Discuss the roles, responsibilities and responsibilities of the nurse within the practice setting for CALVARY HEALTH CARE BERTHLEHEM. Compare your observations with those in the literature.
Answer to Question: NUR120 Introduction To Professional Nursing
Calvary health Care Bethlehem is known for its expertise in two areas.
One is the palliative specialist care service. The other is that it provides care throughout the state for people suffering from progressive neurological disease (Abel, et al. (2012)).
Palliative medicine is a type that is required by seriously ill patients. Providers of palliative health care can improve the quality and quantity of patients’ lives.
The provision of palliative treatment can make a serious illness easier to manage.
Palliative Care can also be used to help the patient make their own decisions and understand the situation.
The nurses who provide palliative treatment should be capable of making the patient feel comfortable and helping them to get the best possible care.
An effective palliative service can reverse the effects of an illness.
Many serious diseases such as cancer, heart, or lung disease can cause excessive pain.
An individual can cope with both the mental and physical pain of the disease by receiving palliative treatment.
A palliative nurse should be able offer comfort care.
Patients should be provided with home health care by palliative nursing nurses.
In providing palliative care for patients, nurses play an important role (Browning 2013).
Palliative treatment must be initiated as soon as possible after the diagnosis.
As they deal with complex symptoms or pain, nurses in the palliative-care unit are trained specifically.
A palliative nursing nurse can provide support for patients suffering from pain, anxiety or depression.
A palliative nursing nurse must take care of conditions such fatigue, respiratory distress loss of appetite, constipation, nausea, and other symptoms.
A palliative nurse is a nurse who helps patients with their medical needs. She also assists them in coping with the side effects of the treatment.
A palliative nursing nurse can also help patients feel more in control of their care.
Balboni, et al. 2012: Sometimes patients in good health feel the need to manage the disease themselves holistically.
Calvary healthcare Bethlehem nurses take care of all the patients’ emotional, spiritual, and physical needs.
According to research, Calvary’s health care is capable of offering a broad range of services including nutrition and bereavement counseling as well as music therapy for palliative patients suffering from anxiety and depression.
It is evident that nurses within the organization are connected with their supporting GPs and primary care teams.
There is a community palliative center where nurses can provide care to patients.
Browning (2013) states that the nurses can provide home care for patients with critical conditions.
For emergency care, the nurses are often sent home to provide nursing care.
Patients are also taught by the nurses in this clinic.
This setting allows nurses to provide palliative services to patients, both at home and in clinics.
Calvary Care nurses aim to maximize patient quality of care (Balboni et. al., 2012).
Calvary health Care Bethlehem nurses provide assistance to the patient using assistive technology.
The nurses are friendly and provide support and companionship for patients.
According to reports, the nurse can also assist the patient in completing tasks such as shopping and joining clubs that are impossible for them to attend.
The nurses are able to help the patients become independent and live their lives.
In this setting, nurses offer services that encourage independence and positive aged.
As part of palliative care, the nurses work with doctors to determine the best home care package for each patient.
They also help to set up the services and source the needed products.
They also assist in making referrals, and help the patient’s loved ones to plan the right budget.
Balboni et.al. (2012) states that a nurse who is specialized in palliative care should be able and willing to communicate with physicians, chaplains, or social workers.
Calvary health care’s palliative nursing team is different than the rest because they concentrate more on end-of life care.
In order to be able to combine her medical education and emotional skills to care for palliative patient’s spiritual needs, a nurse working in palliative healthcare should be able.
Arnold & Boggs (2015) mention that a palliative care nurse should be able and willing to participate in cultural assessments of patients in order provide culturally sensitive care.
Calvary health care websites reveal that most nurses have a high level of education and are competent in their respective fields.
All nurses are registered and enrolled. They have either an associate degree, baccalaureate or master’s level.
This indicates that nurses are knowledgeable and familiar with the National nursing standards.
It is expected these nurses will have the necessary knowledge about the codes and ethics of nursing.
There are many fields of nursing that have direct relevance to palliative and end-of-life nursing practice.
The following fields are covered: Management of symptoms and pain, End-of-Life care, Psychosocial care, Spiritual and Culturally Sensitive Care, Loss and Grief, Legal and Ethical Considerations, Communication with the patient, family, doctors, Interdisciplinary Collaboration Practice, Awareness of the community resources.
