Reflection Of Interpersonal Communication In Nursing

Good Essays
To begin, I will describe the event: I was called to see a 70-year-old female patient on the ward as a Critical Care Response Team (CCRT) call. The patient was alert and oriented, pleasant and cooperative. She was tachycardic, pale, weak distal pulses, still normotensive and having frank rectal bleeding. I activated the Mass Transfusion Protocol, started a normal saline bolus by pressure infuser. I quickly contacted the intensivist, and without delay, we brought her to the Intensive Care Unit (ICU). The patient was in the hospital for abdominal pain. Her bloodwork and imaging was suspicious for cancer. As it was night time, the General Surgeon on-call was paged to come in for emergency surgery and performed the surgery.

After the surgery
…show more content…
Barbara Carper who graduated from Texas Women’s University in 1959. Teaching in nursing in the 1960s she had noticed that the elephant in the room had become viewing nursing scientifically, to the exclusion of other approaches. Carper is passionate about reflective nursing practice, the importance incorporating the arts and humanities into nursing education, and using an integrated approach with the patterns of knowing in nursing. This prompted her to develop Carper’s Ways of knowing which has been foundational created a paradigm shift in nursing. It has been cited in academic articles more than 1800 times (Eisenhauer, 2015, p. …show more content…
29). Here one asks “What factors influenced the way you felt, thought, or responded” (Johns, 2013, p.18)? The patient is seen as a person who can move towards their potential. Likewise, the nurse is seen as always growing and changing. Here I am self-aware that caring for my own mother as her health failed and being present for her death has left me feeling particularly sensitive and caring towards patients in such a dilemma. I became aware that certain health conditions and even appearances would ‘push my button.’ When I see a frail, elderly lady, especially with a walker or on oxygen I cannot help but recall the 4-1/2 years I cared for my ailing mother. If anything it has served to make me a better nurse. Another personal way of knowing comes from my mother’s nurse repeatedly telling me to go home and rest because it may take days for her to pass. I finally had to firmly tell her, “My mother told me ‘don’t leave me’ and I am not going

Related Documents

  • Decent Essays

    What surprised me the most is that majority of the nurses at General Hospital were accurately trained. They practiced evidenced based procedures and are great Nurse’s. I watched her administer an IV, and complete a blood draw. Immediately after blood draws, all labs except for blood samples are time, dated and labeled at the bedside. The patient had a medication order for a Tornado shot classified as a Nonsteroidal anti-Inflammatory drug that can treat pain.…

    • 700 Words
    • 3 Pages
    Decent Essays
  • Decent Essays

    Pre-Op Nursing Case Study

    • 741 Words
    • 3 Pages

    My first case was a 45-year-old women who presented to the WSC for an abdominal hysterectomy and a cysto-stent placement to be done by Dr. Obritsch, MD. She consented to receiving general anesthesia and had an 18-gauge IV placed into her right hand. She was accompanied by her husband until she was taken into the surgical room. The second case was a 46-year-old women who was to have a vaginal hysterectomy completed by Dr. Hutchens, MD. She opted for the spinal anesthesia versus the general anesthesia to avoid the potential adverse effects that can occur with general anesthesia.…

    • 741 Words
    • 3 Pages
    Decent Essays
  • Decent Essays

    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.…

    • 814 Words
    • 4 Pages
    Decent Essays
  • Decent Essays

    As a Registered Nurse prioritizing between patients is crucial. The nursing process steps will be implemented with each patient the nurse has. In these scenarios, I will prioritize my patient by who is more critical and then by which poses the most risk. The cardiac patient will have priority being that he is one-day post-op. Then my elderly patient who is confused that is trying to get out of the bed, and then I would assess the Crohn 's patient after my assessment I can delegate the patient to the LPN, which will free up my time and wait for the newly admitted cardiac patient.…

    • 962 Words
    • 4 Pages
    Decent Essays
  • Decent Essays

    Doctor Admission Essay

    • 832 Words
    • 4 Pages

    Rather, I took my time and explored my options. During my gap year, I obtained a position in the Clinical Care Extender (CCE) program, in hopes of broadening my practical knowledge of this profession and gaining hands-on patient care experience. Being a CCE volunteer at a community hospital exposed me to the diverse range of fields in the healthcare profession. On several occasions, I was allowed to watch doctors as they did their consultations, with one that resonated deeply within me. A female patient that was pregnant with twins came to the ER with vaginal bleeding.…

    • 832 Words
    • 4 Pages
    Decent Essays
  • Decent Essays

    Sometimes it is a patient the nurse barely knew, sometimes it is one who the nurse has been caring for over the span of many years. Regardless of the relationship with each patient, nurses are bound to experience loss and death throughout their careers – for some nurses that happens frequently. In the moments when nurses are supposed to care for others unconditionally, it is important that the they are able to mourn completely as well. Often for nurses, self-care comes after tireless work to care for everyone else. This alone leaves nurses with little time and energy to properly deal with the grief associated with a patient’s death (Rich, 2005).…

    • 1253 Words
    • 6 Pages
    Decent Essays
  • Decent Essays

    Entering the exam room and gathering the patient 's vital signs triggers a pull signal for the next ED doctor in the rotation. 4. The doctor examines the patient with the nurse available and requests any tests or X-rays using a hand-held device that kicks off the orders. a. The nurse draws any blood or other samples required and either: a) sends them to the lab for processing or b) uses point-of-care testing to get results in 11 minutes or less (approximately 70% of patients require lab work).…

    • 705 Words
    • 3 Pages
    Decent Essays
  • Decent Essays

    Getting inside of their minds can be a life changing experience. When I asked Ms. Waters if there were any instances that changed her ideas of nursing because of an interaction with a patient, she remembered one scenario. “The loss of one of my first patients really affected the way I see my patients,” said Ms. Waters.…

    • 1736 Words
    • 7 Pages
    Decent Essays
  • Decent Essays

    Dynamic System Theory

    • 805 Words
    • 4 Pages

    Mrs. Boyton is experiencing a rapid decline in her health, both physical and mental. She has had to adjust to new living arrangements because she went from having her own space to renting the back room of her daughter’s home. This theory goes on further to explain how one must accept their new role as a senior citizen and plan accordingly. One must seek new fulfillment in life during retirement or post career status. We do not have enough information in the case study above to determine if Mrs. Boyton has come to terms with her situation but she is aware that she is sick and was suffering some financial burdens that lead to living with her daughter.…

    • 805 Words
    • 4 Pages
    Decent Essays
  • Decent Essays

    Nurses hold a significant role in leading the way towards integration of holistic healthcare practices among patients and other healthcare disciplines. In having 24 hour accountability and prolonged contact with patients and their families, nurses are in a unique position in witnessing and alleviating the impact of treatments and illnesses and in seeing their effect on individuals (Bridges et al., 2012). This distinctive position, places nurses as key players in unification of viewpoints between patients, families, and other clinicians (Bridges et al., 2012). Nurses strive to achieve meaningful connections with the patients they care for and often feel inadequate when unable to establish an effective nurse-patient relationship. Current…

    • 1604 Words
    • 6 Pages
    Decent Essays