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Verbal communication essay
Verbal communication essay
Verbal communication essay
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The purpose of this reflection is for the second day of clinical and with continuation of same patient from the first week. Today, I entered the nursing home/rehabilitation institution with relax mood and with optimism. When I was walking from first floor to second floor, I observed the staff, most of them greeted us with a smile. When going back to first floor, as I walked closer to the nurse’s station, I panicked. At the moment, the nurse was starting the shift and it looked like we arrived at the same time, therefore it seemed she was moving with bit of hastiness. In that instant interaction, I had the feeling and thought that I was on her way, then I reminded myself that I am here to learn and this type interactions will occur in the future. This interaction also reminded me to think of my own actions and words that I may use, which ultimately may affect others. This time the panic went away fast as it came. …show more content…
My partner and I went to see if our patient was awake, patient was still sleep. We knew from the previous week, he didn’t wake up till 11am. This time the CNA informed us that he will be waking up bit earlier and that we will be able to do bed bath and physical assessment. Excited with the news, we went back to the nurse’s station to work on our care plan. The care plan seemed overwhelming the previous week, so this time, I tried to do much as I could. In retrospect, I was missing key elements to document portions of the care plan, now realization comes as to why it is crucial to look at all parts of the documentation of the patient’s history and paying attention to the patient verbal communication. Definitely looking forward to see the progress of clinical skills along with
At the multidisciplinary meeting, the nurse will collect and assess the information provided by the other disciplines and family members stating that the patient is not at her prior level of functioning and then analyze the information to develop a diagnosis of deconditioning. Next, the nurse identifies outcomes for the patient to get stronger, achieve prior level of function, have activities of daily living (ADL’s) met in a safe environment by planning for home health, equipment, and 24/7 supervision through family or placement in a facility. This will be implemented by coordinating delivery of a walker and a 3 in 1 chair prior to discharge to daughter’s home with the home health agency nurse, physical therapist, and aide scheduled to start that day. In a week, the nurse evaluates that outcomes are being met by following up with patient, daughter, and home health agency evaluating that the patient is getting stronger, ADL’s are being met, and will soon be able to return to living independently. To achieve these standards of practice, every nurse should be aware of her own nurse practice act to ensure to be functioning with in the laws of the nurse’s state and to ensure the best outcomes and safety of the patients. In closing, it is every nurses duty to be the best nurse they are capable of being by looking at the scope of nursing practice which gives us the framework to achieve
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.
He was an outpatient, who arrived at 8 am to get ready for his surgery. Feeling I was ecstatic and enthusiastic to get back into the field of work to do my clinical rotations. Although I was ready to have a new experience at the recovery unit, I was also extremely scared, because this unit was a specialized unit, where the patient needs vital care while recovering from anesthesia.
... basic information of the patient. Professional and precise language should be used when documenting. For the care plan, I have learned to correctly write a nursing diagnosis and writing interventions that are within nurses’ capability and suits the patient’s personal status. From now on, I will remember to distinguish medical diagnosis from nursing diagnosis. For each diagnosis, I will write about the patient’s (potential) response to the health problem and state why this might be the concern.
this will cause healthcare providers with the training and education needed for clinical documentation improvements to be installed effectively. It is important that having a specialized team who can create solutions towards Clinical Documentation Improvement (CDI) in order to minimize the failures that may occur. In this case, investing in training for the materials/tools necessary for healthcare providers to excel in their work with CDI. Essentially, Clinical Documentation is used throughout the healthcare system for the analysis of care, communication, and medical records. This is important because the information of medical records that healthcare providers are able to access, will help patients track their health conditions. Thus, clinical documentation improvement has a direct impact on patients by providing quality information. On the other hand, the new technological advancements will also be able to address the efficiencies in health care system that differ from paper-based charting. Improving on the quality of information will also have the effect upon the ethical and effectiveness of care that is being provided. This has a significant impact in order to maintain patient care that ensures the documentation is accurate, timely, and reflect within the services provided. Documentation assessments can be utilized so there can be improvements on the education for healthcare providers as they intend implementation standards take effect immediately. In this case, failures must be analyzed so that they will have the ability to comprehend and determine an organization’s strengths and weaknesses
I will be relating the implication of developing critical thinking aptitudes in order to practice, safe nursing diagnostic and professional judgment in my daily nursing process. I will also converse the approaches and skills that are required to develop clinical thinking and safe clinical problem solving in the environment I work in. The main focus will be on the responsibilities and
With two weeks of clinical experience, my plan for this clinical day draws directly off my pervious experiences. I will start my clinical day by getting with my FOR and administering medication to my assigned resident. This activity will probably take around an hour, as my assigned resident takes numerous medications, and I must perform the skill safely - six rights and three checks. After my medication administration skill, I will take vital signs, perfrom CNA skills, feed the residents, and monitor glucose with any additional time I have in the morning. Around 11 o 'clock, our group normally gathers together and takes a lunch break for half hour. After the group lunch break, I would like to get with my partner and begin to fill out our concept worksheet - Infection - for this week. My partner and I will walk around the long term care faiclity and observe what infection control precautions are taken to prevent infections when caring for residents, and consider what further interventions we could implement into our care. When we complete our concept map, I would like to gather this week 's required information from our assigned partner and her medical record - Fall risk/mobility, systems assessment, basic nursing care choices, and vital signs. While gathering information from our assigned resident, we will assist with her care, if needed. With the information we gather from our assigned resident, and her medical record, we can further complete our concept map, drawing additional links, if observed. With my medication administration complete, and my required information gathered, I will spend the rest of the clinical day answering any call
(patient) and the Clinical Nurse Manager both parties agreed that the author could proceed. All information will be kept confidential and no names will appear on this assignment that could be traced back to the client or hospital. As a student nurse this will comply with the guidelines set out by An Bord Altranais (2009). All nurses should be able to account for the care they give, why they give the care and also an evaluation of the care they have given. Barett et al (2009) maintain that this is a core part of care planning.The Department of Health and Children (2001) has shown its commitment to organising care plans and the importance of them as was evident in the 'Primary Care A new Direction' health strategy.This identified the importance of discharge planning and and the development of individualised care plans following discharge. This assignment will cover a full assessment of a person whose care the author has managed in the clinical setting. Based on this assessment the author will compile a care plan focusing on two key nursing diagnoses derived from the nursing assessment. The author will list all nursing diagnosis related to this patient and give a rationale for each.
