The document discusses communicating respectfully with elderly patients. It provides examples of unacceptable caregiver responses that fail to meet patients' needs and respect their dignity. It emphasizes the importance of ethical principles like maintaining patients' autonomy and respecting their physical and psychological well-being. The objectives are to help students reflect on how to avoid mistreatment and establish warm relations through minor acts of empathy. Responding to requests can satisfy needs and build trust if caregivers break from routines to think creatively and personalized care.
The document discusses communication with the elderly and outlines several key challenges and strategies. It notes that communication is important for health but declines with age due to sensory and cognitive changes. Barriers include hearing loss, vision loss, and speech/language difficulties. However, activities like social groups, one-on-one visits, and assistive tools can help overcome challenges and promote interaction. The document stresses the importance of listening skills, making elders comfortable, and finding ways for them to communicate effectively.
Effective communication with the elderly: SPRINGHILL CARE GROUPsusaneaston15
Communicating effectively with the elderly can be challenging due to generational differences and potential hearing or cognitive issues. It is important to listen to the elderly without judgment, make eye contact to show respect, avoid distractions from mobile devices, and never shout. Speaking to them with respect as valued individuals rather than children, ensuring they can hear, and engaging them by asking about happy memories and their past experiences can help foster meaningful communication.
The document discusses various physical, mental, psychosocial, and social changes that commonly occur among the elderly population. It notes specific changes like slowed reflexes, loss of muscle strength, decreased memory and senses. It also discusses challenges the elderly may face like social isolation, loss of income and independence. Finally, it outlines important considerations for caring for the elderly, including maintaining safety, encouraging exercise, managing medications and nutrition, and monitoring for potential abuse.
The document provides an overview of promoting behavior change for individuals and populations. It discusses key concepts like the behavior change cycle, self-efficacy, developing resources to support behavior change, tailoring information to stages of change, and self-management principles. Evidence is presented showing self-management education can influence behavior change and improve health outcomes.
The document discusses care of the dying individual. It begins with an introduction to death and dying, including definitions of death and dying. It then outlines the 5 stages of dying according to Kubler-Ross: denial, anger, bargaining, depression, and acceptance. The stages are described in detail. The document also discusses assessing the physiological signs of approaching death and providing physical, psychological, social, and spiritual care for the dying individual. It emphasizes meeting the patient's needs, maintaining communication, and allowing for dignity in death.
Nursing is defined as assisting individuals in activities contributing to health or its recovery. The document outlines the basic principles of nursing including safety, therapeutic effectiveness, and comfort. It discusses the objectives of nursing education which are to provide expert bedside care, integrate theory and practice, and develop skills and personality. The concepts of nursing include promoting health, preventing disease, assisting healing, and easing suffering. The qualities of a nurse include being caring, adaptable, hardworking, and having good communication skills and judgment. The document also discusses the functions and philosophy of nursing as both an art and a science.
The document discusses effective communication strategies for pediatric nurses when caring for children, including using developmentally appropriate language, allowing children opportunities to express themselves through play, and building trust with patients and their families.
The document discusses communication with the elderly and outlines several key challenges and strategies. It notes that communication is important for health but declines with age due to sensory and cognitive changes. Barriers include hearing loss, vision loss, and speech/language difficulties. However, activities like social groups, one-on-one visits, and assistive tools can help overcome challenges and promote interaction. The document stresses the importance of listening skills, making elders comfortable, and finding ways for them to communicate effectively.
Effective communication with the elderly: SPRINGHILL CARE GROUPsusaneaston15
Communicating effectively with the elderly can be challenging due to generational differences and potential hearing or cognitive issues. It is important to listen to the elderly without judgment, make eye contact to show respect, avoid distractions from mobile devices, and never shout. Speaking to them with respect as valued individuals rather than children, ensuring they can hear, and engaging them by asking about happy memories and their past experiences can help foster meaningful communication.
The document discusses various physical, mental, psychosocial, and social changes that commonly occur among the elderly population. It notes specific changes like slowed reflexes, loss of muscle strength, decreased memory and senses. It also discusses challenges the elderly may face like social isolation, loss of income and independence. Finally, it outlines important considerations for caring for the elderly, including maintaining safety, encouraging exercise, managing medications and nutrition, and monitoring for potential abuse.
The document provides an overview of promoting behavior change for individuals and populations. It discusses key concepts like the behavior change cycle, self-efficacy, developing resources to support behavior change, tailoring information to stages of change, and self-management principles. Evidence is presented showing self-management education can influence behavior change and improve health outcomes.
The document discusses care of the dying individual. It begins with an introduction to death and dying, including definitions of death and dying. It then outlines the 5 stages of dying according to Kubler-Ross: denial, anger, bargaining, depression, and acceptance. The stages are described in detail. The document also discusses assessing the physiological signs of approaching death and providing physical, psychological, social, and spiritual care for the dying individual. It emphasizes meeting the patient's needs, maintaining communication, and allowing for dignity in death.
Nursing is defined as assisting individuals in activities contributing to health or its recovery. The document outlines the basic principles of nursing including safety, therapeutic effectiveness, and comfort. It discusses the objectives of nursing education which are to provide expert bedside care, integrate theory and practice, and develop skills and personality. The concepts of nursing include promoting health, preventing disease, assisting healing, and easing suffering. The qualities of a nurse include being caring, adaptable, hardworking, and having good communication skills and judgment. The document also discusses the functions and philosophy of nursing as both an art and a science.
The document discusses effective communication strategies for pediatric nurses when caring for children, including using developmentally appropriate language, allowing children opportunities to express themselves through play, and building trust with patients and their families.
Geriatric depression is a common and serious problem. It affects 17-37% of older adults in primary care settings and 11-30% of older adult inpatients and long-term care residents. Risk factors include advancing age, living in long-term care, female gender, physical illness or disability, lack of social support, and low socioeconomic status. Symptoms include apathy, loss of interest, withdrawal, appetite changes, sleep problems, feelings of worthlessness, and vague physical complaints. Treatment involves ensuring safety, meeting physical needs, supportive counseling, group therapies, education, and medication management. Suicide risk is elevated and prevention requires limiting access, family involvement, contracts, and treating underlying depression.
The roles and responsibilities of a geriatric nurse include providing specialized care to older adults that addresses their complex physical and mental health needs. Geriatric nurses work in various settings like hospitals, nursing homes, and patients' homes. Their responsibilities involve assessing patients' health status, understanding health issues, educating patients and families, and linking patients to community resources to help older adults stay independent for as long as possible. Geriatric nurses play an important advocacy role in the care of older patients.
Home health care involves providing medical care and services to individuals in their homes. It allows patients to receive skilled care while maintaining independence. The nursing process is used to assess patients' needs, develop care plans, implement care, and evaluate outcomes. Services typically include skilled nursing, therapy, and home health aide visits. Home health care allows patients to heal in a comfortable environment and reduces health care costs. It is a growing sector both in the US and India due to aging populations and increased chronic conditions.
This document discusses the concept of illness and factors that influence illness behavior. It defines illness as a deviation from normal health that is manifested through physical and psychological symptoms. Variables like perception of symptoms, nature of illness, and personal characteristics can affect illness internally, while external variables include visibility of symptoms, social groups, culture, economics, and access to healthcare. The stages of illness behavior are described as symptom experience, assumption of sick role, medical care contact, dependent care, and recovery. Emotional responses like fear, dependence, anxiety, hope, and anger are also discussed. The impact of illness on individuals and families is outlined.
1. Hospitalization can cause psychological stress for children due to separation from parents, loss of control, fear of the unfamiliar environment, and medical procedures.
2. A child's reaction depends on their developmental age, past experiences, coping skills, and support system. Younger children may experience protest, despair or detachment due to separation anxiety.
3. The nurse's role is to minimize the child's distress during hospitalization by preparing them and their family, addressing developmental needs, providing comfort, and engaging them in play and normal activities.
This document discusses the stages of grief as proposed by Elisabeth Kubler-Ross. It outlines the 8 stages as denial, anger, bargaining, depression, guilt, acceptance, hope. It provides descriptions of each stage and examples of how they may present. The stages are presented as natural and normal responses to loss, though people may not experience them in order or go through all of them. Coping with grief involves dealing with difficult changes and moving through the stages over time.
This document discusses stress, coping, and elder abuse in elderly patients. It defines stress as mental tension caused by problems, and coping as processes to overcome difficulties. Many factors can influence coping in elderly, including health, social support, and resources. Poor coping may be caused by poor health, weak social support, or lack of skills. The document also defines elder abuse and lists its main types. Elder abuse cases are often invisible, and risk factors include impaired cognition or aggressive behaviors. Comprehensive nursing assessment is needed to identify stressors, coping abilities, and potential abuse in elderly patients.
This document discusses effective communication skills in nursing practices. It begins by defining communication and its importance in nursing. The document then outlines the communication process, including the sender, message, channels of communication, receiver, and feedback. It also discusses types of communication including verbal, nonverbal, and written. Barriers to communication and skills to improve communication are presented, such as listening skills, managing stress, and assertiveness. The document concludes by examining the effect of communication skills at different levels including nurse to nurse, nurse to superiors, nurse to subordinates, and nurse to clients.
This document discusses stress, its causes and effects. It defines stress as a state of imbalance resulting from a disparity between situational demands and an individual's ability to meet those demands. Stress can be caused by external factors like the environment or internal factors like lifestyle choices. The general adaptation syndrome describes the body's three stage response to stress. When a person experiences stress, they may exhibit physical or emotional symptoms. Managing stress involves identifying stressors, selecting coping strategies like exercise, nutrition, and social support. The document also examines stress among students and nurses, finding that academic factors are a primary stressor for students while long hours and lack of support contribute to stress in nurses.
