Effectiveness Of Physical Restraints For Nursing Homes

Familiarity with key concepts of ethical practice

Write about the Effectiveness of Physical Restraints for Nursing Homes.

Health and social care organizations of the respective countries should understand the ethical and philosophical base of the services while serving the people of the respective communities. Every country should have enough provisions regarding their health and social care duties in the community (Tierney et al. 2017). Health services can be counted as they the basic needs of the community members and every country should standardize the health and social care services they are providing to the community.

According to the case study of this assignment, a nursing student has started first PEP at a suburban nursing home. The student has been placed to take care of Mr. P, who is an 85 years old man suffering from some sort of dementia and also other denture related problems. He is almost bedridden and needs special support and care to lead a normal and independent life. Mr. P is older in age and quite infirm in his activities. People like Mr. P are likely to drink less water and that is why their mouths become sour and dry usually. The attendant (the student) should act according to the age of the patients and follow the ethical codes of conduct while delivering the support services to the service users and their families (Nelson and Staggers, 2016). The student should not get irritated on the negative responses of the service users and should patiently handle the conflicts of the treatment. As a patient of dementia, Mr. P needs proper medication and support services. The student should be able to accept the anxious behavior of Mr. P as he is suspected to be a patient of dementia.

Mr. P has a big family with a large number of grand children and great grand children. They often used to visit the house of Mr. P and spend quality time with him. According to the case study, his dentures are quite ill fitted and causes discomfort to him. He doesn’t like to wear his denture as it is painful and unpleasant. Previous nurses who attended Mr. P informed the student about the ill fitted denture of Mr. P and instructed the student to not to use his dentures after giving him the mouth care services. It has been noticed by the previous support workers that the use of dentures causes irritation and discomfort. The student should focus on the comfort of Mr. P, even with the request of his granddaughter of making him use the ill fitted denture. The student should make the granddaughter of Mr. P understand that she cannot push her choices to her 85 year old grandfather. The student should act as a communication bridge between the grandfather and the granddaughter (Scott, 2017). Student should be able to make her understand that the use of dentures can damage his health status and can cause pain or infection in her mouth.

Ethical base of every service should be flexible enough to get fitted with different kind situations in the delivery of the services. The ethical code of conducts should be based harmoniously with the legal policies associated with the actives of health and social care services in the society (Holloway and Galvin, 2016). The student should report about the ill fitted dentures of the patient to the responsible authorities. The student should ask his granddaughter to change his dentures as the patient is not all the time aware of his own requirements. Ethical practices in the delivery of the services should be based on the empathic approaches. They should be able to solve the problems of the patients by providing them appropriate care and services. Inclusion of ethical of conducts makes the services comprehensive and effective.

Ethico-legal complexities inherent in nursing homes

The instances of ethico-logical complexities arise when the service providers are failed to maintain balance between the given and delivered tasks regarding support services of the service users (Milligan, 2016). In this case study, according to ethical and legal norms associated with health and social care services, the student should not force Mr. P to use his dentures against his ill. Health and social care legislations of the country respects the will of the patients in the delivery of the health and social care services. Student, in this regard, should contact with the higher authorities responsible for the effective delivery of the services and report the instances of poor co-operation from the family members of the patients.  The treatment plan of Mr. P should have been developed by the nursing authorizes with the participation of his own family members (Milligan, 2016). They should try to make is family understand the importance of their co-operation in the delivery of the effective services. The family of the patient should accept the treatment plan and they should co-operate with the support workers in the delivery of their services.

The student responsible for the support services of Mr. P should enhance her ethical awareness in the delivery of the services. Nursing students should understand their roles and responsibilities regarding the treatment of different patients. This student should have knowledge about the conditions of the dementia patients and responsibilities of mouth care services (Clark et al. 2017). Nursing students should understand the importance of practicing healthy hygienic and sanitary practices while delivering the mouth care services their patients. Proper knowledge of the services they are giving, make them bold and collected in the decisions associated with the services. According to this case study, the student should be able to tackle the conflicts arises between the expiations of the family members of the patient and the comfort level of the patient.

Driscoll’s Reflective Framework Model:

The use of Driscoll’s Reflective Framework Model is significant while developing a reflective study (Tesh and Kautz, 2017).

WHAT?

Describe objectively what you have read, seen or heard:

I have read about the patient namely, Mr. P, suffering from multiple medical problems along with some sort of dementia and denture related stomatitis. He is bedridden and needs supportive services to lead an independent life. I am supposed to provide mouth care services along with other related services to him. His denture is ill fitted and causes pain while used. There is a lack of co-operation from the family members of the patients in the treatment of the patients. This creates confusion in the delivery of my services to the patient.

