VA nurses assess, provides nursing diagnoses, plans, implements, and evaluates (ADPIE) care based on maturational focused components. Undertakes accountability for the management of care concentrated on the patient’s process through the range of care, patient and family education, patient self-management, and accompanying circumstances that influence the patient’s satisfaction. The VA nurse considers all attributes of the individual, including age and stages of life, presence of health, race and culture, values, and prior experiences. Administers medications and procedures per policies and procedures. The VA nurse effects patient care outcomes by collaborating with members of the interdisciplinary team.
Introduction: Client My patient, MG was a 72-year-old female who came to the emergency department because of a fall in her bathroom. Her admitting diagnosis was a right hip fracture. Other concurrent health challenges she had were: hypertension (HTN), high cholesterol, chronic obstructive pulmonary disease (COPD), and chronic kidney disease (CKD). MG was a full code status with no known food or drug allergies.
The feeling of being able to alleviate the suffering of an acutely ill patient is at once incredibly satisfying and immensely humbling. I am constantly in awe of the fact that by coming to work everyday, I have the privilege of helping others who cannot care for themselves. During my time in my Clinical Care Extender Internship, I developed a special interest in caring for the geriatric population and have had the opportunity of serving as a personal caregiver to an elderly woman with dementia. I do not take the trust and confidence that my patient places in me lightly and work hard to advocate and provide for her safety because she deserves no less. Thus, in the interest of patient advocacy, as a nurse in your facility, I will seek to improve the practices that will keep my patients safe and promote their healing.
Guided Reflection #1 The overall experience of this patient experience has been quite memorable so far. In terms of contributions contributing to our patient’s quality of life, our contributions have been more practical in nature.
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.
Fear and apprehension are normal emotions going into an unknown situation. Although I have read in textbooks and have prepared in the classroom for my experience in the acute setting; the “real world” is different than in the books. I have many years of patient care experience as a Nursing and Medical Assistant but this experience only heightens my fear. I have always sought the guidance of the Registered Nurses that I worked with. Now, I will be considered that person giving the guidance and I will be responsible for assessing my patient and giving them correct patient teaching.
The professional nursing values I believe are things you can be taught and some you cannot. Nurses are special individuals who ultimately want to care for and help others as much as they can. I agree with all of these values and believe some I will need to work on myself such as competence, illness prevention and patient education. Others I believe I have based on my experience I have already had while caring for others. Some of the qualities I believe I have include: caring, compassion, dependability, empathy, focusing on the patient- defining quality of life, having a holistic patient centered care, kindness, openness to learning, respect for others their dignity and worth and sensitivity.
What is reflection? Reflection is described as the process individuals use for self-development in their future career. The process of reflection has been used for many years in professional health fields such as midwifery and nursing (Lillyman. S & Merrix. P, 2012). Florence nightingale pioneered the practice known as reflection-on-practice, this is a tool that is needed in developing improvement and knowledge to enable an individual to grow in their nursing profession.
Although reflection is an imperative foundation of nursing practice, it is only effective in promoting future clinical practice when the practitioner continually identifies their weaknesses and strengths to support their personal growth. They will also be required to develop this process during their practice to improve outcomes for service users (Johns, 2013). In accordance to the NMC revalidation process (2015) school nurses are required to provide a record of their knowledge and how it promotes their clinical practice. Clinical reflection is identified as a recognised educational tool for this process (Queens Nursing Institute, 2015). This evidence highlights the importance of the the student school nurse’s role in reflecting on this critical
Nursing Theory Virginia Henderson: Definition of Nursing Princess Oliver Averett University Abstract Theorist’s Background Virginia Avenel Henderson (November 30, 1897 – March 19, 1996) was a nurse, theorist, and author. Henderson is also known as “The First Lady of Nursing,” “The Nightingale of Modern Nursing,” “Modern-Day Mother of Nursing,” and “The 20th century Florence Nightingale. Henderson received her early education at home in Virginia with her aunts, and uncle Charles Abbot, at his school for boys in the community Army School of Nursing at Walter Reed Hospital in Washington D.C. In 1921, she received her Diploma in Nursing from the Army School of Nursing at Walter Reed Hospital, Washington
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.
Philosophy, as stated by Black (2017), “is a set of beliefs about the nature of how the world works. A nursing philosophy begins to put together some or all concepts of the metaparadigm” (Black, 2017, p. 177). According to the text, a nurses’ philosophy should consist of their values, beliefs, and attitudes and applied to the metaparadigms of nursing. My personal philosophy of nursing, which describes what nursing means to me, is based on the nursing metaparadigm concepts of person, environment, health and nurse.
In the past I have shown my strength in this area of nursing care when looking after family members that have fallen victim to sickness. Whenever someone tells me that they are not feeling well, I immediately jump into action and try my best to make sure that they feel “cared for” .The feeling of pride and satisfaction I experience after caring for a person that is unwell is what originally made me choose nursing as a career. Caring is a basic attribute of human growth and development (Griffin 1983). This is why, as a nursing student I know it is such an important strength to be utilised when helping a patient to feel better.
As a nurse, you’ll regularly work one-on-one with patients, and proper communication in such situations means far more than just giving a dose of medicine or starting an IV. Nurses are responsible for talking to patients and helping them understand medical situations, which can be complex and quite scary to the person who 's going through such tribulations. Great nurses are clear communicators who truly listen to patient needs (and make sure to acknowledge that those patients ' concerns are being
One of us quickly put on the blood pressure cuff, applied the SPO2 probe and connect the ECG lead to check on her vital sign. I also immediately do the physical checking to check for any bruises or cut. Another staff nurse went to inform the doctor in-charge regarding the incident, where I stayed near Madam Y to comfort and reassured her. I was relief knowing that all the vital sign was normal and she didn’t get any post trauma cut.