Asking, what is the patient’s experience of the Intensive Critical Care Unit (ICCU) can help health care professionals to ensure that even with the advancements in technology and medical interventions, the patient remains at the centre of the care and that technology and intervention does not become a barrier between nurse and patient. The benefit of understanding the patient experience and their needs and expectations is that it can facilitate person-centred nursing care (Dougherty et al, 2008) and will enable improvement through service user feedback. Patient experience could be the most relevant value of nursing care that aims to be both person and family-centred. The value of this for nurses is to gain insight into the total psychological, emotional and physical experience of being the receiver of care and treatment in a place where often, freedom and choice in the moment is declined in an act of non-consensual submission (Cutler et al, 2013). As a healthcare professional it may become less apparent as to what it feels like to stay in ICCU when you are afraid, fearful and unwell. When we are unsure what the …show more content…
According to Wilson (2015) the concept of ‘bracketing’ is a method used to step aside from all perceived opinion and knowledge in order to attempt to see another person’s point of view. Its approach is to ask the following questions; to what extent are the person and the world separate?’ And ‘to what extent does my experience and the other’s overlap’? (Wilson, 2015) This is the personal motivation in undertaking the
By ‘bracketing off’ our own assumptions of experiences, we allow others to describe comprehensively and sensitively, their own perspective view, enabling us to have a better understanding of other people’s experiences.
Nurse’s care for several patients in a day and it is important to understand the patient as a whole person to treat them effectively. The purpose of this assignment is to explore a patient’s disease to understand the nursing judgments and interventions involved, the medications for this diagnosis, and to understand the disease. The patient described in this paper will be referred to as Jonathan to ensure patient confidentiality.
I sincerely believe that I accomplished my goals this week. I realized that I served 14 patients by combining the ability of knowledge, my attitude for excellence that I have consistently defeat the odds to become the very best Nurse practitioner; I can become. This clinical experience brings forth many opportunities and achievements. The most important experience this week; I had the ability to identify as primary healthcare provider a high risk need for the patient to be transferred to the Hospital for further evaluation without delay; due to complaints of “leg cold from the knee down to the feet”, which my evaluation was based on evidence practice knowledge of compassion and skill with the autonomy to practice, diagnose, and treat patients
For my Clinical experience, I was referred to one of community clinics run by nurse practitioners - yes, NPs- in Suffolk County in Long Island by my coworker. It is called “Nightingale Preventative Care.” I am working in the ER and at first, I thought this clinic would be a type of urgent care office which is a similar setting to the ER. I was totally wrong. For the past two weeks, this place has surprised me many ways and I learned about what the community clinic is alike to its neighbors. Patients can be seen by NPs by the appointment. However, it is located inside of K-mart and has many walk-in patients as well. Many patients who come to visit for their check-up have no medical insurance. Every Wednesday, a representative from Fidelis Care insurance company comes and provides information about Medicaid and Medicare service the company has. I really like to sit down with patients and assess about their medical histories and family histories which I cannot do often in the ER. I had a patient who was Hepatitis A Ab, Total positive Abnormal first day I work at the clinic. He didn’t understand what the test result meant and neither did I. I printed out an article from National Library of Medicine and went over with him. Patient’s education in the ER rarely happens from nurses. I felt great to listen what patients tried to lose their weight or quit smoking. I like to continue on developing skills on patient’s education and preventative care measure for patients.
Patient-Centered Care: Patients should have control over the care they receive. By involving patients and family members in their care it will result in better health outcomes. “The response of health care professionals to patients’ questions, concerns, and feedback directly influences how comfortable patients are with speaking up” (Spath, 2011, p. 236). As nurses we need to respect our patients’ wishes and give each
D.D is a 16 yr old male who was in his usually state of health until he developed right-sided abdominal pain approximately 5 days prior to arriving at the hospital. His pain progressively worsened and spread throughout his abdomen. He also had nausea non-bloody, non-bilious vomiting, some diarrhea, as well as fevers, when pain did not improve he presented to ER. He was admitted and diagnosed with sepsis and perforated appendicitis. He had a laparoscopic appendectomy and a central venous catheter was placed. Following surgery he was then transferred to the med-surg floor. His parents are both Spanish speaking and at the bedside.
The purpose of the nursing practice field experience is to enhance leadership and research skills; identify shortcomings in policies, procedures or processes; and improve the current processes to ensure optimal patient-centered, healthcare delivery through the use of up-to-date evidence-based knowledge.
This week’s discussion board is to discuss the use of reminiscence when caring for the elderly population. The use of reminiscence allows us to gain insight to the patients past and how it has shaped them (Tabloski, 2014). The video “See me nurse” highlighted the patient nurse interaction will I will outline in this post Canadiary, 2008). Discuss experiences I have had with individuals with different background and the challenges it presented.
