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Analysis of simulated experience with pain
Being a nursing student is not easy as I thought. It requires effort, skills, reliability, and efficacy. I have been in many courses since I joined the university and most of the courses focus in nurse-patient relationship. Looking back to what I have learned and done so far is extremely frightening. After each semester, I feel that I do not need to study anymore I usually say “I am ready to be a nurse” but as soon as I start the new semester I realize that there are a lot of things I do not know. Before I started this semester, I thought that theory classes and lectures will never help me, in contrast; I believed that clinical practice will prepare me well as a qualified nurse. However, pain management
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When we were done I expected that I did great but when I went home I realized that some of my behaviors were bias. In addition, I had some misconceptions about some attitudes and ideas. In the first case, I thought the best way was to give the pain killers to the patient so she will be comfortable. I believed that there will be a minimum analgesic dose to control pain temporarily. As stated in Sigakis and Bittner (2015) performing assessment before any procedure increases the level of management. Thus, nurses must assess patients thoroughly in order to have better control. If the patient got the medication without assessment it may cause distress, allergic reaction, or higher intensity of pain (Sigakis & Bittner, 2015). Therefore, what my colleague did is the right thing by assessing patient before giving medications. Another point in the first case as well; the patient was screaming and asking for pain killers. When I first met her and asked to rate the pain she said six. I was little bit confused because pain at six should be tolerated. When she was holding my hands I was looking to my colleagues and tried to leave her hands. According to Gropelli and Sharer (2013) the best skill to have effective pain management is communication. During the past two years in university of Calgary I have not improved my communication skills to an outstanding level. As a student, I will keep working in improving my skills and abilities till I reach
The general idea of, K, is that a nurse must have knowledge in the diversity of cultures, ethics, and education. The significance of this faction being that if the nurse is cognizant of the patient 's culture, beliefs, family values, support systems, and education level, a more thorough and comprehensive plan of care can be formulated. The premise of, S, is that a nurse must be skilled in the ability to communicate with and advocate for the patient, assess for and properly treat pain, and incorporate the needs and concerns of the patient and their family. The significance of this group and development of these skills include the achievement of pain control, increased rehabilitation periods, and an increase in patient/family satisfaction. The theme of, A, requires that a nurse maintains an open attitude toward the patient and to respect and validate the nurse-patient relationship, which will aid in a positive nurse-patient
The College of Nurses of Ontario (CNO) is the governing body of all registered nurses in Ontario and is regulated. The CNO provides expectations and guidelines to follow, which need to be met by each Registered Practical Nurse (RPN) individually. As a nursing student, I am taught about the CNO and the importance of referring back to the guidelines while caring for patients. While gaining experiencing in the nursing field through my clinical settings, I have realized as a nursing student there are areas I need further development in. In this paper, I will address two of my learning needs and my goal for each. I will also discuss the plan I created in order to successfully meet my learning needs prior to becoming an RPN, and
The practice of patient-controlled analgesia (PCA) has been around for approximately four decades now. During this time there have been improvements to the technology and the understanding of how to use this form of patient pain control; however, there continues to be concern related to the safety and efficacy of PCA. As this analysis proceeds it will briefly explain what PCA is and how it is used, then delve into the benefits and the safety issues surrounding PCA use as it pertains to the patient and the nurse. Some of the benefits of PCA include improved pain management, improved use of nursing resources, increased patient satisfaction, and reduced pulmonary issues (Hicks, Sikirica, Nelson, Schein & Cousins, 2008). Some of the safety issues surrounding PCA use include infusion pump programing errors, basal infusion dosing, and proxy errors when using PCA by proxy (Ladak, Chan, Easty, & Chagpar, 2007). Therefore, the purpose of this report is to examine the benefits and risks of patient-controlled analgesia and how it relates to nursing practice.
However, I have learned to improve my communication skills and relationships through communication courses. Prior to enrolling in communication
Bachelor of Science in Nursing (BSN) programs strive to prepare student nurses for the National Council Licensure Examination (NCLEX) that tests not only pure knowledge, but the reasoning and application of that knowledge. These programs provide student nurses with the necessary knowledge base and ability to apply knowledge in practice; especially since the introduction of Evidence-Based Practice (EBP) has been integrated into didactics. EBP, along with hours of clinical placement, benefits student nurses by arming them with the clinical judgment skills called for in the workplace. However, if student nurses accrue more focused clinical hours in their areas of specialty, they will be better prepared for the situations they will face in their careers in which simulation labs or nonspecific clinical settings fail to adequately prepare them. With more hours spent in specialty areas, student nurses will be able to establish higher degrees of mental preparedness and hands-on experience as well as understanding of the difficulties and demands of working as a nurse in a specific field as opposed to shifting between various focuses of nursing.
When I was working as a bedside nurse in the Emergency Department, in one of my duties I was not satisfied with the treatment plan made by a resident doctor for XYZ patient. He entered intravenous KCL (potassium chloride) for the patient. The purpose of that medication and its dose for that patient was not clear to me. I assessed patient history and came to know that a middle aged patient came with the complaint of loose bowel movements, vomiting, and generalized weakness. His GCS (Glasgow comma scale) was 15/15, looked pale but was vitally stable. I exactly do not remember about his previous disease, social or family history but I do remember that he was there with his son. According to the care plan, I inserted intravenous cannula, took blood
...amount of pain) is a great teaching tool for the patient who is able to self-report (Nevius & D’Arcy, 2008). This will put the patient and nurse on the same level of understanding regarding the patient’s pain. The patient should also be aware of the added information included with the pain scale: quality, duration, and location of the pain. During patient teaching, it should be noted that obtaining a zero out of ten on the pain scale is not always attainable after a painful procedure. A realistic pain management goal can be set by the patient for his pain level each day.
Findings. Pain has many different meanings to many people. What is important to know as a nurse or health care provider is that pain is what the patient says it is. It is not the nurse or provider’s place to determine what the patient’s pain is but rather take an in-depth history and assessment. Using this assessment and history can therefore help treat your patient’s pain accordingly. Also pain theories have been proposed and used the implications of nursing practice in regard to pain.
“The ultimate value of life depends upon awareness and the power of contemplation rather than upon mere survival” (Aristotle, n.d.)
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.
The nurse should educate the patient of the importance of pain control and how controlling pain is essential to a patient’s wellbeing and recovery. It needs to be a balance of what the patient says and what the nurse observes and interprets while always respecting the wishes of the patient. Nurses have a variety of assessment tools available to assess pain in their patients. One dimensional pain scales such as visual analog scale, verbal descriptor scale, numeric pain intensity scale and the combined thermometer scale all measure the intensity of the pain (Jensen, 2011). Other pain scales such as McGill pain questionnaire, brief pain inventory, and brief pain impact questionnaire take into account aspects beyond intensity (Jensen 2011). There are additional pain assessments specialized for children, older adults, patients who are unable to respond, and patients with opioid tolerance (Jensen, 2011). The nurse should be familiar with these methods of pain assessment and know the appropriate use of each. Incorrect medication and treatment choices due to inaccurate or poor pain assessment cause patient suffering (Jensen,
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.
Rejeh, N., & Vaismoradi, M. (2010, March). Perspectives and experiences of elective surgery patients regarding pain management. Nursing & Health Sciences, 12(1), 67-73. Retrieved from www.ebscohost.com
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.