Saturday, December 7, 2019

Roles And Responsibilities Of The Nurse †MyAssignmenthelp.com

Question: Discuss about the Roles And Responsibilities Of The Nurse. Answer: The Roles And Responsibilities Of The Nurse In The Practice Setting Of Calvary Health Care Bethlehem (Caulfield) Calvary health care Bethlehem is situated in Caulfield and has a bigger name in the fields of progressive neurological disease and palliative care. They provide services to the Victorian community. Almost 4000 peoples get admitted in this hospital every year. They used to work with the patients very closely and provide their best assessment and care. The neurological service provided by this hospital is known as Statewide Progressive Neurological Disease Service. It offers a big range of multidisciplinary assessment and services to the people who are diagnosed with neurological disorder (Kirby, Broom Good, 2014). The care was provided by a multidisciplinary team which consist of: Medical specialists such as Neuro-psychiatrists, Respiratory physicians, Neurologists and palliative care physicians; Allied health specialists such as Occupational Therapists, Physiotherapists, Dietitians, Neuropsychologists and Social Workers; Specialist Nurse; Pastoral care workers; and Researchers Palliative care is also provided by this hospital and it focuses on providing the support to the patients those who are having a progressive neurological disease. The objective of this care is to help the patients in achieving dignity and comfort (Hockenberry Wilson, 2014). The nurses at Calvary Health Care Bethlehem were expert in taking care of the patient who needs palliative care. They do this through supporting and advising the GP and also the team providing primary care, by managing the symptoms of distress; by offering visit to home when it is necessary, by providing the equipments that will give support to the patients during their stay at home as long as possible, by providing the telephonic advice facility for 24 hours and by teaching the ways of caring the patient to the family. They used to provide the palliative care to the patients those who are at hospital as well as at home (Aslakson, Curtis Nelson, 2014). According to an article The Crucial Role of Nurses in Palliative Care, February 13, 2017 (NurseBuff, 2017), it can be said that the role of a nurse in the palliative care is different from the other specialists of the hospitals. The palliative care nurse had to serve a dual role of care. They had to provide expert caring to the patients also had to manage the pain and the discomforts of the patient and their family. These roles are the most important of the conventional duties that are being performed by a nurse like carrying out the treatment and assessing the symptoms. In Calvary Health Care Bethlehem, a Palliative Care Nurse can help the patient to manage the issues regarding the disease of the patient by consulting with the patients General Practitioner (GP). A specialist Nurses at this hospital are providing care, giving advice and also providing information any time of the day or night (Kirby, Broom Good, 2014). They used to offer counselling for proving support, information and practical advice on getting help in the community. They can help the patient on a practical, personal, emotional and spiritual level. They use music for the improvement of health and wellbeing of the patient. They also offer physiotherapy for providing practical help in managing pain by suggesting exercises. They help the patient in managing everyday activities by assisting them with the help of some equipment. The Palliative Care nurses are trained for helping the patients by providing them relaxation and offering some social support (Broom et al., 2015). ThePalliative Clinic at the Calvary Health Care Bethlehem, look after the patients who so that they can get benefit from the team of experts. The doctor, nurses, physiotherapists, social workers and occupational therapists of the hospital always tries to help the people to stop pain and different illness. The hospital is always available to the peoples those who are living at home and they wish in improving the quality of their life. On arrival of the patients they are being assessed either by a specialist doctor or a nurse (Quill Abernethy, 2013). The doctors appointed for the patient together with some other specialists are involved in care of the patient; they are the important part of multidisciplinary team and can be contacted anytime after the appointment. If any of the patient become too ill so that they are unable to travel to the hospital then a community specialist nurse is appointed for visiting the patient at home. The nurse provides overnight support in addition to a ca ll to the communitynursing home for the palliative care patients those who needed the care at their home. The Day Centre is type of a centre which provide care and also a friendly place for the patient for meeting with others and opportunities to join in various types of activities. The care program that is being offered by the hospital used to focus on the patients mental and physical health. It also provides opportunities that are being involved in one or many activities that can provide the patient some rest so that they can be cured fast (Back et al., 2014). Program activities that are provided to the