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
What I learned from this movie that will impact my practice as a nurse is to never assume that a client who holds the same profession, smart, or a scholar is able to comprehend their own diagnosis or treatment plan so quickly. Regardless of anyone’s position, we should inform the client about their health conditions and treatment plan with great sensitivity and respect. I felt that the client was not given enough time to think about her decision regarding the chemotherapy treatment involved. Dr. Kelekian and his team are respected well in their work and research. However, they seem to focus more on their research and often times failed to treat Vivian with respect and sensitivity.
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.
This scene displays paternalism towards the patient. Paternalism is the best interest of the person whose autonomy is being compromised. Jason does not respect Vivian's right of not wanting to be resuscitated because he only views her as 'research'. The nurse Susie protects Vivian's paternalism by calling off any act of resuscitation. The nurse displays extreme paternalism because she is preventing harm to her patient.
It is easy to bypass family interactions and focus solely on the patient, but nurses are missing a huge amount of information that is relevant to the continued care of the patient when they do not take into account the family structure, context and other important variables. The care of the person managing chronic illness rarely falls on just the individual afflicted and the nurse misses what is happening outside of the hospital that play a huge role in the patient’s care. Chronic illness is ongoing and the successful management of such an illness may have far reaching impacts on many other family members. To help ensure the best possibly continuation of care and support for the patient and the family, the nurse must find ways to interview, assess and involve the family factors in the patient’s
As the plot progresses and Dr. Sayer is exposed to many more people in the hospital, and eventually starts caring for his patients and their respective families, he emerges from his own shell and starts to develop a rapport with Eleanor, the nurse on duty in the ward. While Eleanor had previously made a few attempts to speak with Dr. Sayer and invite him out, Dr. Sayer had been too shy to accept. After learning from Leonard the importance of love and relationships in life, he is able to muster up the courage to invite Nurse Eleanor out for coffee. Maslow’s hierarchy of needs All humans have an innate drive to seek relationships to satisfy their need to feel loved. Nobody wants to remain alone, so they will naturally reach out to others to satisfy this need.
In my interview, sissy explained that the attention she got made her feel validated, her concerns were listened to and she was felt as if she were in good hands (S. Johnson, personal communication, February 5th, 2018). In addition to giving attention, from the patient’s perspective moderation is key. Patients do not want a dominate nor do they want a passive doctor. Most patients want a doctor that is a happy medium. A doctor that is too dominate can be perceived as aggressive and dismissive.
Reflection on Medication Administration Description (Competency 3j) I have looked over my moral development regarding medicine administration and have noticed there is the need for improved and has been agreed with my mentor to write a piece of reflection to identify areas of concern Feelings One of the major concern is the pace of dispensing and the time spent used to open charts and allocate them is one of my weakness. Although I am learner I need to back up the pace of dispensing so that patient doesn 't feel my skills is dull or boring and waste of time. I Had developed that feeling of being extra careful to avoid drug error and that makes me feel slightly nervous more also being under the influence of supervision as well. Evaluation
As well as checkup calls on patients after discharge making sure they are taking their medicine as well as understanding everything they were told while being seen. Shera said “a lot of the time many different patients never fully understood what the doctor told them as well as the instructions given to get better, calling and checking up ensures everything is understood and that the patient will be safe.” The final job she could have during these two days are checking quality measures and closing gaps for a wide range of insurance companies. While doing all of these different jobs she works with a wide range of other health field professionals as well: Mental Health nurse practitioner, physician assistant, medical assistant, doctors, psychology, and administration. Having a wide range of coworkers helps during the work day as well as success for the patients. Shera’s favorite to work with are the Medical Assistants because they get to know the patient than the doctors as well as others who work with the patient.
Though I excel in providing zest, humor, and creativity I need a little help in the leadership, teamwork, and justice department. As a nursing student I have learned that you can not always look to doctors for help for they are called into medical emergencies all the time and might not be available; sometimes the nurse will have to take charge in case to see that everything goes well. When it comes to being the leader of a group project I tend to fall back and work as a supporter in fear of making a mistake or I feel I do not have the required skills to properly execute the solution to a situation. During my years as a student observing nurses I have learned that you cannot shy away from sharing your ideas or doubt your abilities, especially when your ideas could save someone’s life; you must exuberate self-confidence and courage to present that you are willing to take risks when necessary. In the health care profession teamwork is essential, doctors, nurses, lab technicians, nutritionist, etc.