252 ICU Nurses: A Case Study

This request is for a new SSRT for a Certified Registered Nurse Anesthetist (CRNA) at the GS12-13 level. This is to employ a CRNA for a new position at Keller Army Community Hospital (KACH), West Point, New York. The current GS-12 West SSRT salary range is $82,309 to $103,270 and $94,114 to $122,346 for GS-13.

A few weeks ago, I was email that the exit interview for the internship is November 30th. I was wondering if you have received all my letter of recommendation from the nurses in the PACU and if you would start on my performance review for the exit interview. Also, please print out my time sheets starting from July 1st until August 26th.

This author’s personal perceptions concerning patients facing a lingering terminal illness, have been shaped by over 20 years of critical care nursing experience. Facing death and illness on a daily basis requires self-examination and a high degree of comfort with one’s own mortality, limits and values. Constant exposure to the fragility of life forces respect for the whole person and the people who love them. A general approach to patients who are actively dying is to allow them to define what they want and need during this time. The nurse’s role

The clinical problem being examined in the research study is the way in which nurses obtain consent prior to administering nursing care procedures, and the way nurses manage patients who refuse any nursing care procedures. By stating that nurses “do not

A study conducted by Young, Minnick, and Marcantonio (1996) compared the opinions of more than a thousand staff nurses, numerous nurse managers, and more than two thousand patients from 17 hospitals regarding certain aspects and perceptions of patient care needs. Interestingly, staff nurse and managers

The Parthenon Frieze is the inner most decorative piece on the outside ceiling of the Parthenon. Its construction finished in 447BC and it was built by Phidias on the orders of Pericles. (1) The Frieze today is situated in multiple museums around Europe. The majority of the Frieze is located in the British Museum where the 80m’s of Frieze has its own room in the Duveen Gallery that was built to replicate the position from where it was taken from on the Parthenon in Athens. In 1938 Duveen and his associates undertook a cleaning process on the marbles using copper tools and carborundum which damaged the marble but gave it a whiter, more authentic classical look, due to the decolouration which had happened to it. When this came to the attention of the public years later, it caused outrage as the directors had chosen to do nothing about it. (2) The second largest collection of the Frieze is in the Acropolis museum in Athens with smaller parts in museums around Europe such as Paris. (3)

Why did a poor black man lose a court case because he’s black? Why are girls told they have to sit and be pretty? Why does it matter if you are wealthy or poor? We are all people, aren’t we? The answer is prejudice. Harper Lee gives many examples, race, class, and gender, in her fascinating book To Kill a Mockingbird. In the town of Maycomb a white man takes a case about a black man (Tom) raping a white girl, but at court, everyone knows Tom shouldn’t be found guilty. But tom is found guilty. To Kill a Mockingbird takes place during the Great Depression. Throughout To Kill a Mockingbird, prejudice is shown as a good and bad thing. Prejudice is shown through race, class, and gender.

It is the nurse’s responsibility to remove their personal beliefs when providing care to the patient. If the nurse is persistent in their own beliefs and values there can be a disruption in the successful transition to palliative care. Nurses may feel that they are failing at their job when a patient chooses to go into palliative treatment. The nurse may question their performance as a nurse and have uncertainty regarding whether or not they could of done something more for that

The American Association of Critical-Care Nurses, state that there are several factors that lead to successful, healthy work environments. “The ingredients for success — skilled communication, true collaboration, effective decision making, appropriate staffing, meaningful recognition and authentic leadership” (American Association of Critical-Care Nurses, 2016, para. 4). However, I have to disagree to the idea that the nurses’ work environments are totally at blame. What are the main causes of unhealthy work environments? There are several elements that lead to unhealthy work environments such as job stressors, different work environment perceptions, and unique employee characteristics.

I t is important that end of life care is delivered in respect of patients Autonomy, Beneficence, and in a Truthful way. In what follows I argue that we as nurses need to fulfill obligation to support and assist the dying patient and his family’s right to self-determination as it relates to end of life care. I believe that we have made headway but still have much to achieve. Education and research in these areas by and for health care workers and the general population would do much to improve the quality of end of life care.

Nurses are constantly challenged by changes which occur in their practice environment and are under the influence of internal or external factors. Due to the increased complexity of the health system, nowadays nurses are faced with ethical and legal decisions and often come across dilemmas regarding patient care. From this perspective a good question to be raised would be whether or not nurses have the necessary background, knowledge and skills to make appropriate legal and ethical decisions. Even though most nursing programs cover the ethical and moral issues in health care, it is questionable if new nurses have the depth of knowledge and understanding of these issues and apply them in their practice

Many nurses are regularly confronted with the hopelessness and exhaustion of patients and their families making it difficult for them to find balance between the preservation of life and the enablement of a dignified death. Nurses must acknowledge their own feelings of sorrow, fear, dismay and helplessness and recognize the impact of these emotions in clinical decision making. These distressing pressures may cause a nurse to contemplate intentionally assist in ending a patient's life as a humane and compassionate answer, however; the conventional goals and standards of the nursing profession mitigate against it.

Throughout history religion has played an important role influencing various societies. Religious beliefs have been embedded in legal systems, social status, economics, sexuality and politics in ancient and modern societies. This concept is applicable to Ancient Athens. The Greek religion consisted of various Gods and Goddesses that represented different elements of Greek life. The practice of various gods or polytheism is ta partria. The religion of Greeks differs drastically from Western forms. In modern Western communities religion and culture exists in separate spheres; however, Athens did not acknowledge a difference between the two concepts. The deities explained various phenomena in the Greek culture. Not only did Athenians rely

The NMC (2015) are the providers of the Nursing Code of Conduct. The code contains the professional standards to which all nurses must uphold, allowing for accountability of patients that come into their care. As well as the code of conduct, all nursing professionals have a responsibility to develop their knowledge in relation to law within clinical practice, and furthermore, ethical frameworks that are linked to judgment and decision making when providing care (Savage & Moore, 2006). In light of this, the overall aim of this essay is to elaborate on issues surrounding law and ethics in nursing. To do so, a case study has been chosen from a previous clinical experience. The focus of the case study will be on the decision of withdrawal from life sustaining treatment. Emphasis will be largely on the law and ethics concerning the issue of withdrawal from treatment. Moreover, the ethics and law involved in the palliative/advanced end of life care planning and decision making. In order to protect the identity and uphold the confidentiality of the case study, a pseudonym will be used throughout. Hendrick (2005) portrays confidentiality as being ‘one of the most important and well established moral obligations of health-care ethics’.

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.