My Difficult Patient

653 Words2 Pages

My first patient that I started as student nurse on one of the long Rehab Center was a seventy two year old man who had Clostridium difficile (C.diff), Dementia, Hip replacement, and Obesity. Due to the above sickness he had many complications. I can still remember his face suffering from pain. Because of his lack of ambulation and incontinence, he had developed a very serious pressure ulcer under his sacral area. I went through to the room with my instructor and the instructor introduces me for the patient as his student nurse from Towson University and will taking care of him. However the patient was not happy and he becomes a challenging patient in my first experience day. But I may learned more from that challenging patient for my future experience. Certainly, I began with the goal getting of his vital sign and giving him a bed bath. Fortunately I had practice how to take a vital sign and giving a bed bath before my first clinical at the university skill lab and I had developed this confidence before my clinical tour. That day will be mastering the skill which I had just learned in manikins, and applying in real human with huge safety precaution. In between morning my instructor was giving me a brief before I getting to the patients room. From her experience she knew what kind of challenges and a patient behavior can be I face. As I proceeded to my own patient, I hit a roadblock that would give me a flat tire for the rest of the shift. However, after my instructor left from the room, I reintroduced myself, and started a conversation, stating my objectives for the day. As I began to speak my actions while I administer vital sign, I was promptly damped by an expectedly attitude from my patient. Whenever I attempt speaking, I... ... middle of paper ... ..." he said looking at me in question. I smile to myself, and replied, "Hopefully, we will meet next time and things will getting better. Good luck, and hope you get better," I said in grand finale, and our time together ended. 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.

Show More
Related

  • The Importance Of Community Health Service

    1532 Words  | 4 Pages

    When I met my patient for this service project, I was unsure of how I should introduce myself and how I would explain my role relative to their care. My community health worker, Sherron, took all the pressure away from the situation; she had already established a relationship with my patient and I felt more like an invited member into a health care team rather than a new face with something to prove. Sherron had already taken steps to help my patient and I was an added benefit with pharmaceutical knowledge. I spent most of my time reviewing disease states and answering questions about drug therapy. My first interaction with the patient was the first primary care visit; I spent my time extracting medical information from the patient alongside the new physician. This first interaction lasted over an hour, there is no way the patient retained all the details discussed, however Sherron was keeping contact with the physician and was given copies of the patient’s medical record. Sherron kept in constant contact with the patient and was truly the best resource for information besides the patient

    Read More

  • Interaction between Miss Z and Registered Nurse Mrs. M

    1548 Words  | 4 Pages

    ... 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.

    Read More

  • Jean Watsons Theory Of Professional Caring In The Individual's Recovery Model In Nursing

    1290 Words  | 3 Pages

    Recovery and professional caring both are integrated in everyone’s career as a nurse. As nurses we need to aid individuals in the recovery process, as well as promoting a professional and caring environment for them to strive in. Jean Watsons Theory of Human Caring and the Repper and Perkins recovery model both inter-relate in recovering from an illness. In all three of the recovery models components that are inter-related, authenticity is needed to make the connections with the patients, especially with the model being based on individual adaption and preference (Bennet et al., 2014, p. 39). This is more of a contemporary way of thinking as it more relates to change and growth of the individual (Collier, 2010, p. 17). To be able to aid a patient to make a full recovery, the patient must have the resources and support, with good intentions and authenticity from those who are enabling them, such as nurses.

    Read More

  • Reflective Account On Mental Health

    1310 Words  | 3 Pages

    I have developed a newfound confidence in myself that kills and professional competency. My interactions with patients and assertiveness in myself and to carry out a professional discussion and interventions. enhanced not only his communicative skills but as well as immediate reporting, analytical skills and extensive knowledge of the internal and external workplace. Further, becoming involved with committees helped him understand policy and the external situation, as well as government, councils, and regulation, and the way in which to administer the protocols around the plant and people. I have developed a successful rapport with patients, staff and external personnel. I once carried this apprehension and nervousness in patient interactions,

    Read More

  • Caring Theory Or Nurse-Patient Relationship Theory

    627 Words  | 2 Pages

    I never stops to educate myself. I consider myself as a life-long learner. The profession of nursing offers an opportunity for me to learn daily because I always learn something every day. Once I learn something new, I like to apply it to my practice. Duffy’s quality of caring guides me to practice. I just had a 64-year-old patient who is going to have dialysis the first time. Understanding the anxiety that she had was more important than educating the process of dialysis. The patient stated that she wanted to live longer and finally decided to have the dialysis, but she was nervous about this. A care plan relate to coping mechanism was developed because showing a sense of sympathy and caring could help her to relieve the anxiety. When caring is evident, patients enhance self-esteem, quality of life, knowledge and coping mechanisms, as well as decreased lengths of stay and healthcare costs (Desmond, et al., 2014). On the other hand, in an uncaring situation, a patient feels humiliated, vulnerable, and

    Read More

  • Nursing Research: Diabetes and Self-management

    3278 Words  | 7 Pages

    During one of my rotations, I was assigned a young adult patient who had run out of insulin and had been admitted to the hospital following a Diabetes Ketoacidosis (DKA) episode. I realized that my patient was probably torn between buying insulin and buying healthy food because her chart showed several admissions in the past following the same problems. This particular patient was in her room, isolated in a corner, and she was irritable. As her student nurse, I was actively involved in her care; I was her advocate for the day. The patient lived with her single mother and worked at a fast food restaurant. Since this was my first time dealing with a patient with DKA, it became a definite challenge for me.

