The patient arrived to group on time. The patient was dressed nearly and according to the season. The patient was calm, cooperative and alert. The patient introduced herself and was able to check in as an "8." The patient reported being abstinent from all, mood altering substances for over thirty days. “I had a bad week, and I am frustrated because I had an issue with a teacher who is a raciest. My children are bi-racial and I have problems with people who have race issues. I plan to report her to the dean of the college soon as a get the chance.” Patient was asked if she could change anything on right now what would it be and the patient disclosed “I would be a college graduate and have my master’s degree because it is rough out here.” Patient was given information together with worksheets to aid with goals to change their lifestyles. Patient presented a plan to help improve her livelihood. Patient was educated about how to maintain these changes over time. Patient disclosed that group was very good today. The patient presented a plan to challenge unhealthy living by incorporating several aspects of wellbeing into her life.
“How can I make a difference?” that was the first thought when I learned about this assignment. When I was assigned a patient at the community health worker’s office I was nervous. I was given discharge papers and I was told I had 30 minutes left before seeing my patient in outpatient. By reading the documents I learned my patient was a 46 year old quadriplegic who was discharged from the Temple hospital for a DVT several weeks ago. I talked to Sherron, the
She was not satisfied with the treatment she received at Sutter Davis Hospital. Therefore, patient L decided to go to the UC Davis Student Health Center a couple days later to get a different perspective. The doctor she met there was much more accommodating and explanatory. The doctor told her the cause of her condition in an informative way, giving her pamphlets and information about the Shingles; something the other doctor failed to do. She was also told about preventative measures against the Shingles-causing virus; something the other doctor failed to do. The doctor also gave her the privacy and time warranted for all patients; something the other doctor failed to do. After the help she received from the UC Davis Health Center, patient L regretted not going there beforehand. Even though work and school got in the way, she wished she had made time to go. Not only was the help she received much better, she also would not have had to deal with what came next, the
The LPN-Team Lead contacted the social worker about Dr. Sundaram’s patient. The patient is a single, Caucasian grandmother and mother of two; she is alert and orientated to person, place and time. The patient reports that she lives with her 16 year old daughter and 3 month old granddaughter. The patient states that she works two jobs, one full-time and one part-time job and she assist with the care of her new granddaughter while her daughter is a work. The patient report that she is feeling (angry) and hurt because her boyfriend of 11 years cheated on her when she was in the hospital and left her a month ago; this and the loss of her child last year at 6 months gestation in addition to her CHF, COPD and influenza appears to have left the patient feeling of depression and hopelessness. The social worker noted that the patient scored a 19 on her PHQ-9, although she denies thoughts of suicide at this time. The patient states that she suffers from insomnia and gets approximately 2-3 hours of non-continuous sleep a night.
For my Brown Bag Assignment my participant, JR, was found within my family. I was aware JR took daily medications due to his recent heart bypass surgery in June 2015 and met with him. JR is 62 years old and takes seven medication daily. My participant, JR had heart bypass surgery, exactly 4 bypasses, on June 1, 2015, due to 90% of his coronary arteries being blocked. For about two weeks prior to the surgery, he could not walk, felt very dizzy, fatigue, and weak. His legs even gave out and he fainted. He then decided to go to the doctors, got lab work done and found out about his coronary arteries were blocked. If he did not have this surgery, he would have died. This eight-hour surgery was a huge reality check for him. After this surgery, he completely changed his lifestyle by not smoking, not drinking, eating healthy and going on walks. Prior to this surgery, JR had and still has type 2 diabetes, high blood pressure, and high cholesterol for about five years now. As I was talking to him, it was clear that he knew all his medication very adequately especially when to take it, why he takes it and how to take it. He is also fully aware of healthy lifestyle choices. As we were talking I gave some advice to help continue his healthy lifestyle.
