Nursing Observation Essay

After observing my mother in at the emergency room where she works, I finally understand the difficulty of being a doctor. Doctors constantly having to take care of anyone who walks through the door on a stretcher. Doctors have to try their best to feel empathetic towards everyone, putting themselves in other people’s shoes and trying to understand their situation. Whether they are good or bad, it doesn’t matter, the main goal is to stabilize the patients and make sure they receive the help they need. For example, last night walked in a psychopath who had killed 3 people, who also stabbed himself in attempt at suicide. By some miraculous move by God he didn’t die, only required immediate medical attention. As I watched my mother operate

Target population was pregnant women less than fourteen weeks gestation that had a sedentary lifestyle. The researcher used two data collection instruments to complete this study. The first is The Cornell Protocol Fitness Tool that measured cardiovascular fitness level and peak oxygen consumption. The second data collection instrument used was The Minnesota Leisure Time Physical Activity Questionnaire assessed energy expenditure and daily physical activity. Candidates were excluded if they had chronic hypertension, gestational diabetes, and any medical condition that will prohibit daily exercise, communication problems, or recommendation of primary care provider not to participate (Yeo 2009).

This essay will discuss a clinical skill in which I have become competent in practicing as a student nurse.

Burkhardt, M. & Nathaniel, A. (2008). Ethics & issues: In contemporary nursing, (3rd ed.) Clifton Park, NJ: Delmar

According to American Nurses Association nursing can be defined as “the protection, promotion, and optimization of health and abilities, prevention of illness”. (American Nurses Association 2016) Nursing is a career where a person, should have compassion, a caring heart, and be devoted to their client care. Sometime person goes into the nursing field for the money, job stability, and because a person 's family member wants them to go into the nursing field. I feel like the future of nursing have yet to be determined.

Nursing can be a demanding career, but the benefits far much outweigh the challenges. Most importantly, it’s the rewards it offers by allowing an opportunity to make a difference in another person’s life through the provision of care when they need it. Just as Patricia Benner theorized in her book “Novice to Expert,” nursing encompasses both educational knowledge and extensive clinical experience acquired throughout one’s career. This far, I continue to acquire knowledge and clinical knowhow which will promote proper and efficient care to patients. Since I began practicing one year ago in a long-term healthcare facility, I have interacted with patients, families, physicians and other members of the healthcare team to coordinate patient’s care which has enabled me to gain confidence in myself. While I cannot deny that it was difficult to transition from a student to a licensed nurse, I learnt to overcome these challenges and focus on my strengths. Practicing as an LPN has provided a platform to learn and gain experience even though the duties and responsibilities are limited by the scope of practice.

The patient is a 12 year old female who presented to the ED with thoughts of self harm and cutting behaviors. The patient denies suicidal ideation, homicidal ideation, and symptoms of psychosis. The patient reports that she has been sad lately. Per- documentation the patient reports to peers at her school that she was trying to kill herself, which the school sent her to DayMark. Further, Daymak IVC the patient and requested further evaluation.

My practicum setting will be an associate degree nursing program, Joliet Junior College (JJC), one of the oldest community colleges in Illinois. The mission of the school is focused on offering students an affordable, accessible valued education for a lifelong profession in nursing, and to serve the community (Joliet Junior College [JJC], n. d.). Accordingly, the school’s philosophy is based on preparing students to be exceptional providers in the growing healthcare system, providing safe and high quality care (JJC, n. d.). The foundation of the JJC nursing program is based on four major principles: client, environment, health and nursing (JJC, n.d), while their conceptual framework is grounded in the fundamental structure of three major theories which forms the basis of the concepts, skills, and principles of the nursing practice (JJC, n. d.). The three major theories are: Maslow’s Hierarchy of Needs, Levels of Prevention and the Nursing Process (JJC, n.d.). Joliet Junior College nursing school offers a competitive program and combines the traditional classroom experiences, in-class high-fidelity simulations labs, online augmentation theory lectures, and clinical experiences in health facilities throughout the community (Joliet Junior College [JJC], 2016).

According to, “Advanced practice nursing is the patient-focused application of an expanded range of competencies to improve health outcomes for patients and populations in a specialized clinical area of the larger discipline of nursing.” (pg.69) It also describes an APRN as “A nurse who has completed an accredited graduate level education program preparing her or him for the role of certified nurse practitioner, certified registered nurse anesthetist, certified nurse midwife, or clinical nurse specialist; has passed a national certification examination that measures the APRN role and population focused competencies: maintains continued competence as evidence by recertification, and is licensed to practice as an APRN.” (Hamric et al, 2014,

During many years the role of school nurse was traditionally viewed as one where the nurse cared for students that were injured, applied bandages and gave out ice bags. Throughout the years the role of the school nurse has evolved into one of leadership and management along with many other duties including traditional roles as mentioned above. The services provided by a school nurse range from assessment and screening to coordinating care for regular students as well as students with special needs. School nursing requires experience and knowledge in school, public, community and emergency health to meet the many needs of school aged children and youth. The school nurse provides many services but the basic services provided include

Lily was a 65 year old lady with stage 5 CKD, she had recently begun hemodialysis treatment three times a week as an inpatient and had been responding well to treatment. During dialysis treatment on the morning of the first day, Lily’s observations showed that she was: tachycardic, hypotensive, tachypnoeaic, had an oxygen saturation level of 88% and was becoming confused and drowsy. It became apparent that Lily had become hypovolaemic. The hypovolaemic shock seen in this patient was of a particular critical nature due to the fact that her dialysis treatment had moved her rapidly through the first two stages of shock with her compensatory mechanisms failing very quickly (Tait, 2012). It was also much harder to identify the early signs of

. The only cost in this programming would be the time put into by the nurses. There has to be adequate staffing so the nurse is able to take the time to accomplish this daily task. There are only a few requirements perhaps having the nurse with the lower patient acuity do the nursing group. The cost would be minimal such as providing the patient with printed material for them to read as some of them learn better by reading.

I arrived at Eastwood at 8:30 AM to pick TO's book and to get everything ready for the doctor' office. . I went to Bridges main office around 9 AM to pick up a paper for TO's doctor to sign. I picked TO up at 9:30 from HESTIC to attend her doctor's appintment. TO had an appointment with Subedi at 9:45 AM. TO and I were at the doctor's office until 11:15 AM. While TO and staff waited TO went to the thrift shop at TRP and picked up a small cup for her lunch pail. TO was returned to HESTIC at 11:30 AM.

This is essay is going to examine the principles of nursing and health. In order to do this it must look at the concept of health then describe the dimensions that make up health. Secondly, an adult individual will be chosen in order to discuss the determinants that affect their health. It will then go on to explain the underpinning professional, ethical and legal principles that would be taken into consideration if the individual were to require nursing care. Finally, it will identify how carrying out this assignment has informed the writers personal concept of nursing.

This assignment will present a nursing care study of a patient on a cardiac ward. The patient will be referred to as Ann to maintain confidentiality (NMC, 2008). Ann’s consent was gained prior to starting this care study. The care study will be developed using the Nursing process and the Roper, Logan and Tierney model. These will both be outlined. The assignment will focus on the assessment process and one problem identified during the assessment and the nursing care which followed this.