My first patient that I started as student nurse on one of the long Rehab Center was a seventy two year old man who had Clostridium difficile (C.diff), Dementia, Hip replacement, and Obesity. Due to the above sickness he had many complications. I can still remember his face suffering from pain. Because of his lack of ambulation and incontinence, he had developed a very serious pressure ulcer under his sacral area. I went through to the room with my instructor and the instructor introduces me for the patient as his student nurse from Towson University and will taking care of him. However the patient was not happy and he becomes a challenging patient in my first experience day. But I may learn more from that challenging patient for my future experience.
Certainly, I began with the goal getting of his vital sign and giving him a bed bath. Fortunately; I had practice how to take a vital sign and giving a bed bath before my first clinical at the university skill lab; moreover, I had developed this confidence before my clinical tour. That day will be mastering the skill which I had just learned in manikins, and applying in real human with huge safety precaution. In between morning my instructor was giving me a brief before I getting to the patients room. From her experience she knew what kind of challenges and a patient behavior can be I face. When I wake up in the morning that day my plan was getting into my patient room and help my client in my all ability to make happy and feel good the patient. However, at my first day experience I found myself socked in muddy day which is hard to walk away.
However, after my instructor left from the room, I reintroduced myself, and started stating my objectives for the day. As I began to speak...
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...tting better, and hope you get better, I said when I left the room and the time togetherness with him is ended.
After wrap up my job for the day and exit from the Rehab Center, I consider my relations with the patient behavior who had given me hard time. However, I realized that why was the patient behaves like that, and I understand sickness can change people behavior into something you do not know before, or even in something you might not expect. Indeed, no one in this world wants to be sick or to be under care of other by any circumstance. As a nurse student it is part of my education and professional obligation to hold my anxiety and disappointments of my patient’s odd behavior. Finally I promised to myself to deal with people at their bad behavior, and always have positive attitude toward them and try to make them feel comfortable and back them to their best.
Transitioning from academic nursing student to Registered Nurse/New Graduate Nurse (NGN) within the healthcare environment is a challenging task for many NGNs. They may encounter a number of challenges, such as the following: transition shock, professional isolation, lack of clinical experience, stress, lack of a support network and cultural incompetence. At the end, this essay will discuss the rationale for developing my two most important goals for the next twelve months.
A Nurse practitioner is a licensed independent healthcare provider who practices in a variety of settings and provides nursing and medical services to individuals, families and groups in accordant with their practice specialties and state guidelines. Nurse Practitioners are also qualified to diagnose medical problems, order treatments, perform advanced procedures, prescribe medications, and make referrals for acute and chronic medical conditions, within their scope of practice.
When I was a new nurse, my preceptor taught me to treat each patient as I would treat my own grandmother. Once I had some experience under my belt, I began to treat each patient how I want to be treated. I also have learned that it is very important to treat all patients the same. I give prisoners, patients that don’t have insurance or any money and patients that have donated millions of dollars to our hospital the same quality care. Although, I am only with the patient for a short time, I attempt to learn as much as possible about my patient, which allows me to give them great
Looking back on my goals for this clinical day, I would state that I did meet my goals. My overall goal was to become familiar with the clinical setting and the tasks that I would be asked to complete, and I feel that I completely met this goal. As the day progressed, I found myself receiving more exposure to the clinical setting and how to effectively perform skills. Following the concept of safety, I do feel that I met a majority of my goals for safety. During the day, I was able to explore my assigned patient, both by viewing her medical record and by interacting with her directly. This process sanctioned me to acquire the necessary information for my three primary diagnoses, medications, and the start of my concept map. While working with my assigned patient, and other patients on the floor, I remained aware of my surroundings and implemented safety precautions when needed. In the process of patient care and safety precautions, I relied on my therapeutic communication skills to drive my interactions with the CNAs, the nurses, and the patients on the floor. Of my goals set, the only one that I did not completely accomplish was working on all of my beginner skills. Two of the skills I did not get to practice were feeding and bathing/showering. Because I did not receive exposure to these skills today, I plan on making sure I practice these two skills on the next clinical day. Overall, I am pleased with the first clinical day and everything I was permitted to accomplish.