The document provides information and guidance to nursing students on how to write a care plan, including defining the different components such as nursing diagnosis, goals, interventions, and evaluation. It explains each section in detail and provides examples. Resources are also included to help students understand and complete their care plan assignments.
Effect of Hospitalization on Child and Family Jyotika Abraham
Understand the effects of Hospitalization on the child who is admitted along with the siblings, parents and caregivers and the family. Also, understand the Nurses' responsibility towards the admitted child and the family. This Ppt. deals with the Nurses responsibility in detail not only towards the child but also towards the family as they are also tremendously affected by the hospitalization of their child. Understand the stress caused by child hospitalization, the defence mechanisms used by the child, the stressors of hospitalization in children of different age groups, Post hospitalization behaviour, beneficial effects of hospitalization, parental reaction, sibling reaction, informed consent for care, situations in which consent is required. Nursing management and therapeutic care, the safety of the hospitalized child, special hospital situations and discharge.
Infection control protocols in intensive care unitsANILKUMAR BR
Hospital-acquired infections are common in intensive care unit patients due to factors like severity of illness, mechanical ventilation, malnutrition, and prolonged ICU stay. The most frequent mode of transmission is contact, either direct or indirect. Common infections acquired in the ICU include ventilator-associated pneumonia, urinary tract infections, and central line-associated bloodstream infections. Preventing these infections requires following protocols for sterile insertion and care of devices, hand hygiene, and using protective equipment during patient care.
The document discusses the various roles of pediatric nurses. It describes that pediatric nurses work in many settings providing care for children, including schools, hospitals, clinics, homes, and camps. The key roles of pediatric nurses are as caregivers, advocates, educators, researchers, managers/leaders, and in differentiated practice roles as clinical nurses, case managers, and clinical care coordinators. As caregivers, they provide preventative, curative, and rehabilitative care for children. As advocates, they ensure children receive necessary care and their rights are protected. As educators, they teach children and families about health, development, and managing illness/injuries.
Health promotion of the infant & toddlerShepard Joy
This document provides information on health promotion for infants and toddlers. It covers several key areas:
1) Developmental milestones, the importance of play, nutrition needs, common health concerns, communication skills, and anticipatory guidance.
2) Common nursing diagnoses for infants and toddlers related to knowledge, parenting skills, immunization status, family coping, and various risks.
3) A review of normal developmental age groups from neonate to preschooler, focusing on growth, motor skills, cognition, language, and psychosocial development.
The document discusses current trends in pediatric nursing, including: 1) Family centered care which involves enabling and empowering families in health care decisions. 2) High technology care which uses advanced diagnostic technology. 3) Evidence based practice where nurses make decisions based on the best available evidence. 4) Primary nursing which provides 24-hour accountability by one nurse for a small group of patients. 5) Case management which is used in outpatient settings to assign a case manager to patients or groups of patients.
The document discusses various aging-related changes that can occur in the human body as people grow older. It covers changes that may happen in several body systems including sensory systems, brain and nervous system, muscles and bones, gastrointestinal tract, skin, heart, blood vessels, kidneys, endocrine system, and reproductive system. Some key points made are that aging is a normal process, various systems may slow down or lose fine-tuning with age, lifestyle can impact the degree of changes, and steps can be taken to help maximize independence as people age.
The document discusses various topics related to grief and loss. It defines grief and mourning, and describes the different stages of grief according to Kubler-Ross (denial, anger, bargaining, depression, acceptance). It also discusses types of complicated or disenfranchised grief, common symptoms experienced during grief, and the nursing role in caring for those experiencing loss or end-of-life.
The document discusses trends in pediatric nursing. It outlines how pediatric nursing has changed significantly due to advances in medicine, technology, societal needs, and changes within the nursing profession itself. The trends in modern pediatric nursing practice include family-centered care, high-technology care, evidence-based practice, atraumatic care, cost containment, and a focus on prevention and health promotion. Pediatric nurses now aim to provide quality care that supports families, uses advanced technology competently, is based on scientific evidence, minimizes trauma, reduces costs, and emphasizes preventative healthcare.
The document discusses the nurse-patient relationship and its various aspects. It describes the different phases of the relationship from the pre-interaction phase to engagement, active intervention, and termination. It also outlines the roles, requisites, and characteristics of a good relationship between nurses and patients. Barriers like role stress and autonomy struggles that can impact effective professional relationships are examined as well. The importance of relationships between nurses and families and other healthcare professionals is also highlighted.
Communication With Old People: 3 Important Rules To RememberMichael Lee
Communication with old people can prove to be challenging, especially when taking into consideration their decline in mental and physical abilities. Here are 3 important rules to remember.
The document provides 6 tips for improving patient education materials: 1) Understand your target audience and tailor materials accordingly; 2) Simplify language to a 6th grade reading level; 3) Consider the target audience's preferred communication channels; 4) Gather feedback from patients; 5) Prioritize important information and avoid overwhelming with too much detail; 6) Respect patients and communicate in a non-condescending manner.
Geriatric depression is a common and serious problem. It affects 17-37% of older adults in primary care settings and 11-30% of older adult inpatients and long-term care residents. Risk factors include advancing age, living in long-term care, female gender, physical illness or disability, lack of social support, and low socioeconomic status. Symptoms include apathy, loss of interest, withdrawal, appetite changes, sleep problems, feelings of worthlessness, and vague physical complaints. Treatment involves ensuring safety, meeting physical needs, supportive counseling, group therapies, education, and medication management. Suicide risk is elevated and prevention requires limiting access, family involvement, contracts, and treating underlying depression.
The roles and responsibilities of a geriatric nurse include providing specialized care to older adults that addresses their complex physical and mental health needs. Geriatric nurses work in various settings like hospitals, nursing homes, and patients' homes. Their responsibilities involve assessing patients' health status, understanding health issues, educating patients and families, and linking patients to community resources to help older adults stay independent for as long as possible. Geriatric nurses play an important advocacy role in the care of older patients.
Home health care involves providing medical care and services to individuals in their homes. It allows patients to receive skilled care while maintaining independence. The nursing process is used to assess patients' needs, develop care plans, implement care, and evaluate outcomes. Services typically include skilled nursing, therapy, and home health aide visits. Home health care allows patients to heal in a comfortable environment and reduces health care costs. It is a growing sector both in the US and India due to aging populations and increased chronic conditions.
This document discusses the concept of illness and factors that influence illness behavior. It defines illness as a deviation from normal health that is manifested through physical and psychological symptoms. Variables like perception of symptoms, nature of illness, and personal characteristics can affect illness internally, while external variables include visibility of symptoms, social groups, culture, economics, and access to healthcare. The stages of illness behavior are described as symptom experience, assumption of sick role, medical care contact, dependent care, and recovery. Emotional responses like fear, dependence, anxiety, hope, and anger are also discussed. The impact of illness on individuals and families is outlined.
1. Hospitalization can cause psychological stress for children due to separation from parents, loss of control, fear of the unfamiliar environment, and medical procedures.
2. A child's reaction depends on their developmental age, past experiences, coping skills, and support system. Younger children may experience protest, despair or detachment due to separation anxiety.
3. The nurse's role is to minimize the child's distress during hospitalization by preparing them and their family, addressing developmental needs, providing comfort, and engaging them in play and normal activities.
This document discusses the stages of grief as proposed by Elisabeth Kubler-Ross. It outlines the 8 stages as denial, anger, bargaining, depression, guilt, acceptance, hope. It provides descriptions of each stage and examples of how they may present. The stages are presented as natural and normal responses to loss, though people may not experience them in order or go through all of them. Coping with grief involves dealing with difficult changes and moving through the stages over time.
This document discusses stress, coping, and elder abuse in elderly patients. It defines stress as mental tension caused by problems, and coping as processes to overcome difficulties. Many factors can influence coping in elderly, including health, social support, and resources. Poor coping may be caused by poor health, weak social support, or lack of skills. The document also defines elder abuse and lists its main types. Elder abuse cases are often invisible, and risk factors include impaired cognition or aggressive behaviors. Comprehensive nursing assessment is needed to identify stressors, coping abilities, and potential abuse in elderly patients.
This document discusses effective communication skills in nursing practices. It begins by defining communication and its importance in nursing. The document then outlines the communication process, including the sender, message, channels of communication, receiver, and feedback. It also discusses types of communication including verbal, nonverbal, and written. Barriers to communication and skills to improve communication are presented, such as listening skills, managing stress, and assertiveness. The document concludes by examining the effect of communication skills at different levels including nurse to nurse, nurse to superiors, nurse to subordinates, and nurse to clients.
This document discusses stress, its causes and effects. It defines stress as a state of imbalance resulting from a disparity between situational demands and an individual's ability to meet those demands. Stress can be caused by external factors like the environment or internal factors like lifestyle choices. The general adaptation syndrome describes the body's three stage response to stress. When a person experiences stress, they may exhibit physical or emotional symptoms. Managing stress involves identifying stressors, selecting coping strategies like exercise, nutrition, and social support. The document also examines stress among students and nurses, finding that academic factors are a primary stressor for students while long hours and lack of support contribute to stress in nurses.
The document provides information and guidance to nursing students on how to write a care plan, including defining the different components such as nursing diagnosis, goals, interventions, and evaluation. It explains each section in detail and provides examples. Resources are also included to help students understand and complete their care plan assignments.
Effect of Hospitalization on Child and Family Jyotika Abraham
Understand the effects of Hospitalization on the child who is admitted along with the siblings, parents and caregivers and the family. Also, understand the Nurses' responsibility towards the admitted child and the family. This Ppt. deals with the Nurses responsibility in detail not only towards the child but also towards the family as they are also tremendously affected by the hospitalization of their child. Understand the stress caused by child hospitalization, the defence mechanisms used by the child, the stressors of hospitalization in children of different age groups, Post hospitalization behaviour, beneficial effects of hospitalization, parental reaction, sibling reaction, informed consent for care, situations in which consent is required. Nursing management and therapeutic care, the safety of the hospitalized child, special hospital situations and discharge.
