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Advantages and disadvantages of cultural issues affecting patient care
Advantages and disadvantages of cultural issues affecting patient care
Advantages and disadvantages of cultural issues affecting patient care
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Wet Socks and the Honor of Being Tolerated On the first day of my clinicals for my certification as a Nurses Aid, an older nurse who had been working at this care center for almost twelve years, looked my group in the eyes and with the least emotion possible told us “The people here are going to die, so do yourself a favor and don’t get too attached.”. I know that’s probably the worst thing a nurse working in an old person’s home could say to a group of wide eyed, excited, new CNAs but I never took it to heart. After a week of working there the rumors I heard about the nurse staff and the residents had me reconsidering my choice. This was my senior year of high school, possibly the most emotional, confusing, and fast paced year of my life and I was spending it working with people …show more content…
After I walked in and heard his speech about what he liked and didn’t like, I tried to go about my normal routine and started his vitals. About ten seconds into taking his pulse he dumped his water glass on my shoes claiming I was “squeezing his wrist with the intent to break it.”. I spent the rest of the day listening to the sound of my wet feet sloshing as I walked. Even after my failed attempt at taking his vitals since he was my last patient of the day I was the lucky CNA responsible for taking him to physical therapy. I walked in and explained to him I was going to help him into his wheel chair and then take him down the hall to PT. He of course made everything a struggle. He refused to put on his shoes and tried pegging me in the head with one, he said about a dozen curse words and told me I was an awful person just like the rest of the staff. As I took him down the hall he kept putting on the breaks to his wheel chair and yelling awful things at me each time I took the breaks off. What should have taken me five minutes took twenty and ended with the Therapist on staff having a foam roller thrown in his
I was then introduced to a patient who was in isolation. Her legs were immovable and were crossed in a very uncomfortable position. I wish I could’ve done something so that her legs could be in a more comfortable position, but all I could do was observe and get her a cup of ice cold water to drink. During this clinical observation, I didn’t get to see much but overall, it was a good experience. It made me realize what it was like to be in a hospital setting and what it meant to be a nurse. Seeing how the patients were still able to smile through all the pain they went through, it made me want to become a nurse even more because I would also like to make my patients happy. If I could do one thing differently during this clinical observation, I wish I didn’t ask my senior nurse about what externships she took and instead, I wished I asked her more questions about the patients in order to gain more information about
The patient that I have chosen for this discussion is an elderly woman. Her diagnosis was a fracture of the left femur which happened as a resident in a long-term care facility. Comorbidities include Alzheimer 's disease and diabetes type II. She was described by other staff as being mean, uncooperative, difficult, and lazy; little did they know that I was a nurse at the long-term care facility and have cared for this women many times prior to this hospitalization. The staff seemed to all chime in eager to express the faults in
During my freshman year of high school, I was sitting in my Vocal I class when two upperclassmen came into the room wearing what I thought were nurses’ uniforms, or rather, scrubs. They introduced themselves as being with the Sparkman High School Medical Program. The students continued to tell us about a unique opportunity we could participate in during our later years of high school. For instance, they informed us that by taking the Health Foundations class and receiving an A in the class, we would be able to shadow nurses two days a week. Liking the idea of experiencing something different and leaving school two days a week, I signed up for the class, met all the requirements, and gained myself the opportunity to intern with nurses. For two semesters of my junior year, I
Approaching graduation has brought a mix of emotions into light: fear, anxiety, excitement, etc. Throughout nursing school, we are exposed to various clinical settings, but throughout all of them I had a preceptor guiding me in learning the proper techniques in a safe manner. After graduation I will be put on the floor and the lives of our patients will be in my hands. I am confident in the knowledge I have gained throughout nursing school; the more experiences I gain, the better nurse I will become. After reviewing the new graduate nursing program and speaking to classmates, I quickly realized that nursing students could transition confidently into a competent, safe nurse.
I have come to fully understand that in order to treat my patients in a way that is person centred, I have to treat each person as an individual and realise that every individual has different needs and different rights and preferences to me which may go against my morals and beliefs but I always have to maintain my professional boundaries and treat each individual with respect and dignity. If I was a nurse who witnessed a similar situation to Kat’s, where another healthcare professional was disregarding my patient or any patients views or requests I would go into the patient’s room and find out what the problem was. Then I would politely ask the healthcare professional to step outside of the room and I would gently remind them of the code of ethics ((Kozier, Erb's & Berman, 2010, p.97) and the Registered Nurses standards of practise (2016), and how every individual has the right to make their own independent decisions about their healthcare needs/goals based on their own values, morals and beliefs. I would further explain that the patients are our main priority and it is our responsibility as nurses’ to ensure that the patients are safe and are receiving the proper care. I would then explain to the patient what was happening and apologise to them about the situation, and I would rearrange and try to negotiate with the patient when the procedure could be performed. Then I would notify the Nurse Unit Manager on the ward to ensure that situations like this do not occur
...he reality of the real world and that there are tough situations a nurse has to face, like not being able to better a person who is in need. I found out things I never knew about a nurse. She really helped me understand that to be a nurse one really needs to be dedicated to the patients they are seeing. I realized on that day that a nurse is more than just a job. I want to study this occupation as I attend college and hopefully continue on to the next steps on fully becoming a nurse practitioner. I think it will benefit me in all the ways that I saw her benefit her patients. After researching and learning all new information about this occupation I now know that a NP is a worthy and much needed job in our country and I know that given the opportunity and time I can achieve all the goals I am going to set in my future in order to be a certified nurse practitioner.
