Preview

Summary Of Clinical Observation

Good Essays
Open Document
Open Document
819 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Summary Of Clinical Observation
Description of the Activity: Mrs. K was an 82 year old admitted to the hospital for sepsis. She had a medical history of HTN, MI, COPD, and dementia. I took care of her Thursday to Sunday. Mrs. K was a DNR. Mr. K, was her husband, and had stayed by Mrs. K’s side and slept by her bed in a chair every night. The first two days I was with Mrs. K she was hooked to IV antibiotics, fluids, and TPN. She was somewhat responsive but only she had to take the couple of oral medications she had ordered and when we would try to feed her some of her meals. The third day when Lucy and I went to check the orders for Mrs. K we realized that her TPN and her IV antibiotics were discontinued. When we went into the room, Mr. K said he spoke to the doctor about taking Mrs. K off of some of her IV medications because she was able to take her pills if they were crushed in apple sauce. When Lucy and I gave Mrs. K her oral antibiotics at 17:00 she was not able to finish them because she was too tired to eat the amount of apple sauce they were mixed in, even though it was only 3 bites. She told us she was done and could not eat anymore.
On the fourth day Mrs. K slept for about 10 out of the 12 hours Lucy and I were on shift. Although, Mrs. K did wake up for us to administer her oral medications in which she took
…show more content…
According to Gutierrez (2012), “Viewing communication as a therapeutic modality, and communicating with compassion, sensitivity, and a genuine sense of caring, can provide both the information and the emotional support and comfort families desperately need” (Guitierrez, 2012).
Analysis of Observations and Comparison with the

You May Also Find These Documents Helpful

  • Good Essays

    Mary was delivered in a military hospital. There was no prenatal checkup done until eight months into gestation at a local health center. Her mother was not able to breastfeed and so Mary was given formula milk. At four months old Mary initially experienced occasional non-productive cough, no colds, fever or difficulty of breathing. One week prior to hospitalization, she went to a local health center and was prescribed, an antitussive oral suspension of 0.5ml Ambroxol, three times a day. Four days prior to hospitalization, Mary continued to present with non-productive cough and an undocumented fever. Her mother continued with the antitussive medication and gave her daughter an over the counter antipyretic, 0.5ml Paracetamol via medicine dropper which afforded temporary relief of symptoms. Three days prior to hospitalization, Mary was still experiencing…

    • 883 Words
    • 4 Pages
    Good Essays
  • Good Essays

    The patient in this case was an 80 year old female. She was undoing treatment for colon cancer that has metastasized into her liver as well. She had complained of feeling fatigued, as well as abdominal pain, diarrhea, nausea, and some times getting chills.…

    • 796 Words
    • 4 Pages
    Good Essays
  • Good Essays

    During this clinical rotation, I was able to observe vital sign monitors being used by many of the infants. These vital sign monitors provide a continuous display of the patient’s blood pressure, heart rate, respirations, pulse, as well as oxygen saturations. Incubators and Isolettes were being used by some infants in order to provide and maintain a controlled environment which protects the infant from temperature changes, and the continuous high decibel sound of alarms and ventilators. Isolettes provide controlled temperatures and humidity in order to ensure that a thermo-neutral zone is maintained. Many infants were provided phototherapy due to high levels of bilirubin. Mechanical ventilators were utilized via continuous positive airway pressure…

    • 217 Words
    • 1 Page
    Good Essays
  • Good Essays

    A woman called her doctor recently due to frustration from her baby's endless cry at night. She was frustrated due to sleepless nights resulting from this. The grandmother advised her to get some over-the-counter medications, while some other people suggested herbal mixture.…

    • 917 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Four Medical Cases

    • 1518 Words
    • 7 Pages

    It seems like this patient had multiple illnesses and bronchitis was one of them. The doctor prescribes a poultice to be applied to the patient’s chest every four hours . This shows there may have been a change in the treatment of bronchitis because the two previous cases did not have this treatment. The patient is treated with a variety of medicine which change each night. In particular she is prescribed morphine and atropine which is again, different to previous prescribed drugs.…

    • 1518 Words
    • 7 Pages
    Better Essays
  • Good Essays

    Nursing Without Thinking

    • 744 Words
    • 3 Pages

    It was one of my fellow students that actually pointed it out to me. He noticed that she hung an IV antibiotic, but forgot to first mix the drug together. Although the nurse believed that the patient was successfully hooked up the IV and was receiving the prescribed dose of antibiotic, this was not the case. The patient was not receiving any of the antibiotics that they should have been. It…

