Similar to our law enforcement counterparts, nurses often have to deal with patient who falls into the sick, sad or mad categories. We don’t see our Members at their best and sometimes they don’t bring out the best in us. Despite our intentions to provide the best patient care, when the time, effort, energy crunch is on, it is easy to fall down the slippery slope due to things do not always go our way. This is a child that was referred to CM on November /2014 for post discharge follow up process due to seizures episodes and Dx grand mal w intract epilepsy. Also, child has PMH of Cerebral palsy/GERD/ Microcephaly/developmental delay. CM educated and listening Mother regarding her child’s disease in order to prepare her for coming and changes
When choosing to pursue a career in the health care field, most enter the workplace with the desire to help and provide care for patients who are critically ill (Lombardo & Eyre, 2011). Far too often, these health professionals who were once sympathetic and caring become victims of compassion fatigue (Lombardo & Eyre, 2011). As a working health professional it is ones duty to compassionately care for the sick, wounded and traumatized patients, which involves being exposed daily to the patient’s pain, suffering and trauma (Coetzee & Klopper, 2010). Experiencing this type of trauma first hand is an un-recognized side effect of being a health care professional (Briscoe, 2014). It is easy to get wrapped up in patients, their
As nurses, we are charged with providing the best possible care to our patients, meeting their needs and working towards positive outcomes. Nurses work with all ages, races, disease processes, every medication from A-Z, independently or with a team. Nurses take orders from physicians face-to-face, over the phone, and in writing. It may be shorthand, misspelled, or pronounced like you have never heard, and you must clarify it with the physician, the pharmacy, the patient’s chart, and the drug book before you administer. Some patient’s curse us, some praise us; We cry with
Chloe is a premature baby who was born at thirty weeks gestation. She is brought to the office today by her mother for a well child-infant examination. Chloe has a history of grade 2 intraventricular bleed and has been followed up by a neurologist until her family’s move. Chloe had to stay in the NICU for a month after birth due to her being premature and having the intraventricular bleed. According to her mom, the infant continue to have poor neck control and has been having starring episodes. Chloe has not received any immunization because her mother does not want her to become autistic. Chloe is poor feeder, per mom statement. The infant was receiving therapy (speech pathologist and occupations therapist) prior to moving.
The role and responsibility of the nurse can be overwhelmingly complicated. Professional nursing is a fundamental component of health care, as patients and families view nurses as the foremost caring and trusted member of the multidisciplinary team (Van Wagoner, 2016). Unprofessional practice creates a threat to patient safety and can impact of patients feeling unsafe physiologically, psychologically and culturally ("Disruptive and unprofessional behavior", 2014).
Patients, in any healthcare setting, deserve respect and care that is centered on their unique needs. Nurses and health care are required to assist them to achieve this goal. Changing the health care system will require us to reestablish our
At this point, this patient has expressed that, he is in pain and has become physically agitated, I would have to describe to patient’s moral development stage to be Gilligan’s phase 1, in that he is concerned for his own survival. The nurse can be best described as experienced in the Behavioral Psychology nurse with years of experience in different care setting, I feel that, nurses development would fall with Gilligan’s phase 3, The Imperative of Care, in which, “reflects a deep appreciation of connectedness, including responsibility to self and others as moral equals, and a clear imperative to harm no one” (Burkhart, 2014, p.116, para 4). As for the nurse’s aide, that her role in this situation had had caused it to escalate and she had become
For the most part, hospitals are places where one comes for healing and it is place where our clients should feel safe and away from harm. Nurses have an important role as a patient advocate and are to provide all clients with safe, compassionate, and quality care at all times. Nonetheless, the hospital can also be a dangerous place for inpatients. It is a foreign environment to clients and there may be alterations in their medical condition in regards to their physical and/or mental status. With this said, there is a need to improve upon how we care for our clients, especially those who are at most risk for various incidents.
One needs to be there to comfort them and keep them calm when needed to. Caring for people come with the job of being a nurse. If a person cannot care for the people they are helping, they will not surpass as a nurse. In order to be a nurse, one has to have a great deal of patience. In a single shift, one may have to deal with aggressive patients, angry family members, a grumpy co-worker or supervisor, and even some patients who have many “intestinal accidents.” To get through all this, one needs to keep positive and have a smile on their face.
