In my clinical I was able to change the wound dressing on a patient who had a stage four wound, urinary incontinence and fecal incontinence and she was not able to speak clearly. The patient was experiencing a lot of pain and she couldn’t express those emotions clearly. However, the nurses still walked her through the procedure of looking at her wound, getting a wound culture, or changing her dressing. One of the nurses would have a conversation with the patient, although no one understood what the patient was saying, she was still encouraging the patient and focusing on the patients needs. When the patient groaned of pain, they would apologize and ask her if she was comfortable and if she was able to explain or show where the pain was located.
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Safety- the patient received a foley catheter and the nurse made sure all sterile precautions were taken into considerations and the patient was informed about the procedures. The patient’s bed was kept low, catheter was placed on the side of the bed, a culture was taken and the patient was turned every four hours. Timely- the patient’s foley was given in less than two hours after getting the culture from the wound. The nurse and doctor wanted to ensure the urine was not getting into the wound, delaying healing. Effective- the nurse understood the patient’s children needed education on the care of the patient and giving wound care. The nurse understood that the mother might need to be taken to a long-term health facility if the patient’s children we unable to give effective care. Efficient and equitable- the nurse made sure that we only used materials that was needed for the wound procedure and we were strategic about our plan to decrease the time we spent in the patients room. For example, she tried to make sure we only changed the patient’s bed sheets once, so she administered the foley first and then we changed the sheets after. The nurse was very fair in quality of care to the patient. Patient-Centered- the well being and healing of the patient was the most important factor, because although she couldn’t physically speak, her body language spoke and the nurses asked questions and
Safety- the patient received a foley catheter and the nurse made sure all sterile precautions were taken into considerations and the patient was informed about the procedures. The patient’s bed was kept low, catheter was placed on the side of the bed, a culture was taken and the patient was turned every four hours. Timely- the patient’s foley was given in less than two hours after getting the culture from the wound. The nurse and doctor wanted to ensure the urine was not getting into the wound, delaying healing. Effective- the nurse understood the patient’s children needed education on the care of the patient and giving wound care. The nurse understood that the mother might need to be taken to a long-term health facility if the patient’s children we unable to give effective care. Efficient and equitable- the nurse made sure that we only used materials that was needed for the wound procedure and we were strategic about our plan to decrease the time we spent in the patients room. For example, she tried to make sure we only changed the patient’s bed sheets once, so she administered the foley first and then we changed the sheets after. The nurse was very fair in quality of care to the patient. Patient-Centered- the well being and healing of the patient was the most important factor, because although she couldn’t physically speak, her body language spoke and the nurses asked questions and