NSE 11A/B Chapter Notes - Chapter all: Nursing Care Plan, Long-Term Care
Document Summary
Statistics canada informal caregiving for seniors http://www. statcan. gc. ca/pub/82-003- x/2012003/article/11694-eng. pdf. Explore the roles / stresses of formal & informal caregivers. Explore the meaning of caregiver stress & its impact on health. Discuss caregiver strategies for alleviating stress & promoting health: discuss enacting artful nursing within the context of advocacy. Discuss challenges in supporting advocacy in nursing. Conflicting obligations to patient, physician, and institution. Conflicts most evident in role of case managers (hired to keep costs low) Organization constraints (economic + political concerns) prohibit effective advocacy. Nurses work w/in real system constraints (every resource used req doctor"s order if organization is to be reimbursed) Difficulties with other team members (different perspectives in conflict) Awareness of commonalties w/ pt hindered by differences bw you + your pt in culture, socioeconomic status, knowledge, or power (unfeeling responses) Challenge to rise above own resistance and honor pt values when their wishes conflict with our values. Fear to speak out (goes unrecognized and silences nurses w/out awareness)