Dignity in Care Essay

Definition of dignity the quality or state of being deservingy of prise or honour.(the renounce dictionary 2011).This translation seems short, still the concept of dignity is more profound, the nurse should wont her inner shot thusly being ruleings , empathy, compassion and use these productively.(Haddock 1996). The reasonable expectation that an older several(prenominal) dust , whitethorn maintain of dignified, nursing , dole reveal in clean surroundings in hospital is not being fulfilled in slightly cases This essay result wrangle the concepts of dignity, and discuss the importance of dignity in nursing make come in. Illustrating the signifi after partce in protocols, and furthermore, handsome the enduring the best possible outcome. We shall encounter the leaselines set by the nursing and midwifery council (NMC) and how es moveial it is for nurses to uphold these standards, when delivering c ar to the patient.We shall overly look at the aging process, and how illnesses apprisenot obviously be put d stimulate to shape up, discussing how medication gutter travel the antique and in addition how it faeces armed service. Highlighting the submit for nurses not to become robotic at t appropriates as delicate as the ace well-favored throughout this essay , the impoverishment to sympathise and give the patient as very much dignity as possible. Also aspect at contagion control, and how critical it is in the clinical setting for the wellness cargon group, and in addition for the patients wellness. followers guidelines from National institute for wellness and clinical excellence (NICE), the Department of wellness (DH) and several(prenominal) studies with regards to transmittance control , and health matters much(prenominal) as health promotion and how it sess empower the patient which john dish out in their dignity. Looking at how the muti-disciplinary team help with the overall cargon and how beta to work as a team to gain the best outcome. Reviewing my own in the flesh(predicate)ised journey as I feed d whizz research into dignity and recoil upon my own utilize, and how it may change or produce my upcoming nursing reverence.Len chamber is an aged gentleman in your care. He is not confused or disorientated moreover is anxious, hard of hearing and corporeally debile, needing care to walk. The doctor has just finished the audience and tells you that Mr. bedchambers needs to go to the potful. There is a smell of faecal matter, Mr. houses trousers and shoes are modify with urine, and he appears foment and derangement. With reference to the NMC professed(prenominal) Code of Conduct (2008) describes the actions that you leave alone bestow to promote and maintain this clients dignity.MAINBODYThe concept of dignity is an individual right, everyone has run short worth has human beings. To treat soul with dignity, is by heavy(a) that soulfulness worth in a way that deter mine them as an individual, as purported by Milburn patients deal to be recognized and treated with respect (Milburn et al 1995), and with this being their birthright, it must excessively stick after death. self-worth should be applied equally to nation who choose the capacity or not, whether that is of a physical or mental state, what must be paramount is the individuals self value and worth. In care circumstances, the concept of dignity stand be encour get ond or hurt depending on pointors such as milieu and attitude of health care staff. By giving the patient dignity, this past empowers them to make pickaxs, which indeed gives them confidence to make decisions on their care. (NMC 2008). The enroll of traffical conduct (NMC 2008) impart guide my actions, in giving the care for Mr house.The mark of conduct states to treat the patient as an individual, and respect their dignity. Approaching Mr house, I would acquaint myself and ask him how he would same(p) to b e addressed the precept for this is to let Mr domiciliate know who he is lecture to and excessively gives him the respect of name choice, thus holding in with the guidelines of the order and promotes autonomy. However reflecting thorn on my own devote and some staminate patients tramp be ill-fitting with a female nurse, I would ask him if he preferred a male nurse to assist him, and taking into accountancy Mr Chambers body language, and the tone of his reply, and also being aware of my own anchor ring at such a raw(a) time. Mr Chambers has become incontinent of faeces and urine, an assessment of incontinency would need to be carried out by a specialist nurse, to establish if he is incontinent.Urinary incontinence is a common and distressing problem, taking into account Mr Chambers is anxious, coming from a generation which can be idealistic in nature, so it is completely intelligible why the need for sensitivity is required. devising sure this is fully explain ed (after nursing care as been abandoned) to Mr Chambers, and gaining his full consent for a referral to the redress health professional, however for guard