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Maricela Mayo San Luis –
It is universally understood that participation in advocacy work is a necessary component of carrying out professional tasks. Patients can increase the likelihood that they will continue to receive the appropriate care by providing their physicians with additional information on their day-to-day activities and whereabouts. This can also prevent patients from falling through the system's gaps and missing out on necessary treatment. Keep in mind that successful lobbying can lead to significant changes in the healthcare system, such as the introduction of new rules and an increase in financing for resources that are vital to the provision of healthcare services (Carr et al., 2011). Remember this because it is essential to keep in mind that lobbying can lead to significant changes to the healthcare system. Due to these alterations, particular regions will go through a process that can be clearly identified as a transformation. People need to be educated about the various clinical treatments that are available at a facility in order for them to be able to make the kind of well-informed decisions that are necessary when dealing with health issues.
The advocacy of public health comes into play at this point. All through my professional life, I've relied on the concept of advocacy to make sure the people I've helped had a thorough understanding of the treatment they'd receive for their current medical conditions. After spending some time working in the healthcare industry, I have a solid understanding of the significance of taking ethical issues into account in nursing and other related disciplines. Because of these factors, we are in a position to give our patients the information that is currently the most accurate regarding the actions they need to take to assess their health at present.
I overcame the difficulty in communicating with the patient and finding a solution to the problem by providing the patient with the most in-depth explanation I could conjure of the medical procedures that would be conducted on him to treat his ailment. It is impossible for anyone working in the medical field to ignore the need for advocacy because it is not in their financial means to do so (Siegel, 2018). Since the patient's condition improved and he was able to take the necessary actions to do so, this factor had a role. In terms of the patient's treatment, I advocated for the administration of strong drugs that would hasten his recuperation and allow him to resume normal activities sooner. I believe this would have been beneficial to the patient. In addition, I suggested to the patient that they make a few changes, not just to their diet but also to their way of life, to maximize the likelihood of them fully recovering from their illness.
Patient advocacy is becoming more and more evident in nursing practice and is part of nurses' legal and moral obligations. To help the patient to obtain the necessary health care, defend their rights, guarantee the quality of care, and serve as a link between the patient and the health environment, the nurse stands out with this commitment to always seek the good being of the patient in front of his needs. (Jamila Geri Tomaschewski-Barlem, 2016)
In terms of specific actions, the role of nurses in advocacy encompasses the defense of the patient's wishes, being their voice in a decision-making process, or in case of prioritizing the patient's interests over the interests of the institution, the family, or the team doctor. It is also a guide for conduct and a way of coping with health structures and their power relations, as well as guiding patients in making their decisions and intervening when there is a failure in communication between patients and other health professionals. (Jamila Geri Tomaschewski-Barlem, 2016) Also, it has the purpose of helping the patient to obtain the necessary health care, defending their rights, guaranteeing the quality of care, and serving as a link between the patient and the health environment. It may contribute to the recognition and appreciation of nursing.
In the constant quest to offer the best to my patient, I have acted numerous times as a lawyer for his rights. In Brazil, the health system is universal, and everyone has the right to receive care without restrictions. However, due to high demand, many patients wait months to undergo tests, get appointments with specialists or receive their medication. In some cases, the role of advocate that I assumed was significantly reflected in the patient's faster improvement or an early diagnosis and early start of treatment. I remember a case of a patient with difficulty receiving medication for his treatment against Diabetes mellitus through the Unified Health System in my country. I acted in defense of the patient's rights and demanded that the government exercise its duty to make the special purchase for the patient. Another situation was expediting a specialized consultation for a patient with suspected renal cancer, discovered in a routine consultation through persistent microscopic hematuria and an imaging exam suggestive of a tumor. In this case, I did not have the biopsy confirming the presence of cancer in the kidney, an exam the health system requires to refer the patient to the nephron-oncologist. I performed a written process describing symptoms, exams, and diagnostic hypotheses for the case and contacted the specialist directly. Finally, I got the appointment quickly, the patient had the surgery and treatment, and whenever he met me, he thanked me profusely.
Nurses advocate for the interests of patients, choosing to exercise power and not remain indifferent in cases of negligence, for example. When inappropriate situations are not resolved through frank dialogue with the health team, nurses must advocate for patients, including through complaints. (Ito, A. S. at al, 2021) This task, absorbed by the nurse, can direct a specific form of power to him since the institutions and team members realize that the patient has a voice and has defenders of their rights.