...B. Nursing Code Examples The following two American Nurses Association (ANA) Code of Ethics provisions that have influenced my nursing practice are: “Provision 1. The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” (American Nurses Association, 2001) and “Provision 2. The nurse’s primary commitment is to the patient, whether an individual, family, group or community.” (American Nurses Association, 2001). The welfare of the patient is the main focus of my nursing practice. I am strongly influenced by Provision 1 and Provision 2 in the daily care of my patients. I draw from these provisions a standard of care that is the basis of my nursing foundation. From Provisions 1, I bring to every interaction respect, compassion and commitment to each and every patient. I focus on the patient as a whole person, as someone who has multiple needs on many levels. I believe in collaboration with a multi-disciplinary healthcare team to better meet the health goals of my patient. It is paramount as a nurse to understand and practice within the boundaries of the Code of Ethics. Working in a hospital, which draws from the community a widely diverse patient population, I bring an inherent respect for every patient and treat all with dignity, regardless of their race, sexual...
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...Stroke Care at Hilo Medical Center The Care of a New Population of Patients Stroke Care at Hilo Medical Center The incidence of strokes among our population is increasing. According to the American Heart Association “It's the third largest cause of death, ranking behind "diseases of the heart" and all forms of cancer. Stroke is a leading cause of serious, long-term disability in the United States” ("Stroke statistics," 2011). Approximately 15 million people worldwide survive stroke annually (Seneviratne, Mather, and Then, 2009). Hospitals need to be able to care for the increasing number of patients being admitted due to strokes, and Hilo Medical Center is no exception. Currently at Hilo Medical Center, the vast majority of patients that are inflicted by CVA’s, or cardiovascular accidents, are transferred off island to better equipped medical facilities, such as Queen’s Medical Center in Honolulu. In the near future, that some of those practices will change. According to the nurse manager at HMC’s cardiovascular unit, Lisa Marie Nance, 6 beds will be added to the current 11 bed unit to accommodate some these patients. The unit will be changed to accommodate patients that are stable and do not meet criteria to receive thrombolytic therapy. It did seem odd that the hospital would be expanding the unit to care for a limited portion of the stroke patient population. I wanted to know more information regarding HMC’s plans, as well as what steps is needed to care for...
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... 2012). Administrative ethical issues continue to occur despite having the code of ethics in place. This paper will reflect on an ethical dilemma between administration and an employee as well as, discuss the solution to the dilemma. Administrative Issue A registered nurse, working as a flex pool nurse in a hospital, diverts narcotics to reduce anxiety and stress in her job. She signed out medication to patients that had not requested it and she substituted saline for drugs in syringes. When her actions were discovered she was confronted by her own administrator and the administrator of the unit she was assigned too. The nurse confessed to her behavior and asked for help, which was granted with a leave of absence and rehabilitation. The administrative issue at hand is whether the administrators should disclose confidential information concerning an employee to safeguard the patients and promote competent nursing care (Badzek, Mitchell, Marra, & Bower, 1998). The Impact If confidentiality is not maintained the nurses dignity and respect for person could be compromised and her inability to maintain privacy will deny her right to expression of autonomy. Revealing information about this nurse could harm her in such a ways as embarrassment, discrimination, physical or emotional harm, ridicule, loss of roles and relationships, and even economic harm...
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...Main Campus HealthSouth Rehabilitation Hospital 2935 colonial Drive Columbia, SC 29203 (803) 401-1331 HealthSouth: Columbia - www.healthsouthcolumbia.com HealthSouth is one of the nation's largest healthcare services providers, operating Acute Rehab and Outpatient Rehab Centers nationwide. Our vast network of highly skilled professionals and the latest equipment and technology offers patients access to high-quality healthcare. HealthSouth Rehabilitation offers a low therapist to patient ratio guaranteeing the patient gets the one-on-one attention they deserve. Treatment is available for individuals who have suffered a major accident or illness, including trauma, stroke, head injury, spinal cord injury, hip fracture, amputation, arthritis, chronic pain, neuromuscular and pulmonary diseases. HealthSouth treats people of all ages on an outpatient basis with specialized rehabilitation programs for adolescent, adult, and geriatric populations. HealthSouth Rehabilitation Hospital of Columbia offers comprehensive outpatient therapy services. HealthSouth Rehabilitation Hospital of Columbia is a 96-bed acute care rehabilitation hospital located in Columbia, S.C. Established in 1989, we are the only freestanding comprehensive medical rehabilitation hospital in the Midlands, serving Lexington, Richland, Kershaw and surrounding counties. Health South Rehabilitation Hospital is own and operated by The Gores Group, in Los Angeles, a private equity firm. For-profit HealthSouth...
