Ogd Observation Paper

On this date worker visited Walker Rehabilitation Center in Carbon Hill, for the purpose of monitoring Ms. Blankenship's placement. Worker spoke with Ms. Ana Dyer and learned the family was getting assistance with housing and transportation from a local church. Ms. LaVone Yarbrough and her husband run a ministry that helps family reunite. However, Ms. Dyer is concerned about discharging Ms. Blankenship to the home with narcotic and according to Ms. Dyer, Crimson's boyfriend lives with them. Worker has not been able to conform. Ms. Dyer stated when Ms. Blankenship discharged from the NH she would need a doctor and transportation to the doctor appointments. The nursing home would only discharge Ms. Blankenship with enough for medicine for a few

The process of consent should apply not only to surgical procedures but all clinical procedures and examinations which involve any form of touching. This must not mean more forms: it means more communication. As part of the process of obtaining consent, except when they have indicated otherwise, patients should be given sufficient information about what is to take place, the risks, uncertainties, and possible negative consequences of the proposed treatment, about any alternatives and about the likely outcome, to enable them to make a choice about how to proceed.”5

Evaluation is the third stage of Gibbs model of reflection and requires me to state what was good and bad about the event. While reflecting back on the incident I felt that there was one thing which I could have dealt with differently and also some aspects which demonstrated good practice. On the first hand, this incident made me realised that I was part of the team and that I was also involved in positioning and preparing the patient prior to surgery, therefore I had a responsibility to find out from the patient if he had any concerns. On the other hand, I should have communicated to the patient, explaining what I was about to do maybe he would have had the opportunity to raise his problem with the shoulder before lifting his arm. The Health Professions Council (HPC 2008) clearly states that it is the responsibility of an operating department practitioner to ensure that effective communication occurs when delivering patient care. In addition, Psychologist Helmreich, R. (2000) said, `better communication’ is being the most useful way of reducing errors.

Adequate Information Re: Risks/Benefits/Alternatives: Given that consent was not given for a colonoscopy, plaintiff is going to be able to hit the first requirement of a lack of informed consent claim, i.e. adequate information in layman’s terms was provided about the procedure at issue.

A medical diagnosis was a small distal bowel obstruction. The patient was NPO, on an NG tube, and IV fluids. The patient was also bipolar, which was a learning experience. The patient had an incision lower abdomen from umbilical region down to the pelvic region. It was approximately 10 cm. The nurse measured her NG to ensure it was in proper placement. She encourage the patient to eat ice chips to decrease cotton mouth. The nurse educated the patient on how ambulating will help the bowels to move and relieve abdominal pain. The nurse auscultated the patient’s bowel sounds to ensure the bowels were active. The nurse also had the patient use an incentive spirometer. This is to ensure the patient does not get pneumonia which would compromise the healing process. The nurse strongly encourage the patient to suck in air slowly through the mouth piece. The patient was able to such in 1000 for inspiratory volume. This was doubled from yesterday which was only 500. (Bunker Rosdahl, 2012)

The two ethical dilemmas that stick out to me in the case are patient autonomy, and distributive justice. Patient autonomy is the patient’s right to make decisions about their care, including whether to accept or decline treatment (Taylor, 2014). Because the patient did not fully understand the information relayed in the consent form or the procedure, her patient autonomy may have been violated. This also may mean the consent form may not be valid. A signed consent form from a patient affords the hospital with an assumed duty to care for that patient (as cited Taylor, 2014). And the patient has given the medical professional permission to provide treatment. Therefore, it is important that the patient fully understands and can communicate that understanding when consenting to

Each of these four cases are issues regarding informed consent. Nurses do not consent the patient for procedures. However, they can assure that the patient understands the procedure. They can support and reiterate what the physician is stating. If there is any hesitancy, the nurse needs to document it and relay the information. The nurse is the patient advocate, so as the physician is explaining and describing the procedure, the nurse needs to be present. If the physician is unaware of the level of education, the nurse needs to communicate the level of education to the physician.

When a patient needs to have a medical procedure performed, they must first consent to the procedure. Before accepting or rejecting the treatment, the practitioner is required to give the patient information pertaining to the risks and benefits of the procedure, as well as available alternatives. Additionally, the patient must be mentally competent enough to make an informed decision, and not be manipulated or coerced into a decision.

In this paper, I discuss my experience with observing a group counseling session with the purpose of evaluating it in terms of how it is set up, how it is run, interventions used, culturally sensitivity, and the contribution toward my professional development as a social worker. The group setting plays a critical role in social work outside of the individual session and can be largely beneficial for clients in the forms of therapy, counseling, self-help, and support. By attempting to better understand group interventions, I will learn how to apply this strategy in aiding clients for whom this method is appropriate by increasing their social supports.

The main focus of this assignment is to examine the ethical, legal and professional frameworks, along with interprofessional collaboration in the provision of postoperative care to a gentleman who was refusing observations and how this influences and shapes professional practice.

In the U.S. healthcare system, there is a requirement to obtain consent before performing any type of "risky" procedure. This condition stems from unethical procedures performed by physicians in the past (Pozgar, 2016). There are different components of obtaining consent, but prior to any type of procedure being performed, the provider is required to obtain informed consent.

And if that does not satisfy the situation calling social service to investigate would be the next best possible action. The interview said; “They will inform the management by complaining as there is an open disclosure policy; if something goes wrong; and patient isn’t satisfied they could sue them. Which can indicated that the patients can file a case against facility if they feel that they two advised actions have not satisfied the negligence of the workplace. The most important key in deciding the best action to take for this case would be the patient’s satisfaction and finding justice for the suffering received.

The general awareness among patients on their rights during a medical procedure often conflict with the morals of the healthcare industry. Many times healthcare professionals are caught between

The morning of the surgery, the patient was undergoing a surgical procedure asked if I could explain the procedure to her since I am a registered nurse. She has claimed that she did not fully understand the physician’s explanation when he came to see her. I politely told her that I will page for the physician so he can come and explain the procedure again, but she was not happy and said: “aren’t you a nurse?” So, in order to resolve this dilemma, I had to tell the patient that nurses practice under the state nurse practice act guidelines in accordance with state rules. Therefore, explaining a surgical procedure that a physician will perform is not part of my scope of practice. It is the duty of the physician performing a surgical procedure to obtain an informed consent from the patient, not the nurse. Meaning the patient has fully understood the risk and benefit of the procedure and verbalized understanding to the physician before signing the consent (Westrisk, 2013). The patient seemed to understand and agree that I should call the physician for more clarification about the

My practicum took place on September 7,2016 from nine thirty to ten thirty. The practicum took place at Impact Early College High School in Baytown. The class I observed was Ms. Nguyen’s class of juniors and seniors that contained twenty students, seven boys and thirteen girls. The class appeared to be alert and ready to learn. Since this was their second period class they already had enough time to shake off their fatigue. The subject was Pre-Calculous and the topic was operations of functions. Students entered the classroom in a calm manner and socialized until it was time to start class. The teacher instructed the students to take their seats and take five minutes to write their assignments into their academic calendar. The teacher went