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Nursing Reflective Essay

442 Words2 Pages

My field experience with Vidant Home Health and Hospice was rewarding and challenging, but overall it was such a privilege to work with patients and their families at the most vulnerable times in their lives. I intern with the social worker and the Chaplin to know how the social work part works and the bereavement part works. I learned to use evidence-based practice and psychosocial evaluation to make sure that I was able to give the patient and the family the best care so I could help increase the quality of life and provide the patient a positive environment. When conducting an assessment, I learned that communication with the interdisciplinary team is critical so that patients and their families receive the best care possible for end-of-life …show more content…

While I was interning in hospice, I had to to make sure the patient is comfortable, free of pain, provided emotional comfort, make sure their mental state is okay, and make sure to supply their spiritual needs according to their culture. I was not sure that interning at hospice was the right thing for me because it was numerous deaths. As I began to work more with the patient and the family, I became more at ease and more dedicated to helping, listening and learning about hospice and the patient on a more profound level. I was able to relay information about the patient to the interdisciplinary team and come up with a plan that would assist the patient, and their loved ones, through this challenging time of end-of-life-care, and to make this difficult situation as smoothly and stress-free as possible for the family. Working with The Chaplin gave me the opportunity to become a spiritual counselor, to actually create a bereavement plan prior to death. After the loved one has died I make phone calls to the families to see how they were dealing with the loss of their loved ones. I helped set-up a bereavement group for families to talk openly about their loss and how difficult it was to move on. I help set-up shops for families that were called memory bear, where families could bring a piece of their loved one clothes and make teddy bears out of

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The services provided by Hospice are emotional support, medical services and spiritual resources for people who are in their last stage of a serious illness. Family members are not forgotten as services are provided to them for managing practical details and emotional challenges of caring for someone who is dying. The loved one that comes to Hospice is usually within the life expectancy of 6 months. BBH uses a team approach to provide professional services to provide individualized care to the client. The health care team includes attending physician, the registered nurse, hospice aides, social workers, the hospice chaplain, music therapist, trained volunteers and

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This summer I was assigned Final Gifts by Maggie Callahan and Patricia Kelley. Both authors worked as hospice nurses and were able to share their thirty-three years of first- hand experiences and knowledge with us to help better our understanding of the special awareness’s, needs, and communications of the dying. The book focuses profoundly on the physical, metaphysical, and psychological traits the dying encounter weeks or days before death. Both Kelley and Callahan are experts at observing every little behavior of the sick and being able to pinpoint specific signs that mean death is approaching. Not only does this book concentrate on the sick and their needs, but it also fits in the families and their duties in such hard times.

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It makes reality settle in thinking that I could be managing residents like that someday soon and it makes me excited. I would love to be an impact on residents lives daily and know that they are truly receiving the best of their end-of-life care. Everyone in this world grows old and you hope that you will be taken care of someday so why not pay it forward with working in the health care field while being young. In this field it is very clear that teamwork is a priority. There is never a decision made without associates confronting each other throughout the day.

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Sometimes, the dying patients just need someone to talk to and someone to listen. Therefore, the nurses from hospice assist the patients with the emotional, psychosocial and spiritual aspects of dying. After receiving care from the hospice nurses, the patients would feel that they are dying with dignity. The nurses from hospice will also provide counseling to the patients’ family and friends, so they can overcome the grief faster. However, sometimes health care providers are very focused on curing the patients that they would forget to humanely care about the patients’ emotion.

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“Commonly, the nurse is the provider closet to the dying patient and his or her family and is in the best position to identify when the services of other disciplines are necessary” (Lange, 2012, p. 381). So many times, I have walked in situations, and must be the barrier of sad news and my first question is do you understand this state of condition, and most families understand but they need guidance. Just recently I tried to talk with a patient about hospice, and he flat out told me he did not want to hear anything about that because he wanted to go home. I asked if he could tell me what he knew, and his information was all wrong, and he thought he had to go to a facility to live out his last days. After I educated him on hospice care and pain control, talked with the doctor about his interest in home hospice the patient was so thankful.