SO WHAT?

How did you respond?

I respond confusedly and I failed to act according to the ethical norms of the health and social care services.

Why did you respond that way?

Being new in this field makes me act like this. Lacuna in my knowledge regarding the ethical practices of the health and social care services makes me act like this.

Developing ethical awareness and self-reflection

Did the information challenge your values or thinking, if so why?

Yes, the repetitive request of the granddaughter of the patient challenges my values or thinking in the delivery of my services, because it is not right to force Mr. P to wear the ill fitted dentures against his will. I found myself uncomfortable while forcing him to wear his painful dentures.

How did the information you read, saw or heard make you feel?

I feel bad considering the condition of the patient. Suffering from multiple medical problems, he needs and love from his family. His family should accept him with his health condition.

What is your interpretation of the information you have read, seen or heard?

The granddaughter is trying to maintain the firm looks of Mr. P in front of his great grandchildren. That is why, she instructs me to make him wear his dentures. She should share good things regarding her grandfather to her children and help them to love their grandfather with his imperfections.

Did you make any connections between the new information you have read, seen or heard with your past feelings, learning or experience?

No, I cannot connect this situation with my past experiences as I am new to this field.

Were you surprised by what you read, saw or heard?

Yes. The efforts of the granddaughter of the Mr. P to keep the firm image of Mr. P in front of his great grand children make me surprised.

What are the ethical considerations here? What should I be ‘mindful’ of?

• Understanding of the condition of Mr. P and act according to it
• Effective Participation and co-operation of the families in the treatment of Mr. P

NOW WHAT?

What are the conclusions you have made from what you have read, seen or heard? Ask yourself “What might this mean?”

• Improper ethical practices can affect the quality of the services
• Lack of co-operation from the family members develops distance between the service providers and services users

Have you changed your opinion because of the reflections on the new information?

I have learned lots of things regarding the care services provided to the patients and the diseases and their treatments. And I have also learned stick to my points in maintaining ethical norms in the delivery of my services.

Will any new perspectives change the way you currently practice or practice in the future?

In future, I will try to understand my roles and responsibilities in the delivery of my services. This will increase my confidence in taking relevant decisions while dealing with conflicts of the services.

Ask “In what ways might this learning experience serve me in my future?”

I will make a fair conversation with the families of the patients before accepting my responsibilities regarding my services to the patients.

Different researchers of different times develop studies regarding the importance of ethical norms and practices in the delivery of health and social care services in the society. Students should read and understand relevant articles or books or journals in order to develop understanding of the specific area of services (Bryant?Lukosius et al. 2016). Ethical code of conducts should be integrated with key features and observations related to the services while practicing the same.

Reference Lists:

Bryant?Lukosius, D., Spichiger, E., Martin, J., Stoll, H., Kellerhals, S.D., Fliedner, M., Grossmann, F., Henry, M., Herrmann, L., Koller, A. and Schwendimann, R., 2016. Framework for evaluating the impact of advanced practice nursing roles. Journal of Nursing Scholarship, 48(2), pp.201-209.

Clark, D., Inbadas, H., Colburn, B., Forrest, C., Richards, N., Whitelaw, S. and Zaman, S., 2017. Interventions at the end of life–a taxonomy for ‘overlapping consensus’. Wellcome open research, 2.

Holloway, I. and Galvin, K., 2016. Qualitative research in nursing and healthcare. John Wiley & Sons.

Milligan, K., 2016. Clinical decision making by registered nurses in residential aged care: a critical realist case study: a thesis presented in fulfilment of requirements for the degree of Doctor of Philosophy in Nursing at Massey University, Albany, New Zealand (Doctoral dissertation, Massey University).

Nelson, R. and Staggers, N., 2016. Health Informatics-E-Book: An Interprofessional Approach. Elsevier Health Sciences.

Scott, P.A. ed., 2017. Key Concepts and Issues in Nursing Ethics. Springer.

Tesh, A.S. and Kautz, D.D., 2017. Using Reflective Practice in a Leadership Course. Nurse educator, 42(3), pp.117-119.

Tierney, E., McEvoy, R., O'Reilly?de Brún, M., Brún, T., Okonkwo, E., Rooney, M., Dowrick, C., Rogers, A. and MacFarlane, A., 2016. A critical analysis of the implementation of service user involvement in primary care research and health service development using normalization process theory. Health Expectations, 19(3), pp.501-515.