. During my clinical rotation at Clearbrook, I was able to follow morning and afternoon shifts nurses and assist them with passing medications to Clearbrook clients. In this facility, most of the clients are diagnosed with MR or mental retardation. The causes of mental retardation can be some infections, before or after the birth, or chromosomal abnormalities, for example a Down Syndrome. Patients with mental retardation need a lot of help and assistance with their daily leaving activities. They also might have some problems in communication, so it is very important to develop appropriate communication technics in order to be able to understand patients’ needs. Some of the clients, I was able to take care during this clinical, had a PEG tube and were required a routine assessment of this tube before medications administration. PEG tube is placed for a patient if there any problems with an oral intake, and those clients, that I met at the clinical, were not able to eat a regular food due to aspiration precautions. PEG tube …show more content…
is placed directly in the stomach, so as a nurse, before administering medications or nutritional shakes, has to check the placement of the tube, by pushing some air with a syringe to the tube and with a spectroscope listen to some bobbles in stomach area. Skin around the stoma needs to be also assessed and monitor for any signs and symptoms of infection, like redness, itching or specific odor. Also, tube needs to be secured properly under the client’s clothe and out of reach, so it will not be pulled or touched by patient. It also very important to flush the tube with water before and after medications administration in order to maintain its potency. Patient education related to PEG feeding would be an importance of good nutrition and fluids for a body. Stress the importance of administering a liquid food and water through the tube, the importance of proper hygiene and care of the tube and education about sign and symptoms of infection. 2. My experience with PEG tube medication administration was related to the tertiary health care. Tertiary health care associated with the treatments and procedures that are done in order to monitor or treat a disease patient already has. Medications, that were administered via the tube, prevent aspirations and help to control patient’s disease (for example seizure). 3.Community health resources is anything that helps to improve the quality of life in a community.
Some of the resources may include a diabetes education, substance abuse program, teens pregnancy, adult education, like ESL etc. When I first came to the United State, my English was very bad, I was not able to communicate with other members of the community I lived in. ESL classes prepare people to be fully engaged with their community. ESL program is available to those who wanted to learn English language and be able to communicate, and go to school or find another and better job. This program was offered at evening hours, so people who wanted to attend it, were able to work during the day and do not take off work. ESL classes are very beneficial not only for individuals of the community but also for the community itself. Increased opportunity for education, better job and financial stability allow those families to function with fewer
support.
Another resource that has had a positive impact was the daycare. Adrielys was able to take her son to a daycare for just $5 a week. That helped her get a job and support her family in
This health care team have to make sure that this patient have normal GI functioning, and they have to make sure that this resident pass gas or they can check for bowel sounds to make sure that this person is ready to make the transition before he can start enteral feeding (DeBruyne & Pinna, 2012). As soon as this person starts with oral feeding, Clear liquid diet will be given first, then gradually the intestine will able to accept solid food. Once the patient is able to consume enough nutrients, then parenteral feeding will be discontinued (DeBruyne & Pinna,
Today’s clinical experience truly affected me in multiple ways. I went into this day with an open mind, and was pleased with the patients and the way I was able to conduct myself. This clinical affected me because throughout the day I felt that I experienced many emotions. A few times during my day I did have to fight back tears. I felt I had this emotion because some of the individuals expressed how they wanted to get better in order to get home to their families.
Regina Geis is a ten-year old female who is diagnosed with celiac disease. No one in her immediate family has been diagnosed, including her parents and her younger sister. Celiac disease is an autoimmune disease of the digestive system that is usually indicated by long-lasting inflammation in the small intestine that occurs when a protein from the plant called gluten, which is usually found in grains such as wheat, barley, and rye, is consumed, resulting in an interference of absorption of nutrients from food (Calvo, Soriano del Castillo, & Vinuesa, 2012.) Regina was diagnosed with celiac disease when she was five. After she was diagnosed, she was put on a gluten-free diet.
D- The patient arrived on time for her session as she was seen outside. The patient reports, she has to see her cardiologist for 35 days at noon to monitor her blood flow sometime next month. She is also scheduled on 05/23/2016, at night to conduct her sleep apena and also, scheduled on a Tuesday for a ultrasounds, referring to her pulse to her legs to ensure there is no blockage in her legs.
What are routine daily clinical observations that are found on a care plan that would you perform on a patient?
