One page reflection social determinant of health
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Week 2 ATI: Client Comfort and End of Life Care
Sofia Herrera
Chamberlain University
NR341 Adult Health
November 2, 2022
Reflective Paragraph
The way I communicate with my patients and their families is one adjustment I'd like to make in my clinical practice as a result of what I've learned from this tutorial. The patient's family members were debating several of the patient's alternatives and what they believed to be best for them in the scenario. In my clinical work, I want to make sure that my patients are making their own choices based on their own needs and what they believe to be right. When a patient has many people telling them what they want, it becomes difficult for them to even discuss possibilities. For the patient, this is improper and unhealthy because they require space to recuperate and alone time to consider their options. In order to get the proper care that my patients want and deserve, I would make sure that we were speaking one-on-one while I was in my clinical practice, and we were discussing possibilities. Additionally, I would make sure that my patient was informed of all their options so they could choose what was best for them and consult someone if they so desired.
Registered Nurses responsibilities in treating patient’s pain according to the Texas Board
Pain management aims to therapeutically address the patient's pain in connection to their general health, including aspects of physical function, psychological well-being, social functioning, and occupational considerations. A registered nurse's obligation to treat a patient's pain involves an ethical obligation to end the suffering that the patient's discomfort creates. A customized nursing intervention plan is used by nurses to treat each patient according to their unique needs and the level of pain they are treating. Interprofessional approaches are used in pain relief for all clients, and the nursing process directs the nurse's actions to improve pain management. (Texas Board, 2020)
In accordance with the rules of your state, if a patient lacks a medical power of attorney, who are the patient's next three decision-makers
According to Texas law, an adult may serve as a surrogate for an adult hospital patient who lacks the mental capacity to make decisions for themselves. The following parties, in this sequence, may agree to a patient's treatment: Most of your children, your spouse, your parents, an adult child who was legally authorized to act on your behalf prior to your becoming incapacitated (with the waiver and approval of all other legally authorized adult children), and that child's adult children (Texas Law, 2020) However, there are some scenarios in which the health care surrogate is unable to make choices, including ones that involve being taken off a ventilator or other life-sustaining measures. If no one is available to act as a surrogate decision maker, the court-appointed guardian will be the only one who has the authority to decide whether to terminate treatment or remove life support, with the help of the physician.
Ways is a patient considered incapable under state law
According to Texas public law, a minor qualifies as an incapacitated person.
an adult who, due to a physical or mental condition, is significantly unable to look after their own physical needs, manage their own finances, or provide for their own food, clothing, and shelter; or who needs to have a guardian appointed in order to receive money owed to them from a government source (Texas Law, 2019)
References
Texas board of Nursing. (2014). Texas Administrative. Retrieved January 06, 2020, from https://www.ban.texas.gov/rr_current/229-1.asp
Texas Public Law. (2019, February 2). Texas state sec. 103.016 Incapacitated Person. Retrieved March06,2022, from https://texasestates.public.laws//tex_code_section_103.0169765433