The bible passage this week of James 2:1 – 13 made me reflect on my personal attribute in dealing with my diverse clients. I admit there are client behaviors that I prefer during my first encounter with them. The preferable ones are those pleasant behaviors such as accommodating, cooperative, and compliant. As I look back in my clinical experience, most clients I had were not that pleasant. I always consider that there is a reason for everything. I always rely on my intuition when there are changes in my clients’ behavior as well. If they were pleasant then not nice shortly after, I will always have a thorough assessment right away to make sure they are not confuse or declining in health. I can relate an event to one of my offender clients.
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G was not in his room. I asked my nurse where Mr. G was. She replied that Mr. G. was transferred to the nearby community hospital for an emergency situation, and he was admitted in the intensive care unit (ICU). I was not surprised at all, for I saw this event coming. Mr. G. was one of my first patients at the infirmary, he had a spinal decompression surgery procedure and he was post-op day four when I had my first interaction with him. I was assigned by my preceptor nurse to provide total nursing care for him. He was pleasant and cooperative with our goals in every interaction we had. I provided wound care and dressing changes for him. His surgical wound is not healing as fast as expected. He had a tunneling in his surgical wound at the back of his neck, and I was debriding it (with my nurse’s supervision) almost every day during my clinical. I established a good patient-client relationship with this offender. He always appears to be pleasant and has a smile on his face every time I assess him. Last week he was different. The night nurse reported that Mr. G. was not cooperative and “yelled” at them every time they got into his room to check on him. I was his assigned student nurse once again in that morning. I had my morning shift assessment with him (like my routine on every start of my shift). After my assessment, I can confirm that his behaviors changed a lot. It seemed he was a different person. He lost two pounds of his weight in a week’s
G was not in his room. I asked my nurse where Mr. G was. She replied that Mr. G. was transferred to the nearby community hospital for an emergency situation, and he was admitted in the intensive care unit (ICU). I was not surprised at all, for I saw this event coming. Mr. G. was one of my first patients at the infirmary, he had a spinal decompression surgery procedure and he was post-op day four when I had my first interaction with him. I was assigned by my preceptor nurse to provide total nursing care for him. He was pleasant and cooperative with our goals in every interaction we had. I provided wound care and dressing changes for him. His surgical wound is not healing as fast as expected. He had a tunneling in his surgical wound at the back of his neck, and I was debriding it (with my nurse’s supervision) almost every day during my clinical. I established a good patient-client relationship with this offender. He always appears to be pleasant and has a smile on his face every time I assess him. Last week he was different. The night nurse reported that Mr. G. was not cooperative and “yelled” at them every time they got into his room to check on him. I was his assigned student nurse once again in that morning. I had my morning shift assessment with him (like my routine on every start of my shift). After my assessment, I can confirm that his behaviors changed a lot. It seemed he was a different person. He lost two pounds of his weight in a week’s