I have chosen the nursing profession because, I care deeply for others and their well-being. When individuals enter any health care setting such as a hospital, doctor’s office, clinic, or nursing home they are there because some type of injury or illness is occurring. After checking in at the reception desk, in most of these circumstances, the patient explains his or her ailments firstly to a nurse. The nurse must be able to accurately obtain and record vital signs, while paying close attention to the objective symptom’s the patient is displaying, as well as listening carefully to the subjective symptom’s the patient is experiencing. Also, it is essential that the nurse be able to properly record this information for the medical chart and the Doctor. The role of a nurse is very important and requires extreme sacrifice, hard work, and long hours. In addition, it is paramount that a nurse display professionalism in their attitude, dress, speech, and conduct. Nurses have the obligation of performing their job duties at all times, and have knowledge of their nursing training.
I believe placing student nurses in the clinical setting is vital in becoming competent nurses. Every experience the student experiences during their placement has an educative nature therefore, it is important for the students to take some time to reflect on these experiences. A specific situation that stood out to me from my clinical experience was that; I didn’t realize I had ignored the patient’s pain until I was later asked by the nurse if the patient was in any pain.
This week’s clinical experience has been unlike any other. I went onto the unit knowing that I needed to be more independent and found myself to be both scared and intimidated. However, having the patients I did made my first mother baby clinical an exciting experience. I was able to create connections between what I saw on the unit and the theory we learned in lectures. In addition, I was able to see tricks other nurses on the unit have when providing care, and where others went wrong. Being aware of this enabled me to see the areas of mother baby nursing I understood and areas I need to further research to become a better nurse.
The following essay is a reflective account on an event that I, a student nurse encountered whilst on my second clinical placement in my first year of study. The event took place in a Fountain Nursing Home in Granite City. I have chosen to give thought to the event described in this essay as I feel that it highlights the need for nurses to have effective communication skills especially when treating patients that are suffering with a mental illness. Upon arriving to the Nursing home for the second time on Thursday November 14,2013; assigned the same patient as before. On meeting my patient the first thing I noticed myself doing without even thinking about it was giving her a visual inspection. Before nursing school I never really looked at someone at face value and inspected him or her physically. While interacting with my patient I felt as if I was taking to my grandmother, it was very comfortable and easy. Her neurological assessment was good, she had eye contact with me, was able to follow some simple commands such as showing me her hands and squeezing my fingers. Being in the nursing home-made me feel like there was so much medical information to acquire, I viewed it as my own personal practice space for my nursing skills. When taking with my patient she reflected on her life a bit and her stories made me get emotional. The Patient, admitted to the nursing home as a permanent resident after the death of her husband.
There have been many empires and civilizations since recorded history. These empires or powerful states are not something that have only appeared in more modern times. Empires and civilizations did not appear suddenly, but have been around even before 350 BC. There are multiple parts that help lead to their rise. However, the main aspects being religion, agriculture, and governmental implementation.
The doctor patient relationship is an important connection. Doctor-patient confidentiality is based on the idea that a person should not care for medical treatment because they fear the state will share with others.
The principles of documentation is clear, confidential, accurate, complete and concise, objective, organized and timely. Using documentation nurses are required to legally and ethically keep all information in the patient record confidential. There is the Health Insurance Portability and Accountability Act, known as HIPAA, which helps gives patients a greater control over their health care record (). Precise measurements and times must be used as much as possible. Accuracy can be enhanced through point of care documentation (Craven, 2017). The accuracy of documentation can be view from three perspectives veridical reflection of nursing, comprehensive while through detail of a patient journey and finally clarity in usage terms (Britain Summer of Nursing). The accuracy part is the really vital part in documentation within nursing because it shows the complete reflection of the stages of care that was provided by the health care professionals to an individual. Next, when an individual is documenting it needs to be complete and concise and organized. Having the report done as so allows for any health professional to find any information quick as possible without having to search throughout the entire chart for answers. When reporting it needs to be in a chronical flow order of the information about the patient care and procedures being done, within the chronological