Appendices 1, 2, 3 represent my improvement in the domain confidently applies [.....] during the last three years. While providing care to John, in my first year, I worked in partnership with John to be involved in his assessment and care planning process. Moreover, I empowered him to make a decision about his care. However, lack of sufficient knowledge about the most recent evidence limits my confidence in providing adequate information to John and this lack of confidence affected my competency in nursing practice. Youan et al (2012) suggest that student nurses often experience lack of self confidence and hesitation when faced with increased responsibility in patients care.
Many teaching strategies submitted to QSEN intent to improve patient safety. Wisser (2016) develops patient safety and quality improvement educational strategy for pre-licensure students, this strategy encourages nursing instructors and students to review the current National Patient Safety Goal (NPSG), to evaluate safety practices during clinical rotations, to document observations and recommendations on NPSG Clinical Worksheet and to develop a plan of care based on analysis of observations. Patient safety and quality of care is definitely the main goal of United States healthcare system and healthcare organizations such as Joint commission has made a commitment to patients and family members to fulfill the first healthcare obligation “do not
He explained he had took a five year gap before medical school, and he strongly believed it has made him a better student and doctor. He explained that he knew he wanted to go into medicine, but he wanted to gain life experience and perspective before dedicating the next several years to medicine. In those five years, he had gotten married, worked in construction, worked at a business firm, spent two years in the Peace Corps, and worked as a substitute teacher. He believed taking a step away from medicine helped him remember all of the reasons he loved medicine while gaining new reasons. He also explained that time away from school made him more eager to learn when he returned.
Learn Reflection Journal Ngolicukwu Akadinma 300861536 Introduction to Nursing in Ontario IEPN 123 Maclean Carmela 19/02/2016 Look Back. This Journal will focus on my learning experience and knowledge gathered from our lab class in my second week of this semester. On medication administration, it was interesting to learn that two identifiers are needed to ensure that correct medication is administered to the right person. Unlike in my country, charts are used during the administration. This new method is important and effective in ensuring that the patient is safe.
Oral health is a vital component of overall health. Despite advances in access to care, quality of health care, and research. Early Childhood Caries (ECC) continues to be a chronic disease in our youth. ECC has been linked to a higher risk of new carious lesions, hospitalizations delayed or insufficient physical development, a lowered learning ability and an increase in emergency room visits. (Tinanoff et all 1997) Although over the last 20 years we have seen a decrease in the prevalence of dental caries in older children, we have not seen a decrease in the prevalence in children under 5 years of age.
This involved 21 hospitals over the course of one year and required a multidisciplinary team to improve the hospital’s system of identifying and treating delirium in the ICU (Adams, 2015). A patient centered, evidence-based plan was created to decrease incidences and decrease cost to the hospital system. A multidisciplinary team of nurses, physicians, and physical therapists were enlisted to develop the plan CAM-ICU became a part of the electronic medical administrative record flow chart and nurses were trained accordingly. CAM-ICU evaluated several aspects of delirium: “(i) acute change in mental status… (ii) inattention, (iii) disorganized thinking, and (iv) altered level of consciousness” (Adams, 2015). Patients were screened once in the morning and once in the afternoon so that their sleep schedule was not interrupted.
When the Hospital Standardization Program established their initial set of minimum standards, one of the prescriptive measures required healthcare organizations to maintain medical records for patient treatment. The necessity of creating, and preserving a detailed account of a patient’s history, laboratory results, and treatment seems rudimentary today. The Hospital Standardization Program made significant advances in enforcing proper documentation. Building on that legacy, TJC strengthened standards involving appropriate medical documentation by including strict timelines for completion. For example, TJC mandates a patient’s History and Physical (H&P) report be completed within 24 hours of admission.
I am going to write about my first time that I did mistake in my clinical placement. My meaningful event was related to patient’s safety. In nursing care patient safety is fundamental and significant aspect of quality health care (Koizer et. al, 2014). In week six, I did unintentional mistake that may lead patient’s unintentional injuries like falls.The event was very meaningful for me because this is something I will have to do for the rest of my nursing career and I want to be able to do it correctly.
