Progress (Midterm & Final) How Am I Doing?

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Progress (Midterm & Final)How am I doing?

Midterm:
- I used a determinant of health (DoH) framework to assess patient’s health.
(eg. Engaging my patient in discussion about stressors and practicing writing out a genogram).
- Exploring objective and subjective data gathered from patients, medical chart, and primary nurse, I was able to identify which DoH are directly and indirectly impacting patient’s health.
- I collaborated with the patient in identifying appropriate priorities of care (E.g., nutrition, encourage activity, verify that patient is swallowing the medication). - Upon assessment, DOH that directly and indirectly impacted the alteration in health status for patients were social support network, socioeconomic status, education,
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Midterm:
- I was able to identify health patterns, barriers (language) and capacities (positive thoughts and hopeful about future), and health promotion practices (healthy eating, physical activity) with the patient through exploration of subjective and objective information.
- I was able to recognize the influence of culture, and language on health status. (E.g., Both of my patient struggle a bit with English, so were unable to express their concerns.
One of my patients follows Buddhism and other Sikhism. They tied religious beliefs with positive outcomes for mental health. They have positive thinking that things will get better, and always pray, and follow their religion).

Progress (Midterm & Final)How am I doing?

Midterm
- I adhere to MRU and agency policies and procedures (E.g. charting, observation level as per orders and MRU student nurse guidelines, protocol for clozapine, lithium toxicity, etc).
- I was able to demonstrate critical thinking as to why my patients are on particular medication, its dose, and side effects (lowered dose for risperidone from 5mg to 2 mg because patient had high level of prolactin, which is one of the side effects of
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Midterm
- I developed goals at the beginning of this clinical and identified strategy to meet those goals.
- I developed care plan and evaluate this daily.
- Reflecting on my practice, I was able to deal with the emotional situation being reliable and a non-judgmental listener. I felt that my ability to manage and reflect upon my own emotions became stronger with my practice.
- It has provided me with the opportunity to work with groups of individuals in order to achieve positive change.
- I realized that being there for the patient, active listening to what they have to say, and showing empathy helps to de-escalate anxiety level.

Progress (Midterm & Final)How am I doing?

Midterm
- I was able to demonstrate caring inquiry though patient preparation, and assignments (reviewing orders, status, expiration of forms, conference, pre- and post- ECT Vital signs, etc).
- I was able to explore how I, as a student nurse, can inform and influence nursing practice and broader policies that address the impact of the DOH (communicating with patient in their native language made a huge impact on patient 's health, identifying what factor of DOH influences patient 's ability to learn and enhance coping

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