Hcr 220 Week 5 Celta Reflection Journal

Great Essays
During the previous clinical rotation, I have always been accustomed to working with one patient, until I was given the opportunity to work with two. The difference between working with one patient and two is time consumption. I find myself spending more time writing information on my daily care map about two of the patients. It’s time consuming because I want to be able to gather important data in order to plan my care for the patients. I learned that using an SBAR worksheet helped me write the important information about each of my patient; thus, saving me more time.
My goal is to gather geriatric patient’s information and be able to make connections. I feel as if I am able to achieve that objective by making connections with the disease
…show more content…
She was ready to be discharged. She was alert and oriented. Since she had cellulitis, we had to monitor her vitals for fever and white blood count for leukocytosis. The trend shows that she is improving with her vancomyosin. She also had a history of cardiac arrhythmia and hypertension, so we have her on metoprolol. I was going to give her heparin as a prophylaxis but she denied it. Upon assessing her I found that she was at a falls risk because she had macular degeneration. What I taught her was to make sure her environment is clean without obstruction and to walk slowly when navigating to areas. During assessment of her abdomen, she said she have not had a bowel movement in 7 days. So, we gave her Miralax with prune juice and Colace. That day I was able to pass medications for the second time. They've put her on meds that mostly consist of beta blockers, calcium channel blockers and ACE inhibitors. I had to know the indications to why I have to give this patient the beta blocker. I was able to find the indication directly for the patient. So, the medication pass was a success. Also, understanding the contraindications is important. That's why it is important to check vitals before giving them the

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