Intensive Care Unit: Student Analysis

As a previously described, I grew up in Tijuana, Mexico for the first 18 years of my life and I have lived in Southern California for the past 8 years. During my time in Mexico, I saw and met many people who lacked the adequate access to health care and other essentials such as clean water, food, and electricity. Here in the United States, I have also met many people who lack access to health because of different health disparities, and my mother actually experienced this the first 2 years she lived in this country. These experiences have made me appreciate even more the opportunities, possibilities, and tools I have, as well as to reinforce my goal of assisting disadvantaged communities. I think that my goals, interpersonal and intrapersonal competencies, as well as experiences, will contribute to Loyola’s mission to educate medical professionals who will provide comprehensive patient care and will uphold social justice. As a catholic person, I am aware of others’ needs and feelings, and I respect others’ points of view. I have the sensitivity to understand others’ needs and the responsibility and desire to help alleviate others’ distress. I think that my ethical responsibility, capacity of adaptability and improvement, resilience, and reliability will be a valuable addition to Loyola Stritch School of Medicine mission and diversity.

Canadian researchers spent nearly 300 hours observing and carrying out interviews with staff, patients and families in an intensive care unit and a palliative care unit for people with terminal illnesses. They concluded that "combined with scientific skill and compassion, humor offers a humanizing dimension in healthcare that is too valuable to be overlooked."

My father had an open heart surgery at the Aventura Hospital & Medical Center on June 2011. During his long hospitalization, I was amazed to witness the professionalism and the compassion of the nurses on the 7th floor despite my father tough character and attitude. For that, I am totally grateful and also especially interested to work with those wonderful nurses. My felling for the hospital never faded but grows more and more over the time with my father’s frequent visits to the hospital Emergency Department or my two clinical rotations on the 7th and 9Th floor while I was a nursing student.

Sheriff and Van Sell are nursing professors at the Women’s Texas University and Strasen is a nursing director at the University of Texas Southwest. Sheriff, Van Sell and Strasen present research that suggests nurses and physicians are more likely to encourage family presence during resuscitation (FPDR) if there is a written policy addressing specific criteria for the inclusion and exclusion of family during these procedures. The authors provide a framework to use when writing a hospital policy regarding FPDR. The authors identified several common barriers healthcare professionals have about FPDR and found educational programs about the positive outcomes of FPDR could drastically increase the number of physicians and nurses who would encourage

Patients in ICU usually suffer from serious diseases and has difficult of communication, so their families take the decision behalf them about end of life. The communication between professional health care giver and family is the main key for discuss end of life decision in ICU. The purpose of this integrative review is to identify best communication strategies that professional health care giver can use for discuss end of life decision with families in ICU. This review analyzed 18 primary research studies, which obtained from electronic databases and included adult patients in an ICU setting. The findings there are many strategies with deal with families of this review support the communication strategies; different strategies were effective

This includes active listening, maturity, attention to detail, respecting and supporting patient wishes, not shying away from difficult situations, responding fairly and promptly, and maintaining a positive manner about you. As a volunteer with hospice, I have had the privilege of working with a number of patients nearing their end of life. Through this experience, I have grown a greater level of maturity, and learned to deal with loss and emotional setback as I gain insight into the difficult situations that my patients deal with. It has shown me the power that words can have, and made me a more receptive listener and communicator in general. As I continue to grow and develop, I hope to find more ways to get myself into situations where I can participate in challenging conversations. Here, I will be tasked to think more critically about the words I choose, and will work to ensure that the idea I intend to convey lines up with what I actually

Jill is a highly intelligent experienced med-surg nurse looking to expanded her nursing abilities by switching to a more demanding area. She is very excited and optimistic about her new career in the ICU. Jill quickly begins to question her decision about her new field when she starts to experience slight hostility from her new colleagues.

