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Praxis Note on Evaluating the outcome

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Look back Being in my community placement for the past four weeks, I have met many different staff in the home and many of them are very kind hearted people. They know the resident's need and they do what they can to strive for that goal. I feel very fortunate to see so many kind-hearted staff in the home where the staffs are very strong-minded and will advocate for the resident's need. They know how to calm these resident down when there are agitated and restlessness, knows what these resident like to eat and drink and they even knows their prefer bathroom routine. My point is that these staffs know their residents very well. When so many people and kind-hearted and are working together, there is no doubt that these residents are not lacking of any basic necessities. What troubles me in the past is that I see some of the resident's dignity and right has been neglected. Elaborate Providing care in the community is challenging. Often different people has their own ways of thinking, they work and prioritizes differently. It is not uncommon for different staffs to have their own opinion towards a similar task or situation. ...read more.


Dignity plays a central role in the nurse-patient relationship. Illness, and especially those who are cognitively disadvantage such people with Alzheimer's Disease, threatens the integrity or wholeness of the person and can produce wounds that are much more than physical. In health care relationships, protecting human dignity begins with knowing the "person" in care which means known them as a subject as opposed to objects. Nurses need to recognize the humanity and self-worth of each resident because what is considered important to that resident is considered an important part of dignity. In the home, it might have been the medical practice in the past that has highly influenced the nursing practice past in the days, thus nurses values repairing disease or injured bodies more than the lives in those bodies. I have talked to a couple of nurses in the home, the ones with more experiences seems to have a high value on physical illness and treatment, and those whom have recently graduated within the past ten years are much more open to the concept of valuing the person's dignity and wishes. One nurse believe that "it is wrong" to kept the resident in the wheelchair while they are capable of being physically active. ...read more.


New Trail It is because of the other project that I have taken on for this semester thus I cannot address this issues to the extend which I would like. My goal for this small project is to have the 'director of care' and the 'assistive director of care' aware of this current issue and provide them with information that they needed to go on from there. I am a student in there, I do not want to push them to make changes that there are not prepare for. It is up to them to decide whether a change is needed for the home. From this some project I too have felt the moral distress and uncertainty that have brought on by the upper level of management and policy. However, I truly believe that advocating for the resident is big part of nursing and that is what has pulled me into this mess. Refernce College of Nurses of Ontario (CNO) (2005). Practice standards: Ethics. Retrieved February 8, 2010, from http://www.cno.org/docs/policy/41020_consent.pdf Elliott, B., Gessert, C., & Peden-McAlpine, C. (2009). Family decision-making in advanced dementia: narrative and ethics. Scandinavian Journal of Caring Sciences, 23(2), 251-258 Webster. (1991). The New Lexicon Webster's Dictionary of the English Language. New York: Lexicon Publications Inc. ?? ?? ?? ?? Praxis Note #1 1 ...read more.

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