The Ethical, Legal, and Professional Issues of a Patient Being Hoisted in Chronic Pain
1836 Words8 Pages
This assignment will explore a case study on an episode of care where a patient with chronic pain was hoisted. This will be written from the perspective of the author, a student nurse. The purpose of this assignment is to underline the ethical, legal and professional issues surrounding the episode of care during nursing practice and how these issues influence the role of the nurse and their professional judgement in delivering holistic, person-centred care for the patient. The author will cover the complications on delivering care when healthcare professionals should consider and respect the patient’s decisions and personal preferences whether it may benefit the patient or not. Therefore, the author will argue the principles of the…show more content…
William’s progressing osteoarthritis has led him to be immobile and bed bound. Therefore, the only way to get William out of bed is through using a sling hoist. Hoisting a patient isn’t simply transferring a patient from one place to another.
William has been introduced to have chronic pain and hoisting has loads of risks that could potentially harm the patient or give them more pain. Hoisting can be hazardous for both the patient and service provider if not done safely which require healthcare professionals to do mandatory manual handling training (Thompson and Jevon, 2009). Therefore, hoisting is a practice of care.
In any practice of care, nurses must be able to provide care that is holistic and centred to the individual client. According to the World Health Organisation (WHO), to care for a patient ‘holistically’ is to look beyond their illness or disability and care for them as individuals considering not just physical but also their mental, emotional and spiritual well-being (ref). Whilst, person-centred care is to deliver care moulded to the patients’ personal preferences, treating them with value and respect, ensuring that the care provided is appropriate for their needs (Goodrich and Cornwall, 2008).
In order to provide holistic, person-centred care, having an understanding of ethics is essential (Kozier et al, 2008). Ethics is concerned
Nursing Ethics Essay
For the purpose of this assignment, ethics in relation to nursing will be discussed. "Ethics; A code of principles governing correct behaviour, which in the nursing profession includes behaviour towards patients and their families, visitorsand colleagues" (Oxford Dictionary of Nursing 2004).
This assignment will consider autonomy as identified in a practice placement, but will also look briefly at the ethical principle of non-malefience that is relevant in this assignment. It will also closely look at this issue and will describe how the principles of ethics apply to practice. In accordance with the Nursing and Midwifery Council (NMC 2004).
Any names of patients referred to in this assignment have been changed to protect their confidentiality. The NMC states as a registered nurse you must guard against breaches of confidentiality by protecting information from improper disclosure at all times. The placement referred to in this assignment is an Elderly Mentally Infirm (EMI) home, which is located on Merseyside.
The United Kingdom Central Midwifery and Health visiting Council (UKCC 2002, clause 6)). Which is now known as The Nursing and Midwifery Council (NMC) Also state that "Health Care Professionals should recognize the respect the uniqueness and dignity of each patient and client, and respond to their need for care irrespective of their ethnic origin, religious beliefs, personal attributes, the nature if their health problems or any other factor".
Autonomy ("Greek: Auto-Nomos - nomos meaning "law": one who gives oneself his own law) means freedom from external authority": Wikipedia, encyclopedia (2004).
On this placement, there were several examples of how autonomy influenced care delivery; this assignment will address two of these examples. The first incident involved an eighty six year old lady called Betty, who suffered with severe dementia, the Practice nurse from her surgery was coming into the home to administer the flu injection to her and several other clients. It had been recorded in Betty's case notes that she had had a fear of needles in the past and had refused several injections before her mental health had deteriorated, Does an autonomous decision have to be rational? "In the ideal of autonomy day - to -day decisions should be rational, i.e. consistent with the person's life plans" Hope, Savulescu and Hendrick, (2003 p 34).
Betty had no living relatives to contact to discuss her treatment. Patients suffering with dementia cannot always exercise autonomy. A client may be mentally incapacitated for various reasons. These may be temporary reasons, such as the effect of sedatory medicines, or longer-term reasons such as mental illness. It is important to remember that capacity may...
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