Q1. Do you have a medical history that had an impact over your health?
Q2.Can you tell me about the medical issues that you have faced in the past?
Q3. Key attributes for developing rapport while meeting a client for the first time include:
Being genuine: being interested can make the clients feel welcomed.
Preparing for the meeting
Being empathic and little friendly with the client.
Q4. Asking close ended questions such as “can I begin the process of measuring your blood pressure” can imply consent of the patient. If the patient respond with a yes then the procedure can be continued and if he/she refuses with a no then the procedure can be discontinued.
Q5. This is because the patients have a right to safety and consent. It is legal responsibility of a nurse or student nurse to inform them about the treatment and the person giving treatment. An informed consent can prevent a number of ethical and legal issues. Moreover, it can enhance safety and accountability for the patients.
Q6. Factors such as illness which involve vomiting and diarrhea, environmental factors such as increased temperature and diet practices that do not contain food and beverages rich in water and electrolytes can lead to fluid and water imbalance (Rundgren & Svensen, 2018). Illness such as diarrhea and fever can lead to dehydration and it can thus impact the electrolyte concentration. People exercising in hot environment can be at the risk of fluid and electrolyte imbalance. People suffering from anorexia nervosa or eating disorders can suffer from fluid and electrolyte loss due to their impaired diet practices.
Q7. According to Steel et al., (2019), good clinical records contain all the patient data regarding the diagnosis, treatment and the patient’s progress. The recordkeeping requirements were not met by the nurse as the patient notes did not have information regarding the treatment given to the patient.
Q8. The reviewed case study comes under the notification category of mandatory notification requirements. According to the guidelines, the mandatory notification is made by the employers, non-teaching practitioners and teaching practitioners (AHPRA. (2020). this can prevent a person’s risk of harm.
The concerns of the report include significant departure from professional standards, intoxication, sexual misconduct and intoxication. The case study conduct lack of ability of a registered nurse regarding significant departure from professional standards.
Q9. The registered nurse in the case study have breached the professional standards of “standard 1: thinks critically and analyses nursing practice” and “standard 3: maintain the capability for practice.” Standard 1 of the registered nurse standards for practice suggest a nurse to use best available strategies and evidence in making decisions for providing patient-centered, safe and quality care to the patients (NMBA, 2017). The standard 3 suggests a nurse to hold responsibility and accountability for providing safe care to the patient with on-going self-management and education.
Q10. The registered nurse has breached the elements of “Elements of the code # 2: Nurses and practice” and “Element of the code # 3: nurses and the profession” The nurses and practice element code suggest a nurse to hold accountability and responsibility for maintaining competence by continuous learning (ICN, 2012). The nurse should consider the safety, dignity and respect of the patients before interventions. The code 3 suggests the nurses to have a major role in implementing acceptable standards with proper education, management and research. The nurse should promote a positive practice environment by equitable and safe healthcare to the patients.
Q11. According to the code of conduct the registered nurse have breached the principles of legal compliance and professional behavior (NMBA, 2018). According to the principle of legal compliance the nurses are expected to respect and adhere to the professional obligations that are maintained under the national law. It influence a nurse to practice safety, collaboratively and effectively while acting with professional integrity. The principle of professional behavior influence a nurse to maintain respect, compassion, integrity and honesty in practice.
Q12. While working with Nurse Z, I am highly concerned about the duty-based challenging situation. The moral frameworks suggests a nurse to maintain patient’ autonomy, beneficence, justice and non-maleficence. I am worried that weak professional practice of nurse Z can impact my professional duty which can lead to injustice to the patient.
Q13. The goal implementation for Joel include educating him about the use of inhaler. He will be educated about the inhaler use within 2 hours of hospital administration.
Q14. The goal for Jojo will be to remove stereotypes such as old people use walking sticks, promote visits to the local bridge club, and educate her about the benefits of using sticks and hearing aids. Educating her about the interventions can implement the goals.
Q15. Total intake: 1700
Total Output: 1450
AHPRA. (2020). Guidelines for mandatory notifications. Retrieved from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Codes-Guidelines/Guidelines-for-mandatory-notifications.aspx
ICN. (2012). The ICN code of ethics for nurses. Retrieved from https://www.icn.ch/sites/default/files/inline-files/2012_ICN_Codeofethicsfornurses_%20eng.pdf
NMBA. (2017). Registered nurse standards for practice. Retrieved from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx
NMBA. (2018). Code of conduct for nurses. Retrieved from http://www.nursingmidwiferyboard.gov.au/documents/default.aspx?record=WD17%2F23850&dbid=AP&chksum=L8j874hp3DTlC1Sj4klHag%3D%3D
Rundgren, M., & Svensen, C. H. (2018). Fluid balance, regulatory mechanisms, and electrolytes. Fluid Therapy for the Surgical Patient, 1, 15-44.
Steel, J., Georgiou, A., Balandin, S., Hill, S., Worrall, L., & Hemsley, B. (2019). A content analysis of documentation on communication disability in hospital progress notes: diagnosis, function, and patient safety. Clinical Rehabilitation, 33(5), 943-956.
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