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My Experience At Healthsouth Rehabilitation Hospital Of Largo

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After being at the clinical site for over a month now, I have found my experience at HealthSouth Rehabilitation Hospital of Largo to overall be very educational and preparatory for the upcoming semesters and future clinical site rotations. I believe the essential factors contributing to my successful experience included not only my clinical instructors, but also the variety of patients I had the opportunity to care for. I believe the diversity of disease processes and injuries I was exposed to over the last month helped me to broaden my sense of patient care experience, and overall better understand how one disease can essentially affect the holistic well-being of a client. Reflection: Over the course of this semester’s clinical rotation, I set out to try to achieve a better sense of what being a nurse in the rehabilitation setting meant. Shortly after, I found out that the objectives of rehabilitation meant safety- not only for the patient, but also for the nurse as well. While working with mainly with geriatrics this semester, emphasis was placed on, but not limited to: fall precautions, maintaining open airways, and in general, prevention of nosocomial infections. During active interventions to …show more content…

Although I strived to take care of my patient and also participate in helping as many other clients as I could, I feel like there was always an extra opportunity another classmate had with their patient, simply due to their patient’s condition, that they could further learn from. Nonetheless, when possible, I always chose clients or requested to be assigned to clients with different diagnoses that I did not have prior experience with, and because of this, I do believe that I did learn a diversity of procedures, instruments, and overall specified, patient-centered

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Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.

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Time is certainly flying by this semester, as I attended my fourth visit at the NovaCare Rehabilitation this week and next week will be the midpoint of my PTA 211 clinical affiliation. I enjoyed another busy day at my clinical site; upon my arrival I checked the caseload for the day. With evaluations and routine patients we were expecting 29. However as the day proceeded this amount was minimally reduced to 26.

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This protocol recommends a fall-risk assessment and implementation of a fall prevention plan for every resident, as well as an incident report for every fall. The assessment includes checking for problems that increase the likelihood of falling. Here are some additional steps nursing homes can take to maintain a safer environment and prevent unnecessary falls: - Assessing patients after a fall to identify and address risk factors and treat any underlying medical conditions - Educating staff about fall risk factors and prevention strategies - Reviewing prescribed medicines to assess potential risks and benefits - Adapting the nursing home environment to make it easier for

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Significance of the Problem for Nursing: Prevention of falls in the elderly is an extremely important facet of nursing. Elderly falls often result in fractures, pain, decreased mobility, traumatic hemorrhages, as well as increased healthcare costs. Due to the increased prevalence of injuries acquired from elderly falls, increased risk of morbidity in the elderly experiencing falls, and the growing number of elderly patients, it is of vast importance that nurses research and incorporate evidence-based fall prevention practices to prevent falls in the elderly

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Falls account for a majority of the injuries to patients in long term care facilities. With falls being such a prevalent problem in the geriatric population it is important for nurses to take into account many different aspects of the problem and make it a priority to reduce and even eliminate the problematic issue with the long term care setting. Nurses should be most concerned first about the safety and well being of their clients, injuries, lasting disabilities, and costs associated with the falls. “Falls account for a significant portion of injuries in hospitalized patients, long term care residents, and home care recipients. In the context of the population it serves, the services it provides, and its environment of care, the organization

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These situations have taught me that doctors treat their patients in a holistic 13 manner, considering their dignity when deciding on the best medical help. Coming across a 14 woman with dementia and a fractured femur highlighted the need for good doctor-patient 15 relationship by showing empathy for the patient, clearly communicating their medical opinion 16 whilst also listening to the patient's thoughts, showing understanding and compassion. Nurses 17 and physios used a high level of teamwork to provide effective care, making sure that there 18 was a better outcome for the patient and their families overall. I enjoy being part of the 19 team on the ward, getting close to patients, serving them tea or just talking to them has 20 allowed me to tailor my communication skills to suit their needs. 21

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This act created a major revision of standards of care for nursing homes. This legislation also changed the expectations and the quality of care that patients should receive in long term care facilities. This Nursing Home Reform Act passed by congress specifically stated “that each residents have the right to be free from any physical or chemical restraints imposed for purposes of discipline or convenience and not required to treat the resident’s medical symptoms”. While there may be some benefits to using restraints in nursing homes, however, studies have shown that using restraints in nursing homes negatively impacts patients and for the most part does not prevent them from falling or from other incidents that may occur. There are very high levels of risks associated with the use of restraints (Lapane,150).

