destiney

Many problems in this article need to be addressed which has been copied and pasted below. The are concerns that are recognizable regarding the patient, staff and agency. There are some resources as well to set up a method to address the issue and give recommendations. Due to at copy and paste method the article was unable to paste appropriately. However you can pull it up online at http://www.ChicoEr.com Chico nursing home fined $100,000 A nursing: home has been - ordered to pay a $100,O00 in connection with -the death of an elder resident. Jason Smith, a spokesman for Evergreen ,> Hedthcare Management.the Department of Public Health. The patient who died, 98-year old resident, slipped out of her wheelchair. She was stranggled by a belt that was suppose to keep her in the chair. She was diagnosed with Alzheimer's, anxiety, depression, weakness and psychosis, according to state documents. Often, she would slip down in her wheelchair. Staff members had to watch her and pull her up when that happened, the documents said. For a time, a device called a pummel cushion was used to help keep her in the chair, but for some reason its use was discontinued. A restraint called a "soft waist belt" wa3 used to help prevent her from falling out of the chair. During supper on Dec. 7, the woman kept sliding down in her wheelchair. It happened so many times that two certified nurse assistants (CNAs) who were working in the dining room decided to put her to bed immediately, documents stated. The two CNAs, who weren't regular staff members but had been hired through a registry to work temporarily, were taking the woman to her room when they were stopped by a family member of another resident, who asked them to put that resident to bed first. According to documents, the two CNAs said they thought the woman in the wheelchair would be all right by herself for a little while, so they left her in the doorway of her room and attended to the other resident. Twenty to 30 minutes later, the documents said, the two CNAs came out into the hall and noticed that the door was closed to the room of the woman in the wheelchair. They opened the door and saw the woman on the floor with the waist belt pressed against her neck and chest, the documents stated. She wasn't breathing. The nurse assistants began performing CPR, but a nurse who had been called told them to stop because the woman had left instructions that she was not to be resuscitated, the documents said.. Twin Oaks reported the incident to the Department of Public Health, which investigated. The nursing home was issued a Class AA citation for failing to keep the resident safe and not providing adequate supervision. Class AA citations are the most serious the state issues. They carry a fine of between $25,000 and $loo,ooo. The nursing home was required to develop what's called a plan of correction. In its plan, the 'kin Oaks administration said the entire staff, including employees hired through registries, would be instructed that residents' safety must take priority over all other concerns. ----------------------------------------------------

I found a great article regarding health benefits of spiritual practices. The article was called Spiritual Practices, Healing and Health Outcomes. It states that the human spirit is often the most significant element of a persons' healing. Our spiritual well-being influences how we interpret our inner sense of self, strength and safety, and it influences how we cope and care for ourselves when confronting illness and critical medical decisions. Spiritual wounds may commonly take the form of disconnection from meaning and joy in one's life, for self and others diminished sense of self value and worth, loss of purpose and hope. Isolation, loveliness, and abandonment, suffering shame or guilt. Longevity and quality are most influenced by the spiritual domain of our human experience, Spiritual practice cultivates states of being such as compassion, gratitude forgiveness, generosity, and authenticity. Spiritual practice is known to be associated with a host of health-promoting biological effects, including improved mood, decreased anxiety, better concentration, improved immune response, diminished inflammation, reduced stress-cortisol response, healthier behaviors, more meaningful relationships, and other positive outcomes. Whether it is yoga, prayer, meditation, listening to inspirational music or knitting, all forms of spiritual practice have the potential to offer significant health benefits.

Thank you! Just ran into a school not too long ago and it turned out I would need a student visa and go to the Philippiansand take clinicals' out there, lol. Not logical for me and probably not accredited?

Its so enduring to family, when you can give comfort to their dieing loved one. I've received my thanks through spiritual connections with their loved ones, but its more than just that, it's a feeling that is embedded with in that wish for no praise or audience, Its a natural thing to do. .....

