Monday, May 4, 2020

Legal and Professional Issues in Nursing Missed Nursing Care

Question: Discuss about theLegal and Professional Issues in Nursing for Missed Nursing Care. Answer: Introduction: As a health student, I have received an opportunity to engage in the treatment process of Mrs. Brody in the emergency department. I will respond to her query regarding geriatric-syndrome by explaining to her that it is a medical condition where the unique features of the common health conditions such as frailty, falls, and delirium is common in aged people and is not categorized as the particular disease (Kalisch et al. 2012). She is worried and stresses as she is failing to take care of her husband who is severely affected with COPD. Her anxiety is due to her greater risk of falls and disability. Therefore, I would assure Mrs. Brott that she is normal and will be able to take care of her ADLs very soon. This would reduce her anxiety to a great extent. Also, I would divide her routine for the number of days admitted to the hospital into several activities. These include medication, fall preventing exercises, counseling sessions, education and support training for teaching structured ways for muscle relaxation, sleep hygiene, trauma confrontation and subject her to cognitive restructuring with age specific and patient-centered approach as suggested by literature research (Prestmo et al. 2015). These nonpharmacological interventions have been proved to be effective in older adults. Also, I would ensure that she is strictly adhered to her medications and involve her husband and daughter in decision-making (Barry and Edgman-Levitan 2012). It is necessary to integrate Mrs. Brody in intense mental training or psychotherapy that will enhance her coping skills and eliminate nervousness (Prestmo et al. 2015). References Barry, M.J. and Edgman-Levitan, S., 2012. Shared decision makingthe pinnacle of patient-centered care.New England Journal of Medicine,366(9), pp.780-781. Kalisch, B.J., Tschannen, D. and Lee, K.H., 2012. Missed nursing care, staffing, and patient falls.Journal of nursing care quality,27(1), pp.6-12. Prestmo, A., Hagen, G., Sletvold, O., Helbostad, J.L., Thingstad, P., Taraldsen, K., Lydersen, S., Halsteinli, V., Saltnes, T., Lamb, S.E. and Johnsen, L.G., 2015. Comprehensive geriatric care for patients with hip fractures: a prospective, randomised, controlled trial.The Lancet,385(9978), pp.1623-1633.

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