This case report shares nursing experience of caring a patient whose leukemia relapsed early after hematopoietic stem cell transplantation. The patient later received chemotherapy and peripheral blood stem cell reinfusion for graft-versus-host disease induction. Facing long-term, repeated chemotherapy related side effects and poor treatment response, the patient developed desperation. Such hopelessness patients eagerly need nursing intervention to care for their physical, psychological and spiritual health to help them to adjust these.
Darcee Pierce is the name of the nurse I shadowed. At that point in time I didn’t know which career I wished to pursue. However, within minutes of shadowing Darcee, I knew this was the profession meant for me. I saw patients in critical condition, which was sad, but the care and compassion
I was able to hang IV solutions as boluses. I was able to administer po medications of HTN. I also administered IV pushes for pain and gastric acid prophylaxis. I was able to start 3 IVs. I was able to observe and help during a Trauma code, stab wound.
I got to see several ways that nurses provide care for their patients. I observed ICU nurses care for their ill, elderly patients. I witnessed physical therapy nurses assist their patients to ambulate immediately post-surgery. I noticed how fast ER nurses work to triage their patients. I learned a lot from those nurses but could not decide which unit was meant for me.
Thank you for sharing your experiences, Dustin. Living in a rural area like Terrace when there will times when nurses care for family or friends which “requires caution, discussion of boundaries and the dual role with everyone affected and careful consideration of alternatives” (College of Registered Nurses of British Columbia, 2013). As a student nurse, there were hand full of times that I have to provide care to family members, friends, and former co-workers. In Nursing 330 extended practicum, a family member was admitted to acute care floor medical issues and along with deterioration of mental status between my two sets.
Over the last ten years of working within the health care sector I’ve worked closely with mental health nurses, listening to their personal experiences in a wide variety of settings. Extensive research, work experience and personal experiences of mental health issues such as my son’s recent diagnosis of Autistic Spectrum Disorder has inspired me to pursue a mental health nursing qualification. Mental health nursing promotes and highlights relevant skills that I have acquired over the years that are crucial in this role. Courage to trust my own judgement and competence to make decisions in often highly stressful situations has lead me to be promoted to team leader at work.
During this time, I noticed the difference in care provided between the doctor and the nurse. The nurse offered a more trusting relationship, emphasized the use of holistic care, and provided empathy, which was much appreciated. Thereafter, I began volunteering at Lowell General Hospital and experienced my own interpersonal relationships with the outpatients. I felt truly satisfied during my time there, as I was able to apply my values and experience the gratitude and warmth that radiated from each patient that I helped. Therefore, I chose to pursue a career in nursing, as it is similarly based on my own beliefs and makes me feel like I make a difference in the lives of every person that
The last step is passing the AMFTRB examination for licensure requirements. Marriage and family therapist are there to treat many different individuals, couples, and families. Some cases they deal with clients with depression, marital problems, anxiety, individual psychological problems and child-parent problems. Using many different techniques and tools help evaluate family roles and development. Marriage and family therapy is usually a short-term treatment (around twelve sessions).
In contrast to Tom, the love Isabel has for her daughter blinds her to own principles as well as societal norms. When Isabel first encounters the baby, her motherly instinct kicks in, and her "belly quickens at the very sight of the baby". Following the grief of her multiple miscarriages, she feels "it is not fair that [she] has lost three babies", however believes that God has sent them the child as an indication of her prayers being answered. However, once the "child gets into [her] heart, there's no right or wrong about it", and she begins to deceive herself, ignoring the possible negative consequences of her decisions. The theme of love is shown to override the integrity of Tom and
Perception and Coping among Women Living with Lupus In a qualitative study done by Baker JA and Wiginton K, a convenience sample of thirty eight women volunteers from a Lupus support group were interviewed and also given questionnaires based on their perception and management of Lupus. The goal of this study was to identify the different representations of Lupus made by women and to evaluate the impact the illness has on their self management. Baker and Wiginton came to the conclusion that the more the women knew and understand Lupus, the more they were able to manage living their lives with Lupus. The role of patient attachment and working alliance on patient adherence, satisfaction, and health-related quality of life in lupus treatment
Discourse Community Examination Discourse communities are essential and if we are aware of it or not we are all part of come kind of community. For the sake of this assignment I will be focusing on a community that I am familiar with. I am currently expressed interest in nursing and will soon be applying into the nursing program and officially be declared as nursing once accepted. An interview was conducted on a pediatric registered nurse named Hedi, Hedi is currently a nurse a Sutter medical center and has been employed there for twenty-five years. As a novice in the nursing discourse community I have much to learn.
1. Using the key terms in chapter 15, "Deliberative Nursing Process" create a clinical scenario that utilizes all 8 key terms. MC is a 35 years old male who is admitted to the surgical intensive care unit after an urgent colectomy. MC is in his second post-operatory day, and the surgeon wants to start him on a clear liquid diet. The nurse arrived with breakfast, and MC states that he is feeling better.