A Speech On A Dinner Table

My nursing philosophy is influenced by ten years as a critical care nurse while caring for patients and their families during vulnerable and difficult points in their lives. In critical care, patients vary on the wellness-illness spectrum. A young trauma victim with no health history, now has a life altering diagnosis of spinal cord injury. A chronically ill patient requires dialysis and limb amputation due to complications from diabetes and hypertension. I try to assess each patient’s situation independently to decide the best approach during my care. Nurses can easily become focused on the mechanics of the Intensive Care Unit and forget a human is connected to the machines and medications.

In Bed Number Ten, Sue Baier shares her first-hand account of both her painful experiences and her lengthy recovery in the ICU setting. She was struck with the disabling effects of Guillain-Barre syndrome which resulted in her being admitted into an Intensive Care Unit. While there, her communication and mobility was very limited and made it very difficult for many of the staff to passionately and effectively take care of her. She describes multiple accounts of nurses and staff who were task oriented and failed to meet her physical and emotion needs. Her sense of isolation and inhumane treatment transpires from the pages to the heart of the reader. However, in the book, we observe a few staff that were sensitive to her condition and took care of her the way a person should be taken care of. Sue’s hardship and experience is one of perseverance in her time in the ICU and gives an outlook of how to be sensitive to critical care patients, as it should be.

Working with the nurse who cared for my ailing grand-aunt, was a life changing experience. I would assist with bathing, grooming and toileting as well as reading to my aunt a couple of her favorite mystery novels. Evening though my grand-aunt 's condition was irreversible, I felt at peace because her nurse made sure she was comfortable and her needs were met. The compassion, empathy, work ethics and support the nurse provided for my family and grand-aunt during this difficult time resonated with me, the nurse inspired me in so many ways and even encouraged me to pursue a profession in nursing.

Twenty-one years ago, my parents received the devastating news that my lungs were not developing properly and as a result my mom had an induced labor. I was born as a premature baby, weighing only 3 lbs. and was placed in the care of neonatal nurses in the Neonatal Intensive Care Unit (NICU) for 18 days. While my mom came to visit me, she would notice how well the nurses would care for me. Though their jobs were tough, the nurses would often carry me while I was crying and would often talk me to sleep, sometimes singing lullabies.

Giving myself time to read up on nursing experiences, attending more clinical practice labs, participating and watching these duties in the health care setting will allow me to develop a secure level of confidence the next time that this type of situation may occur. Staying in the room allowed me to experience the feeling of support while looking past social norms and how they are challenged. I met my personal values, and I believe that one should respect another person`s privacy. This understanding allowed me to be there to support the resident during her time of need. In the article `starting out` by Jane Schulz, a nursing student shares her experience of helping her colleague assist an elderly patient with daily care. Observing the compassion and care between nurse and patient from fundamental tasks, she took away a valued lesson of how our support and caring methods affect an individual. My relation to this story allowed me to reflect on the effects my care and supporting actions had on our patient.

Vivian Bearing did not show a lot of kindness or compassion to her own students as she did not think that it was important. Now as her death is approaching she comes to realize that is what she has been missing. Her nurse Susie patiently explains the treatment plan to Vivian in terms that she can understand; including the DNR (do not resuscitate) and that it was her decision, Susie allowed Vivian some control over her life by giving her this choice while she fought for her dignity. As her nurse strives to provide her with compassion and empathy this is important to Vivian in her final days as compassion is connected to our human spirit; as she was approaching death (Frost, 1999, p127). Patients often experience quicker healing rates when they receive compassion as opposed to those who do not (Dossey, 2007). Susie told Vivian when she was semi conscious that they were putting a catheter in; even though Doctor Jason said :why are you bothering?” Some people, such as nurse Susie, will go out of their way to make others comfortable and put the patients need before there own, we just have to be mindful of emotional burnout if our own needs are not being met (Brehony, 1999, p

Time spent at my mother’s bedside in the intensive care unit changed my perception of the nursing profession. I realized what unique value was integrated in comprehensive nursing care, which was built on excellence, compassion, and respect. I knew right then and there that nursing was a professional path which I would like to take. Changing my college major to nursing was not a difficult decision – I wanted to repay for all that courteous care my family received in the most vulnerable time of our lives.

