Dec 18, 2009, 03:19 pm
Hi Lisa,
The answer is YES but we need to determine the context in which the proposed intervention is. The medical field has developed a simple checking system which involves the care giver. Physicians like doctors prescribe meds or interventions and its the nurses or the care giver that implements. However where the provider is concern that the medications or interventions are not appropriate, then consultation with the prescribing doctor is made. Example, where an aged patient is anxious with his or her surroundings, especially when say the said person is new to the facility, heart rate may have increased (tachycardia and persistantly over 100 bpm) and say the patient has a history of arrhythmia and is on digoxin. The nurse or care giver have every right to be concern if the patient's medications may not be appropriate in light of this new development. Consultation with the prescribing doctor is then prudent.
In short when it comes to nursing and aged care, the care giver is the patient's advocate, hence serving as a checking system. The knowledge of the carer is hence paramount to ensuring not only the best possible care but one that is wholistic.
