When I think about different cultures, their beliefs in health care my culture and emergency room (er) visits come to mind. This past week I had two er visits with close family members. My granddaughter’s visit which was an ordeal with needles waiting, and the fear of the unknown and what is to come. Then the next day my mother fell her face a bloody mess. Same thing needles testing, and waiting.
This is when the client wheeled up to me, asked who I was, and stated she was having a difficult morning. A nurse watched me talk to her and later explained she has autism and had been hospitalized in the rehab unit for over two months from a motor vehicle accident where her best friend died, and she was severely injured. The client clearly expressed her main concern was being discharged from the hospital. She had become acquainted with the hospital setting and formed relationships with her health care team, especially the nurses and aids. The client verbally and physically expressed she was unhappy about terminating the relationships she had formed at the hospital.
However, as difficult as it was for women suffrage movement, the organization was not fruitful, and the Pankhurst also ended their London residency in 1893 as they moved back to Manchester. A year after their return, Emmeline was elected for the unsalaried Board of Poor Law Guardians, and as she came into office, she gained acknowledgement of how the law was harshly administered . For instance, the inmates were being poorly fed, little girls around seven to eight years of age were on their knees scrubbing the stones along the corridors with the same thin cotton clothes for both winter and summer, and pregnant women in the workhouse were doing the hardest kind of work. The poor children were treated like paupers, with poor education, which lied in a totally opposite condition to the wealthy little ones. Pregnant women were forced to be separated from their two-week old infants, or if they choose to be together, they would have no money, no home, and no place to go.
The nurse writes “this man” which is an indication she had no connection to him prior to her experience saving him. This type of action is a clear indication on the vital role the nurses played in the war. Another situation described in the nurse's diary provides evidence of their collective bravery “Towards the end of the first week in October a message came for all the staff to assemble in the
“Lady Macbeth” is a 14-year-old female, currently inpatient at a hospital, for obsessive and compulsive behaviors. She reports that at age 13 these behaviors started to arise and she describes the rituals and thoughts that were present during this time. She says that she was afraid of germs that were on her clothes and on other things, so she would shake her clothes for a half hour before she felt comfortable putting them on her body. She stated that it would take her 6 hours to get ready to go out to do something socially because she would have to shower and would go over and over again cleaning herself, to the point that her hands would be cracked and bleeding. Soap and water became not enough for her to get clean so she began using rubbing
After 2 hours of driving, we arrived to the hospital, the doctors told us that she has suffered from severe dehydration and as a results her kidney failed and she might need to be on a dialysis machine. My eyes were filled with tears to know that the absence of the basic medical services in the village was going
On November 8, 2016, I was in the ENT clinic and Henedia, the nurse’s coordinator, advised me to give out certificates of gratitude to the patients in the waiting room. As I was giving them out a patient stopped me mid sentence, she told me how she was dissatisfied with the level of care she was being provided in this clinic. She was telling me about the situation she was in and how the hospital did not help her in anyway and that they were rude to her when she had called the ENT clinic to make an appointment. As she was telling me all of this I was prevented to give out the rest of the certificates of gratitude to the other patients. I wondered how her telling me this can change the patient quality of care given to her and I was thinking of
What are your responsibilities? the position and her title is a nurse and she worked at a nursing home. My sister right now who is and licensed practical nurse and just finish her RN schooling. I learned they can work in the health care facilities and including hospitals and doctor’s offices, and their duties include providing routine care, observing patients' health, assisting doctors and registered nurses, and communicating with patients and their
She had recently lost control of all of her emotions, salivary glands, and careless movements. Every time I would go in the room to check vitals, bathe, or change her, she would just have this deep stare that really frightened me. Her mom would bring her flowers once to twice a week and the smell would linger throughout the room, when I would open her door it was like a breath of fresh spring air. In conclusion, my first clinical experience was scary and a learning experience all in one. My patient and I ended up forming a magnificent relationship where she would allow me to do her hair and suction her tracheotomy.
On March 24th, 2017, I was assigned to Medical-surgical unit of Arlington Memorial Hospital. My patient was 56-year-old woman, came to the hospital complain of abdominal pain, nausea, vomiting, fever, and bloody diarrhea. She was admitted in the hospital two days ago. I had medication check off that day so I was responsible to give her medication. It was my first time administering a medication to the patient.
Recently on the post-surgical unit at Children’s Medical Center of Dallas (CMCD), the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAPHS) scores have declined. It was noted that scores for nurse attentiveness to patient requests and responsiveness to call lights dropped, with an overall decrease in patient satisfaction scores. After careful review of the literature, CMCD plans to implement hourly rounding on the post-surgical unit. Current practice on the post-surgical unit at CMCD is for nurses to check on their patients every two hours. Ethical Dilemma Nurses make a moral commitment to care for all patients and take responsibility for the healthcare environment they work in.
Brenda— Yes, I have experienced desirable turnover in the past. I previously worked with a nurse who made multiple medication errors and poor patient care decisions. This employee was given multiple chances to improve her performance; however she was eventually terminated based on poor performance. Additionally, I worked with a certified nursing assistant who simply did not show up to work for three weeks and was unavailable when management attempted to contact her multiple times. She left a leave form on my boss’s desk that was never officially approved by management stating she would be gone.
My Patient My patient was a 70-year-old female who came in for a scheduled mitral valve repair. The surgeon was unable to repair the valve so the valve was replaced with a mechanical valve. Due to the inability to repair the valve and the patient’s undiagnosed sleep apnea; the patient was on bypass for four and a half hours. When staff later tried to extubate her, and use a BiPap, she became acidotic and was intubated again. Her main diagnosis was respiratory acidosis r/t undiagnosed sleep apnea, prolonged anesthesia, bypass use and
I told her my pain level was at an 8, even though I and no clue what had happen to my knee. The soft spoken nurse had sent me out to the lobby to wait again to be called. Minutes later my mother and older sister had showed up to the hospital. “James Sanchez” said a male nurse. I had stumbled over to him, when he asked how I was doing?
I chose to take part in the gastrointestinal medicine service for our mandatory clinical week since I enjoyed the GI block greatly and heard it was a good mix of ruminating on problems and doing procedures. My assigned team was with Dr. Saloojee and his band of residents. On my first day, the first person I met with was Dr. Stephanie Collins, PGY-5, and we began patient rounds. The first patient I met on service was really medically complex: a middle-aged female that presented with chronic diarrhea that severely affected her quality of life, with a long-standing surgical history including small bowel resections, antrectomy due to a perforated ulcer, and a percutaneous endoscopic gastrostomy tube. She was in the hospital for five months at this