doing so a routine uranalysis test should be carried out, to bump out any infection present, firstly by doing a dipstick test and any signs of infection can then be sent to the correct division for further tests. The fact that Mr Chambers has hardy walking possibly the only reason he was incontinent, scarcely because he didnt make it to the toilet, however in or so cases an underlying checkup problem maybe present, and referring him to the correct department will be able to rule this out.Age is also a component according to research , as we age we are more possible to need medication, for blood pressure for instance , and these medications can have an effect on the vesica (Avom.J et al 2003) so maybe a review of his medication can help. The frail elderly (age 65+) are likely to be more intolerant of drugs than their fit age group (Cussack.B.J 1989), and are peculiarly at risk from, adverse reactions (Williamson .J, Chopin J. 1989) These are the predictable, dose-dependent and common manifestations of toxicity that cause coarse morbidity in the frail universe of discourse (Thompson JW, Rawlins MD)Mr Chambers has difficulty hearing and this could affect his communication, which could lead to anxiety. By providing the right environment, make time so that the patient does not feel rushed, and Provide some secretiveness when talking about sensitive and important issues, ensuring the patient has any communication help that they need e.g. hearing aid, when you are talking to them. (Leveson.R 2007).This upholds the confidentiality, privacy and dignity of Mr Chamber this is working within the enter of bore, of confidentiality and consent. Has Noted Mr Chambers is a frail gentleman who will require help with his activities of daily vivification, and may need to be referred to the continuing he alth care team to place a package of care for him, also the physical therapy team to help with his mobility.After gaining consent, and tranquillize Mr Chambers we shall work together, offering him the choice of either attending the bathroom, or wishing to stay in the bay celestial sphere. This is adhering to the codification of collaborating with the ones in your care (NMC 2008). Mr Chambers appears agitated and upset, whilst faecal/urine incontinence can have a psychological affect on him. Studies have shown this can be tearfulness stress, distress, anxiety, exhaustion, feeling dirty, anger, humiliation, depression, isolation, secrecy, frustration and amazement (Chelvanayagam S, Norton C 2000.) To avoid any further humiliation, and suggesting to Mr Chambers a shower would be appropriate, however before doing so, assist him to leach and wash in the bay area first, to avoid walking down the ward in his current circumstances. The rationale for doing this is to forbear Mr Ch ambers dignity, thus avoiding more distress. accumulation the equipment required to carry out this working class and following guidelines/polices of infection control.Infection construe It is estimated that health care infection (HCAI) affects one in 10 national health service (NHS) patients each year, and costs the NHS one billion per year. (DH 2003) The hands of healthcare workers can be one of the main sources of transfer infection, therefore it is vital hands are washed at every patient penetrate, and any connection with contaminated equipment (DH 2001).However studies have been shown that the technique of hand washing is in general not carried out properly (creedon 2005). A selection of protective equipment should be ground on an assessment of the risk of contagion of bacteria to the patient, and the risk of contamination of the healthcare practitioners clothing and shin by patients body fluids, secretions or excretions.(NICE 2003)The rationale for following the proto cols of infection control is to downplay /eradicate the risk of transmissions of infections, and reflecting back on my own practice ,this assures the patient that you are clean, and also prompts/promotes them to wash their hands which will reduce any infection. In the NMC code of conduct 2008 states to make the care of people your first concern, treating them as individuals and respecting their dignity (NMC 2008). retentiveness Mr Chambers dignity in thought, and maintaining health promotion, I assist him to undress and wash, request his preferences and how he normally carries out this task, back up him when needed, this helps promote confidence in his own abilities. Gaining his consent, with regard to assisting him in bathroom to shower, and if he would like hospital garments if he has no clean garments, as he can be anxious about his dingy clothing.Assisting , Mr Chambers to wash hard to progress to areas ,however also to give him independence when necessary, having the application and time to listen to his needs, and actively auditory modality how he may have through with(p) things in his own environment, can help with dignity. Patient-centred nursing is a style of practice that demonstrates a respect for the patient as a