...Assisted Suicide 1. Explain how the Patient Bill of Rights applies to this case. Nurse Nancy is violating the Patient Bill of Rights because Mrs. Jones did not make her own decision to end her life as a form of treatment. Mrs. Jones has the right to be involved in every aspect of treatment and can refuse treatment at any time. The patient is expecting reasonable continuity of care even though she might die. The patient’s doctor is supposed to inform Mrs. Jones if her condition is worsening and if she needs to seek different treatment options. Nurse Nancy did not ask the patient if she wanted to die, she just assumed because the patient is very ill that she may want to end her life. 2. Identify and explain at least three ethical considerations. Ethically it is a nurse’s job to help the doctor preserve a patient’s life. However, Nurse Nancy is the one that is with Mrs. Jones more and sees the drastic effect that the cancer has taken on her. Nurse Nancy has compassion for Mrs. Jones and knows that she is suffering from cancer, so to alleviate the pain she wants to help her end her life. Nurse Nancy needs to ask Mrs. Jones if she wants to die early because of her status as a single mom. In the event that Mrs. Jones does want Nurse Nancy to help her end her life she will need to make preparations for the care of child. Secondly, is it right for nurse Nancy to try and play God and end Mrs. Jones life? How does she know that she won’t get better? There may be new treatment...
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...Law and Ethnic-HSA 515 June 12, 2011 1. Explain how the Patient Bill of Rights applies to this case. Nurse Nancy is violating the Patient Bill of Rights because Mrs. Jones did not make her own decision to end her life as a form of treatment. Mrs. Jones has the right to be involved in every aspect of treatment and can refuse treatment at any time. The patient is expecting reasonable continuity of care even though she might die. The patient’s doctor is supposed to inform Mrs. Jones if her condition is worsening and if she needs to seek different treatment options. Nurse Nancy did not ask the patient if she wanted to die, she just assumed because the patient is very ill that she may want to end her life. 2. Identify and explain at least three ethical considerations. Ethically it is a nurse’s job to help the doctor preserve a patient’s life. However, Nurse Nancy is the one that is with Mrs. Jones more and sees the drastic effect that the cancer has taken on her. Nurse Nancy has compassion for Mrs. Jones and knows that she is suffering from cancer, so to alleviate the pain she wants to help her end her life. Nurse Nancy needs to ask Mrs. Jones if she wants to die early because of her status as a single mom. In the event that Mrs. Jones does want Nurse Nancy to help her end her life she will need to make preparations for the care of child. Secondly, is it right for nurse Nancy to try and play GOD and end Mrs. Jones life? How...
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...learning different characteristics of children brings excitement and further research. That is why I am choosing this particular topic because I can honestly say I do have a deep compassion for children I’ve been around them all my life! I know pediatric nursing will not be an easy working task but as long as I got God by my side...
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...References My name is Sadie Edwards and I have over 10 years of nursing experience Definition of Delegation Delegation: Transferring to a competent individual the authority to perform a selected nursing task in a selected situation. The nurse retains accountability for the delegation. Concepts and Decision-Making Process National Council Position Paper, 1995 Most nurses would rather do the tasks themselves, but they can not perform all of them safely. According to Hansten & Jackson, “it is our responsibility to the patients we care for to ensure that they receive the best that we can offer by delegating wisely”. Delegation Process * Define the task * Select the individual or team * Assess ability and training needs * Explain the reasons * State required results * Consider resources required * Agree to deadline * Support and communicate * Feedback and results Alan Chapman, Delegation 1995-2009 The steps to successful delegation are: 1. To define the task, ask yourself if the task is right to be delegated. Does it meet the criteria for delegating? 2. Select the individual or team, why are you delegating to this person or team? What are the both of you getting out of it. 3. Assess ability and training needs, is this other person or team of people able to do the task. Do they understand what needs to be done. If not, you can not delegate. 4. Explain the reasons, explain why the job or responsibility is...
