...are some of the constituents that are used to judge and label our individuality. There are conjoint places around the world that we thought will be safe for us, will value and appreciate who we truly are, and a lot of us consider that to be the last place who will treat us punitively and unreasonably. Most of the times our sexuality overthrows us in a way that we are being restricted to the benefits that should be offered and experienced by everyone without any stress and difficulties in obtaining it. If we are going to examine our current situation with great depth and sincerity we will come down with a notion that will make us realize as to when an individual’s sexuality became a passport to be treated discriminatorily and differently. One of the major topics that are a worldwide concern is the sexism among lesbian, gay, bisexual, and trans (LGBT) patients and healthcare professionals. According to Australian Journal of Advanced Nursing,...
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...There are several values that the nursing profession is founded on. These values are implemented in every day practice to improve the care of patients and to ensure that nurses are maintaining appropriate levels of professionalism and accountability. The Essentials of Baccalaureate Education for Professional Nursing Practice states that these foundational values are altruism, autonomy, human dignity, integrity and social justice (The American Association of Colleges of Nursing [AACN], 2008, p. 27). The value I feel relates best to me and my future nursing practice is human dignity. Without respecting this value, it is very hard to be a caring, devoted and professional nurse. Respecting human dignity is vital. In The Essentials of Baccalaureate Education for Professional Nursing Practice, human dignity is defined as “respect for the inherent worth and uniqueness of individuals and populations” (AACN, 2008, p....
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...component of patient care that was missing. She noticed the lack of recognition and integration of patient’s cultural background into their plan of care. She recognized that patient’s cultural background influences their responses to health and illness and more importantly she believed that part of viewing the patient as a whole is taking into account their culture and cultural background in developing a plan of care. Her theory attempts to provide culturally competent nursing care through “cognitively based assistive, supportive, facilitative, or enabling acts or decisions that are mostly tailor-made to fit with individual, groups, or institution’s cultural values, beliefs, and lifeways.” The goal is to improve health outcome for people who are of different cultural backgrounds. Transcultural Nursing Theory has 3 components to it, the assessment, nursing care plan and evaluation. Leininger believed that a culturally friendly care for the patient begins with a culturalogical assessment which take into consideration the cultural background of an individual patient in relation to his or her health experience. This assessment also require the nurse to be self-aware of his or her own cultural influences especially when dealing with patients from different culture and cultural backgrounds. After assessment, a care plan is developed for the patient. The care plan should include the individual’s patient’s cultural values and beliefs. For example, a good care plan for a patient who is a...
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...immigrate to different countries, they may gradually adopt some of the norms and traditions of their new society. Often the older generations will retain more of the traditions of their original culture, while their children, who are exposed in more ways to the new culture through education, friendships, entertainment, etc., will absorb more traits of the new culture. Explain how culture and religious differences affect the health care professional and the issues that can arise in cross-cultural communications. Different cultures have deeply held beliefs that may be very different than our own, and this includes the area of health care. When we encounter a patient from a different culture than our own, it is important to approach that patient with respect and an open mind. Trying to impose our beliefs on them will likely antagonize and isolate the patient....
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...is to explore an acute deterioration in the health of an adult I have encountered during a clinical placement, in an acute care setting. The essay will begin with a definition of acute care, followed by the introduction of my patient and predisposing factors. This essay will include an explanation of the significant pathophysiological changes and related clinical manifestations and a critical analysis of the nursing interventions implemented during the acute episode of care, focusing on holistic care, rationale and evidence base. It will then describe the actual deterioration in the patient’s condition, and discuss the nurse’s role in the recognition and assessment of the actual deteriorating condition following the trusts policies. Assessment tools, monitoring, detecting and reporting will be considered. Finally this essay will include a discussion of the importance of multidisciplinary team collaboration in the diagnosis and provision of care during the acute episode, and a discussion on whether the deterioration could have been prevented by identifying any areas of practice which could change in relation to evidence based practice. For the purposes of privacy and confidentiality, in accordance with NMC (2008) code of conduct, the name of the patient will be changed to Peter and the placement area will remain as an acute care setting. According to McFerran (2008) the term “acute” is described as a disease of rapid onset, severe symptoms, and brief duration. Acute Care refers...
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...Individualization: I try to approach each or my patients, my patient’s family members, and my co-workers in a non-judgmental way. I like the challenge of trying to figure out what makes people “tick” or what motivates others. People have always told me that I Am really good at reading people. I enjoy finding out what makes each person unique and I enjoy learning how everyone is different. I think this is an invaluable skill as a nurse. Using kindness, tolerance, and empathy, I try to understand how each person can best receive information and then try to tailor my style or approach so that we can find a common ground or perhaps even a bond. I learned this skill early on in my nursing career as a psychiatric nurse but I have used it in every area I have worked in. I also try to use it with my co-workers. It’s an excellent skill to have in a team situation, I really enjoy getting everyone to work together. II. Strength: How has this strength manifested in your current practice (please be specific)? Positivity: I have always loved being a nurse but I am especially lucky to bring life into this world, most days I go to work. It is an incredible honor to be there guiding the way for my patients and their family members. I have been a part of so many incredible experiences and I am so lucky to be part of such a great health care team. I try to remember this every day. It makes me smile just thinking about how lucky I am. Even days when the outcome is not positive (such as a fetal...
