Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients.
Henrietta Lack was an African American woman born in 1920 who helped science define some of the world’s medical discoveries. Many woman were dying every year from cervical cancer. Little did she know what the future held for her and millions of other people. This situation saddens me as a medical professional because a human was treated as a specimen rather than a person. Even though this was many decades ago, I feel as though there still should have been standard practices in place that prevented this kind of behavior from those who are supposed to be trusted most, health care professionals. The article we had to read in a previous assignment is a wonderful account of Henrietta Lacks life and the impact she made on the world today. It
Dress down day, also known as casual Friday, is a day in which employees are allowed to wear casual attire. While dress-down day maybe appropriate for some occupations it should not be practiced in the healthcare setting. Healthcare professionals should always be dressed professional as they are providing a service to people who may be having a potential life-threatening situation. In the book “If Disney Ran Your Hospital 91/2 Things You Would Do Differently” the author tells a story about a nurse coming into the waiting room dressed as a clown to tell the parents that their child passed away during surgery on Halloween. The parents were justifiably distraught and requested a meeting with the CEO of the hospital. The CEO was deeply upset and stopped dress down day. He did not want to chance another encounter like that could happen again. Patients rely heavily on their healthcare providers to guide them through the medical process. Professional dress will help to establish trust between the patient and the health care provider. If the provider is not able to obtain the confidence of the patient it my have a negative impact on the patient’s willingness to follow the plan of care. When the healthcare provider is dressed professionally and is easily recognizable it helps to decrease the level of stress and anxiety of the patient.
In this case study the primary nurse, Amelia Wilkerson, is caring for a patient, Katy Palmer who has recently been admitted to the hospital for fatigue and abnormal lab counts. The patient asks Amelia for information regarding her diagnosis. Amelia has seen Katy’s results and knows that she has been diagnosed with acute myelogenous leukemia. The ethical dilemma seen in this situation is that it is outside of the scope of practice for Amelia to discuss Katy’s original diagnosis with her. This is reserved for the doctor alone. However, as a nurse that has developed a relationship with her patient it would be very difficult to not answer her question honestly. In addition, the patient might feel more comforted hearing the diagnosis from her nurse rather than the doctor as the nurse has been caring for her and they have developed a therapeutic relationship.
This reflection is sought about through the use of reflective cycles, for example Gibbs (1988). Reflection enables the student to develop his or her own theories behind why an event occurred, this is also achieved by linking theory to practice in order to gain a deeper understanding (Levett C. 2010, Stonehouse D. 2011). For this practice placement portfolio the reflective cycle that I have chosen is The Reflective Cycle by Gibbs (See appendix one) (Gibbs 1988). Although it wasn’t made predominantly for reflection through nursing scenarios, as it was developed for educational purposes, it does give the student a cycle which can be used easily to analyse their event in a linear fashion. Although Gibbs reflective cycle is one which is mainly focused on the event itself, rather than the knowledge that can be sought from delving further into the reasoning behind an event, it does create a cycle which allows the individual to focus on their actions and the reasoning behind what they did. In doing this the individual can create their own theories behind the event and are able to develop a plan for the future if a similar event was to occur (Jasper M.
This week I met with a social worker at Cherry Health which is located a few blocks from Heart of the City. When I met with the social worker we did a role playing exercise. She played a client that was experiencing depression and sadness. In addition, she role played as a client that she typically work with at the agency and I role played as the therapist. I enjoyed the role play because I was able to receive feedback about my progress. The feedback I received after the role playing exercise was to allow silence. I learned this in group supervision last week but I think it is hard for me to incorporate silence into practice. For instance, I am not entirely comfortable with the silence or awkwardness. However, I think with more practice I will be comfortable and able to allow the silence that occurs in therapy. The other feedback I received from the social worker is that I did a good job of applying motivational interviewing techniques such as reflecting and asking open ended questions. As I continue to role play I am becoming more comfortable with the process. I did not experience any difficulties this week. Moreover, I did not have supervision this week because my supervisor was on vacation. However, I did learn plenty of information from the social worker I met with this week.
Fear and apprehension are normal emotions going into an unknown situation. Although I have read in textbooks and have prepared in the classroom for my experience in the acute setting; the “real world” is different than in the books. I have many years of patient care experience as a Nursing
I would like to address the barriers and situation that occurred during the first week of my clinical rotation at Allina United. I understand that my lack of professionalism during the first few days have put my successful completion and graduation of the post baccalaureate nursing program in jeopardy. I would like to make a formal apology to the College of St. Scholastica faculty, my peers and the staff at United Hospital.
What is reflection? Reflection is described as the process individuals use for self-development in their future career. The process of reflection has been used for many years in professional health fields such as midwifery and nursing (Lillyman. S & Merrix. P, 2012).
In the video, nurses were not interacting properly with patients. When nurses first approach the patient, they must not be in hurry and take enough time in interacting with patient and recording their medical history and issues. I would console patients that they will be fine and our clinical team will take better care of them. Before performing any procedure, I would explain what I am going to do and ask for their permission every time.
Although reflection is an imperative foundation of nursing practice, it is only effective in promoting future clinical practice when the practitioner continually identifies their weaknesses and strengths to support their personal growth. They will also be required to develop this process during their practice to improve outcomes for service users (Johns, 2013). In accordance to the NMC revalidation process (2015) school nurses are required to provide a record of their knowledge and how it promotes their clinical practice. Clinical reflection is identified as a recognised educational tool for this process (Queens Nursing Institute, 2015). This evidence highlights the importance of the the student school nurse’s role in reflecting on this critical
Dementia is one of the most feared diseases and expensive to society currently. It is defined as a clinical syndrome of acquired cognitive impairment that determines decrease of intellectual enough capacity to interfere social and functional performance of the individual and their quality of life. It is a known fact that patients tend to express themselves through their behaviour and expect their carers to understand this notion. The diverse kinds of causes of different behaviours are inability to communicate, difficulty with tasks, unfamiliar surroundings, loud noises, frantic environment, and physical discomfort. Many diseases can cause dementia, some of which may be reversible. The term dementia has not been used uniformly in the historical