Doane And Varcoe: A Challenging Clinical Experience

Improved Essays
Nursing standpoint in a challenging clinical situation
Nurses face challenging situation that they look back and wish they could have approached the situation differently. In this paper, I will discuss a situation I faced in clinical, the actions I took and the analysis of how I could have approached it differently by applying nursing standpoints illustrated in Doane and Varcoe, How to Nurse book.
My clinical situation
In my first week of clinical practice, I was assigned a patient who was diagnosed with delirium due to alcohol abuse. The patient also had aphasia and right sided weakness due to stroke. She was not able to speak clearly and this affected communication between us. I was not able to understand most of the things she was saying. I would assume and ask her by repeating what I thought she wanted or by using signs. However, I could see how frustrated and annoyed the patient was because I was not able to understand what she was trying to say. As much as I wanted to provide the best care to the patient, I was also frustrated because I felt I was not able to meet the patient’s needs at that particular time. Not having enough knowledge and practice in the clinical setting, I did not know how to handle the situation, So I went to the nurse and asked for help since the nurse knew the patient a lot better than
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Additionally her condition could also have been a factor, knowing that she could not independently do the things she used to and talk clearly because of the stroke. I also read the chart that she was bankrupt due to alcohol abuse so that could also be a factor knowing that she does not have close family to support her. I pictured myself in that situation and I began to understand the reason why the patient will be sad and frustrated. I learned to relate to the emotion and not the

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