Rhonda Nearhoof Analysis
1.) The author of this letter was A.G. Argenbright and he wrote this letter in 1861. He writes about a doctor appointment that he had. His audience is a Captain.
Although I can understand why the oncologist may consider the nurse was acting unprofessionally by Kuhse’s standards, I do not agree with the oncologist’s decision or actions. According to Kuhse, nurses should only have a position of “advocacy for patients” and should accept their apparently subservient role in the medical world. Her ideas state that truly caring
In the reading “Caring for the dying: my patients, my work, my faith”, Mary Lee Freeman is a nurse practitioner who works at the hospice center. Hospice center provides compassionate care for people in the last phases of an incurable disease so that they may live as fully and comfortably as possible. In the article, every time she arrives at the hospice center, she would look at the “white board” to check if there are new patients admitted to the center and if any patients died while she was off-duty. After reading this section, it reminded me that nurses will encounter a lot of unexpected deaths of their patients. Grief is common among nurses and is often heartfelt when patients die because they have provided emotional support to patients
The first ethical mistake that was made was the DNR status being deflected by the team. In “ANA’s Code of Ethics for Nurses with Interpretive Statements”, it states the right to self-determination in Provision 1.4. This provision guides nurses to know that “patients have the moral and legal right to determine what will be done with and to their own person”. The role of the nurse is to be an advocate for the patients’ wishes (ANA, 2015). There should have been a push to have the DNR signed the first time the family asked for it and not deflected (Chen, 2019).
Note how the APA’s Ethical Principles of Psychologists and Code of Conduct might provide guidance. Evaluate the unique scholarly perspectives presented in your research to support your recommendations. Moir et. al (2015) express how nurses are skilled based on knowledge and education to communicate with patients and families about palliative care. They provide the information in a way that is understanding to the patient and family.
On the other hand, when a hospital is understaffed it can seriously affect the patient and even possibly kill them. I am extremely proud of the nurse for not backing down nor giving up. She believed what was
Whether it is one of the best moments such as child birth, or one of the less fortunate times such as a family realizing their eldest member is nearing the end of their life, a nurse is there through it all. It was my mother’s fascinating stories such as these that made me realize that I could not imagine myself working in any other
9), “provides nursing care across the lifespan that is informed by a variety of theories relevant to health and healing (e.g., nursing; family; communication and learning; crisis intervention; loss, grief and bereavement; systems; culture; community development; and population health theories)” (p. 10), and “provides nursing care to meet palliative care or end-of-life care needs (e.g., pain and symptom management, psychosocial and spiritual support, and support for significant others)” (p.10), among others. In this patient’s situation, first I had an open mind to the patient and her family, while recognizing the difficulties they must be facing with the sudden cancer diagnosis, language barriers, and other family dynamics. While I knew that I had so much ahead of me during my shift, I created an opportunity for family involvement in their care by asking what they wanted for their day and how they wanted care provided particularly bearing in mind the gender difference between the patient and myself.
There is an art to making people feel beautiful. I watch the artist in the mirror as she crafts her works of art. Her paintbrush is a hair straightener and her canvas is my head. I have known Rhonda Ernest for as long as I can remember. She reminds me about when my mom used to take me to her hair salon when I was a baby.
The nurse must care for the patient holistically, meeting their physical, emotional and mental needs, but must also support the family member or caregiver as well. The nurse must assess the family member and provide proper education and support to help them cope with their loved one’s illness. The family member can experience many emotions during a tragic time for their loved ones. Similar to Mr. R’s case, it is common that loved one’s experience denial when the patient is suffering a mortal illness. The family member may encourage the patient to continue seeking care and treatment even though no chance for a cure.
The world of pediatric nursing is something that is not fully appreciated until you get a first-hand look inside what it is really like to care for sick children who sometimes, unfortunately, do not always make it. Take oncology pediatric nurses for example. Their job is to care for and treat children with various forms of cancer, and besides the obvious, they also play a pivotal role in “optimizing the end of their patients’ life.” (Hildebrandt, p602) These individuals witness death on a day to day basis and they are trained to help a patients’ family deal with these losses, but they are on their own when it comes to how it affects them and how they are supposed to properly handle the situation.
Being exposed to patient's pain and suffering on a daily basis can influence a nurse's capacity to give compassionate care (Knobloch Coetzee & Klopper, 2010). Working in an emergency department, nurses continue to show compassion when their own well of compassion is
Suzanna, I can definitely relate to your experience. It is so important that the patient knows you are their advocate. Unfortunately, physicians and residents often get upset and frustrated with nursing staff for asking for additional help. It is critical that everyone set aside their pride or “ego” when patient care is concerned. I have a similar scenario.
By just showing that little bit of love and compassion towards someone, shows you are there for them throughout their journey. I personally feel when working with someone, you grow a tight bond that you nor your patient will ever forget. You’re the person who comes in that room every day, administer their medicine, and gives them the comfort they need. Their lives are in your hands, so make every word and action count because you never know when their last breath will be. Being a nurse is very challenging and comes with everyday obstacles.
If I had closed off in response to her silence, I would not have been able to support her through her husband's death. Her husband would have lost some of the spark and courage of his wife during his last days. It may have been dumb luck, but this showed me a valuable lesson about compassion and always assuming the best. Compassion and Loving-Kindness Meditation When you live in paradise, it can be hard to understand the darkness that other people go through. We are all lucky enough to live in one of the most beautiful places in the world.
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