When the new accessory on your wrist is a hospital bracelet, it can cause anyone to be led down the trail to crisis mode. The emotions that throw a person down the potential crisis trail are caused from many different areas, but two of the most prominent are not knowing the course of action to feeling helpless towards the situation. Families and patients alike look for someone to make sense of the medical issue that they are encountering and during this time they find that the registered nurses caring for them are the individuals that are there to support them both in a medical facet all the way to supporting. These selfless individuals have extensive education to become a patient’s or a
Nowadays, the preferred pathway for a nurse discovered at work under the influence of drugs or alcohol is support and treatment rather than being fired on the spot. The intended goal is that after treatment and rehabilitation the nurse may eventually return to work. But a vital element in this plan is early intervention.
Being a nurse I have experience different situations on a daily bases. In my nursing career utilizing the patterns of knowing are very important to maintain a positive nurse-client relationship. Reflecting on an experience I encountered at work one day was a learning experience. I received my assignment for the day. While receiving report I found out that I was assigned to a patient who is known for giving the nurses a hard time. After receiving report I collect my thoughts and proceed to go into the patient room and introduce myself as the nurse to develop a good rapport. I explained the plan of care for the day and provided teaching about how important it is to not miss dialysis and being compliant with taking medication. Knowing the patient history she was noncompliant with medication and was at risk for losing a lower extremity due to Diabetes. I knew the patient was not emotionally stable so I was extra attentive to her needs. The patient verbalized understanding and I exited the room. Outside of the room nursing staff was having a conversation at the nursing station. The patient heard people talking and laughing and assumed that the nursing staff was talking about her. The patient started yelling for the nurse from inside of her room stating “why are y’all talking about me” I politely told the patient that nobody was talking about her and I apologized if the staff was being loud. After that the patient became very uncooperative, aggressive and verbally abusive
It’s 2:00 pm, seven hours into a twelve-hour shift, and a nurse is assigned to six ill patients. Two are fresh out of surgery needing pain medicine, three patients are there for gastrointestinal issues and they have not kept food or water down for days: one elderly patient with altered mental status who does not know where they are and has frequent falling episodes. Each one of these patients is calling out for assistance when the nurse is trying to go for lunch. There is no resource available to help. All other nurses are attending to their patients. The nurse has to skip lunch to assist her patients. Families are upset that patient care is not being performed as fast as they want and now the family is venting frustrations at the nurse
Nursing is a profession that thrives in the most stressful environment. It requires not only physical strength, but also the mental capabilities of an individual. Medical institutions are heavily dependent on individual skills because these strengths define the nurse’s degree of responsiveness and urgency. Lacking one of the requirements may cause danger to someone’s well being, or even worst, death.
Over many years, it has become epically evident that the manner in which a situation is handled can make or break how an individual is viewed from a patient’s perspective. With relevance to prior experience, I believe that a nurse must be caring, empathetic, responsible, and detail-oriented, which through demonstrative practice, I can with confidence, state that I’ve placed great emphasis on during my nursing career. From long term care to Sparrow Hospital I’ve experienced an array of emotions from: joy, pain, and disappointment from the many aspects and perspectives of my career. With this I rest assured that I have been sculpted and molded to be the pleasing nurse that is before you today.
One responsibility of performing nursing care is caring for patients who are terminally ill, nervous, depressed, in pain, worried, and in very poor health. It is easy for a nurse to indulge herself or himself in patient problems as if they are their own. When maintaining a close, personal relationship with the patients the nurse cares for every day, the nurses also feel the sting of pain, death, and illness of their patients. Dealing with situations such as these for long periods of time in the work environment, nurses are very susceptible to developing compassion fatigue. The term compassion fatigue has been used since the 1990’s to define situations where nurses experience feelings of helplessness and displeasure or cut off their own feelings in response to the stress they feel seeing their patients go through times of devastating illnesses or trauma (Kolthoff & Hickman, 2016). Compassion fatigue is also referred to as secondary traumatic stress disorder and can be just as serious as suffering from post-traumatic stress disorder (PTSD). It can affect nurses in providing care, which is why it is important for everyone to be aware of the signs and symptoms of compassion fatigue, and know what can be done to prevent or treat this type of traumatization.