Interaction between Miss Z and Registered Nurse Mrs. M

In this paper I will write about my observation of the Miss Z who was a 28 year old patient in the S hospital where I had my Lifespan 1 clinical placement. Also, I will write about Mrs. M. who is a Registered Nurse at the High Risk Pregnancy Unit of the S. hospital where Miss Z. was a patient. More specifically, I will describe how Non-Stress Test was done by the nurse Z. During this test nurse repositioned Miss Z, strapped two sensors to her belly, and interacted with Miss. Z. In the second part of my writing I will discuss two types of nursing knowledge such as Case knowledge and Patient knowledge. (Joan Liashenko, Anastasia Fisher 1999) I will describe how nurse Z incorporated these types of nursing knowledge into her encounter with Miss. Z.

The High Risk Obstetrical Unit is located on the fifth floor of the S hospital. This is a state of the art facility that provides care for women who have pregnancy complications and require impatient care. Upon entering Miss Z’s dimly lit semi-private suit I feel the mixture of different odours such as blood, urine, and food. It is a small medical unit consisted of multifunctional bed, cherry-coloured dresser, white leather chair, and bed side table. The central place in this suit is devoted to a big medical monitor that is attached to the wall.

Miss Z lies on her back in her bad and appeared to be very sad. She is wearing a yellow bath gown. Her black and long hear is scattered over the pillow. Her skin is slightly pale. Her eyes are puffy and her legs are swollen. Her abdomen is enlarged which is consistent with her 24 weeks pregnancy. Her posture is relaxed and somehow sluggish. She is not smiling at us and her face shows indifferent expression. On the right side from her there is a b...

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... this type of knowledge the nurse understood that her patient has a lack of social support and probably depressed. She encouraged Miss. Z to have a positive attitude to her life and current illness. The patient’s knowledge allowed me to understand that the client is having a difficult period in her life. She definitely needs a social worker and a support group to get through this challenging period. In the future I would like to observe more closely how this patient will respond to social worker’s help.

In general, I believe that Miss Z was satisfied with her nurse. The nurse was able to employ two nursing knowledge such as case knowledge and patient knowledge. Also, the nurse used social knowledge as a transition between the case and patient ones. In the future I would like to observe how nurse deals with client’s personal biography as a part of person knowledge.