...Kyle Thompson – 05970640 Management of discharge Management skills in adult nursing UZTR6D4-40-2 05970640 The NMC Code (2008) charges nurses to protect confidential information, and to only use it for the purposes given – for their treatment. Therefore all patients and events mentioned in this essay are inspired by real patients and events, but names, locations, dates and other details have been altered or obscured to make identification impossible. Following the introduction of the knowledge and skills framework (DH 2004a) and emphasis on quality of health care and patient centred, interprofessional, health and social care (DH 2000; Leathard 2003; Thompson et al. 2002) health care professionals and students will need to be able to demonstrate the quality of our care and team working abilities. There is a connection between practice and thinking about practice – action and reflection are interdependent; they need one another. Reflection may be triggered by an awareness of a gap between theory and practice, a difference between what ‘should be’ and ‘what is’ (Sullivan & Decker 2005). Our actions and the quality of our care are improved by reflection-on-action, by making sense of what we have experienced, and thinking about how we might act differently in the future (Lillyman & Ghaye 2000). Reflection has a rôle in maintaining one's personal portfolio and maintaining competency and continuing professional development. Support and supervision from managers, who already have a responsibility...
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...CONCEPT ANALYSIS Safeguarding Vulnerable Adults: Concept Analysis Abstract Aim. This study is to analyse the concept of safeguarding the vulnerable adults and the role of registered nurse. Background. Registered nurse has major responsibilities in caring and safeguarding the vulnerable adult population. Reduction of health inequalities among vulnerable adults are top international healthcare priorities. Vulnerable adults are among most vulnerable of the populations, many people associate vulnerability with old age only, resulting in negative stereotypical views. Understanding the concepts of vulnerability as relates to adults population, examines how and why adults could be vulnerable will help nurse to educates the vulnerable adults about the rights and choices available to them, enabling nurse to safeguarding the vulnerable adults and empower the vulnerable adults to participate fully in the society. Data Sources. Data source include the Nursing Standard, The PubMed, Health & Social Care information Centre (hscic), Department of Health, Action on Elder Abuse, Offices of National Statistics (ONS), electronic databases were used to search for research papers, articles published between 2000-2013. The searching keywords used are ‘Vulnerable’, ‘Abuse’, ‘vulnerability’, ‘safeguarding’. Seventeen papers from variety of disciplines, including nursing, public health, social-care and medicine were reviewed. Method. The concept analysis was done using Rodgers’ evolutionary...
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...NU1505: HEALTH, SOCIETY AND CARE PROVISION INDIVIDUAL CASE STUDY (Word Count: 3,300) Introduction The author is intending to conduct a patient case study based on the care provision and elements of care that will focus on appraisal of the nursing model, socially or culturally as well as the presence of health awareness and promotion of the individual patient. The author will reflect on the identified frequent needs of an individual patient on a regular basis. The author will look at perceptions of health by the patient and their families/carers and multi-disciplinary teams with their approach to care provision, amongst others. Due to legal reasons and in respect of confidentiality the author will refer to the patient as ‘Bill’, the ward will be known as ‘Mental Health Unit’ or ‘MHU’ and the hospital as ‘local hospital’. This is necessary to protect the confidentiality and anonymity of the patients’ personal details and the hospital Trust. As the Nursing and Midwifery Council guidelines (2004) state; ‘you have a duty to protect the confidentiality of the patient or client record’, therefore it is vital to value every patients’ record details and personal confidentiality as well as their views and beliefs. ‘Healthcare professionals should make all efforts necessary to ensure that a patient can give meaningful and properly informed consent before treatment is initiated. This is especially important when a patient has a more severe depression or is subject to the Mental...
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...Statistics, 2012). These figures indicate a substantial amount of individuals dying in a hospital setting each year, therefore a large proportion of patients will be receiving some form of care prior to and at death (Blackwell 2010 p.1). Numerous research studies have been carried out by theorists identifying the impact of bereavement on different individuals. The earliest thorough study of grief and loss developed from Freud with his classic paper ‘Mourning and Melancholia’ (Freud 1917 cited in Payne et al 1999). Freud believed that for the bereaved to detach from the deceased one must work through their grief by reviewing memories and thoughts of the deceased (Ellman 2010). Other theorists have recently identified death and the importance of understanding it. 'Death is a natural progression from life. Most nurses will be exposed to the physical and emotional effects of this experience as they care for a dying patient. The nurse is taught how to provide support for the patient and family as they proceed through the stages of grief. Often, however the nurse may not realise his or her own need to grieve'. (Brosche 2003 p. 173). Although nurses try to remain professional whilst at work, once they are home and the uniform is removed , emotions that were kept at bay may begin to surface. The main purpose of this literature review is to identify the effects of patient death on nurses within a hospital setting, to recognise any impacts that this may have...