The current recommendation for LGBTI policies in palliative community nursing
LGBTI is used to denote people with diverse sexual characteristics.
LGBTI members may include transgender people, gay and lesbians.
These people are often affected by issues that relate to their identity and/or social experience (Brennan, et. al., 2012).
Despite advancements in science and how to deal with people of different sexualities, the stigma surrounding this condition persists in our society.
Nurses and health care workers must be aware of the unique issues facing LGBTI people when they work with them (Quill & Abernethy 2013).
A member of a minority sexual group can have an impact on your health.
In the course of health consultations, it is not necessary that everyone reveals their sexual orientation.
The LGBTI population can sometimes be uncomfortable for health professionals to serve (Brennan et. al., 2012).
The ethical health professional must not discriminate between clients, regardless of whether they are from the same socio-economic background or sexual orientation.
There are some recommendations that could help the government achieve the goal of providing an indiscriminate and high-quality health service for these populations.
For all Universities, a single anti-discrimination strategy should be created for this group.
This policy should be made public by the President, Vice-Presidents and the Presidents. The information should include who can be reached if there are any concerns and the appropriate disciplinary action.
All of the government policies and legislations, as well as standards and regulatory mechanisms, should support the LGBTI community’s well-being (Gendron et.al., 2013).
Students, faculty, and all staff should be taught about the many aspects of human sexuality.
The new staff should be provided with an orientation program.
These people should be supported in dealing with any issues related to their sexuality.
It is important to have a model of consumer directed care that allows LGBTI people in aged care to access the services they require.
The recommendations for the development Australian Government aged care policies have taken into consideration the rights and needs LGBTI seniors as well their families.
To ensure their well-being it is essential to have open discussions about the needs of those in need.
Gendron et.al. (2013) suggests that older persons are included in the development and evaluation of aged care services.
Empowerment- The families of older adults should be made aware about their sexuality, and what the treatment plan is for them.
It is important to recognize and celebrate diversity within the LGBTI communities.
It is up to LGBTI people to decide whether or not to make their sexuality public.
Equity and accessibility- all aged care facilities should provide an environment that is LGBTI-inclusive.
It is recommended that you ensure that the planning of aged care is customer-oriented.
Palliative care should not discriminate.
An aged care facility should be able offer consumer directed care to LGBTI clients. It should also address the cultural background and ethnicity of patients (Bristowe and al., 2017).
Recommendations are also being made to ensure that LGBTI people living in isolated areas of the country have access the care continuum.
Also, a recommendation was made for providing home support to LGBTI older people.
It all depends on the LGBTI’s desire to live independently, or in a community home (Harding Epiphaniou & Chidgey Clarke, 2012).
Quality care and support would meet the needs for LGBTI people (Reygan & D’alton (2013)).
The policy recommends that all aged care services be able offer a welcoming, confidential, and culturally safe environment for LGBTI individuals.
All aged care workers should possess the appropriate skills and should be able overcome negative stereotypes to help LGBTI people (Bristowe and al., 2017).
All policies and regulations that are applicable to the LGBTI population should be based on current researches.
A facility that provides aged care should have the right tools and equipment.
By creating a work force, it is possible to build the LGBTI community.
In partnership with the aged-care providers and the peak organizations, the clinic’s work force should be created to meet the needs the LGBTI population.
The patient in serious illness is best served by including the same sex partner in the decision making process.
The partners and the families should also be involved in providing the best care possible for the patient (Bristowe and al., 2017).
A multidisciplinary expert panel funded by the CDC provided recommendations for developing best practices in care of cancer (Burkhalter et.al. (2015)).
Recommendations were made on domains such:
Cancer prevention 2.
Cancer screening Cancer diagnosis 4.
Treatment 5. Survivorship 6.
Palliative and end-of-life care 7.
Refer toAbel, J., Walter, T., Carey, L. B., Rosenberg, J., Noonan, K., Horsfall, D., … & Morris, D. (2013).
