Worst Leadership Experience

I was going through a really hard time in my life, My grandfather was knocking on heaven's door and

Pulling up at the hospital; I had no idea what I was about to endure for the first time. I walked to the end of the hall to see someone that meant so much to me laying there lifeless. I stood at the foot of his hospital bed; for a moment it seemed as if time had frozen. I was there with one other person when two nurses walked in to tell me “we see no signs of improvement, we are going to pull the plug”. I stood there and watched my best friend breath his last breath. When they allowed me to go back into the room, I immediately checked to see if he was still breathing. I walked to his side, rested my hand on his cold shoulder and prayed to God that this wasn’t real. Later flowers were piled up in the worst way and no one knew what to say or if they should speak at all. This amazing person was buried and I blamed God for the loss of his life and the physical pain that flooded my body. I couldn’t accept what had happened and told myself that it wasn’t real. I was so angry at God for making me go through this that I had lost all faith in him. My relationship with God was so amazing before I experienced this that I couldn’t understand why he would want this for me. I continued to question everything that I had ever known that I didn’t know what to believe in

An ambulance came and carried out my mom. I didn’t know what was going on, so many questions running through my mind, what was wrong with her, was she going to be ok. I was scared, more scared then I had ever been. My sister Sheridan who was 8 asked me “what’s happening?” through tears. On that day a little piece of me began to change because if I let her see my fear that would not help anyone, and so even though I didn’t know what was happening I responded “everything is going to be ok” even though I did not trust my own words.

This week, I was given the opportunity to care for two female patients – 205(1) and (2). The first patient, 205-1, was admitted with respiratory distress and had a past medical history of hypertension, schizophrenia and bipolar disorder. She was initially put on 2 L/min of oxygen and placed on oxygen titration protocol with orders to maintain O2 saturations between 88-92%. The patient was oriented to person and place, but had difficulty with time. She was also obese (BMI 30) and deemed a moderate assist with ambulation. Her care plan included total assistance with ADLs, smoking cessation and oxygen protocols, limited salt intake (3mg), and chronic pain management. The second patient, 205-2, was admitted with a right pelvic fracture and had

Unfortunately, she was in place to protest the procedure, she needed help. Nor could her relatives do anything for her. Her many health problems needed to be looked at but the doctors do more than

After several weeks of my Grandmother passing, I came to realize she wasn’t coming back. The feeling of shock had left and now I felt intense amount of emotional suffering. The continuous feeling of pain and unanswered questions lingered about in my mind. I began to wonder how it could have happened and what people could have done differently. At this time, my whole family was grieving over the loss as well.

This patient arrived on time for her scheduled appointment with this writer. This writer introduces herself as the patient assigned counselor, at which the patient was pleased to be assigned to a counselor. This writer discussed with the patient UDS and the patient's prescribed medication. According to the patient, she provided information of her current medical concerns such as the seven blockage with her heart, her chronic back pain- the patient reports that she needs to replace 2 or 3 discs, and her foot surgery. The surgery for the patient's heart and foot are pending at this time. The patient reports she is scheduled to conduct a sleep apena on 03/03/2016 and is aware that she must provide an update to Nursing at the clinic. The patient praised about having a excellent Cardiologist, who is currently monitoring her heart. the patient was emotional discussing the many loss of her family who suffers from congestive heart failure. The patient reports, " I believe there is a GOD and he is

She told me that she and the patient’s father had been trying to convince him to take the meds, as they both believed it would be best for him, however, he was not yet convinced. She told me he had recently started doing his own research online, which seemed to be improving his outlook on therapy. I encouraged their efforts and expressed my thankfulness in his self-directed research, as I recognized this as a sign that he had entered the contemplation stage of the transtheoretical model (Hall & Edgecombe, 2014, p. 297), which showed progress. During this conversation, I noticed that the mother was showing concern towards her son, and appeared distressed by the situation. I asked her about her experience as a psychiatric nurse, and she told me that despite her decades of experience, it has been very difficult for her to watch her son struggle, as it is completely different when it is “so close to home”. While validating her challenges and offering supportive comments, I encouraged her to see her nursing knowledge and expertise as a strength to her son’s recovery, as well as her own well-being, through this difficult time. I reassured her that her grief and feelings of helplessness are