I met with Christine, an acquaintance I know through members of a twelve step program. We met for about 20 minutes over coffee. As we spoke, I asked the questions that I prepared, omitting some and adding others based on the responses given. The list of questions in reproduced in the last section of this work. Christine works at an inpatient drug and alcohol rehabilitation center in New Jersey, the specifics of which have been intentionally omitted. Her interest in the field is identical to mine; she has a personal history of substance abuse. After obtaining sobriety, she wished to help others with her experience. This similarity is the primary reason I wanted to discuss this topic with her.
A- Value seeing health care situations “through patients’ eyes”. 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 type II diabetes. 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 woman many times prior to this hospitalization.
Upon my exit from the Rehab Center, I consider my interaction with the patient who had spin my new world upside down. Thrown completely off guard, I realized two things: sickness can change people into something you, or even they, might not expect, and the second, I don't take things personal. No one wants to be sick or in the hospital by any means, and as a nurse student it is part of my education and professional obligation to hold my anxiety and disappointments of my patient’s odd behavior. Finally I promised to myself to deal with people at their worst, and always have positive attitude toward them and try to heal them back to their best.
Van der Kolk, B.A. (1996). The body keeps the score: Approaches to the psychobiology of posttraumatic stress disorder. In B. A. Van der Kolk, A.C. McFarlane, & L. Weisaeth (Eds.), Traumatic stress: The effects of overwhelming experience on mind, body, and society (pp. 214-241). New York, NY: The Guildford Press.
As a second language learner I have never expected myself to be a perfect writer throughout the semester. Even If English was my first language still, I would not be a perfect writer. It is not about first or second language, it is about how well I understand the learning objectives. Then organizing and writing with my own ideas and putting them in my paper. I am going to be honest, I am not good at English subject and English subject is my strongest weakness than the other subjects. In this paper I will discuss and analyze my own writing, reflecting on the ways that my writing has improved throughout the semester.
Reflection as defined by the Oxford English dictionary (2012) as the action or process of thinking deeply about a subject, involving influence from one’s life and experiences, thus a reflective journal is designed to help me think deeply about my learning, especially on issues such as: my progress in learning, the difficulties I may have encountered in the process of learning, the strategies I have taken to get around those difficulties, and my evaluation of my own performance.
Any learning that occurs should focus on treatments, tests, and minimizing pain and discomfort as they improve they can shift their focus of learning (Kitchie, 2014, p.127). I will continue to provide a meeting location that is both comfortable and private. In the emotional aspect of M.M. and her family I will try to identify moments when members feel emotionally supported as it sets the stage for a teachable moment (Miller & Nigolian, 2011, p.56). I will also discuss with each member their previous coping strategies that used that have been successful and to encourage them to find a way to build on and strengthen these qualities. Using teaching methods that are interactive and allow patients equal contributions and participation can help promote health compliance (Habel, 2005,
Working in the Behavioral Health Unit, I’ve had dealt with many patients who had the addiction to alcohol, benzos, pain killers, and others drugs.
This biography as demonstrated that I am thinking critically, and that I am applying theory to practice. It also demonstrated that I am preparing myself for the real fieldwork after graduation, and I am also open to learn new information and adapt to any unchangeable environment I find myself. Having created this biography, I have learned to focus on the clients’ abilities (strengths) as suppose to their disabilities. Further, I realized that they have much potential than people would imagine.
Children are our future, and to teach them well I will focus on the educational needs of each individual child. I want to inspire each child to reach for their highest potential, to develop the necessary social skills and positive character traits to become responsible members of their class, school and community, and to encourage parents to become partners in their child’s education.I see education as a lifelong journey of acquiring new ideas and concepts. A journey that blends art and science to create a warm, welcoming classroom environment where learning is expected, encouraged and supported. I believe each student is unique. To support my unique learners, I must be aware of their strengths and growth areas through the use of personal interaction and assessment. Building trust and rapport, and showing genuine interest in each individual student is the key to being a successful teacher.
In the past, I have talked about two prominent views in Christianity concerning the restorative effect of the cross and resurrection.