Watch:
https://www.nfb.ca/playlists/chapter-4-becky-liz/playback/#1
“Bevel Up: Chapter 4 – Becky & Liz” – by the National Film Board of Canada
Objectives:
1. To explore principles in caring for people who use drugs (including pregnant women).
2. To identify ethical issues nurses may face when working with people who use drugs.
3. To compare people’s goals for accessing health care (explore social justice).
Before watching:
• Review mental health content from NURS 204 – Stress and Coping
• Review Substance Use
While watching:
• Observe the challenges that the nurses and Becky and Liz face.
• Observe the ethical, legal, and psychological challenges the nurses face.
• Observe how the nurses advocate for Becky and Liz.
• Observe the barriers that Becky and Liz face.
• Reflect on your thoughts towards pregnant women who use drugs.
• Reflect on ethical practice, advocacy, and social justice concepts.
• Observe for traumas that Becky and Liz have experienced.
What barriers did Becky and Liz face?
Please provide a brief MSE for Becky.
Describe the physical/environmental/socioeconomic context in which Becky and Liz live. What traumas existed for them (past and current)?
What barriers and ethical issues were the nurses faced with? How did they handle these?
What are some challenges you would find most difficult to address? And why?
Describe a situation where you had to negotiate health care with a patient. How could you have handled this differently in hindsight?
How did the nurses incorporate advocacy and social justice into their care of Becky and Liz?
Formulate a nursing diagnosis and three interventions to implement with Becky and Liz. Incorporate the principles of trauma-informed practice and harm reduction. (Use references).
Please describe the relationship between providing safe, competent, ethical, and advocacy care.
Have you witnessed other nurses using the principles of harm reduction? Have you applied the principles of harm reduction?
What strategies will you add to your practice to protect yourself from vicarious trauma?
