Registered Nurse Christine works in a large long-term care facility and is the nurse manager of Unit 2 North.

Registered Nurse Christine works in a large long-term care facility and is the nurse manager of Unit 2 North. A registered nurse colleague and Unit 2 West manager, Sylvia, calls Christine and asks her to come to Unit 2 West to help with a computer problem at the nurses’ station. As Christine walks down the hall of Sylvia’s unit, she hears a resident crying out very loudly. The cry sounds like an expression of pain. Christine enters the resident’s room and notices the resident is tightly restrained to the bed and is lying in excrement. From a quick assessment, Christine believes the resident is alert and oriented. Though she has tried to convince herself otherwise, lately, Christine has been thinking that Sylvia acts strongly paternalistic with her residents and her manner is abrupt rather than compassionate. Christine has seen at least two residents begin to cry when Sylvia fusses at them.

Questions:

1. What should Christine do about her findings?

2. What are the bases for your answers to question?

3. Does the Code of Ethics for Nurses with Interpretive Statements provide guidance in this situation? Explain.

4. Is paternalism always unethical when caring for long-term care residents? Explain.

5. Conduct a search of reliable literature about the use of restraints with elderly patients. From your search, develop an educational program 332 Appendix A Case Studies for long-term care nurses and aides about using restraints with their residents

Expert Solution

1. Christine is required to inform them of what he discovers.

Explanation: Because it is not appropriate to restrain the sufferer too firmly, as this might give them undue discomfort. We, too, have a problem with patience.

2. My response to question one is based on the fact that I discovered the patient is being confined too tightly, which is causing her discomfort. When several of the patients saw Sylvia, they cried.

3. No, the code of ethics for nurses does not apply to the circumstances described above.

4. Paternalism is, without a doubt, always immoral.

Explaination: Even if they are elderly and unable to care for themselves, they have the right to make their own decisions. Giving them the proper care and treatment has a significant influence on them.

5. I will create an instructional programme for nurses, and aides assigned to long-term care facilities about how to use restraints properly with their residents by giving them with an instructive film or clip in which they can witness some nurses utilising restraints correctly. It's not too tight or too loose. To the benefit of both the patient and the nurses or aides assigned to the long-term care institution.

Explanation: It is critical to highlight to the employees of a long-term care facility the importance of providing proper care to their patients. Especially when they need to confine some patients to prevent invading their rights in the institution.

Nightingale answered 2 years ago

Case Study: Martin, a practical nurse, works in a long-term care facility. He is often the...

Case Study: Martin, a practical nurse, works in a long-term care facility. He is often the nurse-in-charge of his unit and works with unregulated care providers (UCPs). He has approached his manger with an idea to improve the care of the residents. This will require a change in the approach to care (model of care) that is currently being used and the UCPs will have added responsibilities. To implement this change, Martin is leading the group working on the new...

2. You are a nurse providing nursing care for the residents of the long-term care facility...

2. You are a nurse providing nursing care for the residents of the long-term care facility where you practice nursing. The wing in which you are currently working is the assisted-living unit where you are continually surprised with the vitality of the residents, even at advanced ages. a. On which two principles should gerontologic nursing care be based? b. How can the acronym SPICES assist you, specifically, in your gerontologic nursing practice? c. Social gatherings, travel, attending sporting events, and...

As the charge nurse of a unit within a long-term health care facility, explain what principles...

As the charge nurse of a unit within a long-term health care facility, explain what principles you would use to prioritize the coordination of care when assigning and delegating tasks among the nursing and unlicensed personnel staff. Include in your response how you would continue to assess patient care throughout your shift

consider You are a registered nurse (RN) in the intensive care unit (ICU) at your facility....

consider You are a registered nurse (RN) in the intensive care unit (ICU) at your facility. The ICU has 24 beds, 1 nurse manager, 4 clinical nurse specialists (on a rotating schedule), and 6 charge nurses (on a rotating schedule). Typically, your unit has anywhere from 18-24 patients per shift. In order to climb the clinical ladder, you have been asked to create a new policy for your unit that will improve patient outcomes related to Readmissions. Research best practices...

A nurse in a long term care facility is caring for a bedridden client. which of...

A nurse in a long term care facility is caring for a bedridden client. which of the following findings should alert the nurse to a potential complication of the clients immobility A. blurred vision b. confusion c. polyuria d. diarrhea

A nurse in a long-term care facility must understand the nutritional needs of older adults to...

A nurse in a long-term care facility must understand the nutritional needs of older adults to prevent nutritional deficits in patients. Preventing dietary difficulties is often much easier than trying to treat conditions resulting from dietary insufficiencies. (Learning Objectives #2 & #3) Why is it important to increase or maintain water consumption in older adults? Which nutritional activities can be altered in older adults due to physiologic changes brought about by aging? Outline factors that can contribute to malnutrition in...

Mr. Rogers is a 91-year old resident of a long-term care facility who tells the nurse,...

Mr. Rogers is a 91-year old resident of a long-term care facility who tells the nurse, "I have an ache in my right foot." He offers an explanation, suggesting, "I must have stepped on something or twisted my ankle. Maybe I got bit by a bug when I was outside yesterday." The nurse notes the medical aspect of Mr. Rogers's right ankle to be reddened, slightly swollen, and warm. His temperature is within normal limits. He has strong pedal pulses...

Think about the variety of healthcare organizations, such as a long-term care facility, large for-profit hospital,...

Think about the variety of healthcare organizations, such as a long-term care facility, large for-profit hospital, physicians' practice, VA hospital, or state-run clinic. Consider how budgeting would be influenced depending on an organization's sources of funding. How do the purposes or uses of a budget vary according to the kind of healthcare organization it is (think nonprofit, for-profit, and governmental)?

An 82-year-old female patient admitted in a long-term care facility tells the nurse that she became...

An 82-year-old female patient admitted in a long-term care facility tells the nurse that she became at least 2 inches shorter in the last couple years. The nurse understands that she became shorter because of the following: (SELECT ALL THAT APPLY) A. Postural changes associated with aging B. Lower back pain and joint stiffness C. Intervertebral discs thinning D. Bone resorption an ongoing osteoporosis E. Possible untreated congenital deformities

Katie is a Registered Nurse who works in residential aged care. Katie’s colleagues have noticed that...

Katie is a Registered Nurse who works in residential aged care. Katie’s colleagues have noticed that at the end of several shifts the residents in Katie’s care have appeared uncared for, that wet bed sheets have not been changed and that urine bottles have not been emptied. They have also noticed that Katie has been spending a lot of time at the nurses’ station, while the residents allocated to her care have been unattended. Katie’s colleagues have raised the issues...

Question