HD 3x week While waiting for a HD slot-pt transferred to a regular floor Two weeks-developed progressive difficulty ambulating Gait unsteady, assist with ADL’s D/C to SNF
Law and Ethics Ethical standard: Consider the patient’s wishes and goals Care for the whole patient Legal standard: What would a reasonably prudent nurse in like or similar circumstances do?
Respecting, Recognizing and Understanding patients cultural and social values along with ethical responsibilities in patients outcome.
Examination of personal Values, Beliefs, Biases, and prejudices. Cultural Awareness Specific Communication Strategies Interaction with Different Cultures Mistake Identification and Acknowledgement Remediation for Cultural Mistakes
Culturally Congruent Care Multi Cultural Professionalism must occur. Understanding physical appearance variations Understanding variation in philosophy
Ms. N was one of the victim of Hospital – Associated Disability Ms. N was an immigrant from Philippines and her primary language was Tagalog Ms. N came for pain on her libia Ms. N was placed in long term care
Preventing Hospital Acquired Disability Team collaboration Continuity of care Client Advocate and Attitude
Betancourt, J. R. (2004, September 2). Cultural Competence — Marginal or Mainstream Movement? The New England Journal of Medicine, 351 (2004), Covinsky, K. E., Pierluissi, E., & Johnston, B. C. (2011, October 26). Hospitalization-Associated Disability. JAMA, 306 (16), Retrieved from jama.ama-assn.org QSEN - Quality & Safety Education for Nurses. (n.d.). Retrieved February 19, 2012, from Assessment tools (see forms) Hood 7 th edition 2009