awww thanks

If a person is diagnosed with a terminal (meaning no chance of recovery ever), They should be allowed to chose the manner in which they exit this earth. I believe that allowing a patience to determine the dignity part of "death with dignity" in nursing roles is a vital part of what is essesential to the holistic care of the person. Think of it this way: You just found out you had Huntington's disease and you are cognitively aware of all the pain and advanced care that it will require to continue to survive. It is wrong for you, as the patient to not want to suffer an existence, but decide to fulfill all the last wishes of life and live it to the fullest until the onset of the pain and inability to care for yourself happens? In this situation, and many others I strongly feel that it is the patient who should decide and if they (the patient) feels that the pain and inability to care for themselves is not "dignified" and then chose to meet death on their terms (instead of societally imposed terms) why not provide them with the assistance that they would need. Looking at Fidelity, I am true to myself because I would want someone to do the same for me, if that is what I chose. Beneficence comes into play because spiritually (again using the holistic approach) the person is at peace and often times inflicting a spiritual wound to someone is worse than a physical one. Nonmalefience again, if the culture, spirituality and mindset of the patient would be harmed by not assisting, aren't you providing the bigger harm?

This is relating to a charge nurse that I was working with that had received lab results on a patient and decided to call the doctor to change the patients amount of Coumadin that he was to receive later in the evening. The charge nurse did not ask for the MAR so that she could see what the order was originally, so when I got the chart and saw that the amound the patient was going to receive was going to be twice the amound, I did not think that was correct. I took the chart along with the MAR to the charge nurse and told her to call the doctor back and fix the order because I was not going to transcribe the order and cause a life threatening incident to take place. Now if the charge nurse had come and asked to see the MAR before calling the doctor then she would not have had more work to do. I feel that this was a result of deductive reasoning. If I am wrong please let me know. I think that my reaction to the situation was the correct one and I do not believe that I would have done anything differently in the future. what do you think?

I guess i'll be all set when i'm done with my lvn to bsn program. One of our assignments was to manage a resume - something like this!! Professional philosophy and career goals: Traditional resume: Current work setting Skills, abilities, personal traits Research, publications, reports: . Letters of recommendations: Awards and honors: Continuing education: Formal education:Professional development activities: . Community/volunteer service ReferencesLast but not least grammer and spelling!

I guess i'll be all set when i'm done with my lvn to bsn program. One of our assignments was to manage a resume - something like this!! Professional philosophy and career goals: Traditional resume: Current work setting Skills, abilities, personal traits Research, publications, reports: . Letters of recommendations: Awards and honors: Continuing education: Formal education:Professional development activities: . Community/volunteer service ReferencesLast but not least grammer and spelling!

Yes. But I did not work any more than 2dys a wk, and sometimes that was hard. Some times even 1day. Nursing in general takes up alot of time. In nursing school you've got to prepare to make adjustments in your life. It will pay off later

Has any one ever had a client care situation in which you were involved that required critical thinking of a pt with a ventilator. How did you resolve the situation? Not sure I did my best. Guess I'm just wondering compard to what I did to what you did and would have done differently if you werent 100% satisfied of your interventions Im a new nurse and i'm worried about getting this whole relationship between the nursing process and critical thinking? Its was smooth untill I actually became a nurse, I still have lot to learn. Do you use any of your values to get you through the day? How are you guys influenced by particular situations that come up? How did you resolve the situation? What critical thinking elements did you use and what would you do differently in the future? My mom says I'm reading too much into nursing, but i really need to think out these things, they help alot.

could not have said it any better

More education makes a difference. Although, I slighlty agree with the proposal only because there are lvns whom have put in their time, and some a whole lot more knowledgeable than an rn coming out of school, but deep down the right thing to do, would be to go back to school. Short cuts in life cant be used for everything. I am in the BSN program now. It will soon pay off, and the new life ill have as an RN will be very rewarding towards peoples well-being and the contribution to enhance the quality of care for people.

No, I agree with you, just looking for an elaborate thought if you had one :nuke:

quote"this is a story about a patient she admitted after a high speed MVA. He was a sweet man who came in with no scratches on him. The docs were just ruling out an abdominal injury. He had been fine for three days and then all of a sudden he started getting a little confused and mean with the nurse - where he had been so sweet the days prior. nurse begged the team for something to be done all night. The team refused.... stating they didn't think it was necessary. Finally nurse got her way, the team agreed to a CT scan -- and they found he had a tiny liver laceration that wasn't found on initial admission, but had slowly grown over his stay in the hospital. By the time they found it, he was bleeding out into his belly (but you couldn't tell by looking at his belly because he had kind of a Santa Claus tummy to begin with). He went straight to OR and got an open belly with a liver repair. But had nurse not noticed his change in mentation and said something about it, nothing may have been done at all."