Dr.Guarneri was always a type A personality. She describes her competitive overachiever characteristics for childhood but I also recognize the death of her mother had a profound effect on her course in life. She became very focused on the very disease that stole the life of her mom. She admits her desire for power over the powerless or to be a heroic figure which deeply connected to feeling helpless as a child when her mother expired. I can easily identify with many of the personality traits she displayed; henceforth, I can confidently state the characteristics of Type A have always existed and experiences have only enhanced them. Early in Dr. Guarneri career, she became aware of her inability to express her emotions to her patients she …show more content…
Nevertheless, by the time Dr. Guarneri became the assistant chief resident was detracted from needs of others and personally she became everything she stood against; the typical high stressed, high risk and cardiac compromised patient. The clinical nurse specialist Rauni King helped Dr. Guarneri see her inadequacies as a physician and her own self-destructive behaviors. Nurse King showed her the doctor a better way of life, a less stressful lifestyle and more importantly, medicine was great but it wasn’t the end all be all …show more content…
Guarneri transitioned she learned to listen, be compassionate, and to empathize. The key to healing is caring, Patient recognizes and responds when they feel cared for by their practitioner. Therefore, knowing Dr. Guarneri develop and current practices, as a nurse, it would be a great honor to work side by side with her. I have a great reverence for the heart; it holds life and death. This small organ is physical complex in nature but being aware of how our spirit, and emotions affect this internal organ; one must respect it uniqueness. Therefore, as I ponder, the list mentioned above are reasons to pursue a career in cardiac and not because it’s profitable (as Dr. Guarneri once insinuated). Dr. Guarneri’s love for her responsible for caring for individuals hearts showed in her writing. Early in her training, she describes the heart as a simple mechanical pump; devaluing the significance of its intricate complexity. Some examples of mechanical pumps are sump pumps and fuel pumps; these are no comparison to the heart. As she begins to develop she describe the heart as a flower opening one exquisite layer at a time. The heart was referred to as a woman, an unexpected bundle of a miracle, and she showed the heart feels. She equaled this organ to poetry, intelligence and the spirit of a man. As the doctor, progressed she long to have an open heart and referred to the as a timid tick deep in a mother's womb; word play on our lifespan is likened
Wide reaching, nurses significantly outnumbered physicians as providers of health care often having utmost vast reach remoteness to underserved communities. Having personally lived in one of the underserved communities in my hometown Western Africa before moving to the United States of America and my life calling to be a nurse from a young age with the deep desire to make a difference. I plan to contribute and continue to contribute immensely to the underserved communities by delivering quality health care to remote regions around the world. I do volunteer service at several clinics in the Atlanta area with many well-known Emory physicians that care for homeless and underserved populations, these volunteer experiences provide me with opportunities and fulfillment to develop added headship skill and experience to meet my daily patients, needs.
I was introduced to the World of Cardiology early during my medical school years, and had many experiences that initiated and reinforced my desire to become a cardiologist. During the basic sciences year I became fascinated with cardiovascular physiology and its application, and realized that the complex structure of the human heart is a unique beauty. My love for Cardiology was reaffirmed during my clinical training at medical school. Within few days of starting my first elective cardiology rotation,
I believed that five years reasonable length of time to develop and sharpen my skills, and I would be an experienced competent nurse. According to the Benner’s Nursing Theory, competent is a nurse that has work in the same area for two to three years that understands the long-term goals to achieve great efficiency and organization(4). Therefore, I have worked in area of medical cardiology with medical diagnosis consisting chest pain, myocardial infarctions, atrial fibrillation, and heart failure for five years. One of the unit’s goal is to provide adequate education to heart failure patients to reduce readmission. I have worked with the Clinical Nurse Specialist to educate nursing staff on the Heart Failure Pathway created to ensure adequate,effective treatment and education is delivered to heart failure patients. Thereby, reducing the probability of readmissions. I served a Unit Council Chair to help educated staff ways to reduce falls on the unit, assist with audits to retrieve unit data on adherence to hospital policies to reduce catheter associated urinary tract infections and hospital acquired pressure injuries.This experience along with obtaining a certification in Cardiac-Vascular Nursing made me a competent nurse now transitioning to level of
Ventricular Tachycardia. It is strange to think that somebody 21 years old could get such a complicated sounding disease. Initially I felt confused and a bit doubtful. I asked the doctor over and over again to make sure it was the correct diagnosis. Eventually I came to accept the fact that I have Ventricular Tachycardia. Eventually, I was able to see that having this disease didn’t have to be such a negative thing; that it could help me on my path. I went back to volunteering and shadowing with a new understanding. I was finally able to feel what the patients were going through, because I had gone through something similar. The confusion, fear, doubt, anger. I finally felt like I had the capacity to show empathy and understanding to patients and that medical school would help me to advance this ability
Traditionally, the physician was expected to use all of their talents and training in an effort to save the life of their patient, no matter the odds. More recently, the physician’s role has been redefined to preserve the autonomy of the patient. Now physicians must give life saving care only in so far and to the degree desirous of the competent patient.
