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Nursing
When I first met Dan (not his real name), I was a shift nurse filling in for a colleague. I had never before worked with a bariatric patient. His size shocked me at first. What we colloquially call "morbidly obese" certainly applied to Dan, who had to have an emergency tracheotomy due to his hypoxia. Dan was closer to death than he realized when I first encountered him on my rounds. As he came to work with us, he gradually started to fathom the seriousness of his situation. I would say that Dan was in denial when I first met him. Through the course of knowing him, I saw this patient change and grow in dramatic and inspiring ways.
Dan has a super sense of humor, which is the feature that most stood out about him when I worked. It became so that I looked most forward to the time I spent with Dan, because the laughter he brought to my heart and to my colleagues was a salve that carried us through the toughest of days. Dan is one of those patients...
When he had bad days -- and there were many -- Dan still managed to smile and tell a small joke.
His condition ebbed and flowed. When I first met Dan he weighed over 400 pounds. Special equipment was needed to help him. Special chairs were used, and nearly every aspect of our work from transfers to IVs had to be adapted for his large size. The bariatric surgery was the first of many procedures to help save Dan's life. After the surgery, he started losing weight gradually. By the time he got to 350 pounds, the weight loss was noticeable. Yet I started to wonder what Dan would do once he was discharged. Would he be able to live a normal life? Would the surgery encourage Dan