Example Of A Student Clinical Report

For this third clinical, I observed a situation where a student was having chest pain and was constantly shaking. Whenever his chest pain would return, his heart rate would increase. I was able to tell he was uncomfortable and in pain due to his behavior. The student would clench his chest with his arms and rub his chest whenever his chest pain would return. As indicated before, he had an elevated HR only during chest pain, but his overall vital signs were normal. Whenever he would stand up, he would feel lightheaded and weak; when laying down he would feel much better. The student’s body was shaking a lot, but as time went by, the shaking wasn’t related to his chest pain. The shaking was related to the fear he was having during the situation. The school nurse was able to extensively check his heart sounds and make connections with vital signs. The school indicated that there could potentially be poor perfusion occurring between the heart and lungs.
Other information that would be important to gather, would be if whether the student had ever been diagnosed with a certain heart condition that was causing his chest pain.
The student has had these chest pain episodes before. He had mentioned that he has gone to the doctor and was told that when he had pain, it was being caused by the ribs. He was uncertain about what he knew about what would cause his chest pain. At that point, it would be important to have had access to something that showed the summary of his doctor’s visit, to help understand better what was going on. An elevated heart rate would indicate an exacerbation of the student’s chest pain as whenever he would indicate he was having pain, the heart rate on the pulse ox indicated and
elevation.
During my med-surg clinical, I had a patient have chest pain. The patient presented with similar behavior as the student when the pain was becoming more painful. Both the patient and the student would clench their chest during their pain. Both of them had heart conditions affecting their chest pain. For the patient in my med-surg clinical, he was having symptoms of a heart attack. The student resulted having acute costochondritis. As a result, both the patient and the student had heart related conditions that lead to having chest pain.
In this situation, the ethical decision making was important. As a health care professional, it’s important to use one’s knowledge and the information gathered within the situation to determine what can be best done for the patient. Based on the information we gathered from the student’s vital signs, heart assessment, and speaking to him, allowed the school nurse to make an ethical decision to help care for the client. Ethical decision making is based on making a decision that is in the best interest for the client and their situation. In this case, the nurse had the decision to let the student go home and wait for his mother or call an ambulance to take him directly to the ER. Due to the uncertainty of why the student was having chest pain, the school nurse made the ethical decision to call an ambulance as this would allow the student to receive the care he needed sooner.
Jean Watson would be the theorist that I would choose. Watson’s theory is about human caring and the care we provide to our patients. With the student I had during clinical, Watson’s theory was experienced as I was able to stay positive and calm with the student. I was aware that he was scared about what he was going through, but I knew that one of the best cares that I could give him would be to stay positive and to show him compassion.