Personal Narrative: Sick Demands

I fight for my health every day in ways most people do not understand I lay in bed struggling just to get up in the morning only to get faced with a new day of troubles. All I think about is the day that being a normal eighteen year old ended for me. I was responsible went to work every day, and was trying to figure out my first year of college until everything was flipped upside down.

Week three in clinical was difficult for me, I had a great experience overall but I hated seeing and holding a baby that had passed away at 21 weeks. To know what the family could possibly be going through was heartbreaking. I wouldn’t exactly know what to do if I was with the patient and her family exactly. I do know that I did place her in the room when she was admitted to triage. I do feel good about seeing the scenario play out, while being a student rather than being in the field alone. Other than that I was able to see the beginning stage of labor as well as a C-section. Everyone was so bent out of shape on making sure I eat and that I don’t faint, but it seriously wasn’t bad. As a matter of fact I was too intrigued with the mother rather

I had such a great day at clinical yesterday. I was finally able to see a vaginal delivery and that entire process. When I arrived in the morning, the mom had just received Cytotec, to help induce labor and ripen her cervix. She was forty-one weeks and zero. Around ten thirty in the morning, she asked for her epidural to manage her pain. We bolused her with fifteen hundred milliliters of lactated ringers to prevent hypotension. Shane was the certified registered nurse anesthesiologist (CRNA) who administered the epidural. It was very cool watching him administer all the needed pain relief medication before he administered the epidural to make sure that it would be placed in the epidural space in the spine. Then administered a small test dose, waited till a few blood pressures were taken, then administered the remaining about through an epidural pump. After the epidural was administered, I was able to administer her foley catheter. I was so happy that I was finally able to place one. I learned a few tricks from Maura (my nurse) as well. She taught me that it was easier to take the top off of the lubricant syringe and to place the tip of the foley inside of the syringe, that way it will not wiggle around and become unsterile. She also taught me to grab from the bottom of the labia and pull up, that way it ensures that I will have a clear entrance to

After the incident, there were multiple Acute Critical Stress Symptoms that have occurred. Upon discovering the hole on the fuel truck, I froze and slowly climbed down the truck, myself and the driver of the truck assumed that the mortar round was inside the truck (it turned out, the mortar round hit the tank and ricochet and hit the ground, leaving an 8 inches hole). I have been thinking about the incident and the what if scenario kept playing on my head. There were a great deal of questions, such as, exposing my team to danger, to include the considerable amount of what could have gone wrong that could have loss many lives that night. I woke up several times with a cold sweat, nightmares, difficulty sleeping and fear of event repetition.

Our clinicals at Cadbury at Lewes is quickly approaching an end and we are still learning new things each day. Everyday we do something new and so another skill is checked off. Yesterday, we got numerous things done, it was a very busy day.

I am most familiar with the Urgent Medical Center. In my opinion, it is very well-structured place with a diverse staffing. It was always a pleasant environment when I had to visit the center for an illness. The center has at least two physicians and nurses on-site at all time. Also, there are several medical assistants to help provide quality of care as patient wait to be seen by a physician. This organization promotes health and wellness services to all patients. Theirs mission is to provide an affordable, quality healthcare with respect and compassion to all patients. The urgent medical center mainly focuses on treating common illness and non-life-threatening injuries. One thing that they do not have on-site is an equipment for diagnostic,

I was able to make connections between the clinical and the lectures. I was able to apply the knowledge I learned from lectures and our assigned textbooks, readings, and videos to clinical. Over the course of the semester, I became much more comfortable being on the floor at the psychiatric hospital. I was able to see the symptoms the patient presented with and make connections as to what their diagnosis was. as well as the as well as see the therapeutic effects of the medication they were taking. My clinical provided me with exposure to patients with borderline personality disorder, schizophrenia, major depressive disorder, eating disorders, and bipolar disorder. I was nervous about clinical simply because I didn’t know much about mental

Hi doctor. I'm wondering if I need to be concerned. I keep getting what seems gas. The mild/dull pain is always in a different area. It bothers the most the most when lying down. Therefore, sleeping at night has been a challenge, leaving me unrested. It also bothers when pain is around the groin, it sort of feels like if I had an urine infection, but I'm urinating okay. I've been taking the Omeprazole, thinking it might help. But it has not. What do you think?

“But you don’t look sick!”-- Wow, thanks, am I supposed to take that as a compliment: that my chronic illness hasn’t yet affected my appearance? There is no real way to look like you have a chronic illness. Maybe when I’m in my back brace it’s more noticeable, or when I’m forced into my various other braces and supportive wraps it’s apparent that my body is in a constant war with itself. Newsflash: I am sick. I was sick when I was born, I am sick right now, and I will be sick when I die. I am, forever and always, sick.

The first thing that comes to my mind about this clinical experience would be exhausting. I had only three hours of sleep because I had forgotten I had a prior obligation later in the evening, so was unable to leave Alamosa until 2100, so I did not get home till 2330. I had to get up at 0400 to then go to SCCF. Four hours asleep, while sick was not a good idea. It was an extremely tiring day that I feel like I am probably missing something in this journal.

One source of stress is “Chronic Stress.” Chronic stress means stress that is experienced for an extended period. One example from my personal life that was a chronic stress was my family and work stress. I think family and work problems of my own example connect because they fell under the same category and correlated with each other. A specific example is my mom forced me to figure basic skills myself such as driving. I was in and out of jobs and found myself having to figure out how to get to work. I could not depend on anyone to take me anymore and the bus system was undependable. I did nor deal with it the way I wanted at the time. I had just finished up an internship and found an excellent job but found myself having to figure out how to get to work. My cognitive

When I woke up I had no idea where I was. I was dazed and really confused. The nurse came in and said, “Jaclyn you're in the Toledo Flower Hospital and you passed out.” My parents were sitting there with worried faces. I just wanted to know what was going on. She was giving me a medicine through my IV, looking as if she was frantic and dripping with sweat. As soon as I got my medicine a stretcher burst through the door. There was a bloody unconscious man lying on it. My nurse immediately ran to them and she was rushing around and looked like she was on an adrenaline rush. She was yelling for a Doctor, but there wasn't one around. She had to make the decision to intubate the patient without the doctor and that was a risky decision.

My goal for clinical experiences is to apply what I have learned throughout my semesters to a clinical setting. I want to become more competent in my skills. I want to be able to look at a patient and identify clues that help me create a focus assessment. I also want to be able to use the patient medication to identify some adverse effects to create a preventative plan of care. My goals are to become more structured with my care plans. I want to make them more patient centered and more focused on initial issues that the patient might have then move it towards preventive methods instead of having my preventative methods first . I also want to become more confident in preparing and starting IV. I know that perfecting starting an IV will come

"There is one consolation in being sick; that is the possibility that you may return to a better state then you were ever in before." Henry David Thoreau

“Come on Leroy, what is the worst thing that could happen? I mean, isn’t that the whole entire reason we took this gap year? I bet we could get some crazy footage and it would be really cool.”