Nursing standard, communication strategy, emergency department, dementia, diagnosis, critical thinking, NMBA RNs Standard 4, professional boundaries
This case study is about Dan, a patient with dementia presented to an emergency department (ED) by Jaden, a local McDonald's manager, after he noticed how disoriented Dan was while sitting in his restaurant.
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When caring for patients like Dan, nurses have several responsibilities. First, nurses have to ensure a patient's safety (Dadich et al.,2023). In this case, the nurse could ensure Dan's safety by preventing him from wandering around like Clara does. Additionally, the patient's safety can be improved by addressing his confusion. Second, the nurse has to collaborate with other nurses to ensure they get the correct diagnosis of Dan and provide accurate information regarding his condition and behavior. Lastly, the nurse has to establish a trustworthy relationship with the patient to ensure they feel free to share necessary information.
[...] Moreover, he talks of how he and his friends used to enjoy dancing. Dan further talks of how loving his family was and how Jimmy Sharma cared for them, making him more of a brother. However, they are interrupted when Nurse Helen brings in Marlene, Dan's daughter, who takes him home. Using this case study, this presentation aims to highlight the complexities of caring for patients with dementia like Dan, including the nursing standards needed, professional accountability, and communication strategies. Professional Accountability When caring for patients like Dan, nurses have several responsibilities. [...]
[...] Fourth, Clara employs empathetic communication. She demonstrates empathy by understanding the difficult past struggles that Dan had to experience when he and his brother were locked up at seven and released at 18, and she acknowledges his pain. Lastly, she respectfully sets professional boundaries between her and the patient. Clara respectfully explains her role as a nurse to Dan, letting him know that she needs to assess his behavior and ensuring Dan understands that he is under medical care. References Brooks, L. [...]
[...] Acknowledging that Dan needs my care as a nurse, I will ensure that I primarily focus on fulfilling and advocating for Dan's needs, ensuring that although he is experiencing confusion, he will be safe. Lastly, my decision will be guided by Standard 2 of NMBA for RNs. This standard requires nurses to engage in a therapeutic and professional relationship with patients. Following this standard will allow me to show empathy and compassion to Dan while respecting him as a human being with a unique experience. [...]
[...] Second, Clara exhibits cultural sensitivity in her communication with Dan. Despite being from the Philippines, Clara does not limit herself to her culture and acknowledges that Dan is from a different background from hers. She respects Dan's idea of a family, which he calls the and shows interest in his heritage. According to Brooks et al. (2019), culturally sensitive communication exhibits comprehension and regard for individuals, fostering contentment among patients and their families. This behavior makes Dan ask her if she is part of his "mob." Third, Clara communicates with Dan in a non-judgmental attitude. [...]
[...] https://doi.org/10.1016/j.colegn.2018.09.007 Dadich, A., Rodrigues, J., De Bellis, A., Hosie, A., Symonds, T., Prendergast, J & Collier, A. (2023). Patient safety for people experiencing advanced dementia in hospital: A video reflexive ethnography. Dementia, 22(5), 1057-1076. https://doi.org/10.1177/14713012231168958 International Council of Nurses. (2021). The ICN code of ethics for nurses. https://www.icn.ch/sites/default/files/inline-files/ICN_Code-of-Ethics_EN_Web.pdf Nursing and Midwifery Board Aphra (2017, January 2). Registered nurse standards for practice. [...]
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