Infection control protocols in intensive care unitsANILKUMAR BR
Hospital-acquired infections are common in intensive care unit patients due to factors like severity of illness, mechanical ventilation, malnutrition, and prolonged ICU stay. The most frequent mode of transmission is contact, either direct or indirect. Common infections acquired in the ICU include ventilator-associated pneumonia, urinary tract infections, and central line-associated bloodstream infections. Preventing these infections requires following protocols for sterile insertion and care of devices, hand hygiene, and using protective equipment during patient care.
The document discusses the various roles of pediatric nurses. It describes that pediatric nurses work in many settings providing care for children, including schools, hospitals, clinics, homes, and camps. The key roles of pediatric nurses are as caregivers, advocates, educators, researchers, managers/leaders, and in differentiated practice roles as clinical nurses, case managers, and clinical care coordinators. As caregivers, they provide preventative, curative, and rehabilitative care for children. As advocates, they ensure children receive necessary care and their rights are protected. As educators, they teach children and families about health, development, and managing illness/injuries.
Health promotion of the infant & toddlerShepard Joy
This document provides information on health promotion for infants and toddlers. It covers several key areas:
1) Developmental milestones, the importance of play, nutrition needs, common health concerns, communication skills, and anticipatory guidance.
2) Common nursing diagnoses for infants and toddlers related to knowledge, parenting skills, immunization status, family coping, and various risks.
3) A review of normal developmental age groups from neonate to preschooler, focusing on growth, motor skills, cognition, language, and psychosocial development.
The document discusses current trends in pediatric nursing, including: 1) Family centered care which involves enabling and empowering families in health care decisions. 2) High technology care which uses advanced diagnostic technology. 3) Evidence based practice where nurses make decisions based on the best available evidence. 4) Primary nursing which provides 24-hour accountability by one nurse for a small group of patients. 5) Case management which is used in outpatient settings to assign a case manager to patients or groups of patients.
The document discusses various aging-related changes that can occur in the human body as people grow older. It covers changes that may happen in several body systems including sensory systems, brain and nervous system, muscles and bones, gastrointestinal tract, skin, heart, blood vessels, kidneys, endocrine system, and reproductive system. Some key points made are that aging is a normal process, various systems may slow down or lose fine-tuning with age, lifestyle can impact the degree of changes, and steps can be taken to help maximize independence as people age.
The document discusses various topics related to grief and loss. It defines grief and mourning, and describes the different stages of grief according to Kubler-Ross (denial, anger, bargaining, depression, acceptance). It also discusses types of complicated or disenfranchised grief, common symptoms experienced during grief, and the nursing role in caring for those experiencing loss or end-of-life.
The document discusses trends in pediatric nursing. It outlines how pediatric nursing has changed significantly due to advances in medicine, technology, societal needs, and changes within the nursing profession itself. The trends in modern pediatric nursing practice include family-centered care, high-technology care, evidence-based practice, atraumatic care, cost containment, and a focus on prevention and health promotion. Pediatric nurses now aim to provide quality care that supports families, uses advanced technology competently, is based on scientific evidence, minimizes trauma, reduces costs, and emphasizes preventative healthcare.
The document discusses the nurse-patient relationship and its various aspects. It describes the different phases of the relationship from the pre-interaction phase to engagement, active intervention, and termination. It also outlines the roles, requisites, and characteristics of a good relationship between nurses and patients. Barriers like role stress and autonomy struggles that can impact effective professional relationships are examined as well. The importance of relationships between nurses and families and other healthcare professionals is also highlighted.
Communication With Old People: 3 Important Rules To RememberMichael Lee
Communication with old people can prove to be challenging, especially when taking into consideration their decline in mental and physical abilities. Here are 3 important rules to remember.
The document provides 6 tips for improving patient education materials: 1) Understand your target audience and tailor materials accordingly; 2) Simplify language to a 6th grade reading level; 3) Consider the target audience's preferred communication channels; 4) Gather feedback from patients; 5) Prioritize important information and avoid overwhelming with too much detail; 6) Respect patients and communicate in a non-condescending manner.
1) Frailty refers to a loss of physiologic reserve that makes older adults susceptible to disability from minor stresses or challenges. It is not dependent on age, diagnosis, or functional ability.
2) Common features of frailty include weakness, weight loss, muscle wasting, exercise intolerance, frequent falls, immobility, and instability of chronic diseases.
3) Frailty exists on a continuum from vigorous to frail. Early intervention can help reduce disability and adverse outcomes like falls, injuries, hospitalizations, and death in frail older adults.
This document discusses the assessment of elderly patients. It outlines several key points regarding the assessment of elderly patients:
1) A geriatric assessment should be interdisciplinary and evaluate both medical and non-medical domains like function and quality of life.
2) Physiologic changes that occur with aging can impact assessment findings. For example, sensory deficits may interfere with history taking and many disorders only manifest as functional decline in elderly patients.
3) Several assessment tools are described, including the Timed Get Up and Go Test to evaluate mobility.
4) Certain findings may be misinterpreted in elderly patients. For example, fever responses can be blunted with infection and age-related crackles are common but
Students are assigned a group project on issues facing the elderly as part of their GCSE citizenship coursework. They will visit elderly people, explore issues like social isolation, and take them gifts. The project is worth 40% of their overall citizenship grade. Students are instructed to choose roles in their group, get permission for their plans, complete required tasks and documentation like meeting minutes and activity logs, and write letters and essays about the challenges elderly people face and potential solutions.
Elderly care involves caring for those aged 60 and over. As populations age, the percentage of those over 65 is increasing which has led to the emergence of geriatrics as a field. Older adults often require care due to declining health and abilities. Care can be provided in homes, old age homes, or day care centers and includes medical, social, and financial support. Governments have implemented policies to support the elderly including welfare programs and national policies focusing on areas like health, shelter, education, and family support.
Needs assessments carried out by social workers evaluate an elderly person's living conditions, independent living skills, financial situation, family support, and needs for services. This determines if they require domiciliary care at home, attendance at day centers which provide activities and meals, or placement in residential or nursing homes that provide 24-hour care, meals, activities, and assistance with daily tasks.
1) The global population of people over age 60 is nearly 700 million currently and is expected to reach 2 billion by 2050, outpacing the number of children.
2) In the Philippines, there are over 4.5 million senior citizens comprising nearly 6% of the population as of 2009.
3) Elderly people face issues like abuse, neglect, loneliness due to loss of spouse and friends, poverty, declining health, and discrimination.
The document discusses various aspects of aging including biological, psychological, and social factors. Biologically, aging is characterized by gradual decline in functioning of body systems due to factors like cellular damage and reduced organ function. Psychologically, late adulthood involves developmental tasks like accepting loss and retirement while maintaining interests. Socially, aging can involve changes like loss of social connections, discrimination against older adults, and economic and living situation adjustments. Maintaining well-being involves addressing reversible causes of mental health issues and continuing social engagement for older adults.
This document provides an overview of 10 key areas for personal care aides (PCAs) and home health aides (HHAs) including patient bill of rights, confidentiality, professionalism, infection control, observing and reporting, elder abuse, patient binders, medications, light housekeeping, and doctor's appointments. It discusses the rights and responsibilities of patients, how to involve patients in their care plan, HIPAA privacy laws, proper handwashing techniques, use of personal protective equipment, what should be reported and to whom, and maintaining professional boundaries.
Inpatient Rounding: 30 Minutes a Week to Amazing Patient ExperienceMedAmerica Marketer
This document discusses the importance of inpatient rounding to improve patient experience. It describes a pilot program where ED physicians and nurses rounded on admitted patients weekly to understand their care experience, identify opportunities for improvement, and provide real-time service recovery. This led to improved patient satisfaction scores. The rounding helped foster a culture of compassion by providing feedback to staff and recognizing both positive and negative experiences.
This document discusses providing outstanding patient service. It begins by defining good, poor, and outstanding patient service. Good service meets expectations, while outstanding service exceeds expectations and is memorable. The document then provides tips for offering outstanding patient service, such as treating each patient as an individual, identifying their needs, and looking for opportunities to exceed their expectations. It emphasizes building rapport with patients through active listening, making a personal connection, and following up after providing a service. The document also discusses dealing with patients' emotional needs through empathy and validation. Overall, it provides guidance for staff on understanding patients' perspectives and consistently delivering service that exceeds their expectations.
This document discusses providing outstanding patient service. It begins by defining good, poor, and outstanding patient service. Good service meets expectations, while outstanding service exceeds expectations and is memorable. The document then provides tips for offering outstanding patient service, such as treating each patient as an individual, identifying their needs, and looking for opportunities to exceed their expectations. It emphasizes building rapport with patients through active listening, making a personal connection, and following up after providing a service. The document also discusses dealing with patients' emotional needs through empathy and validation. Overall, it provides guidance for staff on understanding patients' perspectives and consistently delivering service that exceeds their expectations.
This document discusses providing outstanding patient service. It begins by defining good, poor, and outstanding service. Good service meets expectations, while outstanding service exceeds them. The document then provides tips for offering outstanding patient service, such as treating each patient as an individual, identifying their needs, building rapport, listening skills, problem solving, and managing expectations. It emphasizes the importance of going above and beyond for patients by looking for extra opportunities to help them. The overall message is that outstanding patient service can be provided by focusing on each unique patient, understanding their needs, and finding ways to exceed their expectations through small acts of care, attention, and problem solving.