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...sign this law to protect the right and privacy of the patients. Before 1996 there were many issues that has rise the concerning of patient privacy. The HIPPA Act includes “Health insurance portability, fraud and abuse control, tax related provision, group health plan requirements, revenue offset provision, and administrative simplification requirements (Physicians Billing Associates International, 2006). The article that I had read was about a woman who was a nurse and started to use the narcotic from the patient and it was also between an individual’s right to privacy. It shows the process of which the administrator determines a course of action is reviewed but his context of workplace realities through an ethical analysis. This article was about a woman named Jackie that was a nurse and she was overwhelmed with her job. She tried talking to her husband but was convinced to continue working because who pay check was making their saving grow extremely large. To make her husband happy she continues to work as a nurse. She was working in different units that she started to use the narcotic that were prescribing to the patient that she was caring for. She started to take the patient pain medications that weren’t asking for their medications. Then Jackie started to replace the medications with the saline. Jackie had an addiction to pain medication. The administrative Michelle found out because Jackie was working in the surgical unit and the pharmacist had notice there was errors...
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...plan requirements, revenue offset provision, and administrative simplification requirements (Physicians Billing Associates International, 2006). The article that I had read was about a woman who was a nurse and started to use the narcotic from the patient. It shows the process in which an administrator determines the course of action that will be taken. Also the context of workplace realities through an ethical analysis. This article was about a woman named Jackie that was a nurse and she was overwhelmed with her job. She tried talking to her husband but was convinced to continue working because who pay check was making their saving grow extremely large. To make her husband happy she continues to work as a nurse. She was working in different units that she started to use the narcotic that were prescribing to the patient that she was caring for. She started to take the patient pain medications that weren’t asking for their medications. Then Jackie started to replace the medications with the saline. Jackie had an addiction to pain medication. The administrative Michelle found out because Jackie was working in the surgical unit and the pharmacist had notice there was errors on the medication log sheet. Michelle had requested for the entire narcotic log sheet and the names of the nurses that were working on those days. Michelle had to inform Karen who was another administrative and explain to her...
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...The impaired nurse Alcohol and drug dependence affects all segments of the population and nurses are not an exception to the rule. There is a concern that is a growing number of nurses use substances for different reasons. There is not enough data and research on the exact count, statistically speaking. However, recent statistics in state Boards of Nursing clearly define an upward trend. The American Nurses Association estimates that six to eight percent of nurse’s abuse drugs or alcohol. The two most common issues nurses have are access and availability. There are many reasons, nurses struggle with addictions. For the same reasons others do. It might be anxiety, depression or unintentional — caused from taking a prescription medication. However,...
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...Running head: REHABILITATION CARE IN A SPECIALIZED SETTING Rehabilitation Care in a Specialized Setting: A Multidisciplinary Concept Analysis Dorota M. Loney University of Texas at Arlington school of Nursing In partial fulfillment of the requirements of N5327 Analysis of Theories in Nursing Rhonda Mintz-Binder, RN, MN, DNP April 29, 2012 Rehabilitation Care in a Specialized Setting: A Multidisciplinary Concept Analysis First we need to understand what Rehabilitation is to be able to focus on its concept analysis. It is a part of the continuum of care as it focuses on increasing a patient’s function for self care and mobility. The need for a rehabilitation care concept in a specialized rehabilitation hospital increases as the length of stay decreases in acute hospitals after surgery or procedures due to the financial burden on insurances, Medicare, Medicaid, and the acute hospitals themselves. No longer do we see in the United States two week long acute hospital stays after major surgeries, strokes or other injuries that affect the activities of daily living (ADL). The hospitals discharge patients back home much sooner than before or transfer them to facilities for further recovery. Unfortunately some of these facilities are long term acute care hospitals or nursing homes where continuing daily therapy is very limited. The fortunate ones get admitted to a specialty hospital called a rehabilitation (rehab) hospital that this paper will focus on. Here, nurses, occupational...