The accomplishment I am most proud of is working as a CNA while maintaining a 4.0 GPA and participating in many extracurricular activities. In my short year of working as a CNA, I believe I have exemplified my leadership skills by becoming certified in Dementia Capable Care, picking up extra shifts if needed, and orientating new CNAs. My certification in Dementia Capable Care aids me in understanding Dementia and how to best assist someone who is a victim of this violent disease. This certification helps me personalize care for each resident. I sometimes get frustrated and stressed trying to please the residents, charge nurses, and other CNA’s. However, all those worries disappear when a resident grins at me, or a charge nurse stops me to say,
I joined the unit council and I’ve participated in the clinical ladder program at my facility. I believe all of these accomplishments will aid in progressing to the next level. I strive to have several experiences under my belt and I would like to be viewed as a hot commodity within the nursing field so in addition to hospital setting nursing I work part-time at a prison and a nursing home. The extra money helps pay for school and I plan to continue my education ever further. In addition to basic life support I am also certified in advance cardiovascular life support. I believe that I have some qualities of a proficient level nurse already. When caring for my patients I always go with my instinct. There have been numerous times that I’ve assessed patients and I couldn’t put my finger on what was wrong but I utilized my resources for a second opinion. I would have my charge nurse or department based educator step in to assess and give me their opinion as well. These patients were slowly deteriorating and I was able to get them the adequate help they
Who I am is a brand new nurse that has entered a different environment of healthcare compared to my previous work of the pharmaceutical industry. I am a person who has always had an interest in helping people, doing amazing things on a daily basis and learning consistently. In efforts to fulfill my interest; I became a nurse through the many obstacles and sacrifices that were faced. To my very core, I am a person of great ambition, empathy, confidence, and value respect. I practice nursing in a hospital environment caring for patients on a medical-surgical floor. How I practice nursing is by providing education to patients, learning the material through experience, carrying out provider orders, taking care of
I have had the opportunity to care for wonderful individuals, each of whom have contributed the fabric of my personal nursing career. Nursing is a profession of both joy and sadness combined. My career has provided me the opportunity to care for those I need. In retrospect I can say that my personal nursing tapestry is comprised of patients who were grateful to a care team, after being revived from suffering a sudden cardiac event, the smile of a trusting child, a hand to be held while working with hospice patients and their families. My current role is a case manager. I seldom have direct contact with patients who have chronic illnesses, yet I am gifted with their trust. I have been given an opportunity to support, care, respect, educate, collaborate and research practice improvement initiatives. I continue to formulate my own nursing philosophy daily. While I experience daily encounters that allow my tapestry to become more colorful and detailed, I allow myself to set new goals. My final nursing goal, is to become a nurse practitioner. I can see myself in the next year working in an academic capacity in becoming a leader in rural health improvement and proficient at educating patients with diabetes and other chronic conditions, speaking at national events, advocating for patients and playing an active role in health policy. In five years I can see myself being ready to embark on another
[1] Socks have been worn by both men and women for centuries to stylishly protect the feet and keep them warm. Today, socks serve much the same purpose, along with a few additional purposes, and they come in many different styles and sizes depending on the wearer’s needs. [8] Though socks have been worn since ancient times, they became a representation of personal style during the fifteenth century and went on to symbolize social status and wealth for centuries following. Socks have always served as a protective barrier for the feet and were meant to keep the feet warm, though later they were used as a fashion statement as well.
Shortly after that I got my CNA license and began working at a local nursing home where my nextdoor neighbor was the administrator. I worked there for four years. I saw and experienced so many amazing and shocking things during my time there, and it made my desire to become a nurse even stronger. The work was not easy and the patients weren't always pleasant, but it was more rewarding than anything else I had ever done. To make a difference, even in one person's life by the care you give them and the love you show them when they are at their lowest point and feel hopeless gives me a satisfaction I know won’t get from any other
My junior year in high school in the Health care program consist of class room learning medical terminology, pharmacology and skills of being nurse; however, in my senior year, I had the privilege to attend clinical at local nursing homes, hospitals and veterinary clinics. Clinical in health care program, in high school was an eye opening experience and consist of me shadowing the nurses that I was assigned to. I had the opportunity to see what nurses have to deal with and it does take a special person. My experience in the Health care program and working firsthand with the sick and elderly patients has supported and confirm that I have what it takes to become a nurse. I enjoyed the experience of shadowing nurses so much that I volunteered at the Lowman Home, a nursing home in my community during my spare time while I was in high school. I was assigned to work with elderly patient who had Alzheimer; I would read, play games and interact with the patients; I enjoy see the smile that I put on their faces by taking time with
At the age of 36, mom decided to return back to college to obtain her nursing degree. This wasn’t a hard decision for her to make. The April before she enrolled in school my great grandmother passed away. This major dilemma played a major role in mom’s returning back to school. She had taken care of my great grandmother for months before she passed away, and decided that she wanted to make an impact on the lives of geriatrics.
Nursing is not only a career, but a way to give back to the community by enhancing and maintaining the health of other individuals. Throughout my clinical experiences last year, I witnessed kindness and selflessness among many nurses that have impacted and helped shape my future career choices and life immensely. Throughout this semester, I will assess myself on my nursing skills and will constantly try to strengthen my assessments, communication, clinical judgment and patient safety skills using the Creighton Competency Evaluation Instrument (CCEI, 2014). I believe that my experiences at Mayo will enabled me to find several of my strengths that I will obtained throughout the semester along with finding my weaknesses that I can work on for next semester. I am