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...emerge. Cultural Competence According to Freidman, Bowden, and Jones (2003), people view culture as a model for our way of living, behaving, living, and feeling. An association between culture and heath practices is existent. In fact, culture is the most influential factor in determining health behaviors and beliefs (Campinha-Bacote, 2003). Cultural competence involves being aware of, and conversant on, and sensitive to the diverse cultures that exist in the population. Health care providers should not only embrace cultural diversity but must also strive for cultural competence in order to ensure that all patients receive the best care possible. Nurses spend the most time with their patients; therefore, if nurses are not aware of all the variables that can affect the patient’s health and outcome, such as culture, then this can affect the safety of the patient. Campinha-Bacote (2003) describes cultural competence as a practice in which the nurse...
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...Morals are the set of a standards for behavior or beliefs concerning what is and is not acceptable for them to do, the foundation of right and wrong. Personal values may vary greatly from one person to the next. There are hundreds of qualities in life and people that can be considered to be values for any given person. Our value systems, morals and ethics are all defined through how we are raised. Geographical location, such as city living vs rural living, religious or spiritual and cultural influences can all affect a person’s beliefs. Having been raised in the city in a Caucasian, catholic family, I would say that my foundational value systems are rather generalized. I was raised to respect my elders and everyone around me for their individuality. My family is a very non-judging unit that welcomes everyone into their home regardless of any types of differences. Race, religions or personal style were not taught to be the criteria for judgment, only goodness of a person’s heart and soul. The true value of humanity is in the loving and generously accepting nature of our family. I then married into a family from the country who has very old fashioned family values. While I may not agree with every value or belief they have, I have been able to establish a common ground by simply seeing their good hearted and family oriented natures. This method has been invaluable in my drive to care for others through my career. With the foundational values taught to me, I have been able to genuinely...
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...Therapeutic Relationship Patients [pic] Translate This Page [pic] Powered by [pic]Translate [pic][pic] Download PDF Free Essay Quote This piece of reflection will focus on my experiences whilst on practice placement; I will be using the (Gibbs 1988, cited in Jasper 2003, p.77) model of reflection. Gibbs cycle is set out in order of categories made up of different headings. (See appendix 1). By using this cycle it allows me to reflect in structured and effective way. The subject of this final piece of reflection will cover the development and utilisation of interpersonal skills in order to establish and maintain therapeutic relationships. Neal (2003, p100) states a therapeutic relationship can be described as being between nurse and patient and is based on patients needs for care assistance and guidance. It is a relationship that is established solely to meet the patient’s needs and therefore, is therapeutic in nature. Chambers et al (2005, p303) suggest interpersonal and therapeutic relationships are at the centre of nursing work, the relationship that exists between nurse and patient can often provide the energy and be the catalyst, the motivation and the source of strength to continue with treatment or face difficult sometimes life threatening situations. I felt the need to develop therapeutic relationships with the patient’s so that they could feel they could put their trust in me, also that I was there to listen and talk to them not just care for them. There...
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...World Religion and Healthcare Jane Smith Grand Canyon University Spirituality in Health Care HLT-310V No Name May 23, 2014 Abstract The goal of this paper is to educate healthcare providers on a few of the basic needs of patient’s practicing Hinduism, Shintoism, and Native American cultures. A theme develops as one expands their worldview and becomes competent at creating an open dialogue with patients. Learning to have respectful conversations regarding spiritual needs will prove fulfilling for the provider and patient. Once one understands needs and barriers to care we are able to provide a spiritual and holistic experience. Exploring spiritual needs such as prayer and meditation and giving patients the opportunity to practice those in a healthcare environment is respected. Exercising additional patience and being willing to think outside the box will be the difference between competent care and compassionate care. World Religion and Healthcare Throughout a career an American nurse will come across a diverse patient population. The Christian nurse will have opportunity to educate and be educated on many cultures and religions that exist in our country. Becoming culturally competent is not only encouraged but a necessity. A lack of understanding of one’s own and one’s clients’ world views results in frustration and anxiety for both the helper and the client (Richards & Bergin, 1997, p. 50). This paper will provide a comparison...
