In ten pages the 1995 process of analysis developed by Walker and Avant is applied to the concept of patient dignity with emergency care issues involving elderly, terminally ill, and mentally challenged patients. Twelve sources are cited in the bbliography.
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to be evaluated and theorized here is that of patient dignity. This is the aspect of nursing - indeed, of all of medicine - that prevents administration of medical
treatment of any kind from becoming mechanized and losing sight of the fact that the patient being treated is first a person. This person has a unique life story
and history, and s/he more than likely has a network of individuals who love and support him. Medical personnel quite easily can fall into the pattern of seeing a
patient as just another body that needs their attention, and in many cases preservation of dignity requires active thought and deliberate action. There
seems to be a trend toward greater attention to patient dignity now, particularly as health care increasingly assigns to the patient greater responsibility for his own health care. One
of the outgrowths of this trend is that the patient becomes partner, rather than risking being seen as just an object requiring attention. Walker and Avant (1995) offer a
method by which to evaluate this concept and emerging trend. Theoretical View There is no
need for theory in accomplishing the tasks of direct patient care. There are routines and required protocols to follow, but the process of accomplishing required tasks of direct care
are straightforward. Operation on a basis of theory-based nursing, however, introduces an entirely different perspective to patient care. The non-theory approach to providing a daily bath is a
collection of movements made in a prescribed order for the purpose of cleaning a body that cannot clean itself. Theory-based care focuses not only on that bodys need to
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