In simulation lab I was required to exercise my communication skills with a standardized patient. My preceptor requested that I do the introductory phase. Firstly, I stated my name and basic information and I asked my patient’s name and explained that I will be asking her a series of questions in order to get to know more about her and her conditions. I began formulating questions based on her statements made and ensured to listen attentively, however minutes into the interaction, tension grew in the room, since I was being assessed by my peers, and I became nervous and experienced a breakdown that felt uncontrollable. I attempted to gather myself and was reassigned to a new patient and was then required to test my planning and implementation …show more content…
Further questions allowed her to open up about her daily life activity. The patient explained that she was a sales agent for a candy company and would usually nibble on a piece of candy when hungry. I took this opportunity to explain to her the effects such action can have on her health condition. After gaining what I thought was sufficient information I went into exercising my planning and implementing skills. I first explained the importance of taking the medication and also gave her ideas about introducing complementary therapies. Secondly I discussed a diet plan with her that prevents the worsening of her condition. I explained the type of food which can aid her condition and the foods she must avoid. She agreed that she needed to change her eating habits and will make efforts to do so. Thirdly, I informed her that exercising needs to be incorporated in her daily life’s activity. I gave her the idea of walking on evenings for after she has returned home from work. Lastly I ensured she understood everything we discussed and found ways she can implement the plan I came
D1: For the recommendation, Aisha totally needs to cut down on the sugary, salty and fatty food that she eats. To be able to reduce the negative effect of her health, first of all she would need to cut down on the amount of sugar she has in her tea. I would recommend her to cut down from 3 to 1 and a half and maybe use semi skimmed milk. This will be able to reduce the sugar and fat intake she has. For her toasts, she could try and use margarine as it has less fat than butter or have plain toast to reduce the fat intake. If Aisha finds it hard to reduce/ cut down her sugar and fatty intake, I would recommend her to get help and advice from specialised people who work with service users who have diabetes. This might include visiting a clinic and asking questions about what food to eat and which ones to avoid in order for him to have a better health.
As technology evolved and based on the number of epidemics or even disasters being reported in recent years, most hospitals including the Veterans Hospital where I currently work have already opened a simulation lab. The simulation labs unlike before do not only focus on everyday concerns, but they have been having simulating drills for natural, epidemics, and man-made disasters. Based on my experience, the exercises are very intense and portrayed to be as real as it could be.
The simulation that I experienced today was with an elderly patient that just had a left hip fracture fixed and she was fresh from surgery. The patient was confused and drowsy when she got to me. It was expected that the patient would be like that because of coming out of surgery. Her blood pressure was low because she was losing fluid in the form of blood from her Jackson Pratt drain that was in place. Also she was losing fluid from her left hip dressing. So I did for that was reinforce the dressing. To help with her blood pressure being so low I called the doctor to see what we could do and she suggested that we give normal saline 500 ml bolus over 30 min. After about 15 min her blood pressure was starting to come up and normalize. What
While I didn’t realize it at the time, the process of answering key questions about why the Clinic would build a family history-based clinical decision support platform exposed dimensions that are clearly linked to macroergonomics.
Prior to my planned matriculation into medical school, I have decided to seek gainful employment in a field that differs from my undergraduate biology courses. I do this as an attempt to gain experience from as many different subjects as possible, in return this will allow me to be a well-rounded individual. I have held a position known as the Global Wealth Investment Management Senior Operation Representative. This was a position for Bank of America/ Merrill Lynch financial advising firm. This position is offering me countless perspective on the financial world. This position has put me in the advising seat, which allows me to counsel the Financial Advisor or Client Associate, based on their record books and how to maintain or service the
Sometimes failure can really be the best teacher. This was the case with the Lakeview Regional Hospital Simulation Exercise. During the simulation, I learned a lot about working with a team, knowing when to stand firm and when to compromise. I have been a part of plenty of projects, but sometimes I can be a little lost when it comes to the healthcare aspects of things. It was during these times that I looked to my teammates to assist with filling in some valuable blanks about the healthcare environment. I do have a lot of experience with introducing technology, training and media relations. It was during these parts of the simulation that I could really lend a helping hand. The simulation illustrated the importance of buy-in amongst the implementation team as well as other members of the entire organizations. It showed that there will always be some inherent resistance, but that doesn’t mean that change is impossible as long as there is some flexibility.