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The past year I have seen how much of a big difference hospice makes. I have seen how patients and their families become attached to their hospice team. I have witnessed all hospice team members working together to be supportive to families when their loved one has passed. I never knew how much of a difference hospice can make until my time at Homestead. I saw how the entire hospice team cared for each and every patient and wanted to make the patient’s last days the best they could possibly be.

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As part of the nursing pathway at school, we are given an opportunity to work one on one with real residents at a nursing home. When I began working with these wonderful people, I was saddened by their inactivity and complacency. As a result I wanted to be a source of their joy not just a care giver doing a job. Therefore I dedicated myself to create an atmosphere where these humble residents are able to enjoy their golden years. Nonetheless I began to create a strong bond with the residents I would read to them, talk to them, as well as care for them.

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Hospice Isn’t Just for the Sick HospiceDirectory goes on to promote hospice’s commitment to improving overall quality of life, not only for terminally ill patients, but for everyone who surrounds them. Every quality hospice care facility knows that the involvement of friends and family members is an absolutely essential component of effective treatment and care. That’s why, in addition to looking after terminally ill patients directly, hospice serves caregivers http://auburncrest.com/services/what-is-hospice/ by training them in basic support functions and educating them about the intricacies of terminal care. Friends and family members can also access counseling to prepare them for the many losses they will face as illness progresses and bereavement care to help them cope with postmortem grief.

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As a CNA in those situations, my support role felt very caring. So yeah, that all planted the seed. When I graduated with my BSN and got licensed, I didn't go straight to hospice. I worked in a hospital for a few years.

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The purpose of experiencing a hospice clinical was to give me the opportunity to observe and participate in the care of my patients who are receiving hospice care in their home. My first encounter occurred in Jenks, Oklahoma at the patient’s personal home. Upon entering the house, we were greeted by his wife and one of their sons. Before we spoke with the patient we had a pre-conference in the patient’s living room with his wife. My nurse asked how the patient’s wife was doing and the wife stated that she needs more help with his care.

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First of all we have the Amedisys hospice physician, which treat the patients for their chronic illnesses when in need. We have the Registered Nurses, which give the medications and manages it to control the pain that are needed for the patients; also we have a 24/7 on call services for Hospice. We have social workers who documents the patients evaluation that determines if the patient is still eligible for hospice or not; and also we have the chaplains that’s there for their “Bereavement”. And last but not least is the Hospice Aide, which is my Job Title. I am the one that does most of the work, but the last in order; I document the patients daily routines, meaning their wounds, their skin tears, their personal care and promoting compassionate dignity and affirms quality of life for the patient, family members, and their loved

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As an individual with a strong mentality, sympathy and the power to lend out a helping hand, I visited the nursing home every week to help out the residents. I wanted to be strong and brave, so I am capable of taking care of the residents and helping out the community. In a healthcare setting, I have the emotional intelligence, knowing how to control my own emotion, to prove myself as a member of the discourse

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In Comfort Care Hospice all of the workers play a very important role. The Attending Physician coordinates care for the patients, and the Medical Director provides oversight and expertise with after-hours availability. Volunteer Coordinator trains volunteers and makes arrangements for requested visits, this job also usually the Social Worker takes over. The Social Workers job consists of giving emotional support and providing financial guidance. The Chaplain usually also is the Bereavement Coordinator this job consists of providing spiritual support to the patients and families.

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During my time as a student midwife I cared for a number of bereaved parents and while it was a challenging experience I found it to be very rewarding also. Student midwives are offered the opportunity to complete a one week elective placement during their training program. I elected to spend a week with the clinical midwife specialist in bereavement and gained a wealth of knowledge from observing her practice during that week. Following the completion of the Higher Diploma in Midwifery I worked in the labour ward of the National Maternity Hospital. I thoroughly enjoyed this experience and spent over three years working very happily in the labour ward.

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