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...beliefs. Looking back at the past 8 weeks since this program has started, I have learned so much thus far that it has been truly amazing. The preparation in the classroom in combination with the hospital experiences have been enriching and have made me even more enthusiastic about becoming a nurse. My idea of what being a nurse is has been formed by own perceptions or what society portrait of what a nurse is. Since being in this program I have faced fears, concerns, frustrations that go along with becoming a nurse. I have questioned my ability to become a nurse and if I will be able to lean all the skills I must learn and become the best nurse my patients deserves. In one my clinical experiences I encountered a patient that tested all I have learned so far, but who ultimately helped me realize that I can and will became a great nurse in the near future. My clinical experience has been taking place at Presbyterian Hospital, thus far I have really enjoyed my time there. My clinical instructor has been extremely positive, helpful and encouraging. While I have been there I have encountered a couple of patients that have left an impression, but there was one particular patient that tested all the knowledge I have learned so far and required me to use all my personal skills to use in order to build a trusting relationship with her. I was assigned to a patient that I would work with for the majority of the day, and I would also have to complete my care plan on this particular patient....
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...It was August 22, 2018 and I was getting my 3-hour orientation for my first time as a health room assistant by the certified school nurse, Nurse Cindy. School starts August 23. As the nurse is running through all the immunizations, forms and standing medications, I’m thinking to myself, wow there’s a lot of information here. As I’m thinking this, Nurse Cindy keeps going, we need to check each child’s immunization record to make sure they are up to date and what to do if they aren’t, check prescription orders to make sure they are current, and she goes on and on. As the school year starts, I’m learning that school nurses don’t just fix boo boos and give medication. These nurses are responsible for so much more. As we get into the school year, Nurse Cindy begins instructing me on how we need to get ready for the state mandated health screenings. What is passing or failing for vision and hearing? What do I do if a child fails? How am I going to tell a parent their child failed and what if they don’t react well? All these questions are running through my head. After taking a deep breath, I ask Nurse Cindy and she gives me a paper that tells me what I need to know, then she tells me not all parents are friendly or well receiving regarding information on a child failing a test and I just have to be compassionate and...
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...issues or situations confronted by. This paper I am writing will describe my view of philosophy of nursing which everybody has different beliefs about nursing overall. In my paper I define a nurse as someone who is an advocate, compassionate, caring, educated, and encouraging about their career in every aspect. Personal, Cultural, and Spiritual Values Since I was twelve years old, I have wanted to become a nurse to help others because of my parents. My father broke his neck when I was twelve and it was devastating because he was a piece of me I didn’t want to live without and he was there for me for everything. I watched my father and family struggle when this accident happened and it was hard to adjust. My dad lived in Las Vegas for almost two years going through surgeries and rehabilitation after the accident and by watching the amazing physicians and nurses working with my father had me amazed, inspired to achieve something great in my life and that choice was to become a nurse. I believe the personal values a nurse holds for themselves is a critical role in their profession of nursing and can have an impact on how ones community accepts the individual. My personal value of nursing is we are caregivers during different transitions like birth, death, illness, and healing. I feel that it is important to recognize your own values to better understand others values and situations in the nursing practice. For positive nurse-patient relationships to form values and understanding...
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...Name: Alhassan Kamara STUDENT ID: 200016162 Course: HSA 515 (Health care, Policy, Law, and Ethics) Instructor: Dr. Harold Griffin Due date: 03/11/2012 In this paper, I am taking on the role of manager of a cancer center in a small, suburban hospital. I am dealing with a lot. The nursing staff has expressed burn out because of an increase of terminal cancer patients. In one extreme case, Nurse Nancy feeling empathy for a rapid decline in one of the patient’s health (a 30 year old single mother), want to give an extra dose of narcotic drugs that could potentially end the patient’s life, and what Nurse Nancy perceives as her suffering. Q1. Explain how the Patient Bill of Rights applies to this case. The Patient’s Bill of Rights is the colloquial term for the Consumer Bill of Rights and Responsibilities which was taken up in 1998 by the U.S. Advisory Commission on Consumer Protection and Quality in the Health Care Industry. This deals with a number of areas concerning patient rights, including information for patient’s, the right to choose a healthcare provider, access to emergency care, the right to make decision regarding care and the principle of autonomy, respect and non- discrimination, confidentiality at the way in which complaints should be handle fairly. The bill also notes the responsibility of the patients to take care of themselves. When looking at the potential issue of assisted suicide this is a controversial subject, in this case there...