Nine characteristics of good-quality care in district nursing taken from interviews with patients, carers and staff.
We hope this framework and these slides will be a useful resource for you – please feel free to use them in your work, in documents and presentations.
Western Governors Department of Nursing Mission Assignment.pdfsdfghj21
1. The document provides instructions for a nursing mission statement and professional portfolio assignment, including creating a 1 paragraph mission statement representing career goals and aspirations, and a 3-4 page professional summary explaining how artifacts represent the learner as a healthcare professional and their strengths and challenges.
2. The response addresses several provisions of the Nursing Practice Act and how the writer applies them in their work, including treating patients with dignity and respect, advocating for patient rights and safety, and maintaining privacy and confidentiality.
3. Collaboration with other healthcare workers is discussed, specifically how the writer works with different staff on night shifts to provide care requiring a team effort.
This document discusses ethical and cultural issues in pediatric nursing. It begins by defining ethics and explaining how ethics can be influenced by laws, religion, philosophy and other factors. It then discusses some common ethical issues pediatric nurses face, such as refusing immunizations, treatment or accepting reality when a child may die. Cultural issues are also examined, like how socioeconomic factors, poverty, migration and customs can impact a family's health perceptions. The document emphasizes that pediatric nurses must consider a family's unique cultural beliefs and situation to provide sensitive, appropriate care for pediatric patients.
The document proposes a Compassionate Connected Care model to help healthcare leaders and managers strategically view data to reduce patient suffering. The model organizes care actions into four domains: clinical, operational, behavioral, and cultural. It identifies six themes that emerged from patient and provider interviews about compassionate care. The actions within each theme provide tangible ways to alleviate patient suffering across healthcare settings. The model aims to help focus improvement efforts to better meet patient needs.
The document provides guidance for mental health attendants on how to properly care for mentally ill patients. It emphasizes the importance of regular training, clear duties to patients and the institution, and understanding the causes of mental illness. It outlines specific dos and don'ts for attendants, such as developing trust with patients, avoiding arguments or ridicule, and maintaining close observation of physical and mental symptoms. The overall message is that attendants must treat patients with kindness, respect, and understanding given their vulnerable state.
Ethical and cultural issues in pediatrics sukh randhawa
This document discusses ethical and cultural issues in pediatric nursing. It begins by defining ethics and explaining how ethics are influenced by laws, religion, science, philosophy and moral principles. It then discusses the principles of medical ethics including autonomy, beneficence, non-maleficence and justice. The rest of the document outlines some specific ethical issues pediatric nurses may face, such as refusing immunizations, withholding or withdrawing treatment, informed consent, restraining children, and accepting medical realities. It also discusses how to address ethical dilemmas and the pediatric code of ethics.
Facing the challenges of today’s workplace discusses the realities nurses face and strategies to overcome challenges. It outlines Benner's levels of nursing competence from novice to expert. Nurses may experience reality shock when they realize their education did not fully prepare them for practice. Over time, nurses can experience burnout due to chronic stress, which causes physical and psychological symptoms. Workplace safety hazards include inadequate staffing, infections, hazardous chemicals, and ergonomic issues. Discrimination and harassment such as racial discrimination, sexual harassment, disruptive behaviors, and violence remain problems nurses face.
This document discusses core values in nursing care. It defines core values as the values put on one's work, clients, and self that guide care and living. Core values in caring encompass empathy, respecting clients' rights and privacy, and treating each client as an individual. The document also discusses barriers to care like discrimination and poverty. It emphasizes the importance of considering each client's holistic needs and using nursing models to understand the whole person.
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Respect should be at the core of all healthcare interactions. A patient's relationship with her provider and trust in the healthcare system was damaged after a disrespectful ER visit where the physician refused to listen to her needs. Showing respect through courteous, validating, and honest interactions can help improve the customer experience. Respect involves avoiding assumptions, dressing professionally, and treating patients the way you want your own family to be treated.
Some of the most commonly occurring legal issues that impact on nursing and nursing practice are those relating to informed consent and refusing treatment as previously detailed, licensure, the safeguarding of clients' personal possessions and valuables, malpractice, negligence, mandatory reporting relating to gunshot....
The document summarizes several influential nursing theorists and their theories. It discusses Virginia Henderson's definition of nursing as assisting individuals to perform activities contributing to health. It then overviews four major concepts in nursing theories - person, environment, health, and nursing. The rest of the document summarizes theories developed by Betty Neuman, Dorothea Orem, Dorothy Johnson, Ernestine Wiedenbach, Faye Glenn Abdellah, Florence Nightingale, Evelyn Tomlin, Helen Erickson, Mary Ann Swain, Hildegard Peplau, Ida Jean Orlando, and Imogene King - outlining their definitions of nursing and key concepts or phases in their theories.
The nurse has seen many changes in nursing since starting in 1974. In the past, doctors led care and nurses followed orders without question. Patients had little say and were not fully informed. The nurse now sees their role as advocating for patients and facilitating their autonomy and decision making. The nurse believes Jean Watson's Theory of Human Caring fits their philosophy, seeing people as more than their illness and considering psychological/social factors. The nurse aims to care for the whole person within their communities and values putting patients first over schedules.
Code of Ethics, Code of professional conduct, Legal aspects in Nursing .pptxRenjini R
This document discusses ethical and legal issues in nursing. It defines ethics as customs or guiding beliefs that govern conduct. Nursing ethics provides standards for professional behavior in relation to patients, fellow nurses, healthcare teams, and communities. The document outlines several key ethical principles including autonomy, beneficence, non-maleficence, justice, confidentiality, accountability, veracity, and fidelity. It also discusses legal standards and responsibilities for nurses, international and national codes of nursing ethics, and some common ethical issues nurses may face in practice areas like staffing, patient decisions, and inappropriate tasks.
The right moisturiser can keep skin healthy throughout the yearNursing Crusade
The document discusses choosing the right moisturizer for different skin types and seasons. It recommends using a light, fast absorbing moisturizer like Vaseline Aloe Soothe during the summer months. For time spent outdoors, it suggests choosing a moisturizer with SPF of at least 20 to protect skin from the sun. As temperatures drop later in the year, it advises using a hydrating moisturizer like Vaseline Intensive Care that seals in moisture and is hypoallergenic.
The document discusses transport operations and ambulance driving. It covers standard competencies for EMS operations, transporting patients safely, defensive driving techniques, and safe driving practices like using turn signals and maintaining a cushion of safety around the ambulance. Key steps for ambulance staff include checking equipment, securing patients and supplies, and cleaning after transporting a patient. The goal is to safely transport patients while avoiding crashes.
This document provides information and strategies for sun safety at resorts and for outdoor employees. It discusses establishing a sun safety program that provides education materials to guests and training to employees. The program is based on a decade of successful sun safety programs for outdoor workers and recreators.
This document discusses the harms of marijuana abuse. It defines marijuana and how it is used. It then explains the short-term and long-term health effects of marijuana use. It notes that marijuana can negatively impact students, workers, and social life. The document advocates for treatment programs that focus on detoxification and support to reintegrate into society. It aims to dispel myths about marijuana and advocates for its characterization as a dangerous drug rather than a safe alternative to other substances.
How pizza shops, steakhouses harm environmentNursing Crusade
Pizza shops and steakhouses that use charcoal or wood burners produce significant emissions and damage the environment in major cities. A study of Sao Paulo, Brazil found emissions from wood burning pizza restaurants and charcoal-burning steakhouses posed an emerging environmental risk, despite Sao Paulo's green vehicle policies. The city is home to around 8,000 pizza parlors that produce close to a million pizzas per day using wood burning stoves, negating the positive effects of Sao Paulo's biofuel vehicle policies.
Bill Gates says that genetically modified mosquitoes may be used to fight malaria within the next five years. Researchers are using a gene editing technique called a "gene drive" to alter mosquitoes so they are resistant to diseases like malaria and dengue. Gates believes this technology could dramatically reduce malaria deaths by suppressing mosquito populations. However, some scientists have concerns about the safety of releasing genetically modified mosquitoes into the wild and more regulation of gene drives may be needed.
India is facing a diabetes epidemic as the number of diabetics is projected to increase to over 100 million in the next 15 years. While India has made progress in reducing childhood stunting, the growing rate of overweight and obese individuals, especially those prone to diabetes, is a cause for concern. Public health policies need to be strengthened to combat both undernutrition and the rising threat of overnutrition and diabetes.
Flowers may be losing their scents and fragrances due to rising global temperatures associated with climate change. Scientists have found that higher ambient temperatures lead to a decrease in the production of floral scents. Flowers produce scents to attract pollinators like insects to ensure plant reproduction. However, increasing temperatures are interfering with the plant-pollinator relationship by reducing floral scents.
The document discusses the author's experience getting a haircut at various barbershops and salons over time. It describes visiting a neighborhood barber shop for cheap haircuts for years, but eventually ending the relationship due to poor hygiene. The author then tries several upmarket salons but is unsatisfied until finding one that meets most requirements and provides a good haircutting experience. The author learns about new hair products and their benefits from the barber.
Poverty changes dna of people, may make them drug addictsNursing Crusade
Living in poverty can cause changes to a person's DNA that increases the likelihood of depression, anxiety, and drug use. Researchers found that teenagers from low socioeconomic backgrounds showed changes to a gene linked to increased activity in the brain's fear and stress response center. This epigenetic change was also associated with lower levels of serotonin and can be passed to future generations. The study examined changes to the SLC6A4 gene in 132 adolescents over two years, finding that those from poorer backgrounds accumulated higher levels of a chemical tag on the gene, making their amygdala more sensitive to fearful stimuli.