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...system is a complex part of the economy that emphasizes cost efficient methods of addressing the dynamic health needs of today’s population. The baby boomer generation is aging, and the cost of health care is at the forefront in the news. Case managers facilitate the process of navigating through the health care system to attain the proper treatment necessary for the patient, thus integrating a complex multidisciplinary health care system. Preparing new nurse case managers in this specialized field requires an advanced professional background based on education and experience. Keywords: case management, case manager, health care system The Growing Need for Case Managers The 65 years and older cohort in the United States will reach 20% of the population, reaching an estimated number of 80 million by the year 2050; while by the year 2020, a severe professional nursing shortage of two hundred and eight hundred thousand nurses is projected to occur. The discrepancy between the supply of nurses and the demand of health care services for an aging population is driving much emphasis on issues related to health care coverage, health promotion and prevention, and treatment of escalating chronic diseases that afflict this country, such as diabetes and dementia. The underlying message of this emphasis is the containment of health care cost, a burden patients will have to face when undertaking medical services, and revisions in health care places case...
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...Nursing Leader Interview The nurse manager of the cardiac rehabilitation unit has been a formal nurse leader for the past five years. The conversation began with a discussion about her personal leadership style and how it evolved from a knee jerk style to her current democratic style. Being a nurse leader requires adaptation and flexibility. Administration, Medicare, and certifying organizations require changes to be made frequently to improve patient care. These changes are often tied to service reimbursement, so they must be initiated swiftly. Many difficulties surround the role of leader in today’s health care. Being unprepared for a management role, avoiding micromanagement, and maintaining clinical competency were the biggest challenges identified during the transition and continuing role as nurse leader. Open communication was the key to overcoming the personal and professional challenges of being a leader. Formal and informal power influences the success of the organization and the role of a nurse manager. The nurse manager identified administration as a formal leader. Patients and her staff were recognized as informal leaders. Maintaining an open relationship with both formal and informal leaders is essential to achieving the organizations mission. Leadership Style As a successful nurse leader the nurse manager of the cardiac rehabilitation unit describes her style of leadership as democratic. According to Marriner Tomey (2009) “Democratic leaders maintain...
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...care professional, but for nurses, we ‘are in an occupation that has interpersonal communication at its core. Virtually all nursing work revolves around the need for nurses to be effective communicators, whether relating to colleagues or with service users. (Morrall 2001). This essay seeks to discuss an evidence based experience learnt in clinical practice. For the purpose of this essay the author has chosen communication skills, since it is the basis for which verbal, non verbal and written ideas are conferred among the nursing staff. Some key policies and evidence taken from (research evidence or from this essay) will be identified and discussed. It also seeks to conclude with a general analysis from the overall main findings of this essay. The National Midwifery Council (NMC) (2008) state that nurses must take part in appropriate learning and practice activities that maintain and develop their competence and performance. As a nurse in training, I had been given the opportunity to complete a four weeks placement in a rehabilitation unit. The services provided included the admission of patients requiring rehabilitation therapy and specialist nursing attention. I was elected by my mentor to sit in their weekly review meeting consisting of the Multidisciplinary Team (MDT) in order to facilitate my learning objectives. As a student my role was to observe how the MDT addressed, planned and implemented patient care. This was necessary since nurses are required to maintain up-to-date...
