Today at clinicals, I performed health history on a patient. Before starting the day, our preceptor went over our objective, before gathering to listen to the nurse’s hand over. At the end of the hand over, I volunteered to pray. This is the first time I was asked to I say a pray in the presence of the nurses on shift. I was nervous throughout the entire pray, but, nevertheless I was happy to be able to pray of our behalf.
Today’s focus was on culture and communication.We were placed in pairs to interview and take health history on a patient. As usual, we have adapted Nightingal’s theory into our routine, and as a student nurse, this theory together with Hildegard’s theory is very easy to pick up and easy to implement in our nursing care in clinical every Thursday. Ensuring that the environment is safe, practicing safety checks, gathering necessary equipments, and washing our hands before we go to our patient, is a top priority. This has now become a habit for me every Thursday. Before we went by our patient, we took a moment to listen the doctor’s rounds. We gathered around, as the doctors were by a patient’s bedside. That patient had
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I introduced myself to the patient and told the patient what I was going to do. I used Peplau’s theory to build up nurse-patient relationship. During my health history, I asked open ended questions to encourage the patient to talk and ask questions. I took into consideration the patient religious view, avoided stereotyping and pause at intervals. I had to consider the patient’s educational level and use words that can be understood. My facial expression, posture and eyes had to be pleasant so that it does not interfere with interpersonal skills in comparison to previous experiences. I had to exercise Leininger’s theory of care, the patient being the central theme of nursing care. We concluded the health history by ensuring confidentiality according to HIPPA’s
The medical field in relation to varied cultural beliefs and traditions is something that is important to many, yet rarely talked about by almost all individuals. In other words, the cultural clashes created in medicalization is under looked by a multitude individuals. This is because many do not experience the hardships first hand. For that reason, the thought of difficulties within treatments of health issues or illnesses does not cross some individual’s minds. Nonetheless, each group of people is unique, in addition to, how they perceive the medical world.
Nurses and physicians need to express themselves in a clear and precise manner, their message should rely on verification and collaborative problem solving. They need to displaying a calm and supportive demeanor under stress, maintenance of mutual respect, and authentic understanding of the unique role (Robinson, Gorman, Slimmer, Yudkowsky, 2010). Not everyone was born being able to express themselves in such a manner, therefore providing the necessary education and skills will help both nurses and physicians gain the confidence and competence they need to work
I communicated with the patient’s, my preceptor, other nurses, the PCT’s, PT, and the kitchen staff. When I was in the patient’s room I was sure to explain what I was doing, and answer any questions the patients had about their plan of care. I worked with my preceptor throughout the shift, asking questions, clarifying orders, clarifying medications, procedures and more. I communicated with other nurses by thoroughly receiving and handing off report. I communicated with the PCT’s that I would perform the vital signs for my patients and worked with the PCT when my patient needed labs to be sent down.
Talk about what went well in the scenario. I perform vitals sings and communicated effectively with Mr. Ahmed. I educated the patient in areas such as dehydration, fall risks, intake and ouptup measurements. In addition, I administer oral and intravenous medication to ensure proper drug
“Clinical gaze”, a term coined by French philosopher Michel Foucault from The Birth of the Clinic, deals with the transformation of doctor-patient relationships over time. Since the birth of modern medicine, Foucault states that doctors tend to view their patients more as a disease and less as a person. Before the improvements in science were made during the 19th century, doctor carefully listened to their patients and heavily relied on their narratives to make a diagnosis. Not only were these narratives were a central part to the doctor-patient relationship, but they also helped build a sense of trust within the doctor and individuality within the patient. Doctors were viewed more an “advisor” and “friend” rather than a complete authoritative
Peplau (1988, cited by Betts, 2002, in Kenworthy et al, 2002) argues nursing as an interpersonal process. Betts (2002) argues that effective communication is intricate and obscure. Both the nurse and the patient are distinctive individuals, and they both bring with them their perceptions, values, interpretations and experiences to the interpersonal process. To achieve trust, the nurse must use openness, honesty and effective communication
the why we approach patients in a certain way. Look forward to broadening my knowledge base, learning theory behind nursing and approaching patients in a different way. When caring out orders and discharging patients today I'm thinking of the learning style and
Peplau’s theory include three phase: orientation phase, working phase and termination phase. The first phase is the “orientation phase”, it is initiated when patient go for professional assistance, I introduce myself because before that we are strangers to each other and analyze patient’s situation,explain the reasons of learn Ryles tube feeding technique and know more about how the patient feel and also some basic information the patient, giving the leaflet is one of example. Patient comes with anxiety, through the communication process, nurse should help patient to identify what the problem is and comfort patient mentally, have you heard about attitude determined everything?
As I was getting my assignment for the day, I was thinking “Am I going to remember what to say, or how to perform certain skills?” But, to my surprise, I was able to jump right back in. My patient was an 84 year old male, admitted with a blocked common bile duct. I was, able to talk with him, and do his assessment with no problem.
On page 114 a patient stated “sometimes when I am having a bad day, you know, why is this happening to me? I say to God”. As nurse, it is important to help a patient understand their struggles and offer to pray with them. This chapter emphasize on the power of praying with a patient when possible. A family member states on page 115 “I was particularly touched when she prayed for Jonathan in the Hospital”.
Nurses have to face with patients, families, physicians, and other professionals who are a
My Sense of Purpose at Work Dela Gana, Karol Raneses June 24, 2015 Summary— my nursing career allows me to obtain essential qualities to what I believe is needed to be a successful nurse. I established important goals to remain on this path for success. It made me the person I am today. It is hard to just pick one memorable moment because it is the big and small daily happenings that make nursing such a rewarding profession. It is priceless profession.
I begin to think about how my patient is living, what kind of housing are they living in, can they afford their co pay or medication if they do not have insurance’s. I learned that, community health nursing look at the population not individual patients. I learned the various resources available in the community and how to refer my patient who is in need to these resources. I learned that care in the community must be available, accessible, and acceptable in order for care to reach the population. Most importantly, I learned not to be judgmental especially to my disadvantage patient that might be homeless or
Each patient represents a specific case who has different background, personality, preference and conditions. Thus, it is important for practitioner to learn from each patient and document it for future reference. Scene
Personal Health Records Can Save Lives, and That Life Could Be Yours Too! We know what you are thinking after reading the title! Still wondering what Personal Health Record is? Well, if you’re a person who has trouble keeping your health records in a proper way, then this is the information you shouldn’t miss.