Twenty mediterranean diet tricks to help you lose weight this summerNursing Crusade
The document discusses 20 ways to follow a Mediterranean diet to lose weight and improve health. Some of the key recommendations include using olive oil instead of other fats, eating tomatoes and garlic daily for their health benefits, choosing fish instead of red meat at least once a week, eating plenty of fruits and vegetables including options like peppers and avocados that are popular in Mediterranean diets, and enjoying red wine in moderation with meals for its antioxidants. The Mediterranean diet has been shown in studies to reduce the risk of heart disease, diabetes, cancer and other health issues while helping maintain a healthy weight.
South Koreans can now soothe hangovers with a new ice cream bar launched by a convenience store chain. Called "hang in there", it is the first ice cream marketed specifically for hangover relief. Drinking is a big part of business culture in South Korea, and the hangover remedy market is worth over $126 million annually. The ice cream contains oriental raisin tree fruit juice, a traditional Korean medicine for hangovers whose extract was found to reduce intoxication symptoms in rats.
The document discusses various topics related to emergency medical services (EMS) operations including transport operations, EMS roles and responsibilities, operating ground ambulances safely, assessing and treating patients, infectious disease protocols, ambulance design, checking and equipping ambulances, ambulance staffing, emergency response and transport, air medical transports, and helicopter medical evacuation operations. The overall document provides guidance and standard competencies for EMS professionals.
This document provides information about blood typing and characteristics. It discusses the discovery of blood types by Landsteiner in 1900 and the Rh factor in 1940. The document defines key terms like antigens, antibodies, agglutination. It describes the main blood types (A, B, AB, O) and Rh factors (+/-). It also summarizes blood composition, functions, transfusions and the genetics that determine blood type. Overall, the document presents foundational information about blood typing and characteristics.
The document discusses legal and regulatory issues related to nursing practice. It covers topics such as sources of law, criminal and civil law, tort law including malpractice, intentional torts, strategies to prevent incidents, standards of care, selected laws including nurse practice acts, licensure, boards of nursing, advance directives, HIPAA, and privacy versus confidentiality. The overall document provides an overview of the legal and regulatory framework that governs nursing practice.
A survey by GOQii on fitness in India showed that the most common health goals are to get active and fit, reduce stress, manage weight, and improve sleep quality. The survey found that Delhiites prefer outdoor cardio exercises while Bengaluru residents favor yoga. It also showed that Mumbaikars take the most daily steps on average and residents of Pune sleep the most hours per night.
No creches yet, poor fret over children's safetyNursing Crusade
The document discusses the lack of creche facilities in slums, which is causing worry for low-income families. A pilot project aimed to set up 30 creches by December, but it has been delayed. The delay is due to issues recruiting additional staff needed to run the creches. Advocates express concern over the delay and need for dedicated funding and monitoring of creche programs.
Researchers found that regular chocolate consumption was associated with better performance on cognitive tests. A study of over 900 people aged 23-98 found that those who ate chocolate more frequently did better on tests of visual-spatial memory, organization, working memory, abstract reasoning and mental status. Regular chocolate consumption was linked to better cognitive function, except for working memory, even after accounting for cardiovascular and lifestyle factors.
This document discusses how living in today's world full of constant stimulation and anxiety makes it difficult to remain calm. It provides strategies from experts on how to cultivate calmness through detaching from chaotic situations, meditation, yoga, and taking breaks. Modern life is seen as more restless than ever before, making finding inner peace and calm a priority.
The document discusses how demonstrating both competence and vulnerability can help build trust more quickly. It describes a study where psychiatrists would act clumsy, like dropping a pencil, to appear more human and approachable to patients. Similarly, an engineer gained his coworkers' trust after joining them for karaoke. The key is to first impress with knowledge and skills, then show your fallible side through minor mistakes or silliness. This balances warmth with competence, making people seem more trustworthy.
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)MuskanShingari
Statistics- Statistics is the science of collecting, organizing, presenting, analyzing and interpreting numerical data to assist in making more effective decisions.
A statistics is a measure which is used to estimate the population parameter
Parameters-It is used to describe the properties of an entire population.
Examples-Measures of central tendency Dispersion, Variance, Standard Deviation (SD), Absolute Error, Mean Absolute Error (MAE), Eigen Value
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
Nano-gold for Cancer Therapy chemistry investigatory projectSIVAVINAYAKPK
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
1. Communicating with
the Elderly:
Choosing Respect in
Caregiving
Exercises for Beginners
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2. Choosing Respect in Caregiving
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3. The case studies in this presentation illustrate
situations that are unacceptable and the
dialogues are unfortunately all too real.
These cases unfortunately diminish the
accomplishments of exemplary caregivers.
We offer them our sincerest apologies.
WARNING
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4. Ethics: a bastion against abuse
Providing care to the elderly raises serious ethical
questions, namely:
. How to always maintain the elderly person’s dignity;
. How to always respect his autonomy, even if he is in a
state of confusion;
. How to limit the caregiver’s temptation to build relations
based on authority and the potential for manipulation;
. How to maintain the caregiver’s integrity and to limit
the possibility of mistreatment;
. How to receive the patient’s family.
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5. Objectives
Generating the student’s reflection on
critical situations with the elderly patient.
Raising awareness that despite the best
intentions, some of the patient’s significant
needs may be left unanswered.
Getting the student to realize that warm
and empathetic relations can be established
through minor gestures.
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6. Objectives
Getting students to understand that
ethical principles apply to everyday
caregiving activities.
Generating awareness that abusive
behaviour exists and is more common
than we think.
Getting students to understand that
abusive behaviour is often subtle or
hidden.
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7. Satisfying the needs and expectations of
the elderly
One of the foundations of quality caregiving is to
satisfy the needs of the patient.
Downsizing and repetitive standard operating
procedures often impede this objective.
Organizational routine often becomes an end
instead of a means.
This often results in caregivers providing
inadequate responses, which demonstrate a lack of
ethics, simple manners and quality of care.
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8. Needs, expectations and preferences vary
Every person experiences different needs. Some
hate washing themselves while others enjoy baths.
Some like getting up and walking while others
need stimulation to engage in activities.
Quality care takes these differences into
account.
It is what we refer to as personalized care. This
is based on proper organization and, more simply,
on politeness, respect and good manners.
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9. Establishing good relations with the patient usually
depends upon minor, everyday details and
answering simple requests to meet his needs or
those of his loved ones.
Sometimes, this can mean:
Breaking the routine
Demonstrating goodwill
Being creative
Task organization and personalized care
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10. Responding to the patient’s physical needs
The following situations illustrate
inadequate responses in which the patient’s
needs are not met.
How would you respond if you were in the
caregivers’ position?
More practical responses will be made
available later on.
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11. Could you let me sleep a little?
I haven’t slept all night.
So you think you’re
the only one here!
Do you think you’re
at a hotel?
Dysfunctional and arrogant response
Which articles of the
code of ethics have been
ignored in this case
and those that follow?
Which ethical
principles are ignored?
Better response to follow
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12. Could you wake me up earlier
so that I can take my bath?
I like getting up early.
That’s not possible!
You’ll just have
to wait your turn.
Dysfunctional and authoritative response.
Better response to follow
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13. I don’t want to take a laxative.
It hurts my stomach and I’m
embarrassed to repeatedly ask
to go to the bathroom.
Well don’t come complaining
to us that you’re constipated!
Retaliation, mocking and intimidation are
considered acts of psychological abuse.
OIIQ, Le Journal, Chronique déonto
novembre/décembre 2001, Vol. 9 No 2.
Better response to follow
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14. Could you put on a second
gown? The opening in
the back gives me the chills.
That’s odd! Why don’t
you just pull up your
blanket?
This is a case of mocking.
The patient’s need is unmet.
You’ve got hands…
Better response to follow
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15. I wish someone would give me a
bath. I used to wash myself every
day. I like feeling clean.
You’ll have to wait a week.
The attendant is on
holiday.
The patient’s values always supersede those of the nurse.
The quality of the therapeutic relation relies on the ability to
establish a respectful, reliable and trustworthy environment in which
the primary focus is the patient.
OIIQ, Le Journal, mars/avril 2001, Volume 8,
Numéro 4. Chronique déonto. Les obstacles à la relation thérapeutique »
Better response to follow
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16. I wet my bed.
Could you change
my pants and sheets?
We’ll have to hoist you and you
know that using that machine is
complicated…
Better response to follow
It is the nurse’s fundamental duty to guarantee the
safety and well-being of the patient. It is our duty
to provide him with the care required by his
condition while respecting his physical and
psychological integrity. OIIQ, Chronique déonto,
Le Journal, novembre/décembre 2001, vol 9 no 2.
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17. 2- Staff indifference is noticed. For example, it consists of talking about unrelated
subjects with other staff members while the elderly person is being moved like an
object and is not even acknowledged by them.
(OIIQ. (2000) L’exploitation des personnes âgées).
We have to
hoist him.
I was with Paul.
It was a terrific
evening.
I saw a great
movie yesterday.
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18. Can’t you see that it’s too late
for supper?
Now he’ll have to wait until
tomorrow.
I’m hungry, Marge!
I’m bringing back Mr. Dubois
Unanswered need and threat.
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19. Code of Ethics of Nurses, OIIQ
Division I
6 – Availability and Diligence
25. In the practice of his or her profession, a nurse shall
display due diligence and availability.
Division II
3- Prohibited behaviour
37. A nurse shall not use verbal, physical or psychological
abuse against the client.
(threats and pressure are a type of abuse).
Responses to slides 11 to 18
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20. Ethical principles for slides 11 to 18
We should never forget the ethical principles which guide
caregiving. The following principles were neglected in the
previous cases:
. Respecting the person’s dignity regardless of his physical or
psychological state. Courtesy is mandatory.