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...Substance abuse occurs across all occupations, generations, and cultures. About 1 in 10, of all nurses, is either practicing while impaired or currently in recovery for the abuse of drugs or alcohol (Thomas & Siela, 2011). Substance abuse rates by nurses mirror the rates of other occupations, therefore they are not at an increased risk, per se, however, their overall patterns of use are unique because of the easier access to controlled substances in the professional work environment (Tanga, 2011). Patient safety is threatened by nurses who divert drugs, and therefore, these nurses become a liability to their employers. Healthcare facilities share a responsibility with nurse leaders to ensure a secure system is in place that will prevent medication...
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...Running: A Literature Review of Health Promotion A Literature Review of Health Promotion Lilian .N. Abagwe Grand Canyon University Family-Centered Health Promotion NRS 429 October 16, 2011 Abstract Historically, the United States has been sickness oriented. But in the last twenty years, a new model has surfaced. The new model lays emphasis on wellness rather than sickness. As a result in this change in focus, health promotion is now a fundamental part of nursing profession. This article will review recent literature from three professional sources relative to nursing profession and health promotion. This paper will examine; (a) Definition of health promotion. (b) Purpose of health promotion in nursing practice. (c) Evolving nursing roles and responsibilities in health promotion. (d) Explain the implementation methods for health promotion. (e) Compare the three levels of health promotion prevention. Health promotion is defined as “the science and art of helping people change their lifestyle to move toward a state of optimal health.” (Edelman & Mandle, 2010). The purpose of health promotion in nursing practice is to enable people make healthy choices. According Smeltzer & Bare (2006), the...
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...ADN vs. BSN Elizabeth M. Fechtler Grand Canyon University: NRS-430V July 12, 2015 ADN VS BSN When taking your initial NCLEX examination, there is no differentiation between an associate-degree nurse and a nurse with a baccalaureate-degree. The questions are the same and are intended to demonstrate the basic knowledge and minimum technical competencies required to practice as a registered nurse. The differences between the degrees are noticed when the nurse puts her educational training into practice. An Associate Degree Nurse will tend to function in a technical nature with a foundation of fundamental and basic everyday nursing skills. A Baccalaureate Nurse will be able to function with a higher degree of critical thinking, confidence, vision, and problem solving expertise. The Associate Degree in Nursing (ADN) was developed to temporarily fix a nursing shortage. It is a 2-year program that teaches and fulfills the basic requirements to perform as a registered nurse. The program cost is less and is taught at technical colleges and local community colleges. The Baccalaureate Degree in Nursing (BSN) is a 4-year degree taught at universities that provide the registered nurse a more diverse and in-depth knowledge of both the physical and social sciences. The degree provides a better understanding of the present day diversity of nursing practice in social, cultural, economic and political arenas. The higher level of nursing education has been associated with increased...
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...NURSING MANAGEMENT OF A STROKE PATIENT INTRODUCTION Stroke is the only largest cause of adult disability which leaves a devastating and lasting effect on people and their families (DoH, 2007a). The government of the United Kingdom had recognized stroke as a health care priority. Several government agencies developed clinical guidelines which are being implemented today in local health care settings (Williams et al, 2010a). This essay will focus on stroke as the cause of impaired mobility and will tackle on the patient-centered rehabilitation care plan along with its evidence-based rationales. Health and social care policies and its effect on the patient’s chosen journey will also be discussed. PATIENT PROFILE This is a case of a 68 year-old, married female who lives in the south of England. Mrs. G was admitted on 12 October 2010 with a presenting complaint of left-sided weakness. Prior to admission, she experienced persistent pain on the back of the head for 2 days, which was unrelieved by Paracetamol intake. On the morning of admission, she collapsed in the bathroom and was found by the husband after 3 hours. She was brought to the hospital via ambulance and upon initial assessment, no shortness of breath, slurred speech, dizziness, palpitation and chest pain were noted. Her vital signs were as follows: blood pressure of 169/59 mmHg, pulse rate of 80 bpm, respiratory rate of 18 breaths per minute, body temperature of 37.5 degrees...
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