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.
It was intimidating and a bit scary, but instinctively I tried to help the patient and his family in any manner I could. As the day progressed, I had less anxiety when administering medications to the patient, and I felt more at ease with checking on the patient and his family to ensure they had no unmet needs. Because of our initial encounter with the doorway assessment, providing patient care was not as frightening as past first days of clinical have been. This resulted in a quite interesting post clinical conference where every student had something interesting to discuss regarding the patients they cared
To be an effective nurse to these patients, always put ourselves in their position and think, what if I have this? Or what if my one your family members has this. It will make us want to care for our patients more. Always give them the care and importance that they need.
Upon returning to work, Jack changes his outlook towards his job, his coworkers, patients and his interns. He teaches his students exactly what it will feel like to be the patient. He was able to take his experience and teach others the importance of communicating empathy in the healthcare field. He is now able to look past his patients’ illnesses and treat them as patients with feelings and respect. The lesson he takes with him is was how important life is when we use the right communication.
Many years from now, I will take this experience with me to better myself as a nurse. I know for the future that it is in my patient’s best interest, if I collaborate with other health care professionals. In order to maintain patient safety, I must always remember to work together with my fellow collogues to obtain a positive working environment. In order to be a good nurse, I need to always understand that I am part of a team to help those in need. I want to incorporate providing efficient care to each and every patient the best way I possibly
When I was a new nurse, my preceptor taught me to treat each patient as I would treat my own grandmother. Once I had some experience under my belt, I began to treat each patient how I want to be treated. I also have learned that it is very important to treat all patients the same. I give prisoners, patients that don’t have insurance or any money and patients that have donated millions of dollars to our hospital the same quality care. Although, I am only with the patient for a short time, I attempt to learn as much as possible about my patient, which allows me to give them great
...using words your patient is used to and will understand. Clarify your message with body language, tone of voice, facial expression touch and gestures.
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
My journey to nursing began with my personal healthcare experience, and has continued to evolve since entering the nursing program at State University. My personal philosophy of nursing is related my life experience and my personal philosophy of life. Using reflection-on-action, I have begun to understand the influences that have lead me to nursing. I discovered client and family centered care to be an important quality when I look at the influential nurses in my life. To develop a positive therapeutic nurse-client relationship, nurses must integrate all 5 dimensions of the therapeutic nurse-client relationship into their practice (CNO, 2006). When it comes to providing client-centered care, the dimensions of trust, empathy and respect are particularly important (CNO, 2006). Illness can be a traumatic experience for patients and their families, and it is important to be empathetic to the patient’s needs, while still trusting the patient to be an expert in their illness and care.
... out for each patient to make sure they are okay and to do whatever they need to make sure they continue living healthily. I’m very passionate about my future as a nurse and have great intentions towards my education. It won’t be easy and I don’t expect it to be. There’s no looking back for me now. I know I’ve chosen the right profession and I’ll continue to have such enthusiasm about my future. I hope one day, I can fulfill my dreams of becoming a nurse and give back to the community.
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...
Due to the information and instruction we received prior to participating in these patient interviews, there was several positive aspects of my interaction with my assigned patient. First, when moving onto a new question I would often reiterate part of the patient’s previous statement to both show that I was attentively listening and to justify the reason for asking that following question. An example of this was after briefly mentioning his wife, I asked “Speaking of your wife, how does she and the rest of your family support you through your medical treatments?” Positive aspects of my non-verbal communication include maintaining focused eye contact, maintaining a close, but appropriate distance between myself and the patient, and leaning forward with my hands together to express interest and support for the patient when they were talking. I also emulated the patient’s facial expressions as to have appropriate facial expressions when they were talking to me.
The following essay is a reflective account on an event that I, a student nurse encountered whilst on my second clinical placement in my first year of study. The event took place in a Fountain Nursing Home in Granite City. I have chosen to give thought to the event described in this essay as I feel that it highlights the need for nurses to have effective communication skills especially when treating patients that are suffering with a mental illness. Upon arriving to the Nursing home for the second time on Thursday November 14,2013; assigned the same patient as before. On meeting my patient the first thing I noticed myself doing without even thinking about it was giving her a visual inspection. Before nursing school I never really looked at someone at face value and inspected him or her physically. While interacting with my patient I felt as if I was taking to my grandmother, it was very comfortable and easy. Her neurological assessment was good, she had eye contact with me, was able to follow some simple commands such as showing me her hands and squeezing my fingers. Being in the nursing home-made me feel like there was so much medical information to acquire, I viewed it as my own personal practice space for my nursing skills. When taking with my patient she reflected on her life a bit and her stories made me get emotional. The Patient, admitted to the nursing home as a permanent resident after the death of her husband.
When I saw how much the Alzheimer patient’s daughter appreciate my care for her mother by treating my patient as I was treating someone I loved, I felt like I am working toward my goal of being a professional nurse; I can put aside my personal feeling and act professional according to what I learned in nursing school. This is the first time I took care of a patient that has Alzheimer, I didn’t know what can I do to make a difference in her life at the beginning. But by applying my learned experiences from the nursing school and by being myself, I actually achieve the goal of providing the best care as a professional nurse student to my patient. And my actions also lead to the satisfaction and happiness from her family. Nothing can make me feel more satisfied when I saw the appreciation from the patient and their family. This is the main reason I wanted to become a professional
...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.
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....