Jean G. Miele an Architect, Will L. Wilson a utility company worker, and Ewa Rynczak Gora who works as a maid, and who have all suffered from a heart attack, and how their treatment and recovery experiences are significantly deference.
The healthcare profession is an ever evolving world that has changed greatly over the course of history in response to the needs of the communities and world at large. Gone are the days of doctors traveling to homes and communities near and far to provide a service. So much of the care provided now is driven by policies, legal agenda and financial impact. As a result of the changing dynamics within the healthcare industry, the roles of medical personnel have transformed into something once unfathomable. Nursing is a key area where significant changes have been observed over the last half century. Due to the ever increasing number of patients within the healthcare system and a physician pool that is not growing at the same rate, there has
Gawande’s personal experience shows that it is sometimes necessary to lie to patients for the greater good. When Gawande’s son comes to the hospital with a critical heart condition, he is cared for by many doctors but specifically one fellow is there by his side caring for him. Gawande knew full well that the resident needed to train to gain experience: “But I was not torn about the decision. This was my child. Given a choice, I will always choose the best care for him. How can anybody be expected to do
I was introduced to Mrs. Aaron by a close friend who was praised so highly of her skills and willingness to help others. Mrs. Aaron has demonstrated compassion with the patients, their families, and employees. She has an open door policy, welcoming communication among the employees in her cardiac, step-down unit, in order to have a copasetic environment. She is an extremely resourceful and patient person, always demonstrating the essence of a nursing leader. She has spent the last twenty years of her career as a nurse and the last ten years as a nurse manager.
According to Naylor & Kurtzman (2010), the main responsibility of nursing practitioners is to provide primary care to patients and give medical doctors all the necessary support needed in the execution of their (doctors’) professional duties. However, it is important to note that effective medical care
A gentleman in his mid sixties was lying on the operating table. "You can rest outside if you want", said the cardiac surgeon while looking into my eyes. Preoccupied with the patient's picture before anesthesia, I struggled to swallow my worries and fulfill my promise to him to stay close throughout the operation. It was not much time until the potassium mixture was infused and the heart was sucked out of spirit. Over the next two hours, my mind and body were stretched to their limits. Despite being captivated by the precision with which the staff manipulated the grafts with the coronary arteries, I wasn't able to break the countless thoughts and apprehensions that riddled my head. As the blood was re-pumped into the heart, the flat line on
By removing these restrains nurses are given more opportunities to advance their roles in the healthcare system (Institute of Medicine, 2010). One of the implications to accomplish the goals of the Institute of Medicine would be that should be more active and contribute new ideas to change the focus from the specialty care to the primary care. The nurse should develop the ability to adapt to the change in the environment from patient's bedside to community based care. Attaining such a shift will facilitate the health care system to provide higher-quality care, reduce errors, and increase safety. Presenting care in this way and in these areas taps traditional strengths of the nursing profession (Institute of Medicine, 2010). According to the Institute of Medicine, among the much advancement that are resourceful, adaptive, and well-educated nursing profession have helped make achievable are is the renovation of technologically advanced hospital; the option for physicians to unite office and hospital practice; decrease the lengths of patient residence in a hospital setting; growth of national primary care capacity; care management for chronically ailing and elderly people; and better admittance to specialty care and focused consultation.
Even though demands on nurses grow greater and patient care becomes more complex it is important to value and dignity of each person. While taking care of N. I saw how unfair she was treated on the unit. Most of the time she was last to receive morning care and was deemed “difficult to work with”. The response to her call bell in the morning
Nurses and doctors used to have a distinct role in the medical field. In the past, the purpose of nurses were to assist the doctors. Unlike medical history, nurse practitioners now a days can prescribe medications, give diagnosis, examine, and even provide treatment. When entering a doctor’s office or clinic,
Ground breaking achievements in medicine have provided the stability and foundation for humanity to live happier and healthier lives. Advancements in medicine are dependent on forward thinking individuals who are willing to surpass the contemporary boundaries of medicine. One such individual, Ludwig Rehn, took on the challenge of performing the first successful cardiac surgery in the late 19th century, when too many were afraid or failed in their attempts. However, the field of medicine has also experienced many changes in its practice from without. Other areas of study, particularly the humanities, have influenced changes in the practice of methods for centuries. This brings up the question,