The first section is about the introduction of my speech. The specific purpose and central idea in my speech were clear. I would say I gained most of my audience’s attention in the introduction and that it was effective. My attention getter does orient the audience to my topic. I think it snagged most people’s attention and did motivate my audience to listen.
Introduction and Setting For the last 3 years I have worked in an acute care hospital, on the night-shift as a nurse in the labor and delivery unit. This is a 16 room labor and delivery bed unit that also houses 4 additional triage bays, a full time nursery, and a fully functional operating room This labor and delivery department runs as a 24hour, 7day a week unit with each nurse having to take at least 16 hours a month of call on days, evenings, or weekends. This is a very fast-paced unit, which carries a heavy load of responsibility and stress. Labor is unpredictable with that you never know what your patient load may be from day to day. This is an area that requires knowledgeable and multi certified/trained nurses that are always on their toes and have the ability to adapt and react to emergencies without hesitation.
Saloojee, and this patient was to be discussed. Stephanie gave an update on the patient and gave me a lot of credit for ordering new tests to confirm our suspicion of factitious diarrhea. I really felt welcomed and appreciated for the week to come. Other concerning things on the differential were motility issues, even though she had gastric motility testing come back normal, and colonoscopy with biopsy, despite being previously negative. Now, it could have been an issue with dysmotility in the small bowel, but there are no good tests for that, so the team ordered a capsule-endoscopy to check the entire length of her alimentary canal and measure the time it took from mouth-to-anus, which would clue us in on motility issues.
Doing this would help him better understand his patient’s case, and allow him to make further decisions regarding
Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients.
These outcomes benefited not only the well-being of the patients but the staff as well. The interpersonal relationships I would develop throughout my career would be helpful when faced with conflicts or
This week I met with a social worker at Cherry Health which is located a few blocks from Heart of the City. When I met with the social worker we did a role playing exercise. She played a client that was experiencing depression and sadness. In addition, she role played as a client that she typically work with at the agency and I role played as the therapist. I enjoyed the role play because I was able to receive feedback about my progress.
Introduction This essay is a reflective piece of writing about the critical indecent of a medication error that occurred during my placement. It is a very concise piece of writing due to limited word count of 1500 words. Duke and Appleton (2000) did a literature review and devised a framework of critical reflection, which illustrates eight stages as compare to Gibbs’s (1998) reflective model that consist of six stages. I chose Gibbs reflective model not only it is easy to comprehend but also to illustrate a critical incident.
I would like to give a special thanks and recognition to all of the nursing staff on the great work you’re doing in helping us to advance in service excellence and clinical excellence. Your service excellence skills, clinical knowledge, and critical thinking skills go highly noticed and speak volumes to the patient, family, vendors and floating staff in the unit. I cannot express enough of the positive feedback I receive from patients, families, and floating staff during my leadership rounds. You are truly an asset in the unit in making the patient experience rewarding during the hospital stay.
This reflective writing will discover and highlight the major patient care concept in relation to my personal experience and feelings. Throughout this essay, my reflection will be based on how well I was able to treat the patient who was suffering from severe pain in surgical ward. I will further explore the pain assessment as conducted with one 70 year old patient whom I will refer as Mr X. while describing my overall experience with a single patient, I will also reveal and share some questions and ideas which has provoked me to know more about pain assessment criteria in general. Discussion I will be using Gibbs reflective cycle as a guide for my essay. Gibbs reflective cycle is one of the most used and popular model of reflection which includes the steps and detail including the description that reveals the facts and situation of the case that might take place when incident occurs (Gibbs, 1988).
Client-centered therapy is unique in that it makes me feel connected to my clients on a person-to-person basis. This form of therapy places me in a conflict between my values and emotions. As a therapist, I would need to separate my client 's behavior from their persona, and I would need to address them as an individual not defined by their actions. From my perspective, it would be difficult to display unconditional positive regard to a client that has committed many harmful and violent crimes. I do like certain aspects of client-centered therapy and one day
During these past weeks at the Archbold ER, I had the opportunity to put into practice many of the content learned in class. This included but was not limited to the proper placement of a Foley catheter using sterile techniques, insertion of an NG tube, and assessment of patients. Even though I attempted to complete some of my initial goals for this internship, I noticed that I couldn’t complete a few of them due to lack of time and lack of experience in the field. Therefore, some of my goals that I’ll need to address during the following three weeks include improve my assessment skills, have better communication with my patients, and improve my questioning to get a better understanding of the cause that brought them in. One the most beneficial
Over the past one and half month, the class of PDE 502 (Counselling and Career Education) has taught me some major lessons for life in dealing with the clients in response to their emotional needs. The role of a counsellor is not unlike that of a friend where by it is nurtured by being in each other’s company, talking over everyday issues and sharing feelings. However, what sets a counsellor apart is their experience and the ability to apply counselling theories and techniques to assist people in gaining awareness, insight and explore ways of solving their own issues.
Evolution from Novice to a Beginning Professional Nurse Looking back when I started my nursing school, I can proudly say that I have evolved both physically and psychologically. I was not sure if nursing was the right choice for me at first because I had difficulties interacting with people outside my family circle. The first semester was challenging for me because I did not know how to interact with my class mates and felt isolated each time there is a class activity. I joined a study group later that semester and it has been an excitement ever since.
