My first patient that was assigned to me was a 50-year-old woman admitted for coughing and nose bleeds. She states that she has been bleeding for the last two to three days. After coughing, she had chest pains that would go away and come back. Her admitting diagnosis was CAD. The patient had past medical history of NSTEMI and chronic diastolic failure, coronary angioplasty, chest pain and hypertension and hyperlipidemia. My assessments went very smoothly. She was able to tell me that she experienced shortness of breath upon exertion. She was not experiencing any pain. Further, I was able to find that she was hypertensive at 148/89. I looked into her issue and discovered that her nose bleeding may be related to HTN because high blood pressure …show more content…
His friend, who is an STNA that takes care of him was able to tell me that this was his third fever this year. The nurse gave him Tylenol for his fever. Upon assessing him, I noticed that he would complement all of the health care workers consistently that were caring for him. Then the patient became abrasive out of the blue. This led us to believe he had an altered mental status. I thought it was a strange experience for me because I have never taken care of abrasive patients. All the healthcare providers came in because they heard the incident and assessed them. So, I would do a thorough neuro assessment during the shift. My head to toe assessment went great. I have also noticed that he had problems with short term memory, which I believe is sad.
I also noticed that he a past medical history of End Stage Renal Disease. I was able to assess his fistula on his left arm. I was able to hear the bruit and feel the thrill. He got a Chest XRAY and they found that there was a small pleural effusion in his left lung. There are no known causes for it because they performed cultures. The plan was to monitor I/O using a foley catheter. They did not get anything back. He had a fistula in his left arm because he goes on dialysis Monday, Wednesday, and
Client Profile: Lane Bronson is a 55 year old male with a history of angina, hypertension, Type 2 diabetes, COPD, and sleep apnea. He comes to the physican’s office complaining of worsening shortness of breath. His skin tone is grey, and his angina is worsening. Previously stable, he now does not get relief from rest or nitroglycerin. The physician called 911 and had Mr. Bronson directly admitted to the hospital.
A week before Christmas in 2013, my stepfather suddenly lost consciousness. His body stiffened and he began to violently convulse – he was having a seizure. Later in the hospital, the doctors informed us that my stepdad had suffered a hemorrhagic stroke. The anguish that I felt that night was eased by a nurse who talked to my family about my stepfather’s condition and assured us that the hospital would do everything that they can to assist him with recovery. The next few weeks were filled with uncertainty as my stepdad laid comatose, no knowledge of when or even if he would wake up. During that time, my interactions with the nurses always made me feel safe and comforted Unfortunately, he passed away in January 2014. Though this was a traumatic and life altering experience, what I remember most are the nurses that provided care to my stepfather. They went above and beyond their outlined job duties to care for my loved one and to make my family feel secure even in such a difficult time.
Reflection is turning experience into Learning. Reflection is a conscious, dynamic process of thinking about, analysing, and learning from an experience that gives insight into self and practice.
Emotional intelligence and reflective practice are integral components of building a therapeutic relationship in nursing
After meeting with our patient twice, I believe we have set into place a relationship where the patient is very open to us about her health. This is helpful for my partner and I as an open and honest patient is beneficial as we assist them in their health. Goals for next semester include reducing our patient’s blood sugar as well as reducing our patient’s fibromyalgia pain. Our patient has expressed to us that her glucose is high but she is ok with the high number as long as she is feeling relatively healthy. We hope to give practical ways to reduce blood sugar throughout next semester so hopefully we can reduce that number by semester’s end. Our patient is going to see her physician soon, so we hope to get an update on the patient’s fibromyalgia
“The ultimate value of life depends upon awareness and the power of contemplation rather than upon mere survival” (Aristotle, n.d.)
The following essay is a reflective paper on an event that I encountered as a student nurse during my first clinical placement in my first year of study. The event took place in a long term facility. This reflection is about the patient whom I will call Mrs. D. to protect her confidentiality. Throughout this essay I will be using LEARN model of reflection. I have decided to reflect on the event described in this essay since I believe that it highlights the need for nurses to have effective vital signs ‘assessment skills especially when treating older patients with complex medical diagnoses.
The main goal for this self-reflection essay was to analyze the impact that these past six months had in my personal and professional life. I started by looking at the original goals I formulated when I started the semester in January and then I proceeded to weight how the experiences and the new acquired knowledge helped me reach those objectives.
Developing confidence, and competence is a challenge faced by novice nurses (Morrell & Ridgway, 2014). Over the course of my nursing degree developing, and maintaining confidence in my clinical practice has always been a personal challenge. During my preceptorship placement, I have the opportunity to continue to cultivate my confidence, and prepare to begin my practice as an independent graduate nurse. In the reflection, I will discuss how I have gradually become a confident practitioner through my experiences in my clinical placement, and especially those in my preceptorship placement.
Adult nursing is a subject I am passionate about. In my opinion, there is nothing more important than the health, safety and security of one’s self and others. I aspire to achieve these attributes for individuals in everyday life and this course will help me to do so. I find helping people rewarding and adult nursing provides a professional platform to achieve this target. It also helps me to progress to a stable job that is solely concentrated on making a positive difference in someone’s life. For this reason, I would feel privileged to be accepted on to this course.
To improve my understanding of maintaining my capability for practice as a RN, I set a goal to learn in depth from my classes, related units, and through interacting with my friends and tutors. There were many setbacks on the way, but as I became more acquainted with the matter I began understanding better. In this reflection I’ll use Gibbs reflective cycle (Gibbs, 1988) to address my experiences as a student nurse in fulfilling the maintenance and capability for practice. Description Through tutorials, lectures and simulation classes every semester, our practice is enhanced and maintained so that the skills and knowledge we learnt is always nurtured while new ones are gained.
I am working as a staff nurse at one of the Integrated Management System (IMS) accredited hospital in Sarawak since 2014. I qualified as a Registered Nurse with a Diploma in Nursing in year 2007. My first year I have been working in a multi-disciplinary ward. We cover a range of specialties including minor and major surgeries. The health care team in my ward consists of 1 Unit Manager, 20 staff nurses and 15 care assistants.
Cardiovascular System: He does not experience any chest pain or palpitation. He does not have dyspnea or leg swelling.
Please bring to class, a typed, 12 font, single spaced, self-reflection of your progress as a freshman student working towards entering the nursing program (or intended major). Reflection should include: an explanation of why you want to be an RN/MD (or not), a critical analysis of your current grades, a very specific descriptive plan on how you plan to succeed in the prerequisite courses.
To me, being a nurse requires a great sense of selflessness and courage to devote your time and being to helping others. Nurses work long hours and experience straining situations for the satisfaction and fulfillment of helping others. More specifically, experiencing life and death, as well as applying your full self--emotions, knowledge, courage, and strength--takes a toil on the mind and body, but the innate satisfaction, human connections, and experiences I would be able to live through prevails over any thought of stress. The quote “A nurse is one who opens the eyes of a newborn and gently closes the eyes of a dying man. It is indeed a high blessing to be the first and last to witness the beginning and end of life” further reflects