) and The Roy Adaptation Model (2009). The next part would be mentioned about codes of professional, ethical and legal considerations. Finally, I would reflect myself regarding to how to collect and organise patient’s comprehensive health assessment data use these frameworks. The Functional Health Pattern assessment framework is particularly useful in collecting health data to formulate nursing diagnoses (Gordon, 1994, p. 69). Gordon has defined 11 functional health patterns that provide for a holistic client database (p.70). The first pattern is Health perception-health management pattern, is focused on the patient’s perceived level of health and well-being, and how to manage patient’s health. The next pattern is Nutritional –metabolic pattern. This assessment is focused on the pattern of food and fluid intake relative to metabolic need (pp. 80-82). The Elimination pattern is the third pattern. In this pattern, data collection is focused on excretory of the patient. Includes regularity and control of bowel and bladder habits...
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...Implementing ethico-legal issues in nursing practice. Caldwell, E., Lu, H., & Harding, T. (2010). Encompassing multiple moral paradigms: a challenge for nursing educators. Nursing Ethics 17(2), 189-199. Retrieved August3, 2010, from Health Source: Nursing/Academic Edition Database. Aim: As society becomes increasingly globalised, it is imperative to include international educational perspectives in the nursing profession (Robinson, Sportsman, Eschiti, Bradshaw and Bol, (2006). Caldwell, Lu & Harding (2010) argue that the quality of nursing care necessitates nurses to reflect on nursing ethics in relation to their individual principled way of life. Cadwell, Lu & Harding (2010) paper explores these ideas. Summary: The fundamental nature of professional development implies personal development (Glen, 2005). ‘Encompassing multiple moral paradigms: a challenge for nursing educators’, is an in-depth analysis of nursing ethical dilemmas; the efforts that are undertaken to implement professional development through reflection, self-monitoring and self-control; and the challenges for nurse educators to integrate the syllabus into real-life clinical practice situations. Caldwell, Lu & Harding (2010) study analyses nursing ethics, Chinese ethical philosophies, and Judeo/Christian traditions as they endeavour to demonstrate the real-life issues of morally conflicting situations in nursing practice within these groups and the possible legal consequences. Relevant to topic yes/no...
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...NUR 159 Class Information and Procedures B-1 NUR 159 Class Information and Procedures NUR159ClassInformation 3/10/2014 NUR 159 Class Information and Procedures B-2 CLASSROOM BEHAVIOR Refer to Classroom Behavior in Student Nurses Handbook TESTING INFORMATION AND PROCEDURES 1. Silent Test Reviews: Silent test reviews will be conducted after each test. Refer to Test Security in Student Nurses Handbook for further information on test reviews. Students may also schedule individual test reviews with their seminar leader. 2. Test Make-up Policy: Refer to Test Security in Student Nurses Handbook for further information on test make-up. 3. Make-up of Final Exams: In the event that a student misses the final exam for the nursing course, the student will receive a grade of incomplete or “I” for the course. Refer to the Course Grades policy found in Student Nurses Handbook. 4. Collaborative or Group testing activity: An opportunity to add a maximum of two points to individual test scores may be earned through a group testing activity. Two points will be added to individual student scores if the group activity score is 91 and above. One point will be added to individual student scores if the group activity score is 81 through 90. No points will be added to individual student score if the group activity score is 80 and less. Group testing will be conducted as follows. a. After taking the exam, individual test scantrons will be collected. The students will keep the test booklet...
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...city of Munnar is located in a beautiful mountain area where thousands of tourists come there every year to spend their holidays. There are not much resorts in that area and only one five star resort which is not enough to meet the guests need and don’t have all facilities to satisfy them and from my partner Halima’s personal experience. She saw that resorts over there have small dirty rooms and contain old stuff which is not comfortable for guests and cause them to look for other resorts in the down city to stay. So our resort will offer a various kind of services to serve our guests with fully functional facilities that they could not find in any other resorts. Political & Legal When a company starts its business internationally it should take into consideration the political and the legal situation of the country it will operate in, such as government political of that country, labor law and taxes law. Corruption - This can affect our business by losing our customers and damage business image. For example, it might be that some of our employees give bribes to finish some work and this will create a bad reputation of our resort which will lead to lose our customers. Wages – the employers should be responsible to pay fair wages for their employees based on the worker...
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...Sinclair, a tutor of Professional issues in nursing BN 511 at Sourther Institute of Technology. This report was assigned during orientation week in Fbruary 2015. The aim is to demonstrate that the author is compentant in research by, cdemonstrating the ability to use relevant search parameters in suitable databases. Identify and discuss the not only the methodology but the ethical and legal considerations relating to the said research topic . To understand key components of the research design and discuss the current and/or future implications on nursing practise. The report is to be submitted by 8th June 2015 no later than 1600hrs in assignment box C2-06 Database search procedure The course of action undertaken to find the research study ‘Older persons have ambivalent feelings about the use of monitoring technologies’ are as follows: The author logged onto the Mysit webpage located at web address https://student.sit.ac.nz/MySIT/pages/Home.aspx The author then selected the Study and Course Resources hyperlink on the on the web address https://student.sit.ac.nz/MySIT/pages/MyStudy.aspx t The author then found several further options. The option chosen was Health and Sport under the Online Data bases As the summative assessment required a research article that related to innovation, implementation or delivery of contemporary technology in nursing, the CINAHL (Nursing & Allied Health Index) was used. When the CINAHL (Nursing & Allied Health Index) t was chosen...
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...Ethical and Legal Issues in Nursing The American Nurses Association’s (ANA) Code of Nursing Ethics, personal and societal values, and legal responsibilities all influence the way we care for our patients, treat our co-workers, and take care of ourselves. Never the less, nurses need to make a distinction between their individual values and their professional ethics when caring for their patients. The American Nurses Association’s Code of Nursing Ethics is the cornerstone for nursing practice. Even though patients can still receive quality ethical care even if the code has never been read by the nurse, enhanced and complete nursing care is given when the nursing code of ethics is followed. The nursing code of ethics, according to Lachman, 2009, is the fundamental document for nurses and it provides a social contract with the patients we serve and acts as an ethical and legal framework for nurses, especially while the nurse is taking on more multifaceted roles and is involved in more complex ethical and legal situations. In the case of 55 year old Henry, the ANA’s Code of Nursing Ethics would influence a final decision in the following ways. The final decision would not be based directly on the nurse caring for Henry, but based on a healthcare team approach. It is the nurse’s responsibility to make sure that Henry’s family is fully informed of all possible choices. First, according to Lachman, 2009, the patient is not the only one involved in the nurse’s care. The nurse...
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...Analysis of an Ethical Conflict in Practice: Battlefield Nursing by Jonathan Wells A PAPER Submitted to the faculty of the Excelsior College, in partial fulfillment of the requirements for the degree of Master of Science in Nursing. ALBANY, NY 2012 Abstract In the legal world that we live in, we are constantly at risk of facing ethical dilemmas that may arise from conflicting legal obligations. If caring is important in nursing, then nurses will have to make a concerted effort to define a specific duty of care in clinical, administrative, educational, research and military environments. In order to fully preserve tradition and concept of caring within the profession of nursing, we must make every effort to understand its ethical implications and provide the guidance needed for navigating dilemmas that regularly arise in relation to it. Analysis of an Ethical Conflict in Practice: Battlefield Nursing This paper will provide a brief overview of a possible ethical dilemma that may arise within the field or nursing during war time. It will then move on to explain the multiple ethical issues within the overall situation, the decision making model that the author has chosen to apply to the dilemma, and the stakeholders with their possible interest in the decision making process. With this information defined, the paper will move on to state the author’s derived solution to the situation, as well as a moral justification for the plan of action to be implemented...
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...July 18, 2010 Professional Ethics Paper The purpose of this paper is to describe the relationships between legal and ethical issues, identify personal values and professional ethics, examine ethical theories and principles, and apply these to current practice examples. Nurses face an ever-growing complexity within their practice as professionals. Understanding the relationship between legal and ethical issues and how to apply that understanding to every day practice is paramount for today’s professional nurse. This paper will further explore these ethical theories and principles while discussing how personal values affect an individual’s nursing practice. The Relationship Between Legal and Ethical Issues Nurses, as with any job, face challenges in order to accomplish the tasks of their role. This is one of the reasons that it is important to have a description that serves as guidance as to how the role is to be accomplished. Without such guidelines, it is likely that there will be a breach of established rules along the way to performing duties and accomplishing the job duties. In situations where one person exercises authority over another, there are important guidelines that define relationship between the two parties. Legal and ethical principles define how a job is to be carried out and how individuals are to relate to one another. Legal and professional ethics define the liability of the person that is entrusted with accomplishing a certain task. They...
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...evening before the tube is placed, June becomes disoriented and physical and totally refuses to have the feeding tube placed. The ethical dilemma sets in when the parents insist that the tube must be inserted despite her refusal, while the ex-husband wishes to uphold June’s final decision which most certainly will lead to her demise. The hospital administrators seek legal counsel in order to save the situation. This case though a sad one, presents with it several repercussions. This paper will explain the various implications that June’s case presents in the contemporary world and the various paths used to derive the elusive “right” decisions on the way forward. The patients’ bill of rights is a document that was developed by the American Hospital Association in order to improve the relationship between the patient, the medical staff and employees in the provision of health care. It enumerates several rights that a patient is entitled to before, during and after getting treatment. While this document is not law; it is very important in ensuring that all activities towards a patient’s health are carried out with consideration for their values and dignity (Maryland Hospital, 2011). The patient’s bill of right gives June several privileges as a patient concerning her treatment. First, she can make her own decisions, pertaining to the plan of care before and during treatment. Initially June accepted the placement of the feeding tube thereby accepting the doctor’s plan of medical care...
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...Professional Nursing Accountability: Our Ethical Responsibility Ralaya L. Allen R.N. Grand Canyon University: Professional Dynamics 08/27/11 Professional Nursing Accountability: Our Ethical Responsibility In healthcare, accountability can be regarded as a responsibility as well as a legal obligation. Patients have the right to be treated by well educated professional personnel such as doctors, nurses, and ancillary staff. Without accountability, there would not be consequences for unfavorable actions taken on the behalf of the patient. It is reverent in the physicians oath “do no harm"; this is a fundamental truth in all healthcare practices. Professional Nursing Nurses have both an ethical and moral responsibility to their patients. According the American Nurses Association, "Ethics is central to the way we care, and to the way we envision ourselves as professionals..."(2011, p.1). A nurse’s moral responsibility is based from their own personal conviction of doing what is right for the patient. Legal Obligation Today, healthcare regulations are governed by laws. All medical professionals are required to obtain and uphold adequate licensure and provide patient care per the current laws. The nursing licensure is dictated by the State Board of Nursing. In Nevada, completion certification must be presented to the State Board of Nursing from a state approved nursing program. The student must also pass a full background investigation, as well as also pass the...
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...Assignment 5: Assisted Suicide Health Care Policy, Law, and Ethics Dr. Matthew Caines Scenario: You are the manager of the Cancer Center in a small suburban hospital. For the past two weeks you have worked closely with your nursing staff because they have been expressing “Burn Out” (frustration, dissatisfaction, or lack of interest in a job) as a result of the increase in the number of patients coming to the center who were diagnosed with terminal cancer. Nancy Nurse confided in you that she is particularly saddened about the rapid decline in Mrs. Jones’ health, a 30 year old single mother. She decided that the next time Mrs. Jones comes in for her treatment; she is going to give her an extra dose of a narcotic that could potential end her life. 1. Explain how the patient Bill of Rights applies to this case. The patient bill of rights applies to the case in the patients’ “right to be given by his healthcare providers information concerning diagnosis, planned course of treatment, alternatives, risks and prognosis (Showalter 2008).” It seemed that Nurse Nancy was going to administer the extra dose of a narcotic without Mrs. Jones even knowing it. The scenario does not state that Mrs. Jones was going to be aware of the extra dose that could potentially end her life. This would mean that Mrs. Jones’ patient bill of rights was violated because she was not informed on the planned course of treatment being doubled which could result in the end of her life. Another...
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...Malnutrition among the Elderly Nursing 408 Malnutrition among the Elderly Introduction According to research published in the May issue of the Annals of Epidemiology, in a nation where people die from complications of too much food, some die from having too little (Lee & Berthelot, 2010). Although malnutrition is often thought of as a killer in the developing world, it's also a problem for the elderly in the United States. In this paper, I will discuss multiple concepts related to malnutrition among the elderly, and how this topic relates to epidemiology. First, I will define and describe malnutrition among the elderly. Second, I will explore the steps and methods of epidemiology related to my chosen topic of malnutrition among the elderly. Third, I will converse about the epidemiological triangle, and the type of epidemiology used for my chosen topic. Fourth, I will discuss how the characteristics of the elderly population influence vulnerability. Fifth, I will define how cultural considerations may impact health status, and any ethical or legal considerations. Last, I will explain the relationship of the malnutrition to various levels of prevention. Researchers from Louisiana State University examined data from 3,141 counties and older adult malnutrition mortality using Centers for Disease Control and Prevention data. According to CDC data, between 2,000 and 3,000 older adults die from malnutrition each year (Lee & Berthelot, 2010). Trevor Rowe once said, “Unless...
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...ASN Program Description Mission and Goals Our Mission Trinity College of Nursing and Health Sciences provides a quality higher learning environment preparing competent practitioners for health-care professions. Continuous quality improvement guides the educational process as students prepare to deliver culturally congruent health care, perform as responsible citizens within the global community and seek avenues for life-long learning. Our Goals Program goals for each department in the College derive from the philosophy of the College and the domain competencies, as follows: Knowledge • ability to examine and explain phenomena • ability to construct and organize knowledge • ability to integrate and synthesize knowledge • ability to apply quantitative and qualitative concepts Proficiency • ability to solve practical problems • ability to collaborate with multiple disciplines • ability to communicate effectively • ability to practice competently and skillfully in a changing health-care environment Culture Care Values • ability to preserve/maintain cultural identities • ability to accommodate/negotiate diverse life ways • ability to re-pattern/restructure health-care delivery methods • ability to apply ethical and legal principles to health care The Associate of Science in Nursing Program (ASN) is a two-year program of study combining didactic and clinical nursing courses as well as general education courses. The Program...
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...1 NRSG125 HEALTH ASSESSMENT 1. Introduction to physical assessment techniques LEARNING OUTCOMES: At the successful completion of this session students will be able to: * Demonstrate the techniques of inspection, palpation, percussion and auscultation at a beginning level * Discriminate between intensity, duration, pitch and quality of percussion sounds at a beginning level * Differentiate between light and deep palpation * Identify the components of a stethoscope. * Identify and describe the use of a variety of equipment used for health assessment * Establish an environment suitable for conducting a physical assessment. * Describe safety precautions and legal considerations when performing a physical assessment. PRE-LAB READING: Prior to attending this lab students should read the following: * Estes, M, E, Z., Cajella,P.,Thoebald, K.,Harvey, T., (2013). Health assessment and physical examination (1st ed.) South Melbourne, Vic., Australia; Cengage Learning. pp 81-96. * Tollefson, J. (2012) Clinical psychomotor skills (5th ed.) South Melbourne, Vic. Australia.: Cengage Learning. pp 23-28 List the physical assessment techniques in the correct order, and provide two examples of findings. Assessment | Description | Example of findings | technique | | | | | | Inspection | Examination conducted by looking at the body parts being examined, through observation, focus images,...
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...Nursing ethics and law Name Institution’s name The case scenario involving Jazi, a patient admitted in ICU, depicts a number of both legal and ethical issues. The fact that Jazi was not involved in the decision making process regarding his treatment option has resulted to professional and moral questions on whether it was right or wrong. Inherently, this paper identifies the ethical and legal issues that results from the actions of the nurses, and the doctor with regard to Jazi condition. Legal issues Legal Issues | Facts supporting / refuting | Further information which needs consideration | * NFR directive | * Nurses should have worked on the verbal order | * Why did the nurses not follow up with the doctor on the NFR directive? | * Decision making process involvement | * The nurses did not involve the patient in decision making process (Matt, 2012). | * Why did the nurses continued with their duty despite their knowledge of the mistake? | * Negligence | * The nurses owed the Jazi duty of care, | * Why did the nurses not follow up with the doctor on the NFR directive and provide the required care? | Ethical issues Principle | Explanation | Independence | The scenario reveals Jazi's autonomy breached since he was not involved in the decision making process regarding his treatment options (Ghaye, Gillespie & Lillyman, 2000). | Moral duty | The nurses have the moral duty to ensure the well being of the patient, and so they...
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