Five days had passed this time since anyone had heard from my mother. I remember praying to God to protect her from harm and for me to find her. The next day she showed up, but not in the way we had hoped. One morning as I was getting ready for school my sophomore year in high school, my phone rang to the voice of my stepfather. My stepfather had told me he heard a call come over the dispatch scanner at his work and my mother’s name was mentioned. The sheriff had informed my stepfather that my mother had been involved in an accident. My stepfather asked me to go to the emergency room and see what condition my mother was in because he lived a half hour away from the hospital. When I arrived at the hospital I found my mother cut out of her clothes, covered in her own urine, massive amounts of blood all over her body, and lying lifeless on life support on the table. At this point, no one knew whether my mother would be okay. My mother had bleeding on the brain as well as a tear in her shoulder, a shattered face, and a chest tube draining fluid from her lung which had collapsed. All I could do was pray! My mother’s life was in God’s hands now. Three days later she woke

During her career as a pediatric nurse, she became very connected with a patient who happened to be her first death encounter. At the time, the patient was a six-year-old boy who was diagnosed with leukemia. ML said: "When I was caring for this patient, I was a mother myself. Seeing that boy and his family suffer gave me so much heartache… it was hard not to make it personal." The more she worked with this child, she observed the pain and suffering him and his family had to go through. She also learned about him and the family dynamics which enabled ML to help the patient and the family become well involved in understanding one another and guide care towards an agreement that everyone was satisfied with. As I reached for the tissue box to hand it to her, I rephrased the story to confirm the understanding of the story. She nodded and continued on talking about things she has done for the patient. Being a mother and a nurse, she believed in providing this child with what a healthy boy would be doing at his age. ML's strategies involved promoting short physical activities, playing games, and encouraging the parents to participate in such activities if possible; ML wanted to provide a lighter atmosphere around the unit and help the patient disregard the diagnosis even if it was just for a little while. Over the past few months, she continued to assist this patient as his

1 a.) I have been performing my fieldwork at Whittier Health Network in Haverhill, Massachusetts. There many different types of patients and clients receiving services at my fieldwork site, from patients receiving rehabilitation services, to residents receiving dialysis. Some of the patients that my fieldwork supervisor and I have been meeting with have ranged in age from mid-forties to late eighties, and have had various diagnoses. One patient that my supervisor and I have met with was a women in her mid-fifties. She has recently had knee surgery, and has been suffering from respiratory problems. She also has been experiencing high levels of anxiety, which appears to be due to her inability to breathe properly and easily. Another patient we have been seeing who has been experiencing difficulties with respiration and breathing is a man in his early seventies. He has been ill, and was experiencing difficulty with breathing. He is currently using a tracheostomy tube, which has allowed him to breathe, and make great progress throughout his stay at the facility. Another patient we have been seeing is a women in her mid-sixties. This patient had obtained an injury to the lumbar region of her spinal cord, and in turn has recently had spinal surgery. Other patients that we have seen have been experiencing various injuries that they are working on recovering from; are experiencing various ailments such as dementia, confusion, and Alzheimer’s; or are experiencing difficulties with

Most people will experience something horrible in their lives. As a young child, I was ignorant to the idea that bad things could happen in my life. One cold day in November, my Mom said that she was feeling a little sick and had some pain in her neck. After some tests, the doctors came up with a diagnosis, it was devastating. Even after the evidence from X-Rays and MRI scans, my family was trying to find any reason to deny the truth. My Mom, Gricelda Martinez Ozuna, the strongest and most determined person I knew was fading away and I knew my time with her was shortening every passing moment.

I stayed close to the patient during this whole period, but I was not paying enough attention to her low oxygen level. The patient was a healthcare aid and she kept telling me that, “It’s ok, I am always a shallow breather”. However, I should have my own judgement ability and provide more competent care with timely evaluation of the effectiveness of the interventions.

Joanna is an experienced nurse taking care of Mrs. Kelly, who was Joanna’s patient many times in the past for her primary problem which is COPD. This time Mrs. Kelly was admitted with complaints of abdominal pain what was different from her primary diagnoses. Her vital signs were with normal limits and no significant changes from privies results, but for the nurse she looks sick, and Joanna know that something is wrong. She calls the resident doctor, but he tell her to watches and calls back with series changes. Joanna multiple attempts to report that something needs to be done to evaluate the cause of Mrs. Kelly pain was ask to calm down. However nobody took patient symptoms series and the next day patient died.

When reflecting on my experience as both a student and a life learner, I never would have considered myself a leader. In fact, I have always been the shy kid who hides in the back of the class and panics whenever it is their turn to respond to a question. College however provided me with an opportunity to develop myself as a leader. I became more active in school activities and actively sought out leadership roles. As I’ve progressed in my professional life, I’ve become more interested in what it takes to make a strong leader. When assuming leadership roles, I’ve always considered myself an authentic leader but I know I’ve often struggled in detailing clear goals for my group or organization. Thankfully, Enrolling in the effective