    • 744 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Billie-Jo Olswfski is sixteen, a junior, and goes to Rockville Jr/Sr High School. She lives with her parents, brother, cousin, nephew, and grandparent. She has two brothers and two sisters. The two sisters and one brother are older than her and the two sisters are in college. The youngest brother is in the fifth grade. They have two cats, two dogs, and Billie-Jo has a fish named Hades. They own the Parke Bridge Motel in Rockville, Indiana. She worked at the motel on the weekends for two summers then got a job at Dairy Queen in Rockville. She chose to take this class because she plans on obtaining a career in the medical field. Since 2013, she has been wanting to be a surgeon. She has a constant argument with herself on whether she wants to…

    • 819 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    nursing ethics

    • 308 Words
    • 2 Pages

    As the nurses exchanged report from the previous shift, they gossiped about a nurse on another medical-surgical unit making a medication error. This specific nurse had had 20 years experience and had reputation of cutting corners. She was administering medication to a patient via nasogastric tube and came across a medication that was extended released tablets. The nurse was behind schedule with giving medication so she documented early, crushed and delivered the enteric-coated pill through the nasogastric tube. Later on during the shift, the patient complained of gastric irritation.…

    • 308 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    We always should use therapeutic communication and connection whether it is at home among spouse and kids, at school, or with friends. I, like probably many of us, had caught myself many times misinterpreting the situation and assuming someone’s thoughts, opinion, or beliefs without any clarifications during verbal or nonverbal communication. I have many examples of the use of weak communication skills throughout my life that I can discuss in this journal, but one of them stood up out for me and made me make some changes in the way I view and communicate with…

    • 773 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Before my sophomore year, I shadowed Dr. Ball, a family doctor at Eagle Ranch Clinic. Although many view shadowing as passive, Dr. Ball kept me engaged. Because the clinic was an educational clinic, Dr. Ball was used to students shadowing her. As we met with her patients, she would address questions I had and she would invite me to come close to observe anything she identified. Most significant though, was observing Dr. Ball’s interactions with her patients. Despite seeing numerous patients, Dr. Ball made sure to show each compassion and care. It was clear that her patients trusted her and she not only focused on a patient’s current health issues, but also focused on addressing any questions the patient had about their condition. As I observed…

    • 166 Words
    • 1 Page
    Good Essays
  • Good Essays

    Patient Reflection

    • 638 Words
    • 3 Pages

    With this patient, we began by initiating an IV. Once initiated, I collected blood samples, which are needed to perform a CBC, electrolyte panel, and test for kidney function. I also collected a urine sample for a urinalysis to be conducted. All of these exams are important because in addition to the signs and symptoms that the patient is presenting with, it will provide the physician with objective information that will assist the physician in making a correct medical diagnosis. After collecting the labs, I began the administration of normal saline to maintain fluid status and prevent dehydration, since the patient had been vomiting for the past two days. Lastly, I administered Toradol to relieve the patient from pain and Zofran to prevent further nausea and…

    • 638 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Present condition started 4 days PTIE; pt. was in their house when the pt. ate hamburger and French fries. The pt. suddenly felt weakness on her (L) side of the body and the pt. son noticed her slurry speech. Then the pt. son got bottled water wrapped with towel and he put it on the affected area of the pt. then after went to bed.…

    • 825 Words
    • 4 Pages
    Satisfactory Essays
  • Good Essays

    rfffgdgs

    • 1922 Words
    • 10 Pages

    good and she was not feeling well. She told her mother to take her to a doctor. The doctor told…

    • 1922 Words
    • 10 Pages
    Good Essays
  • Good Essays

    WEEK 5 ABBREVIATIONS

    • 423 Words
    • 3 Pages

    Therapeutic Communication - use of specific and well-defined professional communication skills to create a feeling of…

    • 423 Words
    • 3 Pages
    Good Essays
  • Good Essays

    When many of us think of communication, we immediately think of two or more people who get together to simply talk. Yes, talking is a vital step to the ladder of communication, yet there are a few other characteristics to keep in mind. According to the National Commission on Correctional Health Care (2011), specifically, “Therapeutic communication is defined as the face-to-face process of interacting that focuses on advancing the physical and emotional well-being of a patient.” In addition, “Therapeutic communication is designed to help your client reach a better understanding of her condition and treatment, encouraging her to express her feelings and discuss her ideas, while showing respect and an acceptance of her point of view” (Evesham,…

    • 1460 Words
    • 6 Pages
    Good Essays