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...RUP1 – Project in Professional Roles and Values Part A Explain the functional differences between a regulatory agency, such as a board of nursing (BON), and a professional nursing organization (PNO) as it pertains to your professional nursing practice. A regulatory agency – in this case, a board of nursing (BON) – is a governmental agency. A board of nursing exists on the state level. The primary purpose of a BON is to protect the public’s health and welfare by providing oversight over and ensuring the safe practice of nursing; it achieves this by issuing nursing licenses and monitoring licensees’ compliance to state laws. Additionally, these regulatory agencies outline the standards for safe nursing care within the borders of that state (National Council of State Boards of Nursing, 2014). Regulatory agencies such as boards of nursing report to one of the following: 1) the state’s governor, 2) both the governor and a state agency (i.e., such as the Department of Health, in Washington state), 3) a state agency, or 4) another state official or organization. Just who oversees a regulatory agency is defined in that agency’s bylaws. These bylaws also summarize the duties and powers of that particular agency. In the case of a BON, these consist of: 1) enforcing the state’s Nurse Practice Act and nursing licensure; 2) accrediting or approving nursing education programs in schools and universities; and 3) developing practice standard, policies, administrative rules and regulations...
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...Michael Wyllys Ways of Knowing I firmly grasped my patient’s hand with my own, her breathing rattled through the oxygen mask with each labored gasp. The tourniquet tightly wrapped around her forearm, I ran the alcohol wipe over the precious vein that popped up on the top of her hand. Taking an artist’s grip of the IV catheter, I inserted the needle at a 45-degree angle into the vein. Once seeing the flash of blood in the catheter, the angle was lowered and the needle was advanced ever so slightly more to ensure the catheter had penetrated the lumen. I slipped the cannula off into the vein, pulled back the needle and disconnected. I calmly, but quickly, connected my primed line and opened up the valve, feeling that flood of excitement and relief as I watched the drops begin to fall in the drip chamber. I had just successfully inserted my first intravenous cannula, on the first try, on my own as a brand new nurse. This experience was an amazing feeling, and when reflecting back on it I can see why I was successful as I relied on the empirics of nursing. This was of knowing was impressed on me in nursing school and is what I believe to be the core of every brand new nurse. To put this way of knowing sin understandable terms, it is the factual descriptions, explanations, and predictions that make up empirical knowing (Pipe, Wellik, Buchda, Hansen, & Martyn, 2005). The proper techniques for inserting an IV cannula had been described and explained to me in the...
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...1) Explain how the patient Bill of Rights applies to this case. The Patient’s Bill of Rights was created to try to reach three major goals: 1) To help patients feel more confident in the health care system; *Assures that the health care system is fair and it works to meet patient’s needs *Gives patients a way to address any problems they may have *Encourages patients to take an active role in staying or getting healthy. 2) To stress the importance of a strong relationship between patients and their care providers. 3) To stress the key role patients play in staying healthy by laying out rights and responsibilities for all patients and health care providers. The Patient’s Bill of Rights in this case, were formed to provide a base for understanding and respecting the rights and responsibilities of patients, their families, doctors and other caregivers. For the patient of this particular case, Mrs. Jones did not choose to get terminal cancer; however, she has also not chosen whether to be given an extra dose of a narcotic to end her life. Although, she is a single mother, her family should be contacted and consulted as well as other caregivers for their opinion and decisions. In Mrs. Jones’s case, she is probably not considered to have decision-making abilities due to the stage of her cancer and the decision may need to be made for her. However, it is the responsibility of the Cancer Center to make sure the patient receives considerate and respectful care and act that...