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(Joint Commissions, 2014).It is important for nurses to explain how to use the call light to the elderly patients, and also to ask for help before getting out of bed. Vulnerable patients should be placed close to the nursing station for close monitoring. It is very important to educate health care workers on the approaches used to prevent falls. The measures used to prevent falls in the elderly could include; carrying out a risk assessment during admission, placing colorful stickers outside their doors, stopping the use of psychotropic medications, teaching them the best way to use their assistive device, placing their call light and belonging within their reach, placing their beds in the lowest position with brakes /wheels locked at all times, removing throw rugs from their surroundings, making sure that they are wearing non-skid shoes/socks before ambulating and also giving them their prescribed Vitamin D supplement as well as encouraging them on the use of their corrective glasses or hearing aids. It is very important to educate health care workers on the approaches used to prevent

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It also provided the use of critical thinking and clinical judgment on how to prevent falls, support, and be accountable for a client professionally. The practical knowledge I have learned helped me become aware of assessing and assisting a client. As a nurse, our job is to provide “safe, compassionate, competent and ethical care” (p.8) and collaborate as an interprofessional team to deliver safe care and prevent risks from happening while offering quality nursing care (CNA, 2017). I will always provide the professional care under the code of ethics to promote health and wellness for an older adult and prevent risks from happening. As well as following the plan of care, use communication strategies, be aware, acknowledge, and accommodate individuals with different diseases such as with dementia, to promote fall prevention strategies (RNAO, 2017).

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As older adults age, their ability to function gradually decreases. This decrease in function, such as mobility, vision, or hearing, causes the older population to become vulnerable. As nurses, we have a responsibility to keep our patients safe and provide optimal care. The purpose of this discussion is to discuss one thing I have learned that I did not know previously, and what I found to be most surprising. Finally, I will discuss one piece of information most likely to affect my nursing practice.

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My first comprehensive exposure to the health care field was six years ago as a senior, during which time I participated in hospital-based schooling. This program allowed me to observe a multitude of different medical disciplines, with rotations in surgery, orthopedics, nutrition, dermatology, gastroenterology, neurology, administrative services, and many more. Three out of the five school days were dedicated solely to shadowing, and the other two were spent in the classroom learning various medical-centric studies. Once in college, I continued to shadow physicians whenever my class scheduled permitted. I participated in the 4-U Mentorship program, which paired me with a fourth-year medical student who was preparing to do his residency in general

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As working as a Certified Nursing Assistant in a long term care rehabilitation facility, I encounter many elderly patients who are admitted for fall related injuries. The majority of patients are recovering from total knee and hip replacements as a result from falling at home or elsewhere. Fuller states, “Falls are the leading cause of injury related visits to emergency departments in the United States and the primary etiology of accidental deaths in persons over the age of 65 years…More than 90 percent of hip fractures occur as a result of falls, with most of these fractures occurring in persons of over 70 years of age” (Fuller, 2000, para.1). There are many factors that can contribute to the reason why individuals, particularly the elderly,

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681 Words | 3 Pages

The level of care that the varying healthcare professionals provided to these patients was fascinating and became intrigued to a career path in the medical field. Over the next couple of years, I narrowed the possibility

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(Julia J. 2013) Emotion and willingness to treat have significant influence on the therapeutic relationship between practitioner and patient. Patient is our teacher. Patch Adams understands himself better after helping Rudy. There is always something to learn from each patient. Some patients with chronic disease know more about it than any practitioner because they live with the disease for decades.

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Investing my time in the care of my patient gives the opportunity to not only assist them in a difficult situation, but also to learn more about their diagnosis and the treatment, while comparing it to what we have learned in class. For example, I had a patient that suffered from Sickle Cell Disease and came to the ER during a crisis. Correlating this case to the books and the content learned in class, these patients receive at least 1000 mL of fluids, pain medication, and oxygen. Additionally, I had a patient with meningitis. This individual presented with common symptoms such as nuchal rigidity, muscle pain, fever, and chills.

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