. Respecting the person’s freedom, autonomy, values and decisions (if
he is competent). We must obtain his consent before proceeding with a
medical act and he has the right to refuse care.
. Respecting the person’s integrity, inviolability (respecting essential
needs, avoiding all forms of violence, preventing risks to his health and
well-being).
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21. The following are a few examples of
appropriate responses for the preceding
cases.
It is often easy to respond and meet the
person’s needs and expectations.
However, hiding behind standard
procedures and regulations can be
convenient.
This shadows the fear of getting
involved and of being overwhelmed by the
patients’ demands.
Responses which are not time-consuming and which
require little effort exist and go a long way.
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22. Please rest! I’ll start with
someone else.
Logical and comprehensive response
I haven’t slept all night!
Best response for
slide 11
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23. Could you wake me up earlier
so that I can take my bath?
I like getting up early.
I’ll switch your turn
with someone who likes
to stay in bed.
Respecting the patient is also respecting
his values and autonomy whenever possible .
Best response for
slide 12
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24. I don’t want to take a laxative.
It hurts my stomach and I’m
embarrassed to repeatedly ask
to go to the bathroom.
We’ll try to find
a better balance.
Division II- 3. Prohibited behaviour. 37. A nurse shall not use verbal, physical
or psychological abuse against the client. Imposing a treatment is abusive.
Best response for
slide 13
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25. I’m cold wearing this gown.
I’ll get your sweater. You’ll
be more comfortable.
Code of Ethics of Nurses; Division I – 6, section 25. In the practice of his or her
profession, a nurse shall display due diligence and availability.
Best response for
slide 14
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26. I like having baths - often.
As soon as one of us
is available,
we’ll give you a bath.
That would be nice.
Whenever possible, put aside what you are doing and pay attention to the client and
his family. If you are unable to do so, inform the client and his family. By reacting
promptly, you are in fact demonstrating that you are listening to their concerns. This
will help maintain their confidence. (OIIQ, Le journal, mai juin, 2005.
http://www.oiiq.org/uploads/periodiques/Journal/vol2no5/ss04.htm)
Best response for slide 15
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27. I wet my bed.
Could you change
my pants and
sheets?
I’ll ask for help and we’ll be able
to change your pants and sheets
without moving you too much.
Same comment for slide 15
Best response for slide 16
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28. We’re here to lift you. How are you
feeling today?
You’ll feel
better getting up.
Best response for slide 17
We should address the patient, get him to talk and avoid
engaging in personal conversations in his presence.
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29. You’re bringing him back late,
but there’s surely a way to
find him something to eat.
I’m hungry, Marge!
Best response for slide 18
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30. Alleviating pain is a primordial element
to consider.
Neglecting to carry out this responsibility
appropriately is a serious breach of ethics.
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31. Alleviating pain is an essential need which raises
certain problems:
Responding to the patient’s complaint requires
attentive listening;
Evaluating pain is difficult among the elderly,
who are often confused;
Determining the relevance of offering a
prescribed analgesic can contradict our fear of
creating addiction. Nurses should avoid judging
another person’s threshold for pain based upon
their personal limits;
Administering a medication to provide optimal
relief. Nurses should not wait too long and should
follow the correct intervals between doses.
Alleviating pain
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32. I’m still suffering.
Could you give
me something?
Dismissive attitude which
demonstrates lack of
empathy.
Again?
You’re taking way
too much medication.
Next
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33. I understand you Ms. White.
The pain has got to stop.
I’ll talk to the doctor.
We’ll find a solution.
I’m still
suffering!
Best response for slide 32
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34. My back is
killing me!
I don’t have anything
prescribed for you.
You just have to talk to your
phsyician!
I really can’t do anything.
This dysfunctional response
blames and casts guilt upon the
patient and illustrates a lack of
empathetic understanding.
I don’t have
a magic lamp!
Next
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35. Now my back is really
killing me!
I’ll call the doctor.
He might be able to prescribe something.
I’ll massage your back to alleviate your
pain before bedtime.
This answer illustrates that the nurse
has listened and responded to the patient.
Best response for slide 34
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36. Inappropriate behaviour resulting in
mistreatment:
using rudeness and infantilization.
Avoid at all cost!
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37. It is not our job to judge fellow caregivers as
if they were slaves to an assembly line;
however, we should be aware of the potential
for abuse and denounce it in all of its forms.
Abuse is unfortunately present among
families and healthcare institutions. There is
plenty of abuse, even hidden.
« Abuse occurs when a caregiver or an
institution commits, tolerates or provokes an
act that a healthcare professional would not
commit against his own family member or a
loved one." Source: Yves Gineste, 2004, Silence on
frappe. Collectif, p. 17.
Mistreatment or abuse
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38. Ernest it is time you went to bed
like everyone else!
Which articles of the
Code of Ethics of
Nursing are
breached in the
following situations?
Which ethical principles
are disregarded?
We’ve got more to
do than just putting you
to bed.
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39. Can you change my diaper?
Again?
You’ll just have
to wait.
Suite
2- "It should be noted that incontinence pants are widely used. The Association
des CLSC et des CHSLD du Québec reported that it is imposed upon 66% of
residents whereas ‘it is known that 13% of these residents can manage their
own hygiene if only adequate supervision were provided, and that 15% of these
residents would be continent if they were provided more frequent assistance to
go to the bathroom.’"(OIIQ. (2000) L’exploitation des personnes âgées).
Rudeness, threat and failing to respond to a need
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40. Albert, you unplugged your
collector pouch again.
Could you be more careful?
Inappropriate and infantilizing manner of addressing patient.
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41. Bernadette!
You stupid, stop going through
the drawers! This isn’t
your room, you know.
Using insults is a prohibited behaviour, considered an acts of psychological abuse.
OIIQ, Le Journal, Chronique déontonovembre/décembre 2001, vol. 9, no 2.
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42. Lise, I’m hungry.
You didn’t want to eat
earlier. Too bad! Now you’ll
just have to wait until
dinner.
The nurse lacks empathy,
is impersonal and fails
to consider the other person’s
needs and
expectations.
This response blames the
individual and is punitive.
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43. I just changed your sheets.
I hope it’s the last time
today that you leave
me with a surprise.
Retaliation, mocking and intimidation are
considered acts of psychological abuse.
OIIQ, Le Journal, Chronique déonto
novembre/décembre 2001, vol. 9, no 2 .
You got chocolate
all over the place.
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44. Reflection
I don’t understand
why people enter my
room without knocking, why
they are impolite with me,
why they bark orders, why
I’m constantly being blamed,
and why I’m being treated as
if I were a nobody.
2- The OIIQ will not tolerate any situation involving lack of respect
observed during a formal inspection or which is reported by interveners in
residential and long-term care centres (CHSLD). OIIQ. (2000)
L’exploitation des personnes âgées.
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45. Code of Ethics of Nursing, OIIQ. Section II-
3. Prohibited behaviour.
37. A nurse shall not use verbal, physical or psychological
abuse against the client.
Retaliation, mocking, intimidation or indifference are
considered acts of psychological abuse.
OIIQ, Le Journal, Chronique déonto novembre / décembre
2001, vol. 9, no 2.
Ethical principles:
- Respecting the person’s dignity, freedom and autonomy.
Responses for slides 38 to 44
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46. Mistreatment:
Violence
• Abuse is more common than we may think.
• Families often avoid filing a complaint because they
fear reprisals against their loved one.
• Complaints are not always well accepted or taken
seriously when families undertake this process.
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47. Abuse exists in many forms, including:
Physical abuse, which can be identified through bruising;
Psychological abuse (pressure, threats, insults, raising
tone of voice);
Passive neglect, which is omitting to help an elderly
person walk or to take care of his hygiene and nutritional
needs;
Active negligence by depriving a person of his freedom,
unnecessarily using physical constraints, hurrying care
and disregarding standards;
Therapeutic violence through relentlessness or denial of
treatment (i.e. neuroleptic abuse, casual administering of
laxatives, omitting medications). (Yves Gineste, 2004,
Silence on frappe. Collectif, p. 18).
Types of violence
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48. Other forms of abuse:
Denying the elderly person’s sexuality;
Sexual abuse or indecent assault;
Robbing or extorting assets or money;
Living in a situation in which the
individual loses the desire to live.
Other forms of abuse
Abuse is often subtle and hidden.
Excuses are often found to justify it.
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49. If you want me to comb your hair
and look good, be kind to me!
There is such a thing as tipping.
Financial requests or exploitation are abusive
gestures that contravene with
ethical standards.
"The OIIQ denounces the exploitation of
elderly persons who are among the most
vulnerable in our society."
OIIQ. (2000) L’exploitation des personnes
âgées.
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50. I don’t want to get up
and take a bath.
Whether you like it or not, it’s time
to take a bath. I’ll show you who’s
the boss here.
The nurse is in a position of authority, but that
never justifies abusing it or developing relationships of power.
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51. I need to
urinate.
Pee in your pants!
I don’t have time and we
didn’t put you a diaper
for nothing.
Rudeness, profound lack of respect and
failure to meet a need.
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52. Albert, if I catch you smoking again,
you’ll be the last one
looked after in the morning.
Rudeness, threats and blackmail -
all contrary to ethical standards.
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53. Albert, you pig!
Leave Ms. Aphrodite alone!
Rudeness, insult and value judgement.
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54. I’m soiled.
Could you change
my pants?
Soiled again, eh!
Always stuck
with your shit!
Totally unacceptable insult.
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55. Arthur, you baby!
Stop playing with the
IV pole.
Infantilizing and disrespectful behaviour.
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56. Albert, if you keep
on wandering and
poking around,
I’ll have to
restrain you.
Infantilization and use of threat contrary to ethical guidelines.