Circles of Care: Should community development redefine palliative-care practice? BMJ supportive & palliative care, bmjspcare-2012. https://dx.doi.org/10.1136/bmjspcare-2012-000359
Advance care planning and palliative – Building inclusive service: Rainbow eQuality – Department of Health & Human Services Victoria (Australia). (2017). Www2.health.vic.gov.au. Retrieved 6 November 2017, from https://www2.health.vic.gov.au/about/populations/lgbti-health/rainbow-equality/building-inclusive-services/advance-care-planning-and-palliative-careArnold, E. C., & Boggs, K. U. (2015). Interpersonal Relationships-E-Book: Professional Communication Skills for Nurses. Elsevier Health Sciences. https://books.google.co.in/books?hl=en&lr=&id=7DAxBgAAQBAJ&oi=fnd&pg=PP1&dq=role+of+nurses+in+palliative+care&ots=uYswI-yCZr&sig=UtXEynNdocu6es87Js8D86rtLt0#v=onepage&q=role%20of%20nurses%20in%20palliative%20care&f=falseBalboni, M. J., Sullivan, A., Amobi, A., Phelps, A. C., Gorman, D. P., Zollfrank, A., … & Balboni, T. A. (2012).
Why is spiritual attention so infrequent at death?
Spiritual care perceptions among nurses, doctors, and patients. The role of training. Journal of Clinical Oncology, 31(4), 461-467. https://ascopubs.org/doi/abs/10.1200/jco.2012.44.6443Brennan, A. M. W., Barnsteiner, J., de Leon Siantz, M. L., Cotter, V. T., & Everett, J. (2012). Lesbian, gay, bisexual, transgendered, or intersexed content for nursing curricula. Journal of Professional Nursing, 28(2), 96-104. https://doi.org/10.1016/j.profnurs.2011.11.004Bristowe, K., Hodson, M., Wee, B., Almack, K., Johnson, K., Daveson, B. A., … & Harding, R. (2017).
Recommendations to decrease inequalities of LGBT people with advanced illness: ACCESSCare National Qualitative Interview Study. Palliative Medicine, 0269216317705102. https://doi.org/10.1177/0269216317705102Browning, A. M. (2013).
CNE article – Moral distress and psychological power in critical care nurses caring about adults at the end. American Journal of Critical Care, 22(2), 143-151. https://ajcc.aacnjournals.org/content/22/2/143.shortBurkhalter, J. E., Margolies, L., Sigurdsson, H. O., Walland, J., Radix, A., Rice, D., … & Cahill, S. (2016).
The National LGBT Cancer Action Plan – A White Paper from 2014 National Summit on Cancer in LGBT Communities. LGBT health, 3(1), 19-31. https://doi.org/10.1089/lgbt.2015.0118Gendron, T., Maddux, S., Krinsky, L., White, J., Lockeman, K., Metcalfe, Y., & Aggarwal, S. (2013).
Cultural competence training to healthcare professionals working with LGBT older persons. Educational Gerontology, 39(6), 454-463. https://dx.doi.org/10.1080/03601277.2012.701114Guarnero, P. A., & Flaskerud, J. H. (2014).
Health and Health Research for LGBTI Community. Issues in mental health nursing, 35(9), 721-723. https://dx.doi.org/10.3109/01612840.2013.879360Harding, R., Epiphaniou, E., & Chidgey-Clark, J. (2012).
A systematic review of the needs and preferences for palliative and end-oflife care by sexual minorities: a systematic review. Journal of palliative medicine, 15(5), 602-611. https://doi.org/10.1089/jpm.2011.0279Peters, L., Cant, R., Payne, S., O’Connor, M., McDermott, F., Hood, K., … & Shimoinaba, K. (2013).
An overview of the literature to examine how death anxiety can impact nurses’ care for patients at end of life. The open nursing journal, 7, 14. doi: 10.2174/1874434601307010014Quill, T. E., & Abernethy, A. P. (2013).
The creation of a more sustainable model by combining specialist palliative services with generalists.
New England Journal of Medicine (388)(13), 1173-1175. DOI: 10.1056/NEJMp1215620Reygan, F. C., & D’alton, P. (2013).
Pilot program for health care and social workers who provide palliative and oncological care to lesbians, gays and bisexuals in Ireland. Psycho?Oncology, 22(5), 1050-1054. DOI: 10.1002/pon.3103