Confidentiality in general means that information will not be discussed outside of the social care setting. Bii) Describe the possible tensions that may rise between telling others of Hannah’s decisiom and keeping this information totally confidential. The information Hannah disclosed to me would be passed by my manager on to those dealing directly with Hannah's care for example her GP, who can work with Hannah to help her understand the benefits of taking her medication. If the information was shared with Hannah's daughter this could cause upset and potential breakdown of the relationship with her mother as Hannah said her daughter 'will be very angry' . Also if you were to share the information with Hannah's mother without her consent then she would lose all trust in you.
RTT1 Task 1 Deborah H. Keele Western Governors University Nursing-sensitive Indicators Nursing-sensitive indicators as defined by the American Nursing Association (ANA) are “indicators [that] reflect the structure, process and outcomes of nursing care.” These indicators depict the quality of care provided to any given individual client, or an institution’s population as a whole (Nursing-Sensitive Indicators). Careful scrutinization of these indicators provide reasons for keeping current practices or evidence for improving policies and procedures. In this scenario several nursing-sensitive indicators point to a need for a through system analysis. The use of restraints, the developing decubitus, and the potential for the development of a urinary tract infection are all starting points for a backwards look at where this particular organization is breaking down. The apparent disregard for religious dietary guidelines/restrictions indicates to the public a cultural insensitivity in general.
In the case of “Jane Doe”, a kidney transplant patient, complete disclosure of risks about her procedure was not given. This failure to inform the patient led to her contracting not only hepatitis, but also HIV. The report claims, “Gift of Hope Organ & Tissue Donor Network in Elmhurst and the University of Chicago both knew the kidney donor was high-risk and did not inform the patient” (Vaughn 152). The physicians did not inform her of the risks of her new kidney transplant. Without this knowledge, Jane Doe gave what she believed was her informed consent for the surgery, which consequently violated her right to self-determination and did her extreme harm rather than good.
Mr. E has an Advance Directive in place that specifically indicates no cardiopulmonary resuscitation and no ventilators. Dr. K feels that without the ventilator the patient will deteriorate and die. Mr. E is refusing the physician’s plan of care to place him on a ventilator. The physician believes the patient may not understand his situation due to being hypoxic and mentally delayed. The nurse in this situation has an obligation and responsibility to the patient as their advocate.
Organizational Systems and Quality Leadership Western Governors University Organizational Systems and Quality Leadership A. Nursing-Sensitive Indicators Understanding of the nursing sensitive indicators is important in the practice of nursing. Nursing sensitive indicators reflect the structure, the process, and outcome of nursing care. The structure of nursing includes many factors. These factors include education of nursing staff, number of nurses available, and skill of the staff to care for the patients. I believe there are many nursing sensitive factors that could interfere with the care provided for Mr. J.
In what instances should people be charged with crimes, if at all, in relation to quarantine? A. People did not think she was a criminal for wanting to be free, in fact they felt sorry for her that she was seemingly healthy and was being kept against her will because she was a "healthy carrier" of the disease. B. I do believe however that once Mary knew she could spread disease through food preparation, she should have stayed away from that occupation completely, even if it meant less pay. I believe it became a crime when she was found working in a hospital preparing food for the people there.
Monitoring for early recognition of adverse events, errors, and complications and initiating notification to the appropriate care provider for timely interventions are essential nursing functions that can have a significant effect on patient safety, quality of care, and resulting outcomes. Nursing sensitive patient outcomes are those that improve with greater quantity and better quality nursing care. (Cherry & Jacob, 2011) In the given scenario it is clear that that both, the nurse and the certified nursing assistant (CNA) need to have a better understanding of nursing sensitive indicators as well as the hospital’s policy and procedures. Failure to identify the nursing-sensitive indicators resulted in unnecessary use of restraints, development of pressure ulcer, and patient dissatisfaction with care. The use of restraints for Mr. J was an inappropriate action as he was not a danger to himself or others.
Nursing-sensitive indicators represent nursing’s contributions to patient care. Nursing-sensitive indicators represent nursing’s contributions to patient care. RTT1 Task 1 RTT1 Task 1 Nursing-sensitive indicators reflect the structure, process and outcomes of nursing care (American Nurses Association, Inc., 2014). Patient outcomes that are determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care (American Nurses Association, Inc., 2014). One nursing-sensitive indicator is the development of pressure ulcers.
The reddened area on Mr. J’s back should have been reported to the RN for further assessment. This intervention by the CNA could keep Mr. J from getting a pressure ulcer and the RN assessment would have included a turning schedule to relieve pressure over bony spots. Ideally the patient would have not been placed back into the same position to be restrained, this just compounding the damage to his already fragile skin. In accordance with his religion his diet reflected a kosher meat preference. For an old man with mild dementia this is something he must rely on the staff for as he may not be able to recognize the mistakes made with his food, especially with changes in the consistency or presentation of his meal.
These areas are patient satisfaction, pressure ulcers, patient falls, job satisfaction of nurses, hospital acquired infections, time of nursing care allotted for each patient, and staffing ratio/mix. By identifying any deficits in such areas of patient care hospitals and its staff can be proactive in making any necessary changes to improve both patient outcomes and staff satisfaction ("What are Nursing Sensitive Quality Indicators Anyway?," 2011). In the scenario with Mr. J there were numerous nursing-sensitive indicators that were red flags. By being aware of such “red flags” corrective action could have been taken to provide better quality of care to the patient. The nursing-sensitive indicators can be categorized in the following ways: 1) Patient falls: Mr. J was a fall risk due to his mild dementia, age and recent history of a fall at home.