    Read More

  • Essay On Caritas

    749 Words  | 2 Pages

    Years ago, I was working as a staff nurse in a long term care facility. I loved my job and had been working in this area of nursing for 13 years. In long term care, you get to know your patient’s very well. The patient’s become like an extended family that you take care of everyday. There was a patient named Delores, we called her Dee for short. Dee was 75 years old and admitted after being diagnosed with metastatic breast cancer. She had had been living at the care facility for about a year. The striking feature about Dee was her

    Read More

  • Alzheimer’s Disease

    2552 Words  | 6 Pages

    ...using words your patient is used to and will understand. Clarify your message with body language, tone of voice, facial expression touch and gestures.

    Read More

  • Personal Reflection: Dealing With A Non Consistable Patient

    2318 Words  | 5 Pages

    This report will outline a personal reflection that occurred during the hospital placement in October. A 78-year-old male patient, a local GP, with a medical history of type II diabete mellitus for thirty years and severe peripheral neuropathy presented at the high-risk foot clinic for a weekly routine treatment. He wears a pair of darco boots and presented with neuroischemic ulcers on both feet. As this patient was allocated for student to treat for the day, and I obtained the patient’s permission before the treatment began.

    Read More

  • Summary Of Benner's Five Levels Of Nursing Development

    384 Words  | 1 Pages

    A situation I recall when I was a novice nurse was when I had just graduated from university and took a job working on a surgical unit. I had a patient that had cardiac surgery and was unstable. At this time I was focusing on mastering the technical aspects of care. I knew that I must do vital signs every 15 minutes, assess cardiac rhythm, titrate

    Read More

  • Reflection Of Clinical Practice

    803 Words  | 2 Pages

    On the second week of my placement, I was asked to bed-bath an 85 year male old patient in my bay, in the ward and get him ready for breakfast. This patient had, had a bowel surgery and as a result he had a stoma bag on. This patient was diagnosed with Inflammatory Bowel Disease (IBD) IN 2010, but his condition had grown worse over the years. IBD mainly refers to Ulcerative Colitis (UC) and Crohns disease (CD). However, this patient had Crohns disease. I was asked to bed-bath him by my mentor while she was observing me as she had taught me how to assist patients with their Activities of Daily Living (ADL) which are considered to be important.

    Read More

  • Bed Bathing Process

    1359 Words  | 3 Pages

    After the handover, I was asked by my mentor to attend to a patient who is bed ridden to have her personal care done with the assistance of one of the health care assistant staff. The patient was recently admitted to the ward and she looks sc...

    Read More

  • Schema of a Hospital

    906 Words  | 2 Pages

    ...ime to try to talk to the patient.” I’d like to say I’ve mastered these skills but there are still times where I leave a room feeling like I just made a fool of myself in front of a group of strangers. This may be a sign of my own self-denigration that I still need to work on to improve my attitude towards my performance, relationships, and life in general.

    Read More

  • Reflection On Clinical Experience

    700 Words  | 2 Pages

    Luckily, I am very comfortable with patients, which made providing care very easy. I was not afraid to go into other patient’s rooms if they rang for help. I would try my best to help the patients; however, if I needed help I was not afraid to ask a fellow student or nurse on the staff. It is very important to be able to talk to patients and work as a team with fellow coworkers as it made the job easier. On the other hand, I need to go over mother and baby assessments to become more familiar with both. I was able to complete the assessments; I now need to do so in a timelier manner while ensuring I do not forget any key areas. Lastly, it is vital that I continue to go over patient teaching prior to clinical. Being comfortable with the patients made the teaching easier, though I need to become more familiar with all the material that needs to be taught.

    Read More

  • Summer Internship in the Hospital

    1158 Words  | 3 Pages

    I was both excited and scared on my first day. I was curious about everything that I could see, smell and hear. I was excited because everything was new to me. The office was very quiet, all the physicians were concentrate on their work. Everything in the office was organized very well. The equipments were gleaming as they attracted me to touch. The smell of the ink was still dimly in the air. I got a little scared when I stepped into the hallway. It was really crowded, people seem very busy no matter if they were patients or physicians. People were everywhere. It was really easy to pump into someone. Rapid footsteps made flap sounds on the marble floor. The smell of the hospital special antiseptic solutions was very pungent. The call bells in the wards were very sharp, and they were coupled with the red lights in front of the wards and white walls. I had never felt more nervous before. I felt dazed because I had no idea what I could do, but this was piqued my fighting will more. Overall, I like this place. The department where I worked in was called the comprehensive internal medicine ward, and it also included a rheumatology clinic. Though I had volunteered in hospital for a very long time in school, I’ve never got a chance to get in the real business as a volunteer. So I was eager to learn everything. My instructor was a really person. He was near my father’s age, so he took care of me like his daughter....

    Read More

More about My Difficult Patient

Open Document