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...to conclusion. Cantley (2001), Bates et al (2004) defines dementia as a deterioration in intellectual performance from a previous level accompanied by a significant decline in personal and social function. Dementia usually starts with relatively slight impairment but can progress to a point where all skills of communication and self care are lost (Whaley & Breitner, 2002). According to Wilbourn & Prosser (2003), Cantley (2001) dementia is caused by the cortical atrophy, enlarged ventricles and softening of brain tissues. There are different types of dementia which are vascular disease, lewy bodies, Krentzfedlt-Jacob disease and Alzheimer’s disease (AD). AD is most common form of dementia in later life and it accounts for 40-50% of all cases. Souder & O’Sullivan (2003) suggest that people with AD experience a gradual decline in their ability to remember, communicate and understand. Jim who is suffering from AD was reluctantly sent to a...
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...HE0930A CASE STUDY | 1104964 | Jane Smith aged 16 years, was diagnosed with diabetes aged 7. Last month, whilst attending the practice nurse’s diabetes review clinic Jane expresses concerns that over the past few weeks her blood sugar readings have been elevated. She does not want to increase the dosage of her twice daily insulin regime as she is worried that this will cause her to gain weight. 1. What is meant by the terms anticipatory care, self care and self management? (15%) 2. Critically discuss why current Scottish health policy is actively promoting the self care and self management of long-term conditions. (25%) 3. Critically discuss the practice nurse’s role in supporting Jane to self- manage her long term condition (60%). A long term condition (LTC) can be defined as a prolonged health issue that never goes away and is very rarely cured (Magerson and Trenoweth 2010). These conditions require different degrees of on-going care and support tailored to the individual (Scottish Executive 2009). The government has realised that effective management of these LTC’s is one of the biggest challenges that healthcare faces (McVeigh 2009). This essay will focus on the above case study, defining anticipatory care, self-care and self-management, and analyse and explore current Scottish health policy in relation to self-management and self-care. A fundamental part of this essay will discuss the nurses’ role in supporting Jane to self-manage her diabetes. ...
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...during a Primary Care placement will be described, with the aim of defining person centred care in relation to it. To protect confidentiality and in accordance with the Nursing and Midwifery Council’s code of conduct (NMC, 2008), the names of persons or places are not referred to. The roles and responsibilities of the professions involved, the importance and difficulties of interprofessional collaboration and the effects of this on person centred care will also be explored. A conclusion will be drawn as to whether the event provided a person centred approach. The observed consultation (Appendix 1) took place in an elderly care clinic held in a hospital outpatient department. Outpatients Clinics are provided by the local NHS Primary Care trust on a regular basis as part of ongoing care for clients. A consultant, a nurse, the client and her carer were present. The client had an appointment to review her ongoing treatment of Parkinson’s disease. A publication to support the National Framework for older people (Department of Health, 2001) regarding the implementation of medicines endorses the monitoring of treatment to ensure the medication remains appropriate and to raise awareness of any adverse effects. The lady was in her eighties, frail and hard of hearing. A carer accompanied her from the residential home where she lived. Her mental state was assessed: she was aware of her surroundings and had some degree of understanding, although communication was difficult due to her...
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...‘Biology is the study of life and living things (organisms), and is an enormous, rapidly developing subject involving many allied disciplines such as chemistry, physics, mathematics, geology and psychology’ (Roberts et al, 2000, p.1). ‘Psychology is a science in which behavioural and other evidence (including individuals’ reports of their thoughts and feelings) is used to understand the internal processes leading people (and members of other species) to behave as they do’ (Eysenk, 2009, p.36). ‘Sociology provides a critical and systematic understanding of the processes which structures the society in which we live’ (University of Surrey 2009). The above quotations shortly define biology, psychology and sociology as three individual topics, which will be discussed throughout the whole assignment in order to gain an understanding of the relation of their individual influences to the outcome of my chosen patient’s current health status, a cerebrovascular accident (stroke). Rana and Upton (2009) were the first to research these three factors individually, relating them to poor health and well-being. Roberts’ (2000) definition above describes the certain issues explored within biology today; however, psychological and sociological issues can influence the biological status of the human body. Despite sociology influencing ones behaviour, it is also based around the effect it has upon groups and external events. Sociology does not only target the individual involved, but the way the...
