To begin, I will describe the event: I was called to see a 70-year-old female patient on the ward as a Critical Care Response Team (CCRT) call. The patient was alert and oriented, pleasant and cooperative. She was tachycardic, pale, weak distal pulses, still normotensive and having frank rectal bleeding. I activated the Mass Transfusion Protocol, started a normal saline bolus by pressure infuser. I quickly contacted the intensivist, and without delay, we brought her to the Intensive Care Unit (ICU). The patient was in the hospital for abdominal pain. Her bloodwork and imaging was suspicious for cancer. As it was night time, the General Surgeon on-call was paged to come in for emergency surgery and performed the surgery.
After the surgery …show more content…
Barbara Carper who graduated from Texas Women’s University in 1959. Teaching in nursing in the 1960s she had noticed that the elephant in the room had become viewing nursing scientifically, to the exclusion of other approaches. Carper is passionate about reflective nursing practice, the importance incorporating the arts and humanities into nursing education, and using an integrated approach with the patterns of knowing in nursing. This prompted her to develop Carper’s Ways of knowing which has been foundational created a paradigm shift in nursing. It has been cited in academic articles more than 1800 times (Eisenhauer, 2015, p. …show more content…
29). Here one asks “What factors influenced the way you felt, thought, or responded” (Johns, 2013, p.18)? The patient is seen as a person who can move towards their potential. Likewise, the nurse is seen as always growing and changing. Here I am self-aware that caring for my own mother as her health failed and being present for her death has left me feeling particularly sensitive and caring towards patients in such a dilemma. I became aware that certain health conditions and even appearances would ‘push my button.’ When I see a frail, elderly lady, especially with a walker or on oxygen I cannot help but recall the 4-1/2 years I cared for my ailing mother. If anything it has served to make me a better nurse. Another personal way of knowing comes from my mother’s nurse repeatedly telling me to go home and rest because it may take days for her to pass. I finally had to firmly tell her, “My mother told me ‘don’t leave me’ and I am not going
After the surgery …show more content…
Barbara Carper who graduated from Texas Women’s University in 1959. Teaching in nursing in the 1960s she had noticed that the elephant in the room had become viewing nursing scientifically, to the exclusion of other approaches. Carper is passionate about reflective nursing practice, the importance incorporating the arts and humanities into nursing education, and using an integrated approach with the patterns of knowing in nursing. This prompted her to develop Carper’s Ways of knowing which has been foundational created a paradigm shift in nursing. It has been cited in academic articles more than 1800 times (Eisenhauer, 2015, p. …show more content…
29). Here one asks “What factors influenced the way you felt, thought, or responded” (Johns, 2013, p.18)? The patient is seen as a person who can move towards their potential. Likewise, the nurse is seen as always growing and changing. Here I am self-aware that caring for my own mother as her health failed and being present for her death has left me feeling particularly sensitive and caring towards patients in such a dilemma. I became aware that certain health conditions and even appearances would ‘push my button.’ When I see a frail, elderly lady, especially with a walker or on oxygen I cannot help but recall the 4-1/2 years I cared for my ailing mother. If anything it has served to make me a better nurse. Another personal way of knowing comes from my mother’s nurse repeatedly telling me to go home and rest because it may take days for her to pass. I finally had to firmly tell her, “My mother told me ‘don’t leave me’ and I am not going