One of us quickly put on the blood pressure cuff, applied the SPO2 probe and connect the ECG lead to check on her vital sign. I also immediately do the physical checking to check for any bruises or cut. Another staff nurse went to inform the doctor in-charge regarding the incident, where I stayed near Madam Y to comfort and reassured her. I was relief knowing that all the vital sign was normal and she didn’t get any post trauma cut. Around 1.45PM the next afternoon shift staff arrived.
• Mr. George Rivera, a 38-year-old Mexican male, admitted with high blood sugars and newly diagnosed with diabetes. He is scheduled to be discharged today, but still needs some reinforcement of diabetes education. He does not speak English very well. • Scheduled admission is Mrs. Mary Smith, a 75-year old black female admitted with change in mental status. ER calls to give report at 0800.
This intervention is one way to establish a bond with an patient who may be presenting as agitated or anxious because it creates a relationship of mutual respect, which leads to the lack of need for aggression (Price &Baker, 2012, p. 314). To foster this technique, I used a variety of different therapeutic approaches, such as facilitating expression and shared problem solving. By allowing the patient to divulge how she was feeling about this sudden change in her life, she was able to communicate openly which allows for the expression of anger and frustration (Price & Baker, 2012, p. 315). This patient talked openly about every feeling that she had occurring due to the news of needing the colostomy, even her most private emotions which showed our growth in rapport with her, as we made her comfortable during this visit. Furthermore, I used the intervention of shared problem solving by recognizing the patient’s anxiety upon first appearance of her and asking what was happening that was causing her to feel that way in this moment.
I continued to care for my patient by changing her linen and helping her bathe. I spoke to her in a friendly therapeutic manner making sure she was happy and in a good mood. The assembled multidisciplinary team of professionals came into the room and told my patient that her current arrangement at home was unsafe for her and that she was at a greater risk of developing medical problems which can be deteriorating. The patient understood completely what was at stake, her Mini Mental State Examination score was 28 of a possible 30. She also understood all the risks involved, but remained uncooperative.
Being stuck in a room, no opportunity to interact with your peers, and little time to play with anyone other than your family. Her mom noticed what she needed in order to keep developing properly, by letting her control little aspects of her day, it made the hospital seems less intimidating. As her mom says, "I saw it as a way to preserve some sense of Hannah 's dignity. So many things were literally being forced down her throat, she needed to have control over something" (Housden 95). Maria being a stay at home mother allowed care for Hannah as her focus, taking care of herself last.
The emergency department has always drawn my interest due to unexpected injuries, and how many people walk through the doors. I don't know who will come in next, and have no way to prepare besides making sure the equipment is working. During my shadow experience, it was not at all busy, and I was able to follow the doctor to discharge one patient who tried to pass a bowel movement, and fainted, while driving. I also got to greet a tachycardic patient complaining of chest pain with the nurses, and later with the doctor. Although I was unable to witness many patient interactions with the doctor I shadowed, it allowed me to see the other side of his role.
The health care team provided warm blanket for the mother and dimmed the lights so she could rest while they closely assessed her. Marrisa and I left right after the providers made the mother comfortable due to the time restrains, because it was the end of our clinical rotation for the day. One of my many views regarding this procedure is that safety is always first. The health care team made sure that the patient was safe during the whole procedure. In addition, the maintenance of the patient’s body integrity and privacy were provided by only exposing the body part that was being operated on.
All information and data are kept safe and confidential, and can only be disclosed if the client gives us permission to do so. For example, talking to their relatives, if they are going for appointment outside the home. If a client becomes suicidal, a doctor must be
As a leader within my fraternity, I've performed and practiced therapeutic communication without even being aware of it. This week I was able to active listen to patients, such as a patient who explained his glaucoma to us and how it was partially fixed, but a complication arose that needs to be assessed and stabilized. I also was able to sit down and talk with a patient before her bath to see what she wanted to wear. Asking open ended questions, active listening, being silent to give her time to respond, etc. enforced my therapeutic communication within the healthcare setting.
I think looking back I should have taken initiative and gone to my preceptor before entering the room, so she could have informed and prepared me for what I was about to see. Although the nurses were very helpful once Katie was transferred. They explained what had happened, they discussed their reasons for doing everything they did, and they
The information charted within the patient’s record is with them for the rest of their life and for this reason, it is critical that every bit of information charted is correct and truthful. Aside from this, SimChart has taught me to talk to with my patient as they are the physical beings behind the written information. While it is important for the charted information to accurate, it is also important to remember that all technology has malfunctions. While completing my SimChart, the system crashed on me multiple times. This was frustrating and discouraging as I felt like I was just trying to do my job and chart information on my “patient”.
The family said they wanted his girlfriend’s sister (Tina) to be the caretaker for the victim. The reporter has not spoken with Tina. The reporter said in the past, the house was unsanitary, had a foul odor, and roach infested. Also, there was limited food inside the home, when the girlfriend was living there. The victim attends the Coastal Planning Health Center and they were not checking his blood sugar, and his blood pressure has been so high in the past.