I believe that nursing is both and art and a science consisting of psychosocial and biological sciences that work together to continually improve the health care field. I believe that with the knowledge and clinical experience from the TVCC ADN program I will be able to provide the best care possible to the people in the community. As a nurse it is important to carry the attributes of being caring, compassionate, understanding, non judgmental, realistic, open–minded, honest, ethical, and moral. I also feel that it is important to maintain sensitivity to all cultures when providing care. I believe that nursing care starts at the client's birth and continues throughout their life span. I believe t continued care includes heath promotion,...show more content...
As a nurse I will use my knowledge of critical thinking skills with in the nursing process: assessment, analysis, planning, implementation, and evaluation. Furthermore as a member of the nursing profession, I will assume accountability and responsibility for the quality of nursing care that I provide to clients, act as an advocate to promote quality health care for all clients, and take part in activities that promote the development and practice of professional nursing. I believe that heath is based on emotional, spiritual and physical well–being. I believe that it is the absence of illness and abnormal conditions. I believe health constantly changes across one's life span. I believe that it is important for a nurse to ensure that the relationship is not only with the client but with their families, friends, other health care providers and caregivers. It is the nurse's responsibility to provide individualized care for each client. A nurse should educate them and their family to ensure health promotion and health maintenance I believe that as a nurse we are to serve our community by providing education of preventative health care, information about community agencies and health care resources. I believe that as a health care professional I should participate in local health screenings
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Katherine Gallagher NU 310 Exemplar 2/21/2012 I arrived to work well rested and ready to start the day. I had just returned after a two week long vacation. Because of the time off, I arrived to 7 East to find that the assortment of patients was not familiar at all. As I began getting reports on my patients, one in particular I started to feel a little anxious and stressed. At first glance I could tell I would be busy for the next twelve hours. Lynda was a 45 year old woman that was admitted almost a week ago after having an emergent tracheostomy placed. Lynda was newly diagnosed with laryngeal cancer with already having several other diagnoses including: seizure disorders, mild mental retardation, behavioral issues, and was legally...show more content...
The look on Lynda's face was that of incredible confidence, I was truly impressed with her. By the end of our second twelve hour shift, Lynda had learned how to suction herself. It was passed along in report to simply encourage her independence in suctioning herself. Day three, my mission was to teach Lynda the proper care of her PEG tube, and to continue with the encouragement of her suctioning herself. After walking her though a bolus feeding in the morning, she agreed to do the next one. Lunch time came around and sure enough, she was able to complete the bolus feeding with minimum assistance. By the time came for the next feeding she was going to get the can of food to do it herself when I had walked in the room. She laughed and told me I was right that the PEG tube was a lot easier than suctioning. At this point in Lynda's stay I knew that she would be going home soon. Later that evening, while discussing Lynda's progress over the last few days with the physicians I asked them what the plan was and instructed them that we needed to get nutrition, social work, and case management involved so that she could go home. The physicians stated that they would place the consults that I requested but as for discharge they were unsure about when this would happen because Lynda's brother doesn't think she can care for herself on her own. I was shocked to hear this, the brother who I had not
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The standards of practice describe a competent level of nursing care as exhibited by the critical thinking model known as the nursing process. This practice includes the areas of assessment, diagnosis, outcome identification, planning, implementation, and evaluation. The nursing process includes significant actions taken by registered nurses (RN) and forms the foundation of the nurse's decision–making ("American Nurses Association," 2010). Assessment is the accurate collection of comprehensive data pertinent to the patient's health or the situation ("American Nurses Association," 2010). Assessment is the first step in the nursing process and the most important. Assessment is the accurate collection of the patient's health date...show more content...
It is during the second phase that the nurse must establish a nursing diagnosis. Only diagnosis approved and listed through The North American Nursing Diagnosis Association (NANDA) may be used. Ineffective airway clearance, risk for impaired skin integrity, risk for infection and ineffective coping are just a few examples of NANDA approved diagnosis. A nursing diagnosis is a clinical judgment about actual or potential individual, family, or community experiences/responses to health problems/life processes. A nursing diagnosis provides the basis for selection of nursing interventions to achieve outcomes for which the nurse has accountability (Defining the Knowledge," 2012). The third standard of practice is outcomes identification. During this phase, the registered nurse identifies expected outcomes for a plan individualized to the patient or the situation ("American Nurses Association," 2010). During this step outcomes must be derived from the nursing diagnosis and must be measurable, realistic and attainable by the patient. The registered nurse involves the patient, family, heath care providers, and others in formulating expected outcomes when possible and appropriate. The registered nurse must also consider associated risks, benefits, costs, current scientific evidence, expected trajectory of the condition, and clinical expertise when formulating outcomes ("American Nurses Association," 2010). Example of an
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The aim of this assignment is to critically discuss the nursing assessment individualised care and nursing interventions of the acutely ill patient. The patient discussed developed severe sepsis due to a urinary tract infection and her condition deteriorated during the recovery process in the nurse's care. Lovick (2009) defines sepsis 'as a known or suspected infection accompanied by evidence of two or more of the SIRS criteria'. SIRS is outlined as a 'systemic inflammatory response' consisting of two or more of the following symptoms 'temperature >38 degrees Celsius or 90 beats per minute, respiratory rates greater than 20 breaths per minute and white blood count higher than 12,000 cells per microliter or lower than 4000 cells per...show more content...
The nurse found Mrs Smith to be tachypnoeic, her respirations were recorded as 24 breaths per minute it was observed as being fast and it appeared that her accessory muscles were being used. Mrs Smith's pallor also appeared flushed and her saturations were documented as 93%. The nurse used the stethoscope to check for wheeze the patient's lungs were clear and chest rise was symmetrical. Mrs Smith was commenced on 100% oxygen through a non–rebreathe mask, oxygen as an intervention is necessary as Creed & Spiers (2010) highlight 'metabolic demand for oxygen throughout the body is hugely increased by sepsis and is essential to ensure the supply of oxygen is maximized' .The nurse monitored the patient closely because in her confused state the patient may try to remove the oxygen mask.
An evaluation of Mrs Smith circulation was the next step carried out by the nurse, as in the breathing assessment Mrs Smith pallor was noted as being flushed and the patient appeared confused this could be associated with poor cardiac output. The nurse recorded the patient's blood pressure using a dinamap it was measured at 88/50, it was then rechecked manually to ensure accuracy. The pulse was checked manually for rate and rhythm it was recorded as 98 beats per minute. Capillary refill was checked, was found to be normal. The next step of the framework is disability. Mrs Smith's conscious level was measured
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