Therapeutic De-Escalation In Nursing

Day two clinicals. This day went so much smoother. I had the same two patient as the day before and one got discharged and I got a new patient. I feel like my second day I had an amazing relationship with my one patient. I got her to eat a little more that day because I knew what to talk to her about. When people are happier they tend to eat more than being depressed. She really enjoyed my company. Since she had a stage 4 pressure ulcer, they got an air mattress bed. We had to move her out of her old bed onto this new bed. In which I was worried about because she was bed bound. We had more than enough people to help me accomplish this. I had about seven people help with this process. I am very grateful for all the help I receive for this. I got to help you mess with the

3.Which of the following is typically NOT a responsibility of most emergency medical responder s?

Over the years the Mexican health beliefs has been influenced by tradition, Indian supernatural rituals, and a strong influence of European folk medicine from Spain. Throughout Latin America these beliefs and practices are shared widely. The health system is all very close related to the culture just as anything they do as a distinct race of people. Health to the Mexican people is seen as a gift from God, however; illness is always looked at imbalance from an outside force. So in hind sight it is seen as God punishing one for their sins. For an individual to be inevitable they must be able to endure illness. Traditionally there are many ways and solutions that Mexican people follow. For example, prayer and beseeching the individual through their time of sickness with lighting candles.

The aim of this report is to reflect about a critical incident that happened during my practice as an anaesthetic nurse trainee using the Gibbs reflective model (1988), which is one of the models that suits better in healthcare settings. This critical incident fits perfectly with the description made by Benner (1984) in a way that promotes nursing care with a substantial difference on the patient outcome.

For the purpose of this assignment I have chosen to reflect on not knowing how to treat a confused patient with dementia.

The day began with a care conference by an interdisciplinary team (psychologists, social worker, nurses, and psych techs). Every patient on the wing was discussed about their current situation, behavioral problems, or change in care plan. The nursing process seemed to be utilized when dealing with these problems. The problem was assessed by the entire team, the root cause was determined, a plan was established to implement, and then would be evaluated the next day.

From the beginning of my nursing endeavors, I knew that working at Broward Health will be my goal. My work towards it wasn’t easy, but I hope that this healthy challenge will be rewarded one day. Whenever I could, I choose to have my clinical rotations at one of Broward Health System hospitals. My first three clinical rotations were on oncology floor at Broward Health, where I was exposed to patients with various and serious conditions. Despite the fact that most of these patients were suffering, they fought and had hopes in them that really made me going. My clinical rotations were not only interesting, but gave me necessary experience and strength to get through my nursing school. I’ve learned to be present in the moment for patient’s emotional

At the beginning of this shift, we listened to the report from the night shift nurse and went over the patient chart to get some information about the patient who we were going to be interacting with. We also went over DSM-5 about depression and took notes about expected findings we might see on this patient. Then we were ready to interact with the patient. The patient was in his room, so I asked a nurse technician to direct the patient to stay in the day room for a while. We started to assess the patient when he was walking to the day room. We engaged in about ten minutes of conversation with the patient and got some information including suicidal ideation assessment. After the conversation, we also noticed how the patient interacted with staff and other patients.

It is very important to provide feedback to the learners now and then during their learning process. Swann (2002) states that a good clinical instructor is the one who demonstrates an ability to provide feedback to the learners related to their skill performance and behaviors. Various roles of the clinical instructor should be multifaceted and include various responsibilities such as facilitating, supervising, coaching, guiding, consulting, teaching, evaluating, counseling, advising, career planning, role modeling, mentoring, and socializing (Jensen & Mostrom, 2013). Providing frequent feedback to students during their clinical practice by the clinical instructor is more recognized as an important part of undergraduate and graduate health sciences

Patient suffering from Parkinson’s disease MUST receive their medication on schedule. This is the most important nursing intervention for a nurse to remember. When the medication for Parkinson’s disease is not administered as scheduled the chemical in the body become imbalances and signs and symptom of the disease process become uncontrolled, resulting in a decrease in the patient’s ability to perform activities of daily living for themselves and an increase in the amount of assistance that the nurse will have to provide. This is also very important because correcting chemical imbalances in the body is a process that occurs over a period of time, and achieving a therapeutic level of medication for the patients’ functions

1) I took responsibility for a full patient load during the last few weeks. I was responsible for doing a head-to-toe assessment, administering medications, and charting. I was responsible when contacting the necessary members of the interdisciplinary team, such as PT/OT, SW, the care home, the laboratory, or the MRP. I also spoke with family members in person and over the phone. I maintained patient confidentiality by not giving any identifying information over the phone, and stayed within my scope of practice, identifying to the family members that they would have to wait to speak to the physician to find out certain information.

Even when not on duty, as a professional, nurses must follow the principles and values comprising the NMC Code (2015). In my example, I have showed NMC Code (2015) 5, to treat people as individuals and uphold their dignity. I ensure that people in my care trust me with their health and wellbeing (NMC, 2015). I introduced myself to the patient and explained every intervention that I provide and act in the best interest of the patient at all times (NMC Code:4 , 2015). I had to take the patient 's Electrocardiography (ECG) tracing since patients presenting with chest pain must be considered for a resting 12 lead ECG in accordance to the National Institute for Health and care Excellence guidelines (2010) to ensure that my practice is in line with the best available evidence (NM Code: 6, 2015). With the patient 's gender in mind, I asked for his preference and concerns to deliver effective care (NMC Code: 2, 2015). I can see that the patient is anxious and this could alter his results. A research survey conducted by Crossan and Mathew (2013) proposes that the level of comfort of the student nurse and the patient is affected by the nature of

This paper will explain the seven principles of patient-clinician communication. It will then apply three of those principles to my interactions with my patients. Next, it will describe three methods being used in my area of practice to improved communication between the patients and clinicians. It will ultimately choose one of those principles that applies best to my practice and clearly describe how I use it. It will describe ethical principles that can be applied to issues with patient-clinician communication. Finally, it will explain the importance of ethics in communication and how patient safety is influenced by good or bad team communication.

According to Julia Wood (2004), “communication is a systemic process in which individuals interact with and through symbols to create and interpret meanings. However, Sheppard (1993) suggests that, in the nurse–patient relationship, communication involves more than the transmission of information; it also involves transmitting feelings, recognizing these feelings and letting the patient know that their feelings have been recognized (M, 1993)”. It is a two way process. The patient conveys their fears and concerns to their nurse and helps them make a correct nursing diagnosis. An excellent communication skill between nurses and patients is essential for the successful outcome of individualized nursing care of each patient. The ability to communicate

Every nursing, in order to consider the profession must have an understanding of at least three of the five professional values, in my opinion. These values consist of altruism, autonomy, human dignity, integrity and social justice (Taylor 96). Beginning with the professional value of Altruism, the believe in or practice and self concern for the well-being of others (96). I believe that in order to be the best nurse you can be for your patients, you must understand the concept of altruism. As a nurse, your profession is to take care of people, if you do not know the professional value of altruism than you cannot possibly understand how important it is to care about the wellbeing of your patient. Not only do you need to focus on the wellbeing of your patient, but the patient