The Ethical, Legal, and Professional Issues of a Patient Being Hoisted in Chronic Pain

Person centred care could be defined as focusing on a person’s individual needs, wants, wishes and where they see their target goal. Person centred care also takes into account delivering person centred care to the patients family and carers, as well as the multidisciplinary team that is working together to provide care. The service user is the most important person in decision making for their health care and the nursing process. (Draper et al 2013). Person centred care reminds nurses and care staff that they are caring for the service user, their families and care staff providing the care, this allows the patient power in decision making towards their health and wellbeing. (Pope, 2011)

It is important to identify individual’s specific and unique needs so that they can receive the best care possible. Taking a person centred approach is vital, treating a service user as an individual person and acknowledge that

When using a hoist I would make sure good communication is in action, check with individuals care plan and discuss with them as to what will happen. Equipment should be checked that it is correct for the individual i.e. correct size sling for the persons weight and

The Health Foundation (2014) states that ‘Person-Centred Care show an important way to make the patient feel involved in their own care’. If the patient has control over their own body and mind, then they will have an understanding of what is happening to them. Person-centred care is in place for the patients, staff and families all to get involved in the planning, care and discharge. It involves compassion which is important in a nurse’s role as the patient enters unfamiliar territory. All staff needs to consider the patients respect and dignity is upheld, with closing curtains, covering up the patient and asking for consent to enter the patient’s bed space.

In conclusion, as a transporter for 20 years, I transported patients up and down hills on a stretcher and beds the patient's weight varied to 150 to 600 pounds. I'm not able to hold objects in my right hand at all even if I had carpal tunnel surgery my medical conditions have not improved at all.

As a PA whenever moving and handling, I am always aware of the extent of the stroke and what parts of the body have been affected. In order to prevent the client falling I and the other PA use hoist when lifting into and out of his chair, bed or shower, also when dressing and

Per the independent FCE report review dated 11/06/15, the patient is able to perform medium “PDC” work with occasional lifting of 25 pounds to waist and above waist height, and 10 pounds at knee and floor height. The client can tolerate carrying 25 pounds. Push and pull strengths were measured at 69 and 71 pounds respectively. Non-material handling testing

Health facilities aim to achieve client satisfaction of care through every health profession worker despite directly providing care or not. As the patient, subjective experience will define the patient perception across the continuum care. Consequently, person centered care technique through communication enables the nurse to give more effective nursing care to patients. As everyone in the healthcare service works in partnership, to deliver care responsive to the patient’s individual abilities, needs, preferences and goals.

This assignment will explore an encounter between a student nurse, a qualify nurse, a doctor, a physiotherapist as well as other multi-disciplinary team. The main purpose of this case study is to critically analyse and discuss the ethical, legal and professional implications that may arise when dealing with patients and patient’s family. The essay will especially focus on ethical principles, statue law, duty of care and professional values under the Nursing and Midwifery Council (NMC, 2008) as well as the Code of Conduct and the importance of multi-disciplinary team (MDT) working in health and social care settings. In the United Kingdom all nurses and Midwives are governed by a professional body called Nursing and Midwifery Council (NMC). In order to protect the patient confidentiality, in accordance to (NMC, 2008) the patient alone will be given the pseudonym “Eve” throughout the case scenario.

His living condition is adequate, although the house presents with steps inside of about 7 inches which constitutes a fall risk for the patient at the present condition. Rolling walkers and bedside commodes were present. Alan was advised to start using the medical equipment to ensure the safety of Mr Futerfas. This would reduce the fall risk by unnecessary transfers,

Slid out of his wheelchair to the floor witness by staff. Back lounge monitoring staff observed patient sliding out of wheelchair to lie on the floor. Patient stated, "I wanted to lie on the floor because it helps my back. I put myself on the floor because of my back hurting. I don't need to go to the ER. I just need to lie down." Patient denies hitting his head while sliding out of his wheelchair, no visible bruising, no signs of bleeding noted. VS obtained. Patient advised that he can lie down while in his room. Patient noted getting up from the floor stating, "I'll go to my room and lie on the floor in my room." POD, NOD, CN notified of patient sliding out of his wheelchair so that he could lie on the floor because of his posterior back.

You are correct, individuals working in nursing and rehabilitation depend on Hoyer lifts to assistance with lifting patients. In facts, the more someone puts wear and tear on their own bodies. Medicare pays for a rental or purchase for Hoyer lifts, because this equipment this is used to help safely transfer a patient into or out of a bed or chair.

instruct the patient to perform ROM exercises to joints at least once every shift to

Codes of ethics contain a coherent set of normative principles underlying a nurse’s purpose and associated values (Vanlaere and Gastmans, 2007). Two perspectives of ethics are the ethics of justice and the ethics of care (Botes, 2000). The ethics of justice constitutes an ethical perspective in terms of which ethical decisions are made on the basis of universal principles and rules, and in an impartial and verifiable manner with a view to ensuring the fair and equitable treatment of all people (Botes, 2000). The ethics of care, on the other hand, constitutes an ethical approach in terms of which involvement, harmonious relations and the needs of others play an important part in ethical decision making in each ethical situation (Botes, 2000).

A review of his medical records indicates that he has had multiple hospitalizations over the past year for fatigue, malaise and decreased responsiveness. He suffers from co-morbidities of diabetes mellitus-poorly controlled, hypertension-poorly controlled, advanced Parkinson's disease and CVA with increased weakness to progression of being bed bound. Private caregiver uses Hoyer lift for transfer. He has an extensive history of aspiration with aspiration pneumonia..