Interview With A Patient: A Case Study

For this interview I had the opportunity to speak to Vicky Ronald, RN, BSN, OCN. She has been working as a nurse for 20 years now and stated that she loves what she does because it is a gift and a blessing to contribute in healing patients. This interview is a brief history and description of how Vicky made it to the top of the Nursing ladder, her roles, past experience and how she integrates HIPAA to maintain patient confidentiality.

When working with individuals with physical disabilities the TTM model can vary according to how the individual’s culture recognized their disability (Boston, 2015). Gender roles can also affect the process of change (Boston, 2015). The helper needs to empathize with the disabled person to understand how they feel about their disability and the cultural belief system of the client, in an effort to assist the client (Boston, 2015). When a counselor is working with a transgendered person, the helper needs to adjust the model to include the client’s level of social acceptance (Carroll, 2002). The social situation with a transgendered client may not be one of tolerance, therefore the helper needs to be aware of this and balance between the clients needs and the social environment the client occupies (Carroll, 2002). Finally, when working with clients from various populations, the experience should be unique and the therapist should work to help the client feel accepted and understood, the various models can be modified or adjusted to better fit the

For this assignment I was able to interview Regina Bowman RN, BSN. Her current position is that of the Director of Medical Surgical Nursing. Her position places her over top of seven nursing units between two facilities. Regina graduated from the Mercer Medical School of Nursing in 1979 with her diploma in nursing. The Mercer medical school of nursing is still in operation although it has been renamed the Capital Health School of Nursing. Her return to school started after graduation. She enrolled at Mercer County Community College to obtain her Associates. Secondly she attended La Salle University and received her Bachelor’s in Nursing in 2003. Lastly she is currently enrolled at the Thomas Edison State University, and has a

The nurse I chose to interview has been a family friend for a while, as she has worked closely with my mother for several years. She is the first nurse I met when I decided I was interested in going into the nursing field, and she is actually the person who encouraged me to apply to Truman State University’s nursing program. I was confident that she would be able to share her capacity of nursing knowledge and wisdom with me when I asked if I could interview her. I will expand on our interview which took place in her office at work throughout the next couple of pages, and to keep confidentiality, I will allude to her by her initials, J.W.

For my interview, I spoke with one of the Nurse Practitioners (NP) that I interact with while working my shift at the hospital. I will call her Terri Smith because although I asked to use her quotes in my paper, I did not think to ask for permission to use her actual name. Where I work, many of our internal medicine physicians are hospitalists. During the night, they are covered by the umbrella of Quest Care. There are several NPs that work under the afore mentioned physicians and are there, on-call, when needed for their clinical expertise. It is nice, because even though I can’t develop much of a relationship with the doctors whose patients I work so hard to take care of, I get to have the opportunity to grow strong bonds with the NPs that I see almost every shift.

Scholarship. During my interview for UMMC I was asked if I had a bachelor’s in nursing to which I replied no. I was hired with the agreement that I would pursue my degree with two years of working. This isn’t the ideal way someone wants to continue his or her education. It leaves a bad taste in your mouth feeling forced to pay for more education when you are already licensed as a registered Nurse. At first you feel as though all of the hard work you put into your ADN program is worth pennies because you don’t have BSN next to your name. But then you realize, nursing is no easy task. It requires all that we have learned in this program; the valued ends, presence, praxis, self-care, leadership, advocacy and now scholarship. Having completed

When was the last time you were in the hospital or a loved one was in the hospital, and ever wondered where the nurse is, and they haven 't returned for hours. You finally push the assistance button several times, and they open the door and hurriedly say, “I will be right back”, then you don 't see them for a while again. When they come back to check up on you, you explain to them what you need, and then they send in a less qualified staff member to assist you. At this point, you become very annoyed and frustrated not to mention scared to be admitted in the hospital to begin with. Little do you know, your nurse has ten other patients and other non-nursing tasks that they are responsible taking care of. They have been working a double shift and are extremely exhausted, and a large stack of charts that they will have to do before their shift is over. As a patient, you now become frustrated and are not happy about this; as a nurse, they are just as frustrated as you are, not only because the amount of work they have but more importantly they can 't deliver the appropriate care they long to give. For most hospitals they do not hire enough registered nurses for reasons that are good and bad. This is an issue that needs to be addressed not only locally but nationally and on a constant basis. When there are too many patients for one registered nurse to attend to, nurses become exhausted, mistakes are made, and patients are unsatisfied. A minimum nurse to patient ratio needs to be

The client, Molly Porter is a single, 28 year old white female, she has lived in Raleigh, North Carolina for her entire life. She lives with both of her parents John and Martha Porter. She is currently employed as a cashier at Burger King.

An Acute care and a non-acute health care facility are medicals facilities that provide short-term medical treatment to patients with very severe medical conditions or with very serious injuries. These facilities provide a short-term treatment to patients to help stabilize them from various health conditions. Such treatments are provided in hospitals or urgent care centers by different types of clinical personnel using technical equipment, pharmaceuticals, and medical supplies.

A career in the health care field is a growing profession. Unlike many different avenues of career choices, the health care field is projected to grow rapidly in many years to come. When a person decides to obtain a health care position they are able to literally live anywhere and still be able to find a job. There are numerous options of working anytime that fits into the daily routine of a person’s schedule. Also, the choice of deciding whether or not to work alone or work on team, depending on which path is chosen.

Throughout the interview, Xavier’s mother answered the majority of the questions and expressed the difficulties she faces daily while taking care of her son. She also talks about the process of receiving the diagnosis of ASD, as well as a previous diagnosis that was incorrect. Xavier’s mother first noticed something different while comparing his development, mainly his speech, to that of her nephew who was around the same age as her son. She claims that he wasn’t talking at all at the age of 1 ½ and that concerned her. Xavier’s doctor said his speech was probably delayed and suggested a speech therapist as early intervention. His mother claims that he didn’t outwardly appear Autistic to her because he wasn’t withdrawn. She also claims that

Empathy: Carissa is very empathetic to all her patients. She puts herself in their shoes. She is able to identify and share emotions while providing the best care possible. She treats her patients as she wants to be treated (Wilson 2012).

Dr. Acosta’s presentation presented the Kleinman’s questions as a tool nurses and physicians can utilize to improve their cultural sensitivity. These open-ended questions attempt to address the patients’ explanatory model of illness. This model provides health care professionals with culturally sensitive information vital to designing a care plan tailored to patients’ unique beliefs and traditions. This model is a new interviewing tool I can utilize in my practice to further my understanding of my patients cultural beliefs related to their health condition.

A twist on the "patient's perspective" approach is to describe a time when medicine failed to save or heal someone close to you. The purpose of this tactic would not of course be to rail against the medical profession, but rather to show how a disappointing loss inspired you to join the struggle against disease and sickness.

Mrs. J. arrives at the emergency department with her 6 year old son, PJ, who has a history of Cystic Fibrosis (CF). He is febrile (101.7° F orally), BP 98/66, HR 122, RR 32 with the use of accessory muscles. Mother states PJ has, for the last five days, exhibited signs and symptoms of upper respiratory infection, runny nose, low grade fever, cough, and fatigue. He has lost 2 pounds over the past 5 days due to anorexia though he has not had vomiting. He weighs 36 pounds and height is 3’2”. Today, PJ became more lethargic and his fever was difficult to control with pyretics.