StudentShare solutions
Triangle menu

Gaining Consent from Patients with Stroke - Article Example

Not dowloaded yet

Extract of sample
Gaining Consent from Patients with Stroke

There have been arguments as to whether these approaches meet the needs of these patients, since care approaches based on the current guidelines have shown deterioration of the quality of life of these patients significantly, mainly due to the loss of autonomy of these patients. This concept of loss of autonomy stands prominent since many patients with stroke lose their capabilities of communication, and in this scenario, maintenance of ethical standards in nursing care become extremely problematic.
Since stroke may be associated with impairments, seeking consents from these patients in the area of care is not only an ethical requirement. Consent implies patient's participation and grants autonomy to the patient. Cohen (1991) commented that care delivered with inappropriate or inadequate consent bears the risk of inadequacy of care provision and support, and this becomes more intense in patients with stroke who are dependent and who may have perceived deterioration of mental capacity and impairment of communication due to stroke. Explanation of treatment, care, and seeking their permission to proceed with the care delivery process also ensures understanding of the individual with stroke which cannot be offered by just medical, cognitive, and functional assessments. Consent also reflects a person's thoughts, feelings, beliefs, and desires about his care. Conformity with the consent procedure allows the care processes to be responsive, flexible, person-centered, and need oriented (Keady et al. 1995). As far as nursing in neurosciences is concerned, the concept of gaining consent is applicable both for acute hospital setting and the rehabilitation setting. It is well known from the available researches that the stroke patients consider their experiences with the available rehabilitation services as less than adequate since they rarely include patients' autonomous choices. Although there are ample literature on the topic of patient autonomy, literatures examining the consent procedure in stroke patients fail to examine the issue of validity of gaining consent by neuroscience nurses adequately and beyond doubt. This clout is further aggravated by the fact that three basic ethical concepts of autonomy implied in the process of gaining consent, namely, self-governance, self-realisation, and actual autonomy are devoid of empiric evidence, although philosophical and theoretical discussions are available. Whatever empiric evidence is available mainly centre around permanent residents of nursing homes, where in reality neuroscience nurses deliver care.
It is important to note that consent is related to self-determination, which is affected during or after stroke when the patient needs rehabilitation. Thus making choices about own treatment and making decisions about own health and treatment is put to test in a consent procedure, which may even include the choice of the therapist. In a patient with stroke, independence is grossly affected, and this may affect the consent in the true sense of the term. As indicated by Doyal (1997) had commented that informed consent may not be necessary in unconscious or semi-conscious patients, which often is the case in case of patients with stroke. Mangset et al. (2008) defined ...Show more

Summary

Stroke is an important area of neuroscience nursing which involves both acute inpatient and chronic outpatient care. Apart from medical management, a considerable extent of care is usually directed to rehabilitation with the aim of helping the patients as much autonomous living capabilities as possible…
Author : nfunk
Gaining Consent from Patients with Stroke essay example
Read Text Preview
Save Your Time for More Important Things
Let us write or edit the article on your topic
"Gaining Consent from Patients with Stroke"
with a personal 20% discount.
Grab the best paper

Related Essays

Ct scan radiation risk and young patients
CT has evolved over a period of 25-years and has improved constantly in parameters like resolution, speed, and comfort for the patient. When Hounsfield used his first CT scanner at his lab, it took him hours to get the data for a single slice and it took many days to use this data to reconstruct an image.
3 pages (750 words) Article
Stroke imaging
Advances and further researches are still going in the field of the MRI to improve the quality of the images by increasing magnetic strength. The question about MRI’s significance is still being debated by Max P. Rosen, MD, and MPH, a radiologist at Beth Israel Deaconess Medical Center in Boston and his colleagues.
3 pages (750 words) Article
Iterature Review on hospital enviormentally friendly inpacked on employee and/or patients moral/healing process
In a hospital, friendly environment enhances performance of employees and increases patients morale hence increased healing chances. This paper highlights impact of creation of friendly environment in hospital setting to employees and patients healing process.
4 pages (1000 words) Article
Turning patients every 2 hours
From the review of the article, it can be apparently observed that similar to other health-oriented occupations, nursing has shifted from traditional intuition oriented paradigm to evidence oriented practices. The article depicted a cross sectional survey on sample of 243 nurses in Northern Israel for comprehending the interrelation between contextual variables and evidence-based nursing activities.
4 pages (1000 words) Article
CPAP Compliance in Patients with Obstructive Sleep Apnea Syndrome
365). There is certainly a need for this type of analysis because, as the authors assess and as the scientific community is already aware, CPAP is often the initial form of treatment presented to patients with OSAS, and this treatment is not an easy of pleasant experience for most individuals suffering from sleep apnea.
6 pages (1500 words) Article
Assessing and Managing Patients with Musculoskeletal Conditions
Some of the aims of this journal were for the readers understand the pathology of several common musculoskeletal conditions as well as the principles of common symptom management.The population discussed in this journal is musculoskeletal patients
2 pages (500 words) Article
Acute Myocardial Infarction/ Stroke
In this process the macrophages are transformed into foam cells, which accumulate within the smooth muscle cell layer of coronary arteries to form plaque. Calcification of the surrounding tissue of the smooth muscle follows. The ensuing consequence of this
2 pages (500 words) Article
Frequency, Outcome and Prevention of elevated Troponin Levels in Acute Ishemic Patients
Troponin T attaches troponin complex to tropomyosin. The structure of troponin T in cardiac muscle is not the same as that in the skeletal muscle and it helps to distinguish between them. Troponin I inhibits interaction of actin and myosin whereas troponin C is the
3 pages (750 words) Article
Active Isolated Stretching for parkinson patients
Other non-motor symptoms include depression, anxiety, dementia, and pain. Therapies assist in combating daily life for people with
2 pages (500 words) Article
Functional Social Support and Major Depression In Cancer Patients
As noted, 38% of these grapple with depression, and they need support (Chan, Limoges and Fung p.46). The article highlights three sources from which cancer patients could derive this support.
2 pages (500 words) Article
Get a custom paper written
by a pro under your requirements!
Win a special DISCOUNT!
Put in your e-mail and click the button with your lucky finger
Your email
YOUR PRIZE:
Apply my DISCOUNT
Comments (0)
Rate this paper:
Thank you! Your comment has been sent and will be posted after moderation