Question

/Mr Robert Jones is an 80-year old retired medical doctor who has dementia. He has been a resident in aged care for the past five years. As a result of his dementia, Robert’s behaviour is aggressive at times. He seems to favour specific staff and is cooperative for them. Three student nurses Jan, Michelle and Margaret, were on their first clinical placement in a residential care facility. The student nurses were under the supervision of an educator and the care staff. Early in the shift, Jan discussed Bob’s behaviours with Michelle and Margaret, advising them on how to manage him. She told them to pull Robert’s thumb back to release his grip or tie his hands to the bed rails with the bed sheet if he became aggressive. She stated that she had seen a TV show in which police pulled someone’s thumb back to release their grip. Although Michelle and Margaret felt uncomfortable with Jan’s advice, they didn’t comment. Later in that shift, in the dining room, Robert grabbed Michelle’s arm tightly and wouldn’t let go. Michelle called out for help. Jan was in the dining room at the time and immediately came over to assist. She pulled Robert’s thumb back to release his grip, which seemed to exacerbate Roberts’s behaviour as he then tried to hit Michelle in the chest. Michelle was upset that Jan had pulled back Robert’s thumb causing him to retaliate and reported the incident to the educator. The educator discussed the situation with Jan. Jan became very defensive and rejected the feedback from the educator. 1- make a summary describe this case and the areas to be covered

2- Discuss how the following relate to the case You need to discuss at least two examples from each of the professional code of ethics, code of conduct and professional standards of practice and justify how the examples relate to the case. Use the following sub-headings and identify the associated domains and principles or elements for each example and how they relate to the case.

Answer 1

Mr. Robert Jones is an 82 year old retired medical doctor, who stays in medical aged care facility for past 5 years. He was diagnosed with Dementia. He is aggressive at times due his condition. He also favours a few staff. Three student nurses Jan, Michelle and Margaret came for their first clinical posting under the guidance of a nurse educator and the care staff. Jan provided the othe two students a wrong information to defence the patient if he gets aggressive,which was not covinced by other students.

AREAS TO BE COVERED

1. The method used by Jan to help Michelle, when Robert grabbed Michelle.
2. Jan's attitude with the nurse educator while discussing the situation.

CODE OF ETHICS....

• Non-maleficence: A nurse must do no intentional or non-intentional harm to patients.

Jan's behaviour by which he handled Mr Robert was not correct and it caused harm to him as well made Mr Rober more angry. He could have used some positive strategies to help Michelle.

• Accountability: A nurse must accept responsibility for their own actions and must accept all personal and professional consequences that occur as a result of their actions.

Jan was not ready to accept his mistake and he was defensive and rejected the feedback from the educator.

CODE OF CONDUCT....

• Act with integrity to justify health consumers trust

​​​​​​​The vulnerable health consumers need to be protected from exploitation and harm.This was not assured by Jan

• Maintain health conumer trust by providing safe and competent care

​​​​​​​Ask for advice and assistance from colleagues especially when care may be compromised by your lack of knowledge or skill.Jan required to seek assistance where he do not know to handle the situation, but he refused to do so.

PROFESSIONAL STANDARDS OF PRACTICE...

• Proffessional practice evaluation

​​​​​​​Seeks constructive feedback regarding ones own practice. Jan was refusing to accept the instructions given by the nurse educator and became defensive.

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• Ethics

​​​​​​​Maintains therapeutic and professional patient-nurse relationship. Jan failed to maintain a proper relationship with Mr. Robert.

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