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...This essay is based on adult case study two a 70 year old male patient called Mr James. All names have been change in this essay in order to comply with the NMC (2008). Code professional conduct on confidential. The case study highlights a number of principle, legal issues and professional value. These will be identified and some will be discuss in details. Ethics is concerned with the study of social morality and philosophical reflection of norms and practice (Burckhardt and Nathaniel 2003). These ethical issues are those based on basic and essential to social values that include respect for life, liberty and to be cared for. There will be a demonstration of understanding the theory of deontology while recognizing the importance of ethical principles in relation on the delivery of individual patient care. Informed consent will be highlighted in detail to provide validity and factors involved. A reflection will be provided to detail the understanding of how ethical theories contribute to the ethical decision making process in clinical area. Also a brief discussion will be given to show what has been gained from producing this essay. Consent can be defined as an agreement to allow something to happen based on full disclosure of facts needed to make an intelligent decision (Hazel 2002). This includes the knowledge of risks involved, benefits and consequence of refusal. Informed consent not only requires that a person be given all relevant information required...
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...model This essay explores the preoperative care provided to one patient in a London hospital during one shift. This care was influenced by the holistic perspective to health. Arsing from the Greek for ‘whole’ this acknowledges physiological, psychological and social factors impacting the patient’s condition. (McFerran & Martin, 2008) It seeks to offer treatment inclusive of these factors rather than treating physical symptoms of a diagnosed disease in isolation. This essay will examine this within a Model of Nursing used in my clinical placement area - the Roper, Logan and Tierney model. The identities of both hospital and patient have been altered to maintain confidentiality and comply with the NMC Code of Conduct. (Council, 2008) During my placement I worked on a coronary care unit where I cared for a patient herein called Peter, a 60 year old White British male. Peter was single, lived alone and unemployed. He had a history of low mood and was admitted to a neighbouring hospital suffering symptoms of acute alcohol withdrawal syndrome (acute confusion, delusions and tremors). This arises when an individual reduces or stops alcohol consumption after prolonged periods of excessive alcohol intake. This can lead to tolerance, physical dependence and physical disturbances upon withdrawal due to the central nervous system reacting in a hyper-excitable state. (About.com, 2010) He was transferred to my area when his Implantable Cardioverter Defibrillator (ICD device) was found...
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...publication ‘Living well in later life’ highlighted the lack of dignity and respect for older people in acute hospitals as a major area of concern citing that 45% of NHS resources are spent on older people and this accounts for the greatest use of acute hospital services This discussion will identify the specific needs of the older person from a bio-psychosocial perspective incorporating complicit ethical issues. The role of the nurse in the provision of quality and comprehensive care delivery will of course be examined, integrating theory and practice and exploring the implications for inter-professional working. This personal reflection will develop personal knowledge and self-awareness, which is an essential prerequisite to maintaining patient (Marks-Maran and Rose 1997). Theory from previous modules on the pre-registration nurse-educators programme will be integrated with particular emphasis on the holistic delivery of quality care due to a comprehensive care-planning process. An...
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...Running head: PHILOSOPHY OF NURSING Assignment #2 Philosophy of Nursing Nursing 324 Athabasca University Submitted to: Karen Polowick Submitted by:kelly gagnon Student #: Date: September 7, 2010 Good title page in APA format with running head and complete information Philosophy of Nursing For centuries the development of nursing knowledge has been influenced by numerous theorists and their respective theories. These theories have influenced, and continue to influence, nursing education, practice and research. (Johnson & Webber, 2005) Although theorists have been the essence of sense-making in nursing, I believe all of us as nurses can, and should, be actively involved in the sense-making process. It is reasonable to think that each of us chose nursing because of some key beliefs or values that we possessed. These values and beliefs ultimately guide us in formulating our own definition of nursing and what we believe to be its primary goal. Many of the beliefs and values that we embrace are notably evident throughout the many nursing theories presented in the literature. That does not mean that we as nurses today cannot think outside of the boundaries of these theories. As Johnson & Webber (2005) writes, ‘…you may discover that you have a unique view of nursing…then perhaps you are being called to contribute…to the profession.’ (Johnson & Webber, 2005, pg. x) This paper will focus on my own personal view of nursing and the associated...
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...control. According to the website www.nursingworld.org , in 1998, the National Database of Nursing Quality Indicators was established by the ANA so that nurses would have a national benchmark to reach they can compare the outcomes. This has given the profession of nursing a solid core of benchmark capital nursing sensitive indicators that are totally nursing care dependent. This database provides benchmark performance with which the individual healthcare institution can compare its performance to similar institutions across the nation. These nursing sensitive indicators result in patient outcomes that are influenced by nursing care decisions and actions. Research has indicated that patient outcomes improve, complications and mortality are reduced, costs can be reduced, and patient and professional nurse satisfaction can be enhanced with strong performance on nursing-sensitive indicators. These patient outcomes may not because the nursing but is associated with the nursing. In various situations, "nursing" might be the individual nurse, nurses as a working group, the approach to nursing practice, the nursing unit, or the institution that determines number of nurses salaries, educational level of nurses, assignments of nurses, workload of nurses, management of nurses, and policies...
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