Case Study One In this case study I will use Gibbs (1988) model of reflection to write a personal account of an abdominal examination carried out in general practice under the supervision of my mentor‚ utilising the skills taught during the module thus far. What happened During morning routine sick parade I was presented with a 21 year old male soldier experiencing severe acute‚ non specific‚ abdominal pain. Under the supervision of the medical officer (MO) I proceeded to carry out a full
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26 year old Native American female admitted with the diagnosis of Cellulitis. Her chief complaint of fever and vomiting that started at 1600 on 11/2/2016 with pain‚ swelling and redness in the right and left forearm. Patient reported shooting up Opana and using cocaine in the last 12 hours. Patient cleans her needles with Clorox and believes she may have injected Clorox into her right forearm. She also reports pain in the left forearm as well. The patient has no known drug allergy‚ no past medical
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throughout this process in order to understand potential risks of having a surgical procedure and what should be done if complications occur. That being said‚ I don’t feel like I would really enjoy this type of nursing because a lot of skills were not used. The main skill was a thorough nursing assessment. I enjoyed being in the OR and acutally seeing the surgery but I did not like being in a standing position for a long period of time. I would rather be running around a unit checking multiple patinets
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A REFLECTIVE PIECE ON A PATIENT WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. In this reflective piece of writing I will be explaining how chronic obstructive pulmonary disease (COPD) affects the patient physically‚ psychologically ‚and socially ‚I will also explain how the disease affects his daily routine and how it impacts on his family life. I will give an overview of the clinical signs and symptoms‚ how the disease alters the pathphysiology of the lungs‚ and what these changes cause within
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Today marked my seventh clinical day on the floor at UH Ahuja. My patient assigned to me was a female admitted for hematemesis‚ which means the presence of blood in vomit. I learned that her hematemesis was caused by a GI bleed secondary to a gastric ulcer. The vomit was described as coffee ground texture and color. I looked into it and discovered that it could be an indicator of an upper GI bleed. I talked to Stephanie about this‚ and she confirmed this. She also asked me which labs to watch out
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CTR is a 51 year old woman who is divorced and lives with her son and granddaughter. She works a full-time job as well as a part-time job to make ends meet. She struggles everyday with high blood pressure‚ type II diabetes and multiple other musculoskeletal problems‚ but one thing she does not struggle with is her faith. Upon meeting with her and performing the spiritual assessment (Balzer-Riley‚ 2008) using the tool as assigned CTR consented to an assessment of her spiritual health. It was very
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Essential Nursing Skills Cleanliness Champions Assessment September 2010 Submission – Monday 9th May 2011 Word Count - 550 This essay will be addressing the first five units of Cleanliness Champions‚ demonstrating my knowledge and understanding of each unit and how they help prevent infection within clinical practice. Unit 1 introduces what Cleanliness Champions is giving insight into the programmes aims at protecting both patients and staff from Healthcare Associated Infections (HAI)‚
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Hand Hygiene Hand Hygiene among health care workers today plays a central role in preventing the transmission of infectious agents. Even through the Joint Commission requirements that Centers for Disease Control and prevention hand hygiene be implemented in hospitals‚ compliance among health care workers still remain low. It has been determined many germs and infections have been passed to the patient from a health care worker. Hand hygiene is simple‚ but it’s also repetitive and dull. It
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involved in this model are assess‚ link‚ synthesize‚ design‚ implement and evaluate‚ and integrate and maintain. In this case‚ we have identified problem i.e. increased incidence of UTIs. According to the model‚ we will need to assess the need to change the current practice of the clinic. The data should be collected on the clinic’s current practice‚ which
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Personal Philosophy of Nursing “Philosophy is an attitude toward life and reality that evolves from each nurse’s beliefs” (Marriner-Tomey‚ 1994‚ p. 89). I became a nursing graduate in 1993 and I had no idea what I was able to do. The vast responsibilities nurses are accountable for in maintaining the integrity and safety of our patients are impressive. One must‚ indeed‚ have the innate desire to care genuinely for the sick and injured to fully understand the philosophy of nursing. Teaching
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