palliative patient by the nurse of the Calvary Health Care Bethlehem are art, pet therapy, music, Reiki, aromatherapy, tai chi, gentle massage, outings, travel in an armchair, quizzes, movies, gardening, games, cooking, discussion and reminiscence. The Palliative Care provide by the nurses are focused on the patients those who are suffering from a progressive non-curable disease (Anderson et al., 2016). The Current recommendation of LGBTI policies in palliative community nursing from the literature The LGBTI is an abbreviation used for the people of different sexualities such as lesbian, gay, bisexual, transgender and intersex. LGBTI peoples always experience some big problems that are uniquely connected to their social lives and identity. Healthcare professionals such as nurses are needed to be more aware of the problems that are faced by most of the members of LGBTI community while providing them care. Not all issues featured here are substantial for all LGBTI people yet familiarity with more serious hazard variables or inclination to a few sicknesses is required (Barrett Wholihan, 2016). Wellbeing experts are here and there awkward with giving administrations to LGBTI people. Morally mindful wellbeing experts will guarantee this does not bring about resulting separation and substandard care. Patients may likewise turn out to be unreasonably vilified by wellbeing experts when a medicinal determination, for example, HIV AIDS, is expected to have been contracted through IV sed ate use for instance. Wellbeing experts have an obligation of care to instruct and educate patients with respect to how to diminish the danger of their infection to themselves as well as other people, yet not to be judgemental about the decisions of others (Barrett Wholihan, 2016). The report of Marie Curie Hiding who I am exposes the truth of palliative care for the LGBT peoples along with the useful definitions such as the abbreviation of LGBT, some acronyms that are being used by both students as well as the professionals. This research proves that the gay, lesbian, transgender and bisexual used to face some important barriers in getting the palliative care whenever they need the care. This report also shows that many of older LGBT peoples are concerned about whether the service providers or the healthcare professionals will treat them in a different way for their sexuality or inequality in gender. Unfortunately, this behaviour from the professionals leads to the people of the LGBT communities to feel that the palliative care and the end of life care services are not made for them and they will receive the worse type of treatment than the straight persons (Carabez Scott, 2016). It is important for a healthcare professional that they must be aware of the issue of palliative care for LGBT people. LGBT individuals have a higher rate of life-constraining and dangerous sickness than individuals who are not LGBT. The danger of smoking and liquor mishandle is higher among LGBT individuals, and has been ascribed to worry from homophobia, separation and underestimation (Carabez Scott, 2016). It's additionally vital to take note of that LGBT individuals will probably be single, childless, repelled from their introduction to the world families and experience harming emotional wellness issues. These components are probably going to bring down odds of a LGBT individual accepting stable and on-going casual care, for instance from an accomplice or organic relative (Elk, 2015). For a few people in the LGBT people group, the finish of life mind you are a piece of giving could conceivably be the main wellspring of help they are accepting. This makes it progressively essential to ensure you are giving patient-focused care to a LGBT individual, guaranteeing their particular needs and decisions have been completely considered (Griebling 2016). There are a number of issues and barriers LGBT people may experience at the end of their life. These include: Anticipating discrimination - LGBT individuals get to palliative care benefits late or not in the least, either on the grounds that they suspect shame or segregation or they think the administration isn't for them. Complexities of religion and LGBT end of life care - Palliative and end of life mind administrations may not generally guarantee LGBT patients and their families have a similar otherworldly needs tended to at end of life as some other patient (White Gendron, 2016). Assumptions about identity and family structure - Health and social care staff frequently make suppositions about individuals' sexuality or sex personality that affect their experience of palliative and end of life mind. Proof recommends that a few clinicians do segregate on the premise of sexual introduction (Streed Jr. Eliason, 2017). Varied support networks - LGBT individuals toward the finish of life may be encompassed by dear companions and care groups which speak to developed encouraging groups of people nearby organic ones. LGBT individuals can likewise feel worried that their friends and family won't be regarded and perceived as closest relative. Unsupported grief and bereavement - Partners feel secluded or unsupported amid mourning as a result of their sexuality. Increased pressure on LGBT carers - There is expanded weight on casual carers, since individuals are getting to palliative and end of life mind