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Journal 4, Friday February 19, 2016, 10:00-1:00 p.m.
b. When I arrived to the nursing home, all of the ladies were sitting around waiting to get their nails done. It's one lady that we can hear before she even gets in the room because she's always making sounds like a cat. She comes in meowing just like a real cat. I'm not sure if she thinks she's one or not but the other ladies always tell her to hush. They are so aggressive with how they say things sometimes and I don't think they realize it. I also saw a few patients’ rooms and how they like for their belongings to be placed in their room.
c. From what I have observed and experienced, I get to learn more about each patient every time I talk with them. One thing I can say is that elderly
people always have something to talk about. They are never quiet but they have the kindest hearts. In social work 400, we learned how to apply the knowledge we learn in class when assisting with patients. It’s not as easy to work with elderly people because they don't like to listen. They believe that they are right about everything. I am learning how to be patient though because everyone doesn't comprehend the same especially since they are much older. It could be something that I say that they might not hear clear enough and I'd have to repeat myself. In this case, if it was anyone younger I would probably get mad which is why I have been learning from that. In class we have also talked about empathetic responses, open and ended questions and phrobing. When I'm talking to anyone at the nursing home, I try to use those three things to get them to talk more and it usually works. d. The activities that I was able to observe from the Social Work observation list would be the various roles of agency staff members. The goal for each staff member this week was to ensure that all of the patients in the nursing home were safe because of the fire that took place. e. From my observations this week, I had the opportunity to learn how to do an assessment on a patient. I was given the chance to identify residents’ strengths, weaknesses, preferences, and needs in key areas of functioning. As a social worker, I have been learning that not everyone you meet will be friendly with you like you may be with them. You have to learn how to adjust and make a person feel comfortable with talking with you. Everyone isn't going to trust you at first so you have to establish a good working relationship in the beginning. f. The community resources that were used this week were the assisted transportation for every patient that has to go visit their doctor outside of the nursing home. g. The population at risk this week would possibly be the patients that are in the “unit” of the nursing home because they need more assistance than others. I think they feel isolated by being separated from everyone else. h. On a scale of 0-10, I feel my level of engagement and participation this week at the agency was an 8. I learned how to do an assessment on a patient and I am very proud of myself. At first I was nervous but the more that I talked with one of the patients, the easier it became. So far I have realized that the best benefit you can learn from working with others are the lessons you learn about yourself that you may have never knew. This might sound crazy but I actually enjoy working without having my phone out. I know it's a part of the job that we can't have our phones out but I really thought that it would be a drag without it. I'm the type that is so dependent on my phone and I have learned that when you do something you enjoy that something like that doesn't even matter.
My nurse preceptor was Raji. I really enjoyed her communication skills. She made sure to be in constant communication with not only the different healthcare teams, but also the families. Keeping the patients and their families informed really helped get them involved in their care. She had a kind nature and positive attitudes. She made sure to communicate pertinent details regarding the patient's status to the patient's doctors and nurse practitioners. I was really impressed by her effort to provide complete comfort and ease to her patients. I have had previous nurses (at other hospitals) that did not necessarily pay attention to these small patient centered care elements. These were assumed to be done by the clinical partner. However,
being listened to: a qualitative study of older adults in long-term care settings. Journal of Gerontological Nursing, 32(1), 46-53. Retrieved from CINAHL Plus with Full Text database.
The purpose of this clinical journal entry is to elaborate on the details of lab day three. On lab day three, we had check-off for blood pressure and apical pulse. In addition, we took a safety test, and learned about mobility, immobility, how to use ambulatory devices, and reposition (C#4, C#6).
The Nursing Home Administrator (NHA), a representative of the board “is responsible for the day-to-day management of the nursing facility.” (Singh Douglas, 2016 p.334). As a representative of the board, the NHA is accountable to the various stakeholders implying corporate compliance responsibilities, but corporate compliance laws and regulations are just the basic requirements. Governance effort goes beyond ethical and legal responsibilities “doing what is right” (Singh Douglas, 2016p. 334). The NHA must govern with vigilance and integrity and take corrective measures before issues turn into “legal and ethical dilemmas” (Singh Douglas, 2016). According to Boyle et al., 2001; P. Willging,
Having a group of senior citizens following you around for dinner most likely doesn’t sound like a fun night. However, working at a nursing home doesn’t feel like an actual job at all; I actually enjoy spending my nights at the Grand Residence. Not only has this job given me responsibility, but I also have built relationships with many residents. While spending my evenings at a nursing home throughout my high school career, I have come to the realization that I am comfortable and genuinely happy with pursuing a career in patient care in the foreseeable future.
Nursing Home Abuse With over 1.5 million elderly and dependent adults now living in nursing homes throughout the country, abuse and neglect has become a widespread problem. Even though some nursing homes provide good care, many are subjecting helpless residents to needless suffering and death. Most residents in nursing homes are dependent on the staff for most or all their needs such as food, water, medicine, toileting, grooming- almost all their daily care. Unfortunately, many residents in nursing homes today are starved, dehydrated, over-medicated, and suffer painful pressure sores. They are often isolated, ignored, and deprived of social contact and stimulation.
