Working for the patient's best interests despite competing personal ideals and facilitating access to the right resources are both aspects of advocacy. Agency is the capacity for transparency, problem-solving, and issue awareness. The capacity to identify needs and take action to affect a conflict's or decision's outcome is known as moral agency. The ethical rule that governs how society's finite supply of healthcare benefits is distributed is called justice. Fair distribution of these assets is necessary.
Allowing a visiting student nurse to witness a patient's wound care is a practice that can be regarded as invading their privacy, especially if the patient didn't consent or didn't think it was appropriate to decline (leading in coercion). Patients are told about the prospect of receiving care from students at the time of admission in healthcare organizations that use student healthcare personnel (student nurses, interns, and residents).
It's conceivable the patient is reluctant to report their pain. The gerontological nurse should ask the patient to rate or describe his pain rather than asking if they are in pain because some patients may have cultural, social, or familial stigmas about showing pain or seeking pain relief.
The best course of action in this situation is to explain the justification and advantages of the change. Additionally, it's a good idea to start with simple adjustments that the employees can readily see the results of. In the beginning, the gerontological nurse should work to win over a select group of influential people's cooperation.
Due to the fact that a DNR order must be granted by the doctor and be a part of the medical orders, the staff members should perform resuscitation procedures. When the patient didn't want resuscitation, the gerontological nurse should have gone to the doctor and demanded an order.
Older adults who need an SSRI should be prescribed a different one, such as paroxetine, duloxetine, or sertraline, as fluoxetine may have an extended half-life that might cause agitation, sleeplessness, and anorexia. The starting dosage should be low and then gradually increased if necessary because older persons are more sensitive to SSRIs than younger adults.
The most collaborative response is one that includes ""you"": ""Let's talk about ways to allow you to get more rest."" The patient has a valid worry and should be encouraged to contribute rather than the nurse merely expressing a solution or lack of solution. Sometimes, rearranging the schedule for drugs or treatments can help to solve the problem. Even if there isn't a true remedy, talking with the patient about the problem can at least make her feel like her concerns are taken seriously.