Lily had only recently began dialysis treatment, and her unwillingness to proceed with treatment would have resulted in her care becoming palliative, something the healthcare professional did not think was suitable at this point in her illness trajectory. Tait (2012) points out that a critically ill patient experiences not only physiological trauma, but also psychological trauma. This psychological trauma that can be experienced after critical care has been addressed by the National Outreach Forum (2003) who suggested that services should be developed to address the implications of critical illness. Samuelson (2011) suggests that any negative emotions associated with critical care can be counterbalanced with memories that reinforce safety, control and trust. This is a useful point to consider in Lily case, who fortunately had the time to talk through her worries concerning continual dialysis treatment with the staff on the ward, who were able to convince her she was in the safest possible hands and that continuing her dialysis treatment would be the best option.
Millions of individuals worldwide are admitted to an Intensive Care Unit (ICU) yearly after a traumatic, life threatening event. Family members keep a vigilant watch over their loved ones during their most vulnerable periods such as being restrained, sedated, and mechanically ventilated, resulting in anxiety for the family during the critical times of hospitalization and for the patient after discharge because they have no recollection of what occurred during these stressful moments. The majority of the patients admitted to the ICU are very appreciative of the medical staff for assisting them in their journey through the unpredictable days
Patients and family members in medical intensive care units experience pain and anxiety while overcoming illness and disease. Nightingale was one of the first nurses to recognize that the relationship between health and comfort is strong and direct (Peterson & Bredow, 2013, p. 194). Kolcaba’s theory of comfort addresses the need for nurses to provide patients and families with relief, ease, and transcendence to facilitate health-seeking behavior (McEwen & Wills, 2011, p. 234). The purpose of this paper is to evaluate Kolcaba’s theory of comfort (CT) using the Synthesized Method described by McEwen and Wills (2011) and to describe how this theory can be applied in practice.
Nurses provide excellent patient care, teach patients about health conditions, and give advice and support to patients and their families. Nurses have a variety of duties. They must monitor and record patient symptoms, take vital signs, watch patients diet and physical activity, supervise less skilled nurses, and order and interpret tests to access the condition of the patient. Nursing can be a wonderful, caring, and thoughtful job. However, to other nurses: nursing can be a difficult, tiring, and stressful job. Any job can be tough but nursing is emotionally and physically draining on a person. Nursing can be such a burdensome and demanding job sometimes because of the long hours, the exam to become a nurse, and dealing with other people.
Admission to an intensive care unit (ICU) can cause a great degree of distress and anxiety to both patient and family, so there was a qualitative study done to discover the self-perceived needs of family members of patients in a general intensive care unit. Data was collected through interviews, where participants described their experiences of visiting a critically ill family member. The conclusions of the study were that the families of the patients need a quiet and calm environment so they can feel more relaxed when they visit their loved ones in the ICU, they need other people to be there for them and to understand what they are going through, and if intensive care nurses try their best to deliver holistic care, then they would be able
Having worked in critical care and the long-term care setting as a nurse, I have notice the importance of providing comfort in many different situations. Nurses are constantly assessing patients, families, and other members of the healthcare team to provide comfort by using appropriate protocols and simple interventions that are in place. This can be extremely difficult because meeting a person’s expectations of comfort are all different and can only be defined by the patient. Therefore, I decided to explore the comfort theory developed by Katharine Kolcaba (March & McCormack, 2009). According to the comfort theory, comfort is defined by each person’s perspective of what comfort is to them (March & McCormack, 2009). The comfort theory is noted to be beneficial to the entire healthcare team, including patients and families (Boudiab & Kolcaba, 2015). This theory can be utilized in all areas of nursing practices. According to March and McCormack, (2009) the comfort theory was introduced by Katharine Kolcaba to help patients and families by providing comfort through a holistic approach. Through this approach, interventions are developed to meet the patients physical, psychospiritual, environmental, and sociocultural goals (Goodwin, Sener, & Steiner, 2007). These contexts are greatly related to the metaparadigms of nursing which are person, environment, health, and nursing (March & McCormack, 2009). The three forms of the comfort theory she
Nursing students face many challenges due to their narrow scope of practice, and lack of experience and knowledge. This changes with the development and learning of values and beliefs, which shape the decision making in the nursing process. During my clinical nursing practice experience as a new nursing student, I have had amazing learning opportunities as well as situations that made me feel uncomfortable, powerless, and dependent on the assigned nurse. In this paper I will talk about one of my clinical experiences where I felt powerless, analyze it, and show how the sociopolitical inquiry and power dynamics come into play in my story.