I knew better than to enjoy the unexpectedly calm environment of the ER. As a horde of ER staff rushed to the critical care room, I reached for my laptop and quickened my pace amidst the crowded room. While one ER nurse was continuously conducting CPR, the Pediatric ER attending directed another nurse to arrange for 3 more doses of epinephrine. I then noticed two other nurses attempting to console a shrieking mother, however inadvertently, failing. The doctor then signaled me to escort the distressed mother, Catherine, into the waiting room. As soon as we sat down, Catherine began recalling the events prior to the episode, her words barely comprehensible due to the uncontrollable sobs. She described the pork tamales they had gone to eat …show more content…
The ability to take the first step towards a healthy lifestyle seemed far from possible. All of my past attempts to lose weight were unsuccessful and had left me feeling powerless. It was only after my cousin had passed away at the young age of 44 due to cardiac arrest and that I found the encouragement to push forward. Enduring a constant feeling of helplessness was by far the cruelest punishment I could have experienced, and I swore to take control and use these feelings to make a permanent change for myself.
A secure personal connection with my physician helped me overcome my hurdles. Through judicious criticism, positive reinforcements, constant motivation, and above all compassion, my physician was able to aid me in maintaining my exercise regimen and diet. I gained a sense of relief knowing that I was healthy, which later on manifested into a positive attitude and confident perspective on life. Without the help of my physician as a guide and good role model, I wouldn’t have been able to make this change.
I never truly felt a personal pull or connection towards medicine until this experience. I was able to take something negative, a feeling of helplessness, and morph it into something positive, which turned into a sense of drive and determination. From leading an unhealthy and unmotivated lifestyle, I used it to make a change and started eating healthy, exercising, and felt good about myself.
I came to
Nursing care is a dynamic field of practice. The way it looks today is far out greater intense and very structured. It advances itself by the use of nursing theories and evidence based practice. Policies and procedures constantly change with the advancement of technology and science. While caring for the patient in the given case studies, a nurse involved utilizes practical knowledge, a culture care model and transpersonal caring relationship to attain a caring environment (Smith & Parker, 2015).
The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.
1. The nurse is asked to implement a new, complex, and invasive procedure and is concerned that this may violate the state’s nurse practice act.
For as long as I could remember, I have seen my father rushing to the hospital in a white coat, answering pagers in the middle of important family conversations and attending night calls even in the most terrible weather. I had always wondered; what could be so important that it belittles every other responsibility in his life. It was only after many years of anguish and protests that it finally made sense to me. This defining moment of realization occurred when I first met a patient in his office. I saw how the gratitude in the patient’s eyes can provide a sense of fulfillment that triumphs all other feelings in the universe. It was human life that was most important. Being a doctor does not make you a mere healer but also gives you the responsibility of a caregiver. I had never felt more proud of my father and that was the day I felt the urge to relive this feeling many times over. It was there in that moment that I decided to pursue a career in medicine.
CHIEF COMPLAINT: This is a post op note from a procedure performed July 21, 2015 by David Lin, MD.
DOI: 8/6/2015. Patient is a 51-year-old female licensed vocational nurse who sustained a work-related injury to her back and hips while moving a client. As per OMNI, she was diagnosed with muscle spasm, pain over the low back and thoracic region. She is status post right carpal tunnel release on 02/26/16.
Mr. Brann is a 42-year-old male here today for followup from his left cerebellar stroke and left vertebral artery dissection, status post hospitalization in May of 2015
----- Clinic presents a black male 68 years old. Currently experiencing dyspnea and lethargy. For the past week he has been having a increase of difficulty breathing. Complains of alternating periods of sweating and chills. Other symptoms he has been experiencing is a productive cough with expectoration of thick yellow sputum. Patient is a ex- smoker, he was a 40 pack year history, denies smoking, stopped over 10 years ago. Medical history includes chronic bronchitis, hypertension, MI five years ago, has had a angioplasty, and denies chest pain since having angioplasty. Current medication combined albuterol/ipratropium MDI, nebulized albuterol prn, captopril, and hydrochlorothiazide.
Topic: Nurse Practitioner the Role they hold in our Health Care, how changing their scope of practice may help with the demand.
I embrace the search for the effective, mutual beneficial relationships within medicine that aims to improve the lives of patients and fellow physicians to uncover the body’s complexities that are not always apparent through pure medical intervention. It’s not an endeavor that can be done with haste. Only with deliberate focus and care can I learn how to hone a person’s tale to their own telling and maintain their wellbeing. I look forward to the
Mrs. Cote 57-year-old female here today to establish care. She is a former patient of Marni Nicholas, MD.
A 35 year old female went to the ER with complaints of dizziness, double vision, numbness in the legs, but also on the right side of the body. She was treated for a severe headache with Vicodin and instructed to see her primary care physician if symptoms persist.
20. Analyzes and interprets initial assessment findings and collaborates with the client in developing approaches to nursing.
The application of either an AP glide or LAT glide to the lower cervical spine in subjects with acute unilateral neck pain resulted in a significant decrease (P < .001) in self-reported level of pain at worst. This reduction in pain across all subjects almost reached clinical significance. Additionally, the reduction in worst pain reported from pre- to post-treatment was significantly different (P = .027) between the two groups with the AP group experiencing a greater reduction in pain than the LAT group. Therefore, the AP glide may be a better treatment option for reducing pain in individuals with acute neck pain. The improvement in pain in the AP group was clinically significant, as indicated by exceeding the MCID for
Focusing on my most important priorities as I live with my chronic condition has also taught me how to persevere. My life is not defined by how many times I am knocked down but how many times I get back up. Since my diagnosis, I have been on a high salt diet and I take medicine three times a day. Sometimes I have to cancel plans because I am not feeling well enough to go out. Having to live with my condition and make these lifestyle changes has made me learn that there is never an easy fix, but rather that change takes hard work and