Reflection On Client Centered Care

I experienced a few examples of client centered care in this clinical. Paramedics were transporting an injured young man. The family was sitting in the waiting room, waiting for his arrival. This client died on route to the hospital and the family has no idea that this happened. The ambulance brought this client in and he was a mess. We cleaned him up so he looks presentable to the family. The nurse did not want to give the family a horrific last memory of this client. The physician spoke to the family that this client did not survive. It was a very emotional time for everyone, including nurses. The family sat with the client for hours and the nurses were very compassionate. They offered them beverages, allowed them to stay with this client
for as long as they wanted, and provided privacy while they grieved for their loved one. The physician held on to the wife, while walking into the client’s room. The nurse gave the family hugs and told them that she is so sorry for their loss.
A 3-year-old daughter of the client waved to her father and said, “bye dad, get some rest, I’ll see you tomorrow.” The wife broke down crying. The nurse held on to her and allowed the wife to cry on her shoulder. An 89-year-old dementia woman came in for a fall and injured her hip. This woman had previous surgery on this hip and the physician felt that this client would be beneficial if they gave her pain meds prior to x-ray. The nurse remembered caring for this client in the past. The client suffered respiratory depression from narcotics. The nurse advocated for this client and told the physician that it is in this client’s best interest not to administer any narcotics due to client’s past reaction. Another older man came in with lower back pain. The wife said that this has been going on for months and he has been in and out of clinics trying to figure out the cause. The wife brought him to the emergency room hoping they can get some answers. The client reports that he has history of cancer in the face. This nurse does a full assessment and not a focus assessment. The nurse palpated his abdomen and he complained of some tenderness on the lower right
abdomen. The nurse reported to the provider about past medical history and abnormal findings. The provider ordered a MRI on the abdomen and found that this client has cancer in his appendix, which they believe is the cause of the back pain. I believe that you need all the past medical history and a good full assessment on a client to find the main cause for any health issue. This nurse, not knowing what the cause of this client’s back pain, completes a full assessment. I believe she helped him find the cause for his back pain. I did not observe any cultural client centered care during this clinical. I asked the nurse if he ever had to deal with cultural competent care. He said, “no, the only thing they had to deal with is a different language.” They would use the hospital acquired interpreter for these situations.