1- "…depriving a person of his freedom and well-being through the
inappropriate use of contentions. According to the Association des CLSC et des
CHSLD du Québec (1999 : 4), nearly 3 out of every 10 persons in residential
and long-term care centres experience physical restraints."
OIIQ. (2000) L’exploitation des personnes âgées.
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57. Why do they want
to separate us?
Denying the sexuality of elderly persons
is abusive.
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58. I don’t want to undress
in front of others. I don’t like it
when a member of the opposite
gender washes me.
Undressing a person without permission
and care is showing lack of respect.
1. "Even when the person is confused, showing lack of respect deeply affects
their families who regretfully put up with these situations. In many centres,
elderly persons are unable to choose an intervener of the same gender for their
intimate needs." (OIIQ. (2000) L’exploitation des personnes âgées.)
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59. Pretend you didn’t
see anything.
We’ve got to protect
our own.
You’re right!
She’s a coworker.
Paul, I saw Lise hitting
Mr. D. His arm is covered
with bruises.
3- "[Abuse] is often known, but some employees remain silent, fearing
retaliations or being marginalized, etc. In some environments, violence is the
norm. Being attentive, compassionate or polite towards residents is not
accepted." OIIQ. (2000) L’exploitation des personnes âgées).
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60. I don’t undestand why
they insult me,
why I’m left in my
excrements, and why
they treat me brutally.
All forms of violence are prohibited when administering care
3- "When examining elderly abuse, we must discuss physical and
verbal violence, which unfortunately is common in certain
environments.’’ OIIQ. (2000) L’exploitation des personnes âgées.
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61. Code of Ethics of Nurses, OIIQ. Section 2- Integrity
10 – A nurse shall fulfill her or his professional duties with
integrity.
Division II- 3. Prohibited behaviour
37. A nurse shall not use verbal, physical or psychological abuse
against the patient.
It is understood that inappropriate behaviour means any form of
verbal, physical or psychological abuse. Hitting, pushing or using
force without reason against a client are examples of physical
abuse. Finally, retaliation, mocking, intimidation and cultural
indifference are considered psychological abuse. OIIQ, Le
Journal, Chronique déonto, nov./ déc. 2001, vol. 9, no 2.
Responses for slides 49 to 60
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62. There is a serious disregard of the following
ethical principles:
- Respecting the person’s dignity and right to
autonomy;
- Respecting the person’s integrity and
inviolability;
- Respecting the person’s intimacy.
Responses in slides 49 to 60
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63. Questions and criticism raised by
families
It is true that it is difficult to receive
questions and criticism from families;
however, not all are without foundation.
Staff must be willing to listen.
Defensive or aggressive behaviour does
not solve the problem.
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64. My mother is anxious. Why
doesn’t she get her
Ativan when she
needs it?
She gets it, but can’t
remember.
Excuse or reality...?
Which articles of the
Code of Ethics of Nurses
are being breached
in this example and those
that follow?
Which ethical
principles are
disregarded?
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65. My father’s face is bruised.
He claims the night-time
attendant struck him.
No, he hit himself against
the bed stand.
3- "What do we mean by physical and verbal abuse? Abuse includes slapping,
threatening, intimidating, touching or, abruptly moving, etc. There is talk of
people who escaped and fell on the ground, of bruising and inexplicable injuries.
These terms describe the everyday reality of some elderly persons in loss of
autonomy." (OIIQ. (2000) L’exploitation des personnes âgées).
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66. Well, she screams all the time
whenever she doesn’t.
Every time I come here,
my wife is sleeping.
1. "Is it not tempting when staff is limited to resort to ‘medicinal restraints’
that are capable, in the form of a little pill, of calming individuals but which
fail to meet their needs?" (OIIQ. (2000) L’exploitation des personnes âgées).
I wonder whether she’s
taking too much medication.
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67. My sister is filthy and
smells bad. Why is that
the case?
She’s mean and impossible. She
is agitated and assaults
us.
She defecates just
to annoy us.
Defensive, impolite and aggressive behaviour which
fails to solve the problem. Repeated incontinence is
not necessarily voluntary. It is the result of brain injuries or
problems with the sphincter.
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68. My wife says you hit her. She assaulted me
first!
There’s no excuse for assaulting a patient.
Violence is violence.
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69. He wanders continuously.
I don’t understand why my
father is always tied to his bed.
‘‘Medical substances, constraints and abusive isolations should
only be used as control measures when there is an imminent threat
to safety.’’Association des hôpitaux du Québec (2004) Utilisation
exceptionnelle des mesures de contrôle : contention et isolement,
2004, p. 21).
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70. Code of Ethics of Nurses, OIIQ. Section 2- Integrity
10 – A nurse shall fulfill her or his professional duties with
integrity.
Division II- 3. Prohibited behaviour
37. A nurse shall not use verbal, physical or psychological
abuse against the patient.
It is understood that inappropriate behaviour means any
form of verbal, physical or psychological abuse. Hitting,
pushing or using force without reason against a client are
examples of physical abuse. Finally, retaliation, mocking,
intimidation and cultural indifference are considered
psychological abuse. OIIQ, Le Journal, Chronique déonto,
nov./ déc. 2001, vol. 9, no 2.
Responses for slides 64 to 69
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71. There is a serious disregard of the following
ethical principles:
- Respecting the person’s dignity and right
to autonomy;
- Respecting the person’s integrity and
inviolability;
- Respecting the person’s intimacy.
Responses for slides 64 to 69
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72. Caring for patients who express difficult
behaviour requires not only patience, but an
adapted approach.
Employees must never respond to difficult
behaviour with violence.
The caregiver’s attitude often involuntarily
provokes violence and agitation among patients.
Dealing with difficult behaviour
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73. A soft and respectful approach with a delicate
touch generally provide better results.
Responding to the person’s essential physical
needs and need for recognition as a human
being is a key to success.
Constraints are not the only solution to
overcome difficult behaviour.
Constraints should be used only under
extraordinary circumstances.
Dealing with difficult behaviour
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74. One of the nurse’s fundamental duties is to guarantee the
safety and well-being of the client. This is not always easy in
the existing context, but it nonetheless remains: to provide
the care required by the client and his condition while
respecting his rights and physical and psychological integrity.
It is the nurse’s duty to withdraw or to ask for assistance
when she feels she is about to commit an unforgivable act.
OIIQ, Le Journal, novembre/décembre 2001, vol. 9, no 2.
Chronique déonto, Comportements inadéquats envers la
clientèle : quand les émotions dépassent la raison.
Rules for engaging with a patient
whose behaviour is difficult
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75. Confidentiality involves
the patient, his
background, his record
and his family.
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76. Were you aware that
Mr. Lemire had a young
mistress?
Which articles of the
Code of Ethics of Nurses
are being breached
in this example and
thosethat follow?
Which ethical principles
are disregarded?
What a Casanova!
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77. I read Victor’s record.
Did you know he has a
sexually transmitted
disease?
I sure didn’t!
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78. Guess what girls! Mr. Bell’s son has just
been arrested for robbery.
2- "The OIIQ will not tolerate any situation involving lack of respect observed
during a formal inspection… Invasion of privacy and exposing another person
to ridicule can occur in caregiving or residential care."
( OIIQ. (2000) L’exploitation des personnes âgées).
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79. Responses for slides 76 to 78
OIIQ, Code of Ethics of Nurses Section II
Provisions to protect the secrecy of confidential
information
31- A nurse shall abide by the rules set forth in the Professional Code
in regard to the obligations to preserve the secrecy of confidential
information that becomes known to her or him in the practice of her
or his profession and the cases where she or he may be released from
the obligation of secrecy.
36- A nurse shall refrain from holding or participating in indiscreet
conversations concerning a client and the services rendered to such
client.
Ethical principles:
- Respecting the person’s dignity
- Respecting the person’s social and psychological integrity.
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80. Leadership in nursing
against rudeness and violence
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81. Employees sometimes engage in
inappropriate behaviour.
Teams often have grudges against
patients or do not accept the families’
criticism.
Through her training, it is the nurse’s
duty to exercise leadership and to protect
those under her responsibility.
Leadership in nursing
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82. You shouldn’t speak so
impolitely to the patients. It’s
inappropriate.
Nobody complains!
When confronting inappropriate behaviour,
leadership and the intervention of coworkers
are important and often prove to be positive.
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83. Mr. L. want us to raise him. It’s
the second time today. We have
other things to do.
I’m really fed up!
Listen up girls! We’re here to
answer the patient’s needs.
Raising him
is extremely important.
Leadership is important in a team to put things into
perspective and to ensure that the patient’s needs are met.
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84. Did you see Ms. V. putting
her gown on
all by herself?
So why is she asking us
to dress her?
She won’t catch me
falling for that one again.
The team must avoid spreading stereotypes.
They’re contagious.
Next
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85. Don’t you think that she
suffers more on certain days?
You’re right! We didn’t
think about it.
We’re there to
help her.
Considering the various aspects of a situation can
make a difference.
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86. I got crap all over my hands.
Ms. C. crapped in her wheelchair.
It was disgusting.
Some do it intentionally.
It’s called grey power.
I felt like kicking
her ass.
Next
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87. Be careful with what you say!
Don’t forget that we’re
here to help the patients.
Avoid using comments that could encourage others
to slide down the path to insults and violence. Any
nurse can influence comments by exercising leadership.
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88. Never! Constraint is to
be used only under
extraordinary
circumstances!
Could we tie him
to a chair?
Mr. E. always bothers us
during our break.
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89. Mary’s family is once
again complaining that
we’re neglecting her dad.
They’re always
complaining. They have
nothing else to do.
Don’t take it that way!
We’re here to improve the
patients’ quality of life.
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90. Hamelin is wandering with
his pants open. Old pervert!