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...reflective practice and enhance the delivery of care in district nursing practice. Barbara Brush Student number: B00628470 Word count: 2084 Due Date: 3rd February 2015. Introduction. Due to the increasing demands on the Health Service the “Transforming your care “ report (Department of Health Social Service and Public Safety, (DHSSPS) 2011a) made recommendations to increase care in the community, making home the centre of care aiming to reduce the strain on limited resources and give value for money. Within the community care district nurses are vital, there role is autonomous, unique and varied. Furthermore there expert theory, skills, and knowledge of self and practice adds to their advanced interpersonal communication skills to assess clients with increasing complex needs (Blazor et al 2008). Communication is the cornerstone of the nurse patient therapeutic relationship and is the essence of good care (Stein-Parbury, 2009). Within the community care setting, therapeutic relationships are a high priority of the health service to enhance the well-being of the growing ageing population and patients with complex palliative care needs (Bain and Baguley 2012). The Department of Health (2006) acknowledges that communication is paramount for human interaction, otherwise people cannot relate to others effectively, make their needs known and identify what is happening to them. A fundamental aspect for district nursing staff is to ensure the whole family unit is included in the...
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...Ageism. In this assignment I will discuss my learning outcome from the group discussion and the collaboration of the poster and mind mapping, I will also critically analyse and discuss the public attitude, and my personal perception towards ageism. To gain knowledge of different relationships and how ageism affects society, I will also discuss key concepts in relation towards the inequality and discrimination expressed towards this group of the population. I will examine how the health service and social care professionals conduct themselves towards care of the elderly, and the actions they take to resolve discriminatory practices to reduce social inequality in respect of the elderly. Patch1 After reflecting on my own attitudes regarding my understanding of the elderly, I found that I held similar views in that once an elderly person had reached a particular age they can be easily disregarded as a useful member of society, however my views were not based on any known facts or any valid experience that I had encountered, but rather on my personal interpretation and general stereotype towards the elderly, after our group discussion and after reading relevant literature concerning ageism my opinion has changed. Ageism was introduced by Robert Butler (1969) suggesting it was a process whereby an older person was systematically stereotyped with prejudicial attitudes directed towards them. This was deemed as discrimination. According to (McGlone...
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... CARE PROVISION BY JACQUELINE WALKER HEALTH, SOCIETY & SOCIAL CARE INTRODUCTION The purpose of this essay is to write a patient case study surrounding the care of an in- patient at the local hospital where I was on placement. It should allow the reader to focus, on the appraisal of the nursing model used in practice during the patients care. The social and cultural components of care that demonstrate the authors’ knowledge, and awareness of the patients needs and beliefs, any health promoting activities and patient education opportunities undertaken. Inter/ Multidisciplinary teams approach to care provision and access to specific services and facilities will also be included. I would like to take this opportunity to state that confidentiality will be maintained throughout this work. All true names and clinical settings changed, in order to protect the patients’ identity in line with the NMC (2004) guidelines on confidentiality, which states, “that we must protect confidential information”. Therefore, the patient will be referred to as “Rick”, his wife Shelia, the clinical setting as “the ward” and the geographical environment as “the local hospital”. In addition to this, I would also like to say that whilst asking for permission, I explained to the patient what my study would be about, that all confidentiality would be maintained, and that he would not, in any way be able to be recognised by any other persons who should read it. I waited...
