Reflection In Nursing Care

Improved Essays
This week I was given the same patient for both Tuesday and Thursday. When I came in on Thursday and saw I had the same patient, I was excited because I really enjoyed caring for her on Tuesday. My patient was assaulted and came to the hospital with a wound on her neck. Once the wound was cared for she was discharged, however, while she was at home her neck began to swell. The swelling in her neck became so severe that it shifted her airway making it difficult to breath. She came back to the hospital where they opened and stabled her airway with an emergency trach. She had a CT scan which showed an abscess, evidence of an infection and cellulites present along her mandible and sublingual space. For treatment a penrose drain was placed in her neck and ordered to be irrigated twice a day to clear out the drainage. She was given an NG tube and put on antibiotics and pain medication.
On Tuesday the majority of my report from the nurse was about how sassy she was so I was a little nervous to have her as a patient but when I went in I found that she was kind and cooperative but very stressed and scared. She was not able to talk but it was easier to communicate than I was
…show more content…
Chronically ill patients require continuum of care. A nurse can help facilitate the continuum of care by identifying needs at discharge such as whether they will need PT, OT, a social worker, or need to stay at a rehab center. I was able to see the nurse lead in collaborating with the healthcare team in my clinical on Tuesday. The nurse recognized when it was important to call in the respiratory team to assist her patient. The nurse worked together with the respiratory team in treating the patient. The respiratory nurse made decisions on the interventions needed to treat the patient and suggested follow-up with the healthcare provider to prescribe a PRN breathing

Related Documents

  • Superior Essays

    The nursing process involves series of process to give client adequate care: This process includes: - Nursing assessment: - In this process the nurse tries to find out the needs of the patient, family or community. The nurse at this stage gathers all information she can get from the client, relatives and community both subjective and objective data. - Diagnosis: -…

    • 1431 Words
    • 6 Pages
    Superior Essays
  • Superior Essays

    The primary nursing intervention for the RN will be to assess the patient to ensure there was not a decline in mental status. After the RN has concluded the patient is competent for their mental capability the nurse can delegate to the LPN. The LPN can help with designing the alternatives to the restraints. A few alternatives are to get a trained sitter or family members to sit with the patient. Assist patient to the bathroom frequently, which can be done by the UAP, assign confused or disoriented patients to rooms near the nurses ' station and observe them frequently, which is done by the LPN.…

    • 962 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    As a collaborator, the rehab nurse develops goals for the patient by working with other members of the rehab team. The nurse also intervenes with team members and other healthcare professionals to ensure that there is optimal opportunity for recovery. Being a client advocate, the rehab nurse actively listens, reflects, and guides the patients and their families through the grieving…

    • 1146 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    When the patients enters active stage of labor she communicates with the nurse and the nurse calls for the physicians who are able to examine the patient and determine whether it is time to push the baby out. It is essential to patient centered care that the health care providers communicate effectively and collaborate to provide an optimal experience for the patient. The insight of the role of the professional nurse with patient centered care that I gain is that the work environment in which nurses provide care to patients can determine the quality and safety of patient…

    • 1593 Words
    • 7 Pages
    Improved Essays
  • Great Essays

    There are LPNs active in the nursing homes, hospital and private clinics, and home health. In the nursing homes the nurses admit new residents, assist the physicians in rounds, and assign duties to the non-licensed nursing staff ("LPN Jobs" 6). In hospitals and clinics, they plan and manage patient care by their needs and they record medical history, copy vital signs, provide injections, and update charts ("LPN Jobs" 7). They also work with x-ray machines, ultrasounds, in-house labs, and they have drug and alcohol testing (Urena) In home health, they have to aid in bathing the patients, monitor their health, alternate bandages, and help the patient exercise ("LPN Jobs" 8). The different areas of practice includes pediatrics, labor and delivery they help the women before, during, and after delivery.…

    • 1257 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Nursing Home Reflection

    • 780 Words
    • 4 Pages

    Despite what was on my mind the night before, I drag my tired body up in the early morning of clinical day to work. I wanted to be like a professional nurse that is able to take care of the patients no matter what happened to their personal life. This week we will be take care of two patients instead of one. I have always looking forward to be able to take care of more than one patient because I wanted to see how well I can provide my care to different patients. I started to do the vital signs and assessment on one of my patient that is on tube feeding and paralysis from the chest downward.…

    • 780 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Dermatology nurses may also counsel patients on the appropriate diet, skin care, and additional methods of controlling skin problems. Case Management Nurse Case Management Nurses have a different job than nurses who work in emergency situations. These types of nurses organize long-term health care for their patients. A case management nurse focuses on treating their patients and keeping them healthy over the long term. Case management nurses work with specific groups of patients and can specialize in treating people with diseases or patients of certain age…

    • 750 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Communicating, as a nurse is the way a nurse is able to talk to their patients and coworkers, this also allows a nurse to discuss improvements with management and collaborate new ideas to improve the patient’s care. As a nurse your first priority is the safety of your patient, but that comes with its…

    • 1561 Words
    • 7 Pages
    Improved Essays
  • Great Essays

    Emergency Room Nurse Essay

    • 1014 Words
    • 5 Pages

    In a dire situation, nurses may also be required to perform minor medical operations when there is a life or death situation. If the patient comes in with an illness, nurses are responsible for advising the patient and the family on different treatments and plants. College In Colorado states that you “[have] to assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records.” (Job Description). Emergency Room nurses treat all kinds of patients including ill, injured, convalescent, mentally unstable, or disabled patients. Becoming an ER nurse means that you will have a lot of job responsibilities and are in charge of a lot of things and people.…

    • 1014 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Nurses at Tuality Home health show compassion in a variety of ways. One way nurses show compassion is by following up with patients about care needs. For example there was a patient whose wife died recently and a nurse wanted to check with the family to see how they were doing. The nurse made a point to make a visit with that patient, follow up with his care needs, and assess if there was anything she could provide for comfort for that patient. This showed a genuine kindness and desire to help a patient during a time of need.…

    • 823 Words
    • 4 Pages
    Improved Essays