The Examination Of Jenny Enters The Clinic

In the story Mirror Image, I relate to Jenny the most. Jenny’s current relationship with her sister, Alice, is like my brother and mine. Whenever my brother and I argue, I respond the same way Jenny does. Jenny and I are awfully distant. Similar to Jenny restricting her sister from reading her diary, I also have expressed harsh “whatever’s” to my brother. Just as Jenny is, I am also passive-aggressive. Jenny showed that she’s quite upset with the “new” Alice by calling her “Gail”. In the same way, I have shown disgust by dropping hints like using one-word responses. Jenny is quite reserved as am I. Like Jenny keeping her diary from the “new” Alice, I keep my journal to myself. I can relate

1. As the clinic nurse, what routine information would you want to obtain from S.R.?

After I got the assignment, I met my nurse, introduced myself and took the report of the patient. I went in my patient room and introduced myself. I took patient vitals and documented it. With Professor Zentis I did physical assessment. Her fundus was firm and midline 2 fingers below the umbilicus. The patient had scent lochia rubra. Mrs. M has 6year old daughter and concerned that she is not sure the right positions to feed baby. She also had incision pain

Assessment of a patient is a big process of decision making, it is about the collection of information which will contribute to an overall judgement of a person and the illness they may have. Lloyd (2010) states that assessment is one of the first steps which is needed to be done in the nursing process, it is a building block for a relationship and an ongoing process which lets health professionals gather the correct information to help them understand the problems and needs that the patient is going through. Most of the nursing assessment which are in use today will all have very similar aims. The difference is that how the assessment’s are carried out is where the differences come from.

In Rebecca West’s gripping novel The Return of the Soldier, West spins a tale of English country society into a dark critique of true happiness and the falsehood of a what would have been considered a proper upbringing. Through symbolism in the characters of Kitty, representing “the falsest thing on earth, who was in tune with every kind of falsity”, and Chris, the soldier returning with the mental damage of memory loss; and in the story being narrated by the ever-observant Jenny (West 87). As it is with most novels, readers are meant to naturally identify with the narrator of the piece. Therefore, we are taken on the journey of Jenny, a woman who had never experienced the war but was forced to confront the realities head-on through her relationships

In this Assessment nursing course, one of the major things that is taught is the most important part of giving proper care to a patient. Correct patient assessment is needed before any nursing care plan or treatment can be implemented. This post-review of a person’s assessment will demonstrate the proper way to go about assessing a person’s health.

I was able to check the patient in a systemic order and to make her feel comfortable around me allowing openness and honesty about medical conditions. I responded to the patient in a professional way as to not make her feel uncomfortable and to represent myself as a professional. The patient felt very comfortable with me during the interview, I had asked her upon completion if I was professional and if she felt comfortable. She said that I was very gentle in examining her and that she was very comfortable speaking to me. During the examination there were moment when the patient and I had light conversation, as I did not want the experience to feel cold and calculated. She showed me picture of her family and the books that she loves to

The first stage of the process is assessment. Roper et al (2001) refer to this process as ‘assessing’ indicating an ongoing activity; this encourages nurses to recognise the on-going nature of this initial phase. The assessing stage includes gathering information about a patient, reviewing this information, identifying actual and potential problems and prioritising (Roper et al 2001). Roper et al (2001) explain the importance for assessing, as early as possible in the patient’s stay. Extensive, in-depth information may not be gathered on an initial assessment, however any information obtained contributes towards individualised care (Roper et al 2001). Ambrose and Wittig (1998) explain that the initial assessment becomes a foundation for ongoing assessing and holistic care. Barrett, Wilson and Woollands (2009) concord with Roper et al and Wittig in that assessing is an ongoing process and elaborate on this explaining that assessment should not be confused with admission. They state “an admission tends to be a one-off process when you first meet the patient, whereas assessment carries on throughout your relationship with the patient” (pg22). Assessment enables the nurse and patient to identify actual and potential problems. Although, some problems can be directly related to biological needs, holistic needs must be considered, i.e. psychological state and cultural/social standing

B- For the check off we were advised that, if we are the patient we should not say anything or in other word we should help our partner. So its kind a challenge, if you are the one who’s going to be transfer to bed to wheelchair or wheelchair to bed and you knew your partner is lacking on a step and you can’t help her.

Jenny reports that she was born and raised in Vincennes, Indiana. She reports that she was raised by her biological parents. She reports that she has two older sisters, and one older brother. One of her older sisters has passed away. Her other two siblings live out of state. Jenny reports that she grew up Catholic, and went to Rivet High School. She stated that she is not as involved with her church as she used to be.

preliminary test for each patient; she would place them in the exam room and notify me.

Questioning is the act of forming an inquiry and interpersonal communication to gain information which assist in making decisions. There are two common types of questions that are mostly used in an interviewing scenario, that is; closed and open questions. Closed questions are restrictive and require short answers .For instance, “Yes/ No “answers. The amount of information gained is limited while, open questions begin with “What, Why/ who?”They allow patients the freedom to talk about what they wish and invite an argument, long answers are required for these types of questions. (Stein-Parbury, 2009).

Like a perfect automaton, the nurse proceeds to measure vital signs and note her findings with as little human interaction with you as is possible. After the nurse has completed her tasks, you must wait until the doctor pops his head in, nurse's records in hand. The doctor then proceeds to ask you some variation of the stock doctor question: "What seems to be the problem today?"

At the beginning of the sim scenario, a clinical handover was given and it became clear that Jenny was due for her next dose of cefotaxime. The following steps to administering IV medication were followed; the nurse assessed for baseline vital signs then assessed the IV site for infiltration, inflammation

1. Choose one patient (new mother, newborn, or pregnant/laboring woman) and identify the priority problem. What did you contribute toward resolving or easing the problem?