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Importance of assessment in nursing
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In this clinical practicum, I had been learnt a lot of extensive knowledge, not only for the medical information, but also my personal growth from working in the hospital. In the past, because my defective practical experience, I only knew the abnormal readings in the vital sign, but not to consider further solution against the patient’s physical conditions. In the first few weeks of my clinical practicum, I just simply reported the abnormal findings to my teacher after took observations. However, as a nurse, we were meant to solve problems but not just report, I could not execute my role in ward at first. As a result, after doing some research and the accumulation of experience, I found out some basic actions contrary to different abnormal situations. …show more content…
Then, if patient was in a sitting position, it needed to be changed into a lying one to resolve the symptoms. After that, checked if there was any antihypertensive drugs such as Zestril (ACEI), Inderal (beta-blocker), Minipress (alpha-blocker), Norvasc (calcium channel blocker), or Lasix (diuretic) in order to confirm there was a medical treatment for this high blood pressure, then reported to case nurse if necessary. Finally, recheck the blood pressure at least 15 minutes afterwards. I learnt that when I faced a problem, I should use my knowledge to diagnosis the matter by doing some assessments, then, I needed to try some solutions to overcome that, in the end, if the problem could not be solved I needed to report to teacher first then to the case nurse. I also could practice my reporting skills, communication skills and enhance my confidence in this
Look back: During my third week clinical experience, I did both computer charting and paper charting (for maternal assessment) with nursing care plan. Besides charting, I reported my significant findings of the mother verbally to the primary nurse.
My wife & I have been together for 12 years and we were making plans for marriage when I met with a cycling accident in December 2013. I passed out from the accident and was admitted to hospital. Brain scans picked up a mass in my brain. The MRI confirmed the tumour and I was diagnosed with Trigeminal Schwannoma. As I was not experiencing any symptom, I could not accept my condition, I was in denial. Over the next nine months, I sought medical advice from various doctors; the consensus was to have surgery. It took me some time for me to accept that I had to take this step, through a combination of support from my fiancé and my parents, my new found faith in God, friends in church, and finding out more from others who had been through the journey such as Melissa Lim, founder of BTSS.
On one of my parents’ first dates together, my father described cattle they drove past as “amazing creatures” telling my mother someday he would like to have land and livestock of his own. That wish to transition from the big city to the country led him to buy a house in the middle of nowhere Indiana, soon raising his own amazing livestock. Growing up, I often complained about the amount of work living on a farm entailed, from cleaning pens to taking care of my 4-H animals. But my dad never complained because such duties were his reward for starting an idea from scratch. Following his footsteps in pursuit of a dream of my own, I chose to attend a large university where I studied abroad to contrast and challenge my rural perspective. Through that transition, I began to respect the difficulties my father experienced following his goal. And while the responsibilities he undertakes are stressful and uncertain, I now
I have chosen the nursing profession because, I care deeply for others and their well-being. When individuals enter any health care setting such as a hospital, doctor’s office, clinic, or nursing home they are there because some type of injury or illness is occurring. After checking in at the reception desk, in most of these circumstances, the patient explains his or her ailments firstly to a nurse. The nurse must be able to accurately obtain and record vital signs, while paying close attention to the objective symptom’s the patient is displaying, as well as listening carefully to the subjective symptom’s the patient is experiencing. Also, it is essential that the nurse be able to properly record this information for the medical chart and the Doctor. The role of a nurse is very important and requires extreme sacrifice, hard work, and long hours. In addition, it is paramount that a nurse display professionalism in their attitude, dress, speech, and conduct. Nurses have the obligation of performing their job duties at all times, and have knowledge of their nursing training.
Treatment for the client presenting to the APN diagnosed with hypertension, the first efforts should be focused on education. The patient should be informed of what current JNC 8 guidelines for the diagnosis of hypertension are. This will help the patient identify that he or she in fact has a problem and his blood pressure is abnormal. Further education should also include anticipated progression of the disease and complications from prolonged hypertension to help the patient understand the effects hypertension have on the body and risk of development of end-organ damage. Since hypertension is a silent disease, often void of symptoms, the patient must understand fully the implications of the disease and necessity to control the blood pressure.
helps us to behave within society rules. With that being said I believe it encourages people to have a sense of moral beliefs along with guidance. Which leads me to have faith that people are capable of separating there right from wrongs. Making themselves aware and in control of their own futures. For instants when I am faced with a difficult situation I know that it is up to me to make the choice not only to benefit myself, but to be concerned of those around me as well. It also ties in with the way we act, this is known as behaviorism the claim on minds and/or mental events in which they can be expressed in terms of behaviors (“Ontology”) studied by
When I was working at long term care, I was being a part of an incident which gave me a life time lesson. I was taking care of ninety-nine years old lady Mrs.Chang. I was assisting Mrs. Chang in transferring from bed to wheelchair. I feel Mrs. Chang physically so weak so I need someone’s sustenance. I was looking for someone and I saw a nurse in next resident’s room who was dressing a wound of resident Mr. Roger. I call the nurse to give me a hand. She rushes into Mrs.Chang room without washing her hand or using hand sanitizer to assist me in transfer. I was jolted for a moment and couldn’t say anything to the nurse. Then I felt it was too late to say anything to the nurse.
“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.
My reflection report will be on how to teach a clinical skill, which could be done either by the simulation training “workshops” or in hospital settings. Any reflection report is basically an evaluation of a person’s records of certain findings about certain topic or experience
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.
It takes time for the family nurse student and preceptor to complete an EKG while there are four or five patients waiting to be seen by the providers. Furthermore, not all patients’ vital signs are completed before the student and the preceptor see a patient. When the lab room containing the digital blood pressure machine is busy, the vital signs are not completed on time. The student discusses the issues with the preceptor who has been aware of the problems. She does not train the medical assistants because one of the assistants does not want to learn, and sometimes she has an attitude when the preceptor tells her to do her job.
Throughout my final ten weeks at my placement, I have grown and overcome so many obstacles. I have accomplished a wide range of skills since the beginning and have been improving on them as I gained experience. At my placement as a student nurse, I have gained a lot of confidence, skills, knowledge and experiences that have helped me act and work in a professional way. All the experiences I have had during the ten weeks of my student years have helped me in shaping me into a professional.
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.
This week’s clinical experience has been unlike any other. I went onto the unit knowing that I needed to be more independent and found myself to be both scared and intimidated. However, having the patients I did made my first mother baby clinical an exciting experience. I was able to create connections between what I saw on the unit and the theory we learned in lectures. In addition, I was able to see tricks other nurses on the unit have when providing care, and where others went wrong. Being aware of this enabled me to see the areas of mother baby nursing I understood and areas I need to further research to become a better nurse.