benefits late or not in any way. Its important for a healthcare professional to be aware of the issues that the bisexual people and transgender people face every time in the society. If the nurse is treating the patient who is a bisexual or transgender, it will be good to have a conversation with them about their fears and concerns regarding the palliative care and if they will feel comfortable in discussing the problems with the nurse then it will become easier for the nurse to treat them carefully (Jacobson, 2017). As a nurse for providing the LGBT patient better form of palliative care and end of their life care I must follow the research of Marie Curie. This research proves that the two of the important points of good palliative care and end of life care for the people of LGBT community are that if they are receiving the person-centred care around them or not and whether their partner is involved and accepted in the treatment or not (Eliason Dibble, 2015). If I am providing the palliative care or the end of life care to a people of the LGBT community, I must also consider in providing the patient with data that speaks to assorted gatherings, including the LGBT people group. I must review the dialect you utilize when talking with your patient to guarantee you are utilizing more comprehensive terms, for example, their partner. I must try to do some preparation which will enable the people to better comprehend the particular needs and worries of LGBT individuals living with a terminal ailment, incorporating into the setting of home care administrations. I must be acquainted with your manager's inner approaches and works on identifying with negative and prejudicial conduct. I must contact a nearby LGBT philanthropy or group gathering to see more about end of life mind needs and the additional weights LGBT carers can confront. I must be aware of life decisions and inclinations. References Anderson, W. G., Puntillo, K., Boyle, D., Barbour, S., Turner, K., Cimino, J., ... Grywalski, M. (2016). ICU Bedside Nurses' Involvement in Palliative Care Communication: A Multicenter Survey.Journal of pain and symptom management,51(3), 589-596. DOI: 10.1016/j.jpainsymman.2015.11.003 url: https://www.ncbi.nlm.nih.gov/pubmed/26596882 Aslakson, R. A., Curtis, J. R., Nelson, J. E. (2014). The changing role of palliative care in the ICU. Critical care medicine, 42(11), 2418. doi:10.1097/CCM.0000000000000573 url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4695994/ Back, A. L., Park, E. R., Greer, J. A., Jackson, V. A., Jacobsen, J. C., Gallagher, E. R., Temel, J. S. (2014). Clinician roles in early integrated palliative care for patients with advanced cancer: a qualitative study.Journal of palliative medicine,17(11), 1244-1248. doi: 10.1089/jpm.2014.0146 url: https://www.ncbi.nlm.nih.gov/pubmed/25390467 Barrett, N., Wholihan, D. (2016). Providing Palliative Care to LGBTQ Patients. Nursing Clinics, 51(3), 501-511. doi: 10.1016/j.cnur.2016.05.001 url: https://www.ncbi.nlm.nih.gov/pubmed/27497022 Broom, A., Kirby, E., Good, P., Wootton, J., Yates, P., Hardy, J. (2015). Negotiating futility, managing emotions:Nursing the transition to palliative care. Qualitative Health Research, 25(3), 299-309. doi: 10.1177/1049732314553123 url: https://www.ncbi.nlm.nih.gov/pubmed/25246331 Carabez, R., Scott, M. (2016). Nurses don't deal with these issues: nurses role in advance care planning for lesbian, gay, bisexual and transgender patients. Journal of clinical nursing, 25(23-24), 3707-3715. doi: 10.1111/jocn.13336 url: https://www.ncbi.nlm.nih.gov/pubmed/27453528 Eliason, M. J., Dibble, S. L. (2015). Provider-patient issues for the LGBT cancer patient. InCancer and the LGBT community(pp. 187-202). Springer, Cham. Url: https://link.springer.com/chapter/10.1007/978-3-319-15057-4_12 Elk, R. (2015). Challenges and Recommended Solutions to End of Life Care for Lesbian, Gay, Bisexual and Transgender Patients Diagnosed with Cancer with a Life-Limiting Prognosis. In Cancer and the LGBT Community (pp. 227-242). Springer International Publishing. doi:10.3322/caac.21288 url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4609168/ Griebling, T. L. (2016). Sexuality and aging: a focus on lesbian, gay, bisexual, and transgender (LGBT) needs in palliative and end of life care. Current opinion in supportive and palliative care, 10(1), 95-101. doi: 10.1097/SPC.0000000000000196 url: https://www.ncbi.nlm.nih.gov/pubmed/26780525 Jacobson, J. (2017). LGBT Older Adults in Long-Term Care.AJN The American Journal of Nursing,117(8), 18-20. DOI:10.1097/01.NAJ.0000521965.23470.a6 Kirby, E., Broom, A., Good, P. (2014). The role and significance of nurses in managing transitions to palliative care: a qualitative study. 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In Trauma, Resilience, and Health Promotion in LGBT Patients (pp. 245-254). Springer International Publishing. https: //doi.org/10.1007/978-3-319-54509-7_20 url: https://link.springer.com/chapter/10.1007/978-3-319-54509-7_20 White, J. T., Gendron, T. L. (2016). LGBT elders in nursing homes, long-term care facilities, and residential communities. InHandbook of LGBT Elders(pp. 417-437). Springer International Publishing. Doi:10.1007/978-3-319-03623-6_21 url: https://link.springer.com/chapter/10.1007%2F978-3-319-03623-6_21

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