Agape Hospice Experience

This was my first shift back from having a few days off and I returned to work on a night shift. Patient A was admitted to the hospice that day. She was admitted for general deterioration and she had tried to maintain her independence up until breaking point. It was handed over she has aphasia.

Clinical day started slow, I was a bit anxious about waking my patient up that morning but I knew I had to go in. I woke him slowly and took his vitals and proceeded with my assessment. As I assessed my patient, his wife came in to his room and I introduced myself. During the morning I found out that my patient was being discharged. Before discharge, my patient was going to be fitted for a LifeVest.

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.

When a person is diagnosed with a terminally illness and is given an expectancy of six months or less to live, it is time to concentrate on the type of care will need. Many times a person and their family will turn to hospice care. The meaning of hospice is to provide care to a person who is terminally ill. Hospice does not speed up or postpone death. Hospice is a type of care that provides services to improve the quality of life for the patient and family.

Throughout my clinical experiences, there have been quite a few circumstances I have been placed in that have remained with me whether good or bad. All of them have been learning experiences for me whether it is how to improve and to do better next time from a mistake, for me to learn that this is or is not how a patient should be treated, how to handle family situations, and many others. One experience that I was able to participate in that will remain with me because I had not experienced this before was during my critical care rotation in the fall of 2015. This patient was dying and we were implementing comfort care for him.

The last experience I recall involved a nurse who back then was undergoing a cardiovascular operation. Despite the difficult moment that the patient went through, we tirelessly went with him till the operation became successful, and the growth that developed in his body got dealt managed. The patient became thankful as he left the hospital because we saved his life big deal.

For todays clinical, I was located at the office in Pineville. To start the day, Mrs. Faranda went over the computer system and planned out her day based on her goals set for each patient. She planned out which patients she would need to call first. After that, she showed me how to look and see which patients were in the hospital and which were located in the emergency department. Lastly she me different thing in the computer system like the social determinants of health and the medication system. She also went over resources. To end the day, she made a few phone calls and tired to reach out to certain patients. Overall, I enjoyed my day and being able to learn more about Community Care of North Carolina.

My learning needs were supported this week by the nursing staff on the unit allowing me to help with assessing and treating their assigned patients .In addition, my clinical instructor discussing ways to improve out charting.

I went to my supervisor and asked for advice on how to go about volunteering my time there. Thanks to her connections, she was easily able to arrange this for me by contacting someone affiliated with the facility. Upon my arrival, I was given a tour of the building and prompted to help those in the administration office by packing envelopes. Due to privacy laws, I was unable to physically interact with their patients. However, I take great pride in knowing that I did what I could to help an organization that focuses on providing exceptional, accessible care for others, regardless of a patient’s ability to

This was the most rewarding experience, and it made me realize I wanted to help these ill ndividuals on a everyday basis. Being able to bring a smile to thier face's was not only bringing happiness, but also help them to heal their mind, body, and soul. Although I can attain my nursing degree at the community college level, I have decided to transfer to a four year institution because I want to further my education beyond an

My nurse preceptor today was Patricia. Patricia was an amazing preceptor with an immense amount of knowledge. I enjoyed Patricia’s passion for knowledge. She just finished her DNP. She spoke to me about how she also held two bachelors degrees and a masters in nursing. She was very caring of her patient and showed compassion to not only the patient but the family as well. I don’t think I would have done anything differently because she was a great patient advocate, caring healthcare professional, and great at time management. I was fortunate to have worked with her today in the CICU. We had a 1:1 assignment, a 67 year old male who had a STEMI. Ultimately, he ended up needing an intra-aortic balloon pump (IABP) to assist his heart. This was placed 8/31.

On September 28, when we went to Tripler Army Medical Center, I was placed in the Cardiac Ward. At that time, I was able to learn so many diagnosis dealing with the patients. The nurse had briefly explained what was going on with each individual patient and the type of treatments they are doing to help. She had also neatly clarified each medication she was giving them and told me exactly what it was used for. I was able to get an experience of hands on by taking a patient’s temperature. I had shadowed as she did so many things to make the patient feel comfortable and did everything to the best of her ability to make them happy. She had taught me how to record every piece of information about the patients on the computer by showing me what

My Story: Today, was an awesome, extremely busy clinical day; I absolutely loved it. I saw five total patients. The first patient that I saw was with Laura, this patient was diagnosed yesterday, 2/7, with cirrhosis of the liver and HEP C. The patient’s chart says he has a history of anxiety, however, the patient stated that his anxiety started when he was told in the ER on 1/25 that he could have cirrhosis of the liver (more information in part D and E). This patient was very interesting, and I was amazing by how much he was going through; I felt bad for him. I did vital signs and my part D and E with this patient, and built a therapeutic relationship with this individual. I completed my part D and E on my first patient, due to not knowing if other patients were going to cancel because of the snow, as well as I didn’t know what patients I could see because the NP, Tanya wasn’t in the office in the morning. At the end of the visit, the patient asked me if I would be coming back again. This made me feel good, because I knew listening and being there as support for this patient helped him. The rest of the day I followed the

There is a time to be born, and a time to die. As frightening as it is, we will all die someday. Some will die at birth, some in a tragic accident, and others from a natural cause. The average person will live a full life, and die in old age. Cancers and other deadly diseases are becoming more prominent in our culture, the demand for end of life care is becoming substantial. Hospice nurses provide near death care, and attend to the emotional, physical, mental, and spiritual needs of the terminally ill patient. Hospice nursing would not be the perfect job for all nurses, it takes a nurse with a special heart, and calling to specialize in the hospice field.

I had my moment of achievement of a milestone when I received this great news I felt that all my hard work up to this point has paid off. And it is now my time to shine and over time gain respect in this placement, and become a respected medical professional in the Oakville Hospital by staff and the Oakville Community. I hope this shows my level of focus and maturity, that I have to my future career goals. Along with the ability to give back to the