Monika Graff "Play is the work of children. Echoing guidance offered by a growing number of clinical instructors in many fields of medicine, she assigns them homework designed to help them reflect on the care they provide to patients and families.
My patient was a 73 year-old male that had just undergone a facet injection for lower back pain and left-sided sciatica.
He had a history of atrial fibrillation, coronary artery disease, hypertension, hyperlipidemia, Type II diabetes, renal insufficiency and a high PSA.
I performed my assessment and noticed that he had a hard, distended abdomen and hypoactive bowel sounds. It had been four days since his last bowel movement. The night was full of teaching. We discussed his dietary options, which were diabetic and heart healthy. Over time, persistent high blood sugar levels may damage blood vessels and in the body, increasing your risk of eye, heart, blood vessel, nerve, Psych clinical reflection essay kidney disease.
Maybe this is one of the reasons he had to have his CABG surgery that was necessitated by the coronary artery disease. She just dropped off a thank you card and some treats.
I asked if she was feeling better. She said she was feeling better five minutes after it the TIA happened. I asked if she was taking her medication like the doctor had prescribed.
She said that she was being a good girl and taking the medication like she was supposed to do. She is a fireball. But, I am glad the patient education is paying off. I was assigned the same patient and the patient next door, a year-old male who had a repair for a meningiocele after laminectomy.
Since I had two patients today, I had to do some prioritizing before I could do anything else. I first printed out the RN patient reports to see if anything had changed for the original patient, because I had an idea of what he already required.
The second patient was in a great deal of pain and had different needs, so I had to be sure I knew exactly what was happening and if his needs were more urgent than the other patient. The first patient had meds due at and the second patient was getting morphine via IV hourly so he was going to be buzzing around Both patients had stable vital signs and no critical problems, so atthe second patient actually requested to be discharged.
This was pre-approved by his doctor earlier in the day and discussed at report by the nurses. So, we went in and gave him his 2mg morphine via IV. Then, Gina RN and I went over the discharge paperwork with the patient and his wife.
The discharge process is pretty simple. You go into the computer and select the discharge summary and print it out. You should also go to the Micromedex and print out information on any prescriptions they will be filling.
You run through it with them, answer any questions and then they leave. There are no signatures required. After that patient left, I then did my assessment on my other patient and he was stable without any change from the day before. The only thing I had to do was give a Fleet enema, reinforce teaching about diet, medications and ambulation and do multiple assessments.
Thankfully the enema worked. When I reassessed his abdomen it was semi-firm and his bowel sounds were still hypoactive, but more active than earlier. The patient reported being more comfortable. I had a lot of charting to do.
I did actually have to hold Hyzaar because his BP systolic was less than So this was new for me when charting, but I did it correctly. It is important to understand the pathophysiology of diseases. It helps in patient teaching and it also helps you understand how it can lead to other disease processes.
Several things I had to focus on were proper medication administration, proper charting and patient comfort level. For medication administration it was vital to remember the Five Rights — right drug, right dose, right patient, right route, right time and then proper documentation.Clinical Reflection in Nursing Students are asked to write reflections as part of their nursing curriculum.
Recently, the students were asked to read an article and compose a response based on what they were experiencing in the program. Open Document. Below is an essay on "Clinical Reflection" from Anti Essays, your source for research papers, essays, and term paper examples/5(1).
Clinical rotations are a critical component of your nursing education. Your nursing clinical experience presents the opportunity to work with real patients, experience work environments you may want to pursue once you have earned your Bachelor of Science in Nursing, and learn how you will work with fellow nurses, physicians, and other members of the health care team.
Clinical Journal One Milford Regional Medical Center The nursing process is an assessment, diagnosis, plan, implementation and evaluation of our patients. As a practical nursing student this is something we are learning and improving on daily. Assessment is the most important part of the nursing process.
The assignment: write an essay about a patient they treat, a clinical situation, or a moment of self-reflection. Some of our most profound experiences, such as witnessing a birth, suffering with a loved one or comforting someone who is dying can’t be expressed through scientific writing, Churchill says.
Jonathan Monterosso. Dr. Hunter. Orientation to Psychology. December 12, Final Reflection. Ever since graduating from high school the question that always came up to me was what do you want to major in once you start your college career.