In the last few months, I have been blessed with the opportunity of working as a hospice nurse delivering the utmost care to those who are terminally ill with weeks to hours to live. Working here I have found myself filled with many emotions of sadness, anger, love, compassion, empathy, happiness, and the list goes on. My goal and mission is to deliver the core values of AR Hospice and bring compassion that will allow my patients to die with ease, peacefulness, and freedom. I have learned to love and appreciate what this job has encircled me with. This profession has taught me to appreciate every moment in life and love those today who are dear to you. Just recently a coworker stopped me, pulled me into a room and said, “Don’t wait till I’m at my funeral, to hand me flowers,” (meaning to show appreciation now and not at my funeral). I looked in disarray. She wanted to show her appreciation to me, acknowledging how great of a nurse I was to our patients and families and how I show true compassion. On an evening in July, I had the opportunity to take care of Mrs. X who was minimally responsive the time she made it to my unit. She had been battling an illness for years and it had begun to take her to her final destination. Mrs. X was transferred from an ICU unit where her liver had begun to fail, her abdomen was tight, distended and filled with fluid; her skin and sclera was jaundice and it was evident that her kidney was failing too. Mrs. X had a loving large family and a
Throughout my time on the Mother Baby Care Unit, I have faced many instances in which I have been able to reflect on both my patients and the care that I was providing them. One situation in particular that I found myself critically reflecting upon involved a new mother who was feeling slightly stressed about being discharged as her newborn son would not be going home with her. For confidentiality reasons, this patient will be given the pseudonym of Kayla for the remainder of this reflection.
Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely
This essay will discuss a clinical skill in which I have become competent in practicing as a student nurse.
Conducting an interview with someone makes you see things in many different perspectives and in a new light. The person I interviewed saw nursing as a broader term that saw things in a different way even though she has just started. She knows that special people need to take roles in being a nurse. I interviewed my aunt, Ann Juknevicius. She is 30 years old and she has been a nurse for 2 years in Illinois now. Relatively she is a new nurse. One of the main reasons why I started the nursing program is because I look up to Annie a lot and she showed me so many different perspectives on how to look at people, different situations, and the way you handle things. I thought that it would be a great interview session to see if Annie’s expectations were the same as the nursing reality.
This self-reflective paper is focused on what I’ve learned about myself this semester regarding my strengths, and weaknesses. Concentrating on areas of my professional practice that need improvement and discussing two goals I have created for my self, and how I plan on achieving them. This semester I have discovered I have two key strengths those being a dedication to the practical nursing program, and seeking help in the program when I need it. This trait is hopefully carrying through as a strength in my nursing career. However, I have many weaknesses to work on as a student and future nurse. Along with my shortcomings, there are fears I have looking into the future, into CPE 1 and term 2. Those are the fears of not being good enough in
The American Association of Critical-Care Nursing (AACN) is the largest nursing organization of a non-profit character in the world. It represents 500,000 nurses and their interests. The responsibility of these nurses is to provide health care services to the critically and acutely ill patients. Thus, the duty of the AACN organization is to give its members all the possible resources and knowledge, so that they could help critically ill clients become healthier. Therefore, I would like to join the AACN organization. To become a member of this particular organization I need to learn more about it by researching some questions.
Nursing can be a demanding career, but the benefits far much outweigh the challenges. Most importantly, it’s the rewards it offers by allowing an opportunity to make a difference in another person’s life through the provision of care when they need it. Just as Patricia Benner theorized in her book “Novice to Expert,” nursing encompasses both educational knowledge and extensive clinical experience acquired throughout one’s career. This far, I continue to acquire knowledge and clinical knowhow which will promote proper and efficient care to patients. Since I began practicing one year ago in a long-term healthcare facility, I have interacted with patients, families, physicians and other members of the healthcare team to coordinate patient’s care which has enabled me to gain confidence in myself. While I cannot deny that it was difficult to transition from a student to a licensed nurse, I learnt to overcome these challenges and focus on my strengths. Practicing as an LPN has provided a platform to learn and gain experience even though the duties and responsibilities are limited by the scope of practice.
Long-term care is a result of people having terminal conditions, disabilities, illnesses, injuries, or being elderly. The purpose of long-term care is to provide services to people and to aid people at a time in their lives when they cannot depend on themselves to maintain daily activities. There are many variations of long-term care available – such as home care, adult day care, and independent and assisted living, personal care facilities, nursing homes, and hospice.
Hospice care is a model of care that focuses on relieving symptoms and supporting patients with a life expectancy of six months or less (Altshuler, 2013). For most nurses, caring for a dying elder (individual aged 65 years and above) is a discrete, time-limited experience that begins with first contact, often in a hospital, emergency room, or long term care facility, and ends with the death itself (Phillips & Reed, 2008).
The objective of this reflection is to explore and reflect upon a situation from a clinical placement on an orthopedic unit. The incident showed that I did not provide safe, timely and competent care for my patient when the oxygen saturation was low. Furthermore, this reflection will include a description of the incident, and I will conclude with explaining what I have learned from the experience and how it will change my future actions.
The role of the expert palliative care nurse is complex and unique. The nurse functions as an integral part of a Multidisciplinary team, providing expert skilled assessment and nursing care, supporting the patient and the family to make informed choices thereby encouraging the patient to continue to make autonomous decisions about their care towards the end of their life.
This self-reflective paper focuses on what I’ve learned about myself this semester regarding my strengths, and weaknesses. Concentrating on areas of my professional practice that need improvement and discussing two goals I have created for myself, and how I plan on achieving them. This semester I have discovered I have two key strengths those being a dedication to the Practical Nursing Program, and seeking help in the program when I need it. Both being potential strengths in my nursing career. I have some weaknesses to work on as a student and a future nurse.
The following reflection demonstrates my awareness for my own cultural influences. Through the cultural lenses of a student nurse and a tennis member. They have impacted the way I view others and is a guidance to my bicultural professional health care relationship.
The nursing profession has been around for a very long time. Through many changes and reforms, it has drastically evolved into the nursing profession we have today. Nurses have an important role within the healthcare industry in the treatment and medical care of the sick. These trusted healthcare professionals continue to make up the largest majority of the healthcare field, as well as the fastest growing occupation. Nursing is a job that allows people to not only care for the sick but also to experience, learn and further their interest in the human body. This course has definitely provided me an insight to the roots of the profession I would like to pursue. I think it is important to know the history of nursing to understand fully on the problems that are affecting the profession. I believe that we cannot effectively address important issues without a foundation of historical knowledge. In other words, by examining the nursing history, I will be able to appreciate my important role as a nurse in the healthcare system. The topics I will be including in my reflection are the works of Florence Nightingale, the affects of World War II, the challenges of Filipinos aspiring to be nurses, and excerpts in Chapter 10 of “A History of American Nursing.”
Furthering nursing research is essential, as it forms the basis for evidence-based practice in healthcare today. With this in mind, developing the skills to critically appraise research articles is of the utmost importance in order to determine the relevance of research findings for clinical practice. As I pursue a doctorate degree in nursing practice, I am reminded of the necessity of these skills. Thus, in the following paragraphs, I will reflect on the research goals I developed at the beginning of the Critique and Design of Nursing Research course, and will discuss my views on the role of the graduate nurse in regard to