First of all, I recognized that I was dealing with humans, and not just dealing with a disease process and application of the nursing process in the aspect of restoring patient health. I was dealing with emotions, and families, and cultural beliefs that influenced individual’s aspects of care. I started to see that health did not just incorporate healing the disease, but also recognized the importance of making sure patient’s felt that their

I realized I wanted to be a nurse in 2010 when I was sitting by my grandfather as he was diagnosed with a stroke. As the physician explained to my family and I that the man we knew and loved would not be able to speak or walk again we were struck with heartache. The compassionate and holistic care that the nurses provided him solidified my determination to become a healer to patients who were not able to care for themselves. Today, I have the joy to work in an Emergency Department caring for acutely ill patients and their families, as they are vulnerable and grieving just as my family was. Nevertheless, I have come to realize that my journey will not end until I become more involved with patient care by earning a degree as a Nurse Practitioner. In this paper, I will discuss my educational and professional goals, short term and long-term goals, and how earning a Nurse

When I was nine years old, I was very sick, and I had to stay in the hospital. I have very few memories of the hospital, but I do faintly recall a few calming faces as I lay in a hospital cot. These calming appearances were the doctors and nurses of the hospital. During my stay, I interacted with the hospital staff which was made up of nurses and physicians. The main reason why I didn’t feel scared about my condition was due to the trust I had in the abilities of my doctors and nurses.

It was another restless Friday afternoon in the small-town nursing home. Overworked nurses buzzed around, itching to start their weekend. “Ann,” a late-stage dementia patient, stared out her bedroom window. Her eyes focused on nothing in particular. As a hospice volunteer, I had been visiting Ann for three months. She spent our time together lost somewhere in her mind where I could never seem to reach her. I reminded Ann who I was and began one of our familiar conversation topics. As usual, she never spoke. As the visit went on, however, something changed. Ann slowly shifted her gaze toward me. I paused. She gently reached for my hand. Her hand felt weak, but her grip was firm. She looked into my eyes, and for a moment her face was clear with recognition. “You’re here,” she said. “…You are here.” She struggled to get out the words as she brought my hand to her face and kissed it. I was so touched I could not speak. For a moment, Ann connected with me. She trusted me. In that moment, I knew I had made the right choice.

During my shadowing experiences at UAB Hospital, one particular event was prominent in my decision to pursue a career in nursing. While in the emergency department, a suicidal patient, a quadriplegic who lost her limbs due to a spinal cord injury, was brought in for her second visit. This experience caused me to tap into my ability to stay calm and reassuring during an emergent situation, and it reminded me of my father, who lost two of his limbs in a train accident. My father’s accident in itself taught me strength and courage because he, like the patient, occasionally feels forlorn, which leads to suicidal thoughts. Watching the nurses care for my father made me realize that a nurse must be perceptive and knowledgeable about their patient’s

Lily had only recently began dialysis treatment, and her unwillingness to proceed with treatment would have resulted in her care becoming palliative, something the healthcare professional did not think was suitable at this point in her illness trajectory. Tait (2012) points out that a critically ill patient experiences not only physiological trauma, but also psychological trauma. This psychological trauma that can be experienced after critical care has been addressed by the National Outreach Forum (2003) who suggested that services should be developed to address the implications of critical illness. Samuelson (2011) suggests that any negative emotions associated with critical care can be counterbalanced with memories that reinforce safety, control and trust. This is a useful point to consider in Lily case, who fortunately had the time to talk through her worries concerning continual dialysis treatment with the staff on the ward, who were able to convince her she was in the safest possible hands and that continuing her dialysis treatment would be the best option.

My supervisor, one of the head nurses, hurriedly pulled me to the corner of the bleach white hospital room and directed me to put on gloves, an eye mask, and a face mask. I felt as if I was preparing for war as I put on all of the required gear. The sound of expensive shoes click-clacked down the hallway indicating the arrival of two doctors who rushed into the room and shouted out orders to the staff while pulling the doors to the room shut along with the curtains. Two doctors, eight nurses, an intern, and a dying patient squeezed into the already claustrophobic ten by fifteen-foot room. The machine monitoring the patient’s vital signs continued to beep incessantly as my heart rate accelerated. Throughout my internship, I had never seen a patient in critical condition until that moment. I remembered my teacher’s advice if we were ever in a situation such as this: take a few deep breaths and sit down if you feel like you’re going to pass out. In that

Thank you for the Thanksgiving dinner last night! That was a really great dinner. I enjoyed it a lot. Sorry for interrupting your conversation to go home early last night. I usually go to bed around 11 pm and wake up at 6:30, so 10 pm was a bit late for me. That was fun to learn how Chinese think about their government. I have some friends (and my first roommate) from there. A few of them are just like Pengcheng, knowing almost nothing about how the government works (especially those not coming from the coastline cities). But my friends from larger cities, like Wuhan or Beijing, prefer democracy better. They never use reasons like "China is too big to have democracy" to rebut the idea, and they often times complain about human rights in China