person. Through being with instead an than merely doing to the patient and offering personal support and practical expertise( nurse Times 2005) Has Mr Chamber needs assistance when mobile, a referral to the physical therapist will be required. Furthermore, to Use this prospect to assess how Mr Chambers copes with his Activities of daily living (ADL). The rationale is to see how much assistance Mr Chambers requires, and to inform the correct health care professional of any progress, in addition to this making sure the correct data (e.g. Risk assessments, personal preferences), is transferred to his lodge and to avoid any inconsistencies, also to hedge any awkward situations in his succeeding(a) nursing care.Reflecting on M r. Chambers and the care provided how difficult it must be for an elderly to be independent all their lives then having a younger person to engross over their care. This generation seems notoriously proud, and belongings within policies of care, and trying to give him his dignity, is quite hard to balance, an example of this would be infection control, having to wear gowns and gloves because of protocols, however this must be degrading in some regard for Mr Chambers. These procedures can have an effect on him psychologically, conversely he may fancy if I explained to him why these measures are in place. Seeing Mr Chambers upset can be daunting at first, but to realise why he his upset is the key to a blessed outcome. So communication is very important in this situation, and to actively listen to his concerns will also be very beneficial to me as a nurse.For instance he may state how he keeps soiling himself, would suggest he has incontinence problems rather, other than he just couldnt make it to the bathroom. Mr. Chambers mobility was an issue, and again this must be difficult to express to younger active person, it would around probably also be embarrassing, as they were young once, and after all it is the body that ages. My concern would be to try and read with him, and keep the communication open using methods such as eye contact and body language to help me, and maybe use an endure of my own, such as family members, which may help him relax some more, and hope that this helps my future practice .When you feel dignified, you have the sense of self worth, confident, happy , it also builds a trust with the person who is nursing you , without it you can feel devalued, no confidence, low self esteem thus leading to patients unable to carry out tasks such as (ADLs) where they maybe of been candid of doing so before. I aim to enhance my treat care and hope that I learn something new in every given situation, to help build on my knowledge which in t urn will give excellent care to the most important person the patient, and also to deal my knowledge within the team of healthcare professionals, and in turn learn from others experience and value each patient like you would your own family regardless of their condition, mood ,ethnicity, faith we are all equals and sometimes this can be lost in organizations.Nursing is lifelong learning matter, and patients can be unpredictable everyday is new, challenges will stand from patients, demands will have to be met, trying situations will be dealt with, but this is the profession I choose to be in, and my future Nursing will always be to remain professional, Contrary to this what should be predictable, or should be practiced throughout the healthcare settings is the concept of dignity. I will continue to reflect on my own practice and learn more from every given situation whilst keeping within the code of conduct set out by the NMC.REFERENCESAvom R (2003) principles of pharmacology new york springerChelvanayagarns (2000) fictional character of life with faecal incontinence problems. Nursing times 2000 pg 6 Creedon (2005) compliance with recommended guidelines. J adv nurs( pg 208-216) Cussack BJ (1986 ) special considerations in the elderly the practice of geriactrics Boston Department of Health (2001) standardised principles for preventing hospital-Aquired infection . J Hosp Infect.47-48 Department of Health (2003) Winning Ways Working unitedly to Reduce Healthcare Associated Infection in England. London DOHHaddock (1996) journal of Advanced Nursing 1996 Nov24(5)924-31.Levenson, R. (2007). The challenge of Dignity in Care Upholding the rightsof the individual. Help the remote London. Milburn et al (1995) www.intermid.co.uk Accessed online (20/7/2011)NMC (2001,2008) www.nmc-uk.org/) Accessed online (18/7/2011)Nursing Times (2005) A systematic preliminary to the improvement of patient care. VOL 101, ISSUE 24, rogue NO 34-36Nice (2003) w.nice.org.uk/nice/pdf/22 _FINALpressrelease_infewwctioncontro. Accessed online (18/07/2011)The free Dictionary (2011) www.thefreedictionary.com.dignity. Accessed online (20/07/2011)Thompson JW, Rawlins MD. (1998) Journal of Medicine, New serial 68, No. 255, pp. 505-506.Williamson J, Choplin J (1988) British medical exam journal (Clin Res Ed). 1988 296(6636) 15511552.