Its not what you think. He probably
needed to urinate and forgot to
do up his zipper.
Just remind him
to zip up.
Avoid value judgements
and stereotypes!
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91. The nurse must exercise leadership
to guarantee the patient’s quality of life.
The nurse provides warnings and
guidelines when necessary.
The Nurse’s Role
Our philosophy in this department is one
of helping relations in which we provide
warm, empathetic care which
corresponds to the client’s needs. Our
focus is on care that is adapted, humane
and respectful.
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92. Teams often compete because of different
visions of the provision of services. The nurse
must disseminate her knowledge and caregiving
philosophy so that team members agree to
provide quality care.
Teamwork
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93. You’re in team A. You
guys spoil the patients and
then we’re stuck with
more work!
Don’t you think that we’re
here to answer the patients’
needs?
Which ethical
principles are
being breached
in this example and
those that follow?
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94. You just want the families
to like you. You’re wrong! We just want
to offer the best care
possible to the patients.
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95. They think they’re
better than us.
They don’t understand
our point of view. They don’t
respect us.
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96. You guys in the day team
are numerous and
all touchy-feely. We don’t have your resources!
Then we get blamed for lacking
compassion.
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97. Responses for slides 93 to 96
The ethical principles which apply to patients also
apply to coworkers. They are:
- Respecting the dignity of other staff
- members;
- Respecting their integrity;
- Respecting their right to be unique and to
- have their own opinions (alterity).
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98. Once again, the nurse must demonstrate
leadership to help other
teams function
in harmony.
Teamwork
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99. Teams sometimes gang up on families.
Their impression is that families lack confidence in
caregivers.
Their reactions to the requests of patients and
families do not always demonstrate professional
maturity.
Family Requests
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100. My wife is frightened
when you forget to raise
her bedrails.
You are mistaken. We never forget
to raise them. It’s a standard
operating procedure.
Which articles of the
Code of Ethics of Nurses
are being breached
in this example and
those that follow?
Which ethical
principles are
disregarded?
Respecting a person and
his significant others is a
prerequisite for a
partnership in
caregiving.
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101. We don’t want to criticize
you guys, but he’s always
sleeping. Is he getting too
much medication?
It’s not our fault if he
sleeps a lot.
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102. My wife hates sleeping in
the dark. She feels shut in.
She’s afraid of everything.
That’s not our fault.
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103. He’s soiled every time we
see him.
We’ll change him during
our run, as always!
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104. My father tells me you put
him to bed at 5 or 6 p.m.
That’s ridiculous.
You surely understand that
we must follow
procedures.
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105. My father says that nobody
answers him in the night
when he calls for assistance.
Families cannot begin to
grasp our workload.
It’s easy to criticize when
you’re not in our position.
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106. It is vital that the nurse establish a
relationship based on trust with the
families and that she understand
their concerns and accept their
questions and comments.
She must also provide the
necessary explanations.
Family members must be free to
express their criticism.
A nurse shall provide her or his client
with all the explanations necessary for the
client’s comprehension of his care and
services being provided to him by the nurse.
OIIQ, Div. III, 1-40.
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107. OIIQ, Code of Ethics of Nurses, Division II,
1- Relationship of trust
29- A nurse shall act respectfully toward the client and the client’s
spouse, family and significant others.
In relationship to section 29
‘‘Recognize whenever necessary that a problem has occured and have a
frank discussion about the events and the measures that you will
implement. Offer apologies if warranted. Some situations require
sincere apologies which illustrate sensitivity to the experiences of
others.’’ OIIQ, Le Journal, Chroniques de déonto Mai/ juin, vol. 2 no
5 - Le respect dans la relation entre l’infirmière et le client.
Responses for slides 100 to 105
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108. OIIQ, Code of Ethics of Nurses, Division II,
Relationship of trust
3- section 37. A nurse shall not use physical, verbal or psychological
abuse against the client.
Division III
Quality of care and services
3- section 45. A nurse shall not be negligent when administering
medication. In particular, when administering medication, a nurse shall
have sufficient knowledge of the medication and abide by the principles
and methods applicable to its administration.
3- section 48. A nurse shall not harass, intimidate or threaten a person
with whom she or he interacts in the practice of the profession.
Responses for slides 100 to 105
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109. Ethical principles
Disregarding the dignity of a person and/or his
family or significant others.
Disregarding the person’s integrity.
NOTE
It is an extremely serious offense to tolerate
abuse against others.
Responses for slides 100 to 105
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110. Those who take care of us
are our only recourse.
When they understand
and help us, they
are our guardian angels.
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111. As part of our conclusion, here is a
statement regarding the rights of
dependent elderly persons which our
organization of care and our conscience
should allow us to respect.
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112. In recognition of the rights of elderly persons,
we propose:
That any person to whom we provide care has the right :
1- To be received in a physical environment that is adapted to his age,
abilities and needs;
2- To be managed by competent staff and to receive quality care;
3- To enjoy a certain quality of life: adequate nutrition, and adapted
physical, social and recreational activities;
4- To be treated respectfully as a person, as a physical being and find
respect of his suffering.
5- To have his values, religious beliefs and freedom of conscience respected;
6- To develop relationships with whom he or she chooses and to maintain
family and social relationships;
7- To his or her intimacy (physical integrity and confidentiality);
8- To live in a safe environment, free of violence, mocking, non-essential
constraints and other safety hazards;
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113. we propose:
That any person to whom we provide care has the right:
9- To live in an environment that recognizes him as a human being and which
treats him or her with respect and dignity;
10- To be treated by personnel with whom he or she can develop a relationship built
on trust, thereby creating a genuine partnership in caregiving;
11- To live free from exploitation, retaliation and being addressed impolitely;
12- To have his or her assets secured and, if capable, to manage his or her own affairs;
13- To receive preventative care to offset degeneration and dependency;
14- To be provided with all the information needed about the care being
administered to make a clear and informed decision;
15- To have his or her autonomy and decision-making ability respected according to
his cognitive abilities and to be consulted so that he or she can accept or decline
care;
16- To receive warm and empathetic end-of-life care without therapeutic
relentlessness;
17- To have his or her family and significant others welcomed courteously and
respectfully;
18- To feel protected by the right of oversight of his or her family and that this right
be respected by staff members. ( Margot Phaneuf)
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114. BIBLIOGRAPHY
Gineste, Yves (2004). Collectif : Silence on frappe. De la maltraitance à la bientraitance. Milly-la-Forêt, Animagine, Sarl.
Gineste, Yves et Jérome Pellissier (2004). Humanitude. Comprendre la vieillesse, prendre soin des hommes vieux. Paris,
Bibliophane, Daniel Radford.
Khosravi, Mitra (2003). La communication lors de la maladie d’Alzheimer. Paris, Doin.
Mérette, Marguerite (2004). Pour la liberté d’être. Montréal, Les Éditions Logiques.
OIIQ. Code de déontologie des infirmières et infirmiers. Montréal, OIIQ.
OIIQ (2000). L’exploitation des personnes âgées. Montréal, OIIQ.
Pancrazi, Marie-Pierre et Patrick Metais (2004) Éthique et démence. Paris, Masson.
Phaneuf, Margot (1998). Le vieillissement perturbé. Montréal, Chenelière/McGraw-Hill.
Phaneuf, Margot (2007). Le vieillissement perturbé. La maladie d’Alzheimer, Montréal, Chenelière Éducation.
Phaneuf, Margot (2002). Communication, entretien, relation d’aide et validation. Montréal, Chenelière/McGraw-Hill.
Phaneuf, Margot (2006). Ethics Elements - Serious Thoughts in a Cartoon (3 parts). Infiressources, Professional
Crossroad, section Day-to-day Ethics :
http://www.infiressources.ca/fer/Depotdocument_anglais/Ethics1engl__04march06_revised.pps -
http://www.infiressources.ca/fer/Depotdocument_anglais/Ethics2engl__4March06_revised.pps -
http://www.infiressources.ca/fer/Depotdocument_anglais/Ethics3engl__5March06_revised.pps
Plamondon, Louis, Sylvie Lauzon et Marc Bourdeau, (2003) Abus et négligences chez les personnes âgées tel que perçus
par les intervenants dans les services à domicile. Réseau Vieillir en liberté :
http://www.fep.umontreal.ca/violence/dossiers/index.html
Forst , Luc, Louis Plamondon, Sylvie Lauzon, Charles-Henri Rapin et Marc Bourdeau (2006 ) Vieillir sans violence.
www.pinel.qc.ca/Download.aspx?nav_id=1499&lang_id=F
Rapport mondial sur la violence et la santé :
http://www.who.int/violence_injury_prevention/violence/world_report/en/chap5fr.pdf#search=%22infantilisation%20personnes
%20%C3%A2g%C3%A9es%22
Rigaux, Natalie (1998). Le pari du sens. Une nouvelle éthique de la relation avec les patients âgés déments. Le Plessis-
Robinson, Institut Synthélabo.
Selmès, Jacques et Christian Derouesné (2004). La maladie d’Alzheimer au jour le jour. Montrouge, France, Éditions
John Libbey, Eurotext.
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115. This platform has been started by Parveen Kumar Chadha
with the vision that nobody should suffer the way he has
suffered because of lack and improper healthcare facilities
in India. We need lots of funds manpower etc. to make this
vision a reality please contact us. Join us as a member for
a noble cause.
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116. Our views have increased the
mark of the 3,71,000
Thank you viewers
Looking forward for franchise,
collaboration, partners.
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117. Contact us:- 011-25464531, 9818569476
E-mail:- nursingcrusade@gmail.com
We are also
available on
Justdial New
Delhi.
Nursing Crusade Earlier Known as
Nursing Hi Nursing
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