Tuesday, May 7, 2019
Nursing Essay Example | Topics and Well Written Essays - 2250 words
Nursing - Essay caseThere is progress, but it is considered to be a very slow trend which needed to be sped up to deliver the potential gains of the strategy (surgical incision of Health, August 2010). An aspect of the End of Life Care schema wherein the Department of Health focused on its initial implementation is the care curriculumning (inclusive of assessment) which comes after the identification of pack approaching the end of life and will follow the step of coordination of care in the care pathway. It is too where nurses, being part of the multidisciplinary health care team, have active involvement whether working in hospitals or in society settings, more particularly in assessing the patient and the family regarding their needs, wishes and preferences, and is involved in initiating reviews of the care plan to the team if with patients permission, thus influenced the selection of the strategys aspect to be discussed by this paper. This will explore the implications of the care planning aspect for community heath care providers (nurses in particular), serve users (patients) and significant others (family and carers). Community Health Care Providers The Strategy will give emphasis on the nurses place in assessment and documentation of patients needs, wishes and preferences in addition to her roles regulated by inter guinea pig, national and local policies during the end of life care. As per the code in Nursing & Midwifery Council (2008), nurses are responsible for(p) in gaining patients trust, treating them as individuals, respecting their dignity, working with others, providing high standard of care, being open and honest, performing with integrity and uphold reputation of profession. This will require nurses to assess and record the needs, wishes, preferences and agreed set of actions of the expiry patient (advanced decisions, where to die, etc.) and to participate with the review of the care plan. An example is the Advanced Decisions to Refuse Treatment as a valid and applicable legally-binding document where the nurse is obligated to follow the physicians order to withhold life-preserving treatment as stated therein (NHS, 2010). Other options to be considered are the advanced statement and the DNACPR (Do Not Attempt cardiopulmonary Resuscitation). Service Users (Patients) The care planning of the Strategy aims to enforce assessment and recording of needs, wishes and preferences of patients undergoing their end of life. This will parcel out patients with greater autonomy in making decisions for their own health, including decisions on where they would like to die. Moreover, it will enforce the community health care providers to assess and record their needs, wishes and preferences even if the patient or family have not still initiated the discussion of these matters, thereby raising patients awareness on his treatment options. The Strategy slightly decreased the number of patients dying at the hospital and die at home instead by offering the patient an option to die at home instead (Department of Health, August 2010). Significant Others Families and/or carers of the patient in end of life are also included with the care planning of the Strategy in terms of reviewing the care plan, yet not as specific as the
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