It’s hard to work with elders who often have over 15 issues and you need to figure out how to make them comfortable and not fix everything. Things like checking the feet and making sure they are cared for, or looking for sores, your job is to help them maintain whatever sort of life they are living and keep them going for the years or months they have left. It’s not a glamorous profession and though most doctors look for ways to do surgery, geriatrics often look for any method but that, due to the
Not just in the hospital, but in any part of their in general. Often the older adult is seen as confused and forgetful, poor, chronically ill, frail or disabled, unfriendly and grumpy, deaf and blind, and dependent. Changing nursing views on this issue and not forming biases towards this population will improve the care provided. It is important to differentiate your personal views while working in the healthcare industry. You must be culturally sensitive and not pass judgement on your patients. Our attitudes are formed by our past experiences in different situations, but as professional nurses, it is time to change and be able to recognize and find ways to improve negative attitudes and stereotypes towards aging. Not only in the acute care setting, but also in the subacute and home setting. “Given the increasing number of older adults in health care settings, forming positive attitudes toward them and gaining specialized knowledge about aging and their health care needs are priorities for all nurses. It is critical for you to learn to respect older adults and actively involve them in care decisions and activities.” (Korem,
...th professionals, were significantly more cynical toward and distrustful of older adults” (p. 63). The findings in Meisner’s (2012) conveyed that physicians demonstrated attitudes about older patients including feelings of these individuals being “disengaged and unproductive” while assuming that these characteristics applied to all of the older patients regardless of each person’s actual abilities (p. 63). Combing all older adults into one category defined by disability and dysfunction is detrimental to the well-being of each patient. Chronological age is not the determining factor relative to treatment; functional age is a better testament to expected outcomes for a patient. It is imperative that physicians understand what is “normal aging” rather than searching for pathologies based on symptoms that are just part of this aging process. According to Meisner
Recently, AL.com reported that an 86-year-old woman had to be hospitalized due to physical abuse by a nursing home employee. She purportedly hit her forehead on a table, suffering a hematoma, when the worker threw her onto the bed. The woman also required stitches for a cut she sustained when the staff member took the call-button away from her. Unfortunately, this is just one instance of the types of mistreatment that are all too common in nursing homes across the state. There are things that people can do, however, to protect their loved ones from nursing home abuse.
empathse with their patients and know the their strength and weakness so that it is easier for
An important step to decrease an ageist attitude is to take a step back and recognize biases and preconceived ideas that one has about older adults (DeBrew, 2015). Recognizing biases in combination with furthering one’s education about the effects of aging and the specific needs of older adults will help increase compassionate care. To allow for effective interventions it is important that the nurse understand that illness and infection manifest differently in older adults than they do in the younger population (DeBrew, 2015). In addition, through ethnographic study it was found that when nurses spend time doing activities with older adults it helps strengthen relationships and sense of community between care providers and elderly patients (DeBrew, 2015). According to the article, “occupational therapists who worked with older adults felt ‘stigmatized’ by their peers because their work was viewed as less challenging and requiring less skill and intellect than caring for other populations” (DeBrew, 2015). To promote compassionate patient care it is important that nurses and other professionals get support from their peers to confirm that their work is not insignificant and looked down upon. Finally, include the older adult while creating the plan of care to show them that they are a valued part of their healthcare
My mother Evaun, was sharp as a tac, she woke up at 5am every morning and went to work at her business she owned for 40 years. She had health issues, open-heart surgery 9 years ago, failing kidneys, rheumatoid arthritis, she had always had health issues, but she never failed to get up at 5am every morning and go to work where she greeted her 15 employees every day up until her early 80?s. The day came though, when her little body became frail, getting up to work was harder (she always still did business paper work at home), she needed me to take her to appointments, which in certain circumstances agitated me, because some doctors would dismiss her as incoherent. Well, let just say she was always the one who had appointments written down, plus the correct medication at the right time of day. It is such a stereotype to keep a majority of senior citizens thought of as mental or frail and should live in nursing homes. There is going to be a time, not so far from now, when the population of seniors is going to be far more, our society is going to have to embrace ageism, respect it, learn, and realize elderly have a place in their community to help, enlighten, and
Walking into a nursing home every day is hard enough , let alone when you're there to see your best friend . My grandpa had terminal cancer throughout his body . He was the best friend I had and I was going to lose him . He was diagnosed after it was too late to do anything about it and only had a few months to live . He was in and out of the hospital going back and forth from the nursing home . One day around a month before he died , he sat me down on his bed next to him and started to point out the window . On this rainy day covered in clouds I was wondering what he could be pointing at . He said " Do you see that spot right there ? " . I shook my head yes and waited for him to catch his breath . " Whenever you miss me , that's where i'll be . You can look up at the
Home Health hospice and palliative care nurses are versatile and adaptable individuals within the nursing field. They are required to be proficient in many skill sets and adapt to change as it arises. These individuals are a critical part of the health care team and its ability to provide quality health care in unique settings.