ipl-logo

Clinical Reflection: The Implications Of A Certain Patient

857 Words4 Pages

One significant event that occurred during clinical happened during week five and taught me the importance of learning what the implications are for a certain patient given their diagnosis. It taught me to ask what does a certain diagnosis mean for that particular patient and not just rely on general rules. One of my patients for that day had a brain tumour and it was causing confusion among other things. While collecting patient prep, I had noted that, due to this brain tumour, the patient also was an aspiration risk. However, when I went to give morning meds I didn’t realize the implications of this. I had to be reminded to look at the SLP sign posted above the patient’s bed and to follow the instructions outlined on this sign, which included mouthcare before and after giving the patient any kind of food or meds as well as frequent sips of water. After being reminded of this, I ensured to follow these instructions for the remainder of the day. I felt terrible afterwards that I could have placed the patient in a position that …show more content…

If I had of looked up and saw the sign before medication administration this whole situation could have been avoided. There are often important things that are all around us in nursing. While it is important to focus on the patient, the surrounding environment can also provide critical clues for proper treatment of the patient. Despite the possible severe consequences of this situation, I think overall it taught me many valuable lessons that I have now incorporated to my nursing practice. I try to ask more questions about the implications of a diagnosis to a specific patient. I have also communicated more with other staff on the floor to learn more about patient specifics. I have also found that I have become more aware of my surrounding and always make sure to look up for any signs posted above the patient’s bed when I first meet the

Show More
Related
879 Words | 4 Pages

Furthermore, being able to communicate with: (a) physicians and allied health team members about a change in the patient’s condition or plan of care; (b) nurses about key patient information

Read More
895 Words | 4 Pages

I chose to take part in the gastrointestinal medicine service for our mandatory clinical week since I enjoyed the GI block greatly and heard it was a good mix of ruminating on problems and doing procedures. My assigned team was with Dr. Saloojee and his band of residents. On my first day, the first person I met with was Dr. Stephanie Collins, PGY-5, and we began patient rounds. The first patient I met on service was really medically complex: a middle-aged female that presented with chronic diarrhea that severely affected her quality of life, with a long-standing surgical history including small bowel resections, antrectomy due to a perforated ulcer, and a percutaneous endoscopic gastrostomy tube. She was in the hospital for five months at this

Read More
515 Words | 3 Pages

Why There Are a Large Number of Medical Negligence Claims? A medical negligence also named formally the same as medical malpractice is a circumstances where the patient needs medical care but could not obtain it either as a result of the inaccessibility of the physician in the good time, using the wrong medication by the doctor that may contribute to disability or fatality of the patient, the physician may not make a diagnosis of the disease as it should be, the treatment furnished by the doctor has produced unfavorable effects to the patient or the treatment provided by the doctor is sub standard. Reasons that contribute to medical negligence Medical negligence comes into existence if the patient is caused harm by a physician, nurse or hospital by way of out of order

Read More
1812 Words | 8 Pages

But later, the management controlled the situation by explaining to the doctor what had happened to the nurse making her not to give the medication. The conflict was solved in a cooperative way and the two parties resumed their

Read More
264 Words | 2 Pages

Thanks for sharing your discussion post. You provided a great example of miscommunication in the healthcare field. Our job as a nurse is no joke, because we are dealing with lives. Sometimes we think physicians know it all, but that is not the case. You are right, it is difficult to review a medication especially in an emergency situation, plus you were a new nurse at that time, so you were still getting familiarized with drug doses and uses.

Read More
687 Words | 3 Pages

There was one patient in particular that made me question my judgement several times. This lady was in a Broda chair and looked as if she was ready to hit the floor at any moment. She was constantly scooting her butt to the edge, bending over to the floor, and clearly very anxious. The staff that worked at Ridgewood did not seem too concerned about her falling, but every time I looked at this patient, it looked as if she was about to go down. This made me question myself because I did not know if someone should be watching this patient constantly or if it was okay to walk away and help other patients.

Read More
831 Words | 4 Pages

During my second week of clinical, the first day on the floor, I encountered an incident in which I wanted to reflect upon. I was assigned a nurse to observe her teaching. I had observed that whenever she would enter a client’s room, she would introduce herself, which was great, but she would use elder speak to address the client. This incident stood out to me because throughout first semester, almost every course specifically outlined not to use elder speak as the client might not like it and they might feel a certain way and we as nurses, want the client to have the best experience at the hospital. Not only that, but a professor had narrated an incident of her at the hospital with her husband, in which the nurse assigned to her husband was addressing him as “poppa,” she explained how she did not like that at all because he was not very old and that was very offensive to her and her husband.