In relation to caring for this patient I displayed strengths in implementing appropriate nursing actions, adapting to change and communicating effectively with the patient to provide patient centered care; however, I discovered weakness such as, a lack of confidence and patient teachings. I believe that the nursing actions I created for my patient this week were well thought out and my ability to adapt to my patient’s changes and mood to implement my actions greatly improved my patient’s overall health. Comparatively, this patient was my first patient I administered medications to and it was evident that I was nervous when explaining the medication’s purpose and actions. However, since then, with practice and my cheat sheet I feel more confident
When I was 15, I had scoliosis surgery to fix my two curves in my spine. Through my experience of having surgery and the nurses that took care of me while I was in the hospital for a week, and the bonded I formed with was what inspired me to be nurse. Also, through my school in a our Health Science Program I got the privilege to go to a hospital every other morning and shadow nurse and doctors. I believe my will to do anything for my patients for them to get better would make me a successful nurse, and I want to form bonds with my patients like my nurse did with me while I was recovering from surgery.
I have been very luckily treated for multiple generic disorders in America since 2001 as a result of advancing medical science and the stunning performance by physicians, surgeons, clinicians and therapists. The medical practitioners had introduced me hopes again and again. It was when I woke up from general anesthesia in Massachusetts General Hospital my surgeon explained to me the implantable device on clinic trial failed to correct my generic disorder; however he reassured me this was not the end of it and we’ll try another device expected to be available after FDA’s approval in a year. I would have a shortened life expectancy if this disorder was left untreated into my middle-age adulthood. Six years later, another doctor in South Carolina identified a
Working in a clinic allows me to vision how my private practice will operate. After shadowing for several weeks, the long eight hours of standing and assisting patients was second nature to me. I have the opportunity to work with pediatric and geriatric patients. Although, I have experience working with both outside of the field medicine, I want to continue while in my career. While interacting with geriatric patients, who tells ten-minute stories before mentioning their real symptoms, I realize patience and diligence is a skill I must possess.
Methicillin resistant Staphylococcus Aureus (MRSA) surveillance screening in an acute care setting can be done through the use of targeted screening of patients who only meet the predetermined criteria or through the use of universal surveillance of all patients. Although it is necessary and appropriate for patients in ICU to be screened for MRSA due to the high level of care, patients in a non-ICU acute care setting could also benefit from universal surveillance screening as they encounter similar risk of acquiring MRSA infection in the hospital setting. As a nurse for almost eleven years, I have seen the danger and increase of MRSA infection on patients in a healthcare setting. MRSA is a mutated form of bacteria. The bacterium is resistant to many antibiotic therapies, which makes
Given this view, there is an increased interest in the difficult problems, risks, needs, and concerns of survivors who have completed treatment and are cancer-free. (NCCN, 2009) in its research it was found that physical and mental quality of life for colorectal cancer survivors was poor when compared to those of the same age but do not have bowel cancer. In support of NCCN findings, NICE (2012) went further and stated that though issues and symptoms were very high within the first three years, long-term effects of treatment can persist and include fatigue, sleep difficulty, fear of recurrence, anxiety, depression, negative body image, sensory neuropathy, gastrointestinal problems, urinary incontinence, and sexual dysfunction. The difficult challenges of colorectal cancer survivors can and should be addressed by health care providers and the research community to ensure effective interventions and models of care to manage these long-term effects of colorectal cancer treatment and long term care of bowel cancer survivors, and improve existing models of survivorship care. Therefore care should shift from surveillance for recurrence initially to management of co-morbidities and receipt of appropriate preventive long-term care objectives.
After verbal description of advanced dementia, African Americans were more likely to have preferences for aggressive care than whites. Also, preferences after the verbal description were strongly associated with health literacy. Participants with low health literacy were more likely to have preferences for aggressive care compared to participants with adequate health literacy. However, after the participants viewed the video, their preferences were statistically significant different (p<0.0001) than after hearing the verbal description: no whites and only 13% of African Americans preferred aggressive