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Kolcaba comfort theory critique
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Description
My second experience on the pediatric ward was a heartache to observe so many babies on the pediatric ward today. With sixteen children admitted at the pediatric ward, the oldest child was 3+ and the youngest was like a week old. The patient was a one plus child with a lower respiratory tract infection.
Feeling
In general, I felt sad to see all those sick babies on the pediatric ward, also there were still two children who remained on the ward from our first clinical rotation to the pediatric ward. I was also thinking that asthma is the most prevalent chronic disease in childhood.
Evaluation
By assessing the pediatric ward today there was a great need for comfort throughout the shift. Kolcaba's Theory of Comfort states that
7th grade brought opportunity to discover more about medicine. Mrs. Barrett asked us to research an interesting careers. I picked pediatrics. I chose to tap into a first-hand experience by sitting down with Dr. Wayne. Every patient to him was like solving a Scooby Doo mystery. Sick kids were so young that, they could not always tell what was going on and parents were also at a loss for words. However, often times there were hints as to the illness. Arriving at a
Annual Report. Children's Miracle Network Hospitals. Retrieved April 6, 2014, from
As an RN whose specialties have included Medical, Geriatric and Pediatrics, I am drawn to learn more about Katherine Kolcabas Theory of Comfort. It is also the theory from which my organization based its pain and comfort documentation requirements upon.
When people think of a pediatric nurse practitioner, they normally think of a person who performs examinations, takes blood samples, and measures vital signs of children who are sick. What they don’t see are the countless hours spent getting to know the patient, showing sympathy and understanding, and having to explain the diagnosis and treatment plans to the parents and sometimes to the child. According to my career cruising inventory, any job in the medical field would be right for me. However, after reading the descriptions, I concluded that a pediatric nurse practitioner was the best path. I will be attending nursing school to receive my nurse practitioner license, while specializing in pediatrics. The skills, educational requirements,
My first experience with children was when I would babysit younger kids. Caring for them while they were sick brought a sense of joy nursing them back to health. After doing this for so long, I grew a passion for taking care of children as a profession. I want to help kids feel better and watch them grow into world-changing individuals, so that is why I chose Pediatric Nurse Practitioner as my career. With this goal in mind, the University of Pennsylvania is the ideal school for me to explore and master this field of knowledge.
A child growth and developmental levels affect how you create patient-centered care in hospitals. A toddler’s developmental level allows them to perform simple motor activities such as dressing and feeding themselves. More complicated activities are developed later in life. Further, toddler’s mind has not yet fully expanded to understand certain concepts and therefore require more assistance and guidance by their caregivers. This affects a specific patient’s plan of care because you do not want to try to have them do tasks or abilities outside
Like the general public, I assumed their only job was to aid doctors and perform routine medical procedures that they are trained to do. The purpose of this interview was to gain insight into how much more nurses do, and I was greatly surprised. Marks shared what it is really like to be a pediatric nurse, and all the other roles they must play in their patients’ lives. As someone who has never been admitted into a hospital, or have been in the care of a nurse, her stories were eye-opening for me. Marks gave me a new-found appreciation for all that nurses
Pediatric nurses do a lot of the same tasks as a regular nurse. They draw blood, check vital signs, can perform physical examinations, and order diagnostic tests. However, the job of a pediatric nurse goes beyond regular nurses. They must have a caring relationship not only with the patient they are tending to, but also the patient’s family. Parents usually prefer a pediatric nurse over a regular nurse due to the caring relationship they carry. This is well known by the nurses as the caring process. During this process the nurse must help the child and the child’s family step by step with anything they may need at the time. The pediatric nurse provides support, care, and information on how to prevent future problems. Pediatric nursing can be defined as “the practice of nursing with children, youth, and their families across the health continuum, including health promotion, illness management, and health restoration" (Barnsteiner et al). Therefore, you can see from that statement alone there is more than one job to be done by a pediatric nurse. A pediatric nurse can see anywhere from 80 to 100 children a day. They take appointments, walk-ins, and sometimes make home visits. Only when the pediatric nurse finds an abnormality will they refer and send the child t...
American Academy of Pediactrics. (2003). Family-Centered Care and the Pediatrician’s Role. Available: http://pediatrics.aappublications.org/content/112/3/691.full. Last accessed 23/01/14.
Pediatric Nurse 1. A pediatric RN assists pediatricians by assessing a patient's needs and providing initial patient care. They help families deal with a child's illness or injury. They often offer information on nutrition, diet, and good health habits. The work of a Pediatric Nurse can range from assisting a Physician with the exam of a child to drawing blood.
Aside from the firm decision, being familiar of the concept in paediatrics and its set-up must also be considered. Previous exposures to paediatric wards as well as acute care units can sharpen the skills of a nurse practitioner. Most part of the work involves taking into consideration the growth and development of children and how the nurse should manage to intervene when alterations occur such as hospitalization, procedures and operations to the child. This external factor does not only influence the child...
...en who are there each week are incredibly inspirational, and they never seem to be discouraged, even though some of the patients have been there for five to six weeks in a row. I look forward to seeing their smiling faces each time I visit, yet I cannot help but hope they will not be there but will be at home the next time I visit. The children and youth I have met at Children’s Hospital have become dear friends, and they have taught me that leadership involves making the most of the talents we each have been given, and seeking excellece, not perfection.
Pediatricians mainly treat patients that are infants, and sometimes examine newborn babies to make sure the child is perfectly healthy and has no questionable health related issues after he or she has been delivered (Halm para. 13). Along with examining children, pediatricians treat patients with minor injuries, treatable illnesses, growth and development concerns, and many other health related issues(“Pediatrician” para. 1). Many skills are needed to complete the tasks tha...
The study of Pediatrics began in the 1800's under the influence of Abraham Jacobi (Hockenberry, etal). Jacobi went on to open a childrens clinic in the New York Medical College. "Pediatrics became a separate discipline from obstetrics"(Pearson 2005). Since that time pediatric nursing has greatly advanced. The first children's hospital in the United States opened in Philadelphia, Pennsylvania in 1855 with the purpose to decrease childhood mortality rates through research.
The researchers followed 20,065 children from birth to 3.5 years or until their first hospital stay, whichever came first. During that time, nine well-child visits would have been scheduled.