The patient is a 78-year-old gentleman who is brought to the emergency room because of increasing confusion. Evidently the daughter has taken to the bank to get some money when the daughter try to assist him to put his money in his pocket he became aggressive and combative and began to swing at her with his cane and then walked off. She was the unable to find for approximately 4 hours. When he was found he was brought to the emergency room. In the emergency room the patient was placed initially in observation status. Despite being treated in observation with fluids he remained confused and somewhat aggressive and it was determined that the patient required acute inpatient hospitalization. His medical history is significant for hypertension,
There were a number of nursing priorities identified, the patient also has hypertension. The key priority for nursing care with this patient is her learning disabilities and the potential communication barriers that may occur. The patient’s hypertension is well controlled with medication for these reasons I will focus this assignment around communication barriers with people with learning disabilities, the importance of good communication between the multi-disciplinary team within the unit. I will also explore any issues with consenting to the procedure as it is imperative that the patient is fully aware of the procedure and understands the possible risks and complications.
The 4-hour shadowing experience at Casa De La Luz Hospice was insightful to the aspects of palliative care. The experience included shadowing the hospice physician and nurse as they calmly interacted with the patients, assessing for abnormalities in ABC, safety, and pain. Additionally, this experience provided examples of therapeutic communication techniques that were appropriate when speaking to patients and families.
There can be many positive and negative aspects to shift report. One positive aspect of bedside report is that the patient and family is able to directly communicate with the health care providers. They are able to ask questions, clarify their needs, and add to the discussion. According to the article Nurse Shift Report, “There are many benefits of bedside report, including relationship building between staff members and increased patient satisfaction, to both the patient and to the healthcare team” (Anderson & Mangino, 2017). Another positive aspect of bedside report is that in can decrease errors. For example, if the health care providers are discussing incorrect information regarding the patient’s medications, the patient can interrupt and
...in the Dominican Republic they teach the children the history of the Dominican Republic as well as other countries one of them being in the United States. Although the Dominican Republic is considered a third World country they are very rich in their culture and it is impressive that regardless of different difficult events the country might encounter for example the Hurricane George. When Hurricane George hit in 1998, the funding became scarce before and after. The damages to the school facilities were numerous and the Dominican Republic continues to recover. There are parents that work hard to be able to send their children to private schools in order for their kids not to miss out on their education. Regardless of the poverty and dropout rate the Dominican Republic adult literacy rates at 83%. , what the http://www.everyculture.com/Cr-Ga/Dominican-Republic.html
According to the articles, the implementation of bedside report for 3 years was done in med-surg units in Tacoma General Hospital in Washington. Nurses and manager should work together as team. Nurse’s survey was done to find out if nurses are getting and giving enough information and if nurses doing report on time. The unit’s Press Ganey score was used before and after implementation of bedside report. Other measuring outcomes that involved were evaluating call light use during shift change and rapid response to calls, end of shift overtime and patient complaints. In this study there was no statistical information is available related to actual outcomes of bedside shift report compare to traditional shift report.
Another program that the CCLiteracy Council has is ESL. English as a second language. I myself am an ESL person. I spoke spanish before english. The main problem was my assumption that all the individuals in the class were Mexicans. When i think of ESL i do not think of people from Arabia, India or France and Japan. Dr. Gleason actually surprised me when she told me they serviced more than just Spanish speakers. They actually knock 2 birds with 1 stone in their ESL classes. They have their English classes on a computer. With this they are actually helping them with multiple things. It teaches the students English literacy. Without literacy these individual would have even less social justice than illiterate americans. The reason is due to no cmmunication. In america we speak English so it is expected for immigrant to speak english.
how hard the patient is and go from there, they may need to go on a floor that takes medical
I had the opportunity to observe the surgical ward in Seremban Hospital. What really overwhelmed me was how the ward actually looked disorganized when patients' families visited during lunch time. One of the patients, who was undergoing vacuum dressing, was resting on the bed next to a partition. He was hardly noticeable from far because there were two trolleys blocking the view around his bed. One was piled with patients' charts and another one had been forgotten to be removed by the nurse when she rushed to attend another patient. It was a reckless thing to do but it made me see that the nurse must have had so much on her plate to be negligent about this seemingly-insignificant thing. It caught my attention when the patient was staring at