Therefore, she may find it harder than most of the population to transition into the role of the patient and rely on others to make clinical judgements to promote and protect her recovery. Moreover, she was in a lot of physical pain, with her right leg in a full cast, causing her to be at bed rest. This I believe, as well as the patient being more aware of the inner workings of the hospital compared to other patients without a medical background, may of contributed to her ill ease and need to feel in control of her nursing care, over that of her care plan set by the
..." he said looking at me in question. I smile to myself, and replied, "Hopefully, we will meet next time and things will getting better. Good luck, and hope you get better," I said in grand finale, and our time together ended.
During many years the role of school nurse was traditionally viewed as one where the nurse cared for students that were injured, applied bandages and gave out ice bags. Throughout the years the role of the school nurse has evolved into one of leadership and management along with many other duties including traditional roles as mentioned above. The services provided by a school nurse range from assessment and screening to coordinating care for regular students as well as students with special needs. School nursing requires experience and knowledge in school, public, community and emergency health to meet the many needs of school aged children and youth. The school nurse provides many services but the basic services provided include illness and injury assessment and interventions, medication administration, screenings for health factors, disease management, health education, and preparing individual education plans for students.
Before my shift started, I did my research about my new client for week three clinical. I thought I was well prepared for the clinical, I knew the client’s mental and medical conditions but I was more focused on the client’s mental health issues and not the medical illnesses. When the nurse informed me that client W was experiencing shortness of breath due to his COPD, I was a bit shock because I was not expecting that to happen.
On the second week of my placement, I was asked to bed-bath an 85 year male old patient in my bay, in the ward and get him ready for breakfast. This patient had, had a bowel surgery and as a result he had a stoma bag on. This patient was diagnosed with Inflammatory Bowel Disease (IBD) IN 2010, but his condition had grown worse over the years. IBD mainly refers to Ulcerative Colitis (UC) and Crohns disease (CD). However, this patient had Crohns disease. I was asked to bed-bath him by my mentor while she was observing me as she had taught me how to assist patients with their Activities of Daily Living (ADL) which are considered to be important.
A patient’s treatment needs may differ widely based on stage of their illness experience. Treatment for a newly diagnosed, moderately ill patient may be very different than the treatment of an end stage, seriously ill patient. In addition, working with patients in various settings as a part of their multi-disciplinary team requires an added consideration of the approach to the staff in the setting. Each patient care setting has a culture of it’s own and requires that a clinician be mindful of how to work with the staff as well as the patient in that particular
Nurses play a critical role on patient’s health; the relationship that a nurse and patient develop can in some cases be life altering. Applying these characteristics and being a servant leader to patients establishes life long impressions and makes critical difference in treatment allowing for optimal care to be received. Always listen to patients concerns, be empathetic in their concerns, and help while committing to their personal growth, one never knows whom they are actually a leader for. Some individuals look up to nurses and count
After the handover, I was asked by my mentor to attend to a patient who is bed ridden to have her personal care done with the assistance of one of the health care assistant staff. The patient was recently admitted to the ward and she looks sc...
However, the lack of set accountabilities results in the inability to differentiate when nurses are overstepping and when its necessary to disclose themselves from patient treatment. Medical professionals begin overstepping without established professional boundaries, which results in “negligence of patients needs at expense of their own” (Tyrell, 2016). Because of the long-term treatments and bonds formed throughout the healing process, many patients and nurses confuse this with friendship. As Tyrell and Pryor mention (2016), friendly nurse-patient relationships may be healthy and influencing during rehabilitation, but nurses must remind themselves of the goal at hand which involves helping the patient regain function as soon as possible and allow them to return to their old or altered
A) Nurses play a special role interacting and building relationships with patients, mediating between patients and doctors, and calming patients amongst a stressful, emotional, and even chaotic atmosphere. When patients hear bad news, nurses are a source of comfort and support with words of encouragement and heart-warming smiles. Genuine compassion, emotional strength, and mental stability are required in order to support and protect a patient’s well being. Furthermore, nurses must primarily acknowledge the patient as an individual rather than a person with an illness and present themselves as a trustworthy companion rather than an obligatory caregiver. Nursing has many attractive qualities because they play various, but crucial, roles outside
First, I would like to start by stating that my expectation of a nurse is that he or she must be a good communicator, emotionally strong, empathetic, patient and calm, pay attention to detail and have good physical endurance. I feel that I possess these qualities which would make me very successful as nurse in the future. I have dream about being a nurse since I was a little girl and as a young adult, I still have the desire to be a nurse so I can help others. My desire to become a nurse evolves from past experiences that have taken place in my life; for example, my father’s death, my illness, personal experience and interaction with the hospital staff, specifically, the nurses.