Read More
801 Words | 4 Pages

Conditioning is used in our everyday life with or without us knowing. There are two different type of conditioning, classical conditioning and operant conditioning. When I was younger I fell behind on my shots, so I had to go to the doctors and get five shots just to be updated on my shot records. When we arrived at the hospital I was still unaware of what was going to happen. We went into the doctor’s office and the nurse came in.

Read More
763 Words | 4 Pages

I learned that practice makes execution. All the practicing I did with my roommate behind scenes allowed me to be able to assess patients properly. Practicing allowed me to stop stumbling over words, to speak slower, to listen closely to the responses, and most importantly learn how to add sensitivity to the voice when asking the questions in section two. Lastly, I learned that because I am able to complete CCM MDS assessments on the geriatric population in the facility, I am happy to say that I have more patience than I could have ever

Read More
1604 Words | 7 Pages

In this essay I will present and analyse my personal development and achievements along with the challenges I was faced with, in the four domains of clinical care, that were the result of applying the theoretical knowledge and practical skills acquired in the last two years of this course into clinical practice. Additionally, I will be providing an example for each of the four domains in the appendix section, in order to better demonstrate these points. Finally, I will conclude this essay with a reflection of my own learning outcomes as well as a recognition of any and all areas that I find challenging and myself in need of further development. To help with the reflective process I will be using Gibbs model of reflection.

Read More
968 Words | 4 Pages

Reflection has been strongly advocated by the English National Board for Nursing & Midwifery (1994), United Kingdom Central Council (UKCC) (1996), and a wealth of nursing literature over the past decade to improve nursing practice. Reflection is an in-depth consideration of events or situations outside of one-self, solitary, or with critical support. Burnard (1995) argues that, reflection has its roots in experiential learning, as it forms the second stage of the experiential learning cycle. Active reflection gives nurses the confidence in terms of clinical decision making. It can also be a meaning of identifying strengths and weaknesses in practice and enabling nurses to learn from their mistakes.

Read More
1029 Words | 5 Pages

I was able to create better therapeutic communication skills, pick up on the patient’s ticks, learn how to assess for triggers, etc. I will use this in the future because I will come in contact with patients who suffer from a mental illness on any floor I work on. They may not as serious as some of the patients I worked with on this clinical rotation, however, it is still important, as a nurse, to recognize and address mental health issues with patients. I also learned just how important self-care for nurses is. It doesn’t take long for nurses to begin to feel burnt out and lose passion in what they do.

Read More
556 Words | 3 Pages

I was a given an opportunity to became more observant to what is happening around me and pay attention to intricate details and use them to make connections about the person I am taking care of. This quality improves because of the clinicals exposure and the simulations I had experience. I found these activities to be very helpful because it makes me critically think of the actions I would do and words I would said in front of a real patient. These exposures made me also learned to be creative on my plan of care. Furthermore, I know that I did not only improve my knowledge skill, but I also see development on my interpersonal skills with the people I interact with.

Read More
948 Words | 4 Pages

Reflection has been strongly advocated by the English National Board for Nursing & Midwifery (1994), United Kingdom Central Council (UKCC) (1996), and a wealth of nursing literature over the past decade to improve nursing practice. Reflection is an in-depth consideration of events or situations outside of one-self, solitary, or with critical support. Burnard (1995) argues that, reflection has its roots in experiential learning, as it forms the second stage of the experiential learning cycle. Active reflection gives nurses the confidence in terms of clinical decision making. It can also be a meaning of identifying strengths and weaknesses in practice and enabling nurses to learn from their mistakes.

Read More
1390 Words | 6 Pages

Based on the standard of practice for nurses and midwives, standard 1 stated that nurses are required to apply their professional knowledge during practice. It is also important to always have a reason for your act as you do and knowing the consequences of doing it (Benner & Sutphen, 2007). If I had more knowledge about MRSA, I would have known the appropriate PPE to wear in the appropriate timing and not creating fear in Mr Lim. Besides that, limited use of relevant knowledge might affect the quality of care and work (Eraut, 2000). In the case, I could not comfort Mr Lim due to my limited knowledge in MRSA hence lack of explanation given to Mr Lim.

Read More

More about Clinical Reflection: The Implications Of A Certain Patient

Open Document