Restraints In Elderly Patients
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Although she is used to being in control of everything, resident E.V. has accepted help from others including her family, neighbors and friends in order to take care of her husband. Her family is adapting to her being in a long-term facility and has taken over in helping take
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The patients are on our hands and its important to treat them as we would like to be treated. They are counting on us.
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Ms. Augustin Doreus has also been very active in the following hospital committees such as: Restraint, Safety, Fall, ConED, and Performance Improvement. Furthermore, she has been a voice for the veterans focusing on changing the culture of how restraints are being used in the organization. She advocates on focusing more on alternative measures such as, de-escalation techniques, therapeutic communication, recognized early sing of agitation, and intervene on a timely manner, and so on. Outcome: As a member of the Hospital Restraint Committee and the leader of the Sub-restraint committee, Mrs. Augustin Doreus proposition to the Restraint Committee was to change the philosophy of our current restraint practice to focus more on finding alternative ways to keep our veterans safe during behavioral outburst.
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People who are incarcerated does not have a choice from whom they seek healthcare service from when it comes to their medical needs. Their circumstance should not dictate if they are entitled to quality ethical service or not. According to Findlaw.com Inmates are entitled to medical care and attention as needed to treat illnesses whether it be on a long or short term basis. In our facility alone we receive over 150 greviances a month with inmates complaining of not having their needs entirely met due to correctional regulations and poor service. The most ethical practices to help combat these issues is to promote patient advocacy, ensure accessibility to care, and to always be respectful.
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Hello, Mary. The goal of beneficence is to protect the well-being of the patients. In nursing, doing good and doing the right thing is the best policy. In our long-term care restraints is not an alternative. Instead of using restraints our facility provides patient care observers to be with the patient to ensure their safety.
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The whole month of October is filled with anticipation and excitement for many children because of Halloween. Many of these children don’t know that kids their own age or even younger are forced to work at cocoa farms, just so they can enjoy their Halloween chocolate. The minicase: Is Your Chocolate the Result of Unfair Exploitation of Child Labor?, briefly describes the dilemma between international trade and child labor laws. Questions like, should labor practices in another country be a relevant consideration in international trade? What options are available to governments, business and consumers when it comes child labor?
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If a resident need to be restrained there must be a doctor to order that restrain for them to actually be restrained. Hawes, Catherine. “Elder Abuse in Residential Long-Term Care Settings: What is Known and What Information is Needed?” Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America., U.S. National Library of Medicine, 1 Jan. 1970, Accessed 26 Feb.
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Discussion 5- Advocacy According to recent data, the baby boom generation will have all retired by 2030, (AARP), which is only 15 years from now. The population in this generation will include 77 million more 65 and older individuals, not including the 54 million already in retirement and receiving Social Security and Medicare benefits. Please note that many seniors also receive some form of federal benefits such as military pensions, survivor’s benefits, annuities, investments income or an awarded settlement (Quad Agno, 14). Unfortunately, in our society driven many times by greed, this has placed our seniors in vulnerable positions, particularly when health and cognitive functions have declined; a slight disadvantage of becoming older (Quadagno,
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Lastly, involvement is an important FCC concept to include in this transition program to encourage the family/patient to become as involved as they would like in the decision-making
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However, the Department of Health and Human Services reported that a majority percentage of the use of restraints on patients happen in a nursing home. Although there has been a decrease in the daily physical restraints used in nursing homes, however, in most nursing homes, restraints are fairly common. The use of physical restraints in long term care facilities or nursing homes is not something that is new. As a matter of fact, restraints have been used on the elderly in nursing homes dating back to the 1980’s. Before the year of 1990, the U.S Food and Drug Administration estimated that about 40 percent of patients of patients in nursing homes were restrained.
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(Joint Commissions, 2014).It is important for nurses to explain how to use the call light to the elderly patients, and also to ask for help before getting out of bed. Vulnerable patients should be placed close to the nursing station for close monitoring. It is very important to educate health care workers on the approaches used to prevent falls. The measures used to prevent falls in the elderly could include; carrying out a risk assessment during admission, placing colorful stickers outside their doors, stopping the use of psychotropic medications, teaching them the best way to use their assistive device, placing their call light and belonging within their reach, placing their beds in the lowest position with brakes /wheels locked at all times, removing throw rugs from their surroundings, making sure that they are wearing non-skid shoes/socks before ambulating and also giving them their prescribed Vitamin D supplement as well as encouraging them on the use of their corrective glasses or hearing aids. It is very important to educate health care workers on the approaches used to prevent
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Elderly prisoners have a hard time living in prison. The cause is that since they are old most of the younger inmates abuse of them. Most of them are sick meantally or physically. They dont really do much in a genarl prison. Thats why they are starting a new program called True Grit Señior Structure living program.
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In general, patient fall is the neglected subject in the hospitals. This topic is neglected because most of the hospitals didn’t report fall cases anywhere due to safeguard reason. When a patient is admitted to the hospital, most of the attention is used to give to the primary condition of the patient. Also, both family members and healthcare staff concerned about the primary condition of the patient. However, this fall and its subsequent consequences can be very serious and harmful to the patient.
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Since nursing homes tend to provide care to a vulnerable population they can be taken advantage of, overlooked or mistreated by staff and with residents potentially underreporting these incidents due to fear of retaliation by staff identifies this as significant ethical issues among nursing homes. The use of restraints that restricts a resident, whether physical or chemical applies to the ethical considerations within a nursing home as it not only impacts the resident, it can affect staff members and other resident’s safety. There is always the conflict between providing the resident with a fair amount of decisions regarding their activities of daily living, special accommodations, and independence. However, there is also the reflective issue of whether these freedoms impact the safety and the ability to comply with the institution's policy and how they are handled to deliver ethically appropriate customer service to those
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Family theories have been used throughout the history of nursing to help guide patient care and provide the best patient outcomes. Certain theories may be more applicable to the specific patient encounter; however, each theory has benefits and drawbacks to their use. The purpose of this paper is to examine two selected theories, comparing their strengths and weaknesses. I will also discuss a theoretical family in relation to one theory, and how that theory can be best integrated into the care provided by an Advanced Practice Nurse (APN). Description of Theories
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