Every day when I go to work, school, clinical, or preceptorship, I treat each person that I will be caring for as if they are a blank slate regardless of their history and background. I believe I go into a patient’s room thinking this way because I do not know them as a person, I only know them from what I have been told and what I saw on a computer screen. I believe that everyone should be treated kindly and with respect at all times. I value that nursing is my duty and my ends are not immoral because I am helping someone get better. As a practicing catholic, I find that I often pray for my patients. I feel that care is not only being present for your patient physically but also spiritually. My values in practice helped guide me to work with children because they cannot do wrong and I feel as though I cannot wrong them. I also believe that my values and beliefs influence me to work with those that are very sick to help maximize their time here on earth if they are terminally ill, even if it is just from a brief encounter. I do believe that I will hold many family roles not just as a daughter, but I hope as a mother and wife and I am aware that upholding traditional family roles will be hard while working as a nurse. However, I am confident that the family roles will be able to be bent as they are now in order for my

Suddenly, he began to weep; he knew. All of my life I believed that knowing the right things to say was the secret to being an effective helper. However, I quickly realized that it was not my job to be the hero, neither as a volunteer nor as a physician. Rather, it is my duty to provide the highest level of care possible. There is no established recipe to comfort others, but the ingredients required are the same for everyone: compassion, empathy, and patience, qualities I use today and will use in the future as a healthcare

Emergency medicine started in Japan in 1963, and the first, second, and third emergency medical system was developed in 1977 in order to cope with the increase of sudden illness and a shortage of hospitals that admit critically ill patients1). The system of emergency life-saving technicians was established in 1991, finding a new direction of prehospital care that provides initial treatment to emergency patients who are in a state of cardiopulmonary arrest or disturbance of consciousness2). Then, the knowledge and techniques of emergency nursing ranging from emergency skills to the nursing of mental aspects of patients in a crisis situations have developed, and the fostering of emergency nurses started in 1995 in order to put

Over the course of their career, their roles have developed from health professionals who respond to requests to attend people suffering health crises to a healer, clinician, teacher and leader. Healing is a process of supporting another physically, mentally, and spiritually during their illness. Illness has a great impact on the patient’s wellbeing and in some worse cases, the patient’s life can be in danger, therefore leading them to feel helpless. As a healer, when Paramedics empathise, respect and display a genuine concern to help a distressed patient, they are seen by the community as a compassionate caregiver – a healer.

Nurses often face ethical dilemmas and moral distress throughout various levels of direct and indirect patient care. According to Moon and Kim (2015), patients often die in the intensive care unit, and ethical conflicts frequently occur due to a variety of factors, such as verbal abuse, poor communication between health care providers, and increased incidences of end-of-life issues. I think this is a very important subject to think about, especially when these conflicts can significantly impact job satisfaction, burnout, and ultimately threaten the quality of care for patients. Furthermore, a qualitative study conducted by Henrich et al. (2017) shows that healthcare providers often experience negative emotional repercussions from moral distress in the ICU, and patient care is frequently perceived as being negatively affected. In addition, the same study reveals that nurses and other health care providers in the intensive care unit are more likely to leave their job due to moral distress as compared to other hospital settings. Research has shown that moral distress and ethical issues can have profound impacts on health care providers, such as patient safety, workplace dissatisfaction, and emotional suffering. As a practicing ICU nurse, I also have my fair share of

Second trimester miscarriage is often under reported and lacks recognition in both clinical practice and the literature. There are varied definitions for second trimester miscarriage and terms used to describe miscarriage in current literature. Miscarriage is defined by The World Health Organisation (WHO) (2001) as the premature expulsion of an embryo or fetus from the uterus up to 23 weeks of pregnancy and weighing less than 500g. Internationally there are different views on how second trimester miscarriage is distinguished from miscarriage and stillbirth. In Australia and America pregnancy loss before 20 weeks is considered a miscarriage and a stillbirth is defined as fetal death after 20 weeks (The American College of Obstetrics

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Critical Care refers specifically to those patients receiving care for life-threatening conditions. ED doctors and nurses triage and