This paper focuses on a simulation based on a health care organization that is having financial problems. The simulation is based on a cardiac care hospital called Elijah Heart Center. The paper discusses decisions that had to be made based on financial dilemmas Elijah Heart Center is facing and how these dilemmas can be solved based on the decisions made in the simulation.
Thanks for the links Nilson, I agree that medical technology is being incorporated in almost any area of the healthcare system. Currently within my simulation lab we use simulation mannequins for blood pressure, breath sound, labor contractions and everything else that a real human being can do. I enjoy teaching with the mannequins when the students are in the first semester, however after a few months have past I typically encourage them to work with each other. I find that the students master the skills better on a real person then a simulation mannequins
-The Institute of Medicine recommends simulation as a method of teaching interventions in high risk situations.
The presented article from the New England Journal of Medicine discusses the relationship between the changes in healthcare regulation and the ways in which these changes serve to diminish concerns from the general public. The nature of the global health law system was then discussed and it was identified that in place of a treaty monitoring body are several “soft” and “hard” law instruments that the World Health Organization (WHO) utilizes to establish the “legal norms” that serve to establish the best practices in healthcare throughout the world (Gostin & Sridhar, 2014). Healthcare regulation at the international level is carried out via a combination of laws which are established at the national level and are then enforced by various governing health services in different countries. These legal norms are comprised of a combination of these soft and hard legal
While working in an urgent care in New York City for over the last year, I have learned how vital it is to have a team approach when caring for patients. After reading previous students testimonies about the small class size, great student to teacher ratio, and support from everyone in the program I knew that applying to this program would allow me to strengthen my personal education will being part of a team to further enhance my education. I also would be really excited to have access to the patient simulation laboratory because having the opportunity to get a feel for what being in the room with a patient is like will allow me to feel more confident going into the clinical
The five day dietary assessment gave us a chance to see what the patient was consuming and how often. Five to six days a week the patient had fruits, juices, eggs, meat, fish, poultry, and vegetables other than starches during a meal time. Just as often she was having, milk, yogurt, potatoes, rice, other starches, cheese, and soda with sugar with both meals and snacks. In between meals she was enjoying cookies, cake, pies, and pastries at least three times a week, and sugar free gum every day. A few times a month the patient would have Coffee or tea with added sugar or flavorings, sports or energy drinks, and candy during both meals and snacks. Three things that she never consumes are cereals, diet soda, and gum with sugar. C.S. states she
John Keats once said, “Nothing ever becomes real 'til it is experienced.” (Goodreads Inc, 2009). Nursing is a profession that requires great expertise. To become an expert at anything, it takes a lot of hard work. It is important that nursing students gain expertise in patient care by providing direct care to real patients.
The realistic simulation as a teaching methodology in health makes a significant contribution to the training of more skilled professionals, thereby producing technical, ethical and political expertise to face the health problems in which they are inserted. Accordingly, this study intends to unveil the viewpoint of the student after its learning on nursing by means of the realistic simulation. The methodology path was constructed based on the phenomenological qualitative research. The research scenario was a higher education institution in the city of Itapira, countryside of the state of São Paulo. We performed interviews with seven undergraduate nursing students enrolled in the aforementioned institution. Regarding the theoretical framework,
The main learning point in the first year in the clinical setting were common examinations such as chest x-rays and becoming confident communicating with patients (unitec.ac.nz, 2014). Initially I felt intimidated and anxious in this environment because I had someone that I had just met, watching and listening to everything I said and did. This is fairly common and is referred to as 'supervision induced anxiety