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...created awareness amongst the population but also improve the health of certain sections of different communities. One of such policies is the ‘Vision 2020- focusing on the future of district nurses.’ This essay will focus on one aspect of this policy, (Compassion in relation to End of Life Care) and analyse how it influences current and future practice. It will critically analyse the economic, political and philosophical underpinnings of the policy, and appraise the ethical and moral implication for practice whilst drawing on appropriate principles, theories and frameworks. A conclusion will be drawn which will justify the formation of the policy. Vision 2020 emerged as consequence of health care establishments frugal activities. In certain cases patient were routinely neglected by Trust pre-occupied with cutting cost, that they lost sight of the fundamental responsibility to provide compassionate care. The policy published in January 2013 has 6 main aspects of fundamental care, which are, compassion, care, competence, courage, commitments, and communication. Compassion within the end of life care involves the use of the Liverpool care pathway (LCP) as incorporated in the Gold Standard Framework for end of life care. Compassion is defined as a way of living with an awareness of one’s relationship to deal with others (Reach 1992, p 58, cited in Wilmot (2003) It is particularly distinguished from related qualities such as sympathy, empathy, Kindness, and caring by the intention to act...
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...JUSTICE AND DIVERSITY WORD COUNT 3846 Introduction The aim of this assignment is to consider whether mental health patients have autonomy or do staff and the healthcare environment merely allow them a measurable quantity of autonomy based on legal, ethical and moral restrictions, if this is the case, is this autonomy at all? Placement experiences will be given in relation to patient autonomy and related ethical, legal and professional issues will be supported and/ or contrasted by relevant literature. Patient autonomy and capacity, consent, compliance, coercion and paternalism with be considered. In an attempt to show a deeper understanding and ability to apply theory to practice, the moral theories of liberal individualism, utilitarianism, Kantianism and communitarianism will be discussed in relation to patient autonomy. Attitudes, values, assumptions related to patient autonomy, implications for practice and care provision will also be reviewed. This topic has been chosen, due to personal interest following practice experiences on an adult acute mental health unit. All identifying factors relating to the patients have been changed to maintain client confidentiality (Nursing and Midwifery Council’s (NMC) Code of Professional Conduct 2002). A conclusion will be offered to evaluate findings, finalising with a reflective summary focusing on the process of enquiry. Autonomy Autonomy means self rule (Dworkin 1988). It as the ability to think, choose and act freely and independently...
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...Journal of Advanced Nursing, 1999, 30(6), 1432±1440 Issues and innovations in nursing education Evaluation of an innovative curriculum: nursing education in the next century 1 Senior Lecturer, Faculty of Welfare and Health Studies, University of Haifa Hasida Ben-Zur PhD Dana Yagil PhD Lecturer, Faculty of Welfare and Health Studies, University of Haifa and Ada Spitzer RN PhD Senior Lecturer and Head of Nursing Department, Faculty of Welfare and Health Studies, University of Haifa, Haifa, Israel Accepted for publication 22 March 1999 BEN-ZUR H., YAGIL D. & SPITZER A. (1999) BEN-ZUR Journal of Advanced Nursing 30(6), 1432±1440 Evaluation of an innovative curriculum: nursing education in the next century The present research focused on an interim evaluation of a new nursing curriculum made by ®rst- and second-year undergraduates. Study 1 examined the assessments made by 90 students of the new, actual programme of their studies, as well as an ideal one, on 21 bipolar criteria re¯ecting the developing changes in health care practices and higher educational processes in western society. The results of study 1 indicated that students perceived the actual programme as compatible with health care changes, but lacking in terms of the learning process. Study 2 investigated the same assessments among 105 registered nurses who evaluated the traditional nursing programme under which they were trained as well as an ideal one. The results of study 2 showed that registered...
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...Abstract In 2003 the Government’s recommendations for the introduction of solid food to babies changed from four months to six months. Many parents continue to introduce solid food earlier than six months despite being aware of the recommendations. Delivering key messages about weaning has always been a part of the health visitors role. However, no formal, evidence based weaning intervention is currently being promoted to health visitors and advice continues to be communicated at the discretion of individual practitioners. Very little research exists on this topic, much emphasis has been placed on encouraging breast feeding as the main focus infant nutrition literature. Yet childhood obesity is on the rise and establishing healthy eating habits as a baby could pave the way for healthy eating habits later in life. This paper looks at the ways professionals communicate general messages about weaning and attempts to provide some clarity and guidance for health visitors about a humanistic intervention to educate parents about the benefits of waiting till six months, rather than using ‘scare tactics’ as to what could happen if they wean earlier. It is hoped that not only will this paper provide guidance about best practice, it will also highlight the importance of the subject and the pressing need for urgent research on the specific topic of delivering weaning advice. Table of Contents Page Abstract 1 ...
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