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...realize that groups define and influence us. We, as humans, hold individualism in the highest regard yet fail to realize that groups diminish our individuality. Lessing writes, "when we're in a group, we tend to think as that group does... but we also find our thinking changing because we belong to a group" (p. 334). Groups have the tendency to generate norms, or standards for behavior in certain situations. Not following these norms can make you stand out and, therefore, groups have the ability to influence our thoughts and actions in ways that are consistent with the groups'. Lessing's essay helps set the context to understand the experiments that social psychologists Solomon Asch, Stanley Milgram and Philip Zimbardo conducted to explain conformity and obedience. Solomon Asch's experiment in "Opinions and Social Pressure" studied a subject's ability to yield to social pressure when placed within a group of strangers. His research helped illustrate how groups encourage conformity. During a typical experiment, members of the group were asked by the experimenter to claim two obvious mismatched lines were identical. The single individual who was not privy to this information was the focal point of the experiment. Twelve out of eighteen times the unsuspecting individual went along with the majority, dispelling his beliefs in favor of the opinions of the...
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...Suicide Yusuf J. Shalah HSA 515 Dr. James Coon 1. Explain how the Patient Bill of Rights applies to the situation. With regards to this situation, the Patient’s Bill of Rights was established to contribute to more effective patient care, and to ensure that care is considerate and respectful, and more importantly, to ensure a health care ethic that extends that respect to a patient’s role in decision-making about treatment choices and other aspects of their care. “These rights can be exercised on the patient’s behalf by a designated surrogate or proxy decision maker if the patient if the patient lacks decision making capacity, is legally incompetent or is a minor.”(Aha, 1993) Mrs. Jones, in our scenario, is a patient evidently suffering from a terminal illness possibly in its latter stages, or possibly a fresh diagnosis. In either situation, from the information provided Mrs. Jones has made no declaration, or request, agreement to receiving an extra dose of a narcotic which could potentially end her life. Thus, Nancy nurses’ decision to administer this extra dose is not only capable of killing her, but is also premeditated. There is no consideration to her wishes, those of her family, and a blatant disregard of any other health professionals involved. If you are to be justified in helping someone to die (assisted suicide), the person you are going to ‘help’ must have made it clear that they want to be killed. “A unilateral decision that is in someone else’s...
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...third edition of the book, From Silence to Voice, and provide the resources for nurses to consider in getting their voice heard. The authors of this book describe the history of how nursing has allowed the profession to be overlooked and prevented our profession to be understood by allowing others to speak for us, and over us (Buresh & Gordon, 2013). Opportunities to overcome this perception will be discussed in detail and two supporting articles that address public opinion of nurses and how it relates to our status will be summarized to give opposing perspectives. The conclusion is an example of a letter to legislators that can help to have our voice heard in a persuasive manner addressing the effect technology has on the nursing profession. I urge you to consider issues in nursing that you are passionate about and get your voice heard. Nursing is a misunderstood profession. If you were to randomly ask anyone in the public what a nurse does you would likely get answers that deal with either, carrying out physicians orders, or dealing with emotional aspects of care, like comforting and consoling. In the book, From Silence to Voice, it is reported that nurses are still largely seen as physicians “handmaidens” (Buresh & Gordon, 2013, p. 15). The book outlines a number of reasons for this, and ways nurses can overcome and use our voice to change the perception of nurses around the world. We, as nurses, operate in a culture of...
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...Barriers To Communication. This report is going to identify barriers within different scenarios, strategies to overcome these barriers and evaluating these different strategies. Scenario 1- you are a nurse at Stafford Hospital. Maggie, aged 60, has been admitted to your hospital ward for tests after being very tired and struggling for breath. Six months ago she had cancer of the womb and underwent surgery to have a full hysterectomy followed by a course of radiotherapy. Tests have revealed that, unfortunately, Maggie’s cancer has returned and is now in her lungs and kidneys. The consultant arrives for ward round with her junior doctors. The ward is busy and fairly noisy; no curtains are drawn around the six beds in the bay. Maggie is alone. The consultant arrives at Maggie’s bed to tell her the results of her tests. As Maggie has been submitted to hospital, she may find it difficult to communicate with nurses/doctors as hospitals are noisy and professionals may not be able to hear Maggie, this could lead to either Maggie becoming frustrated with the professionals or the professionals getting frustrated with Maggie or misunderstanding what she’s saying and this may then lead to Maggie not having her needs met. Due to Maggie going through surgery and finding out her cancer has returned, this’ll lead to her self esteem being eroded and may cause anxiety so she may feel too scared to talk to anyone. As the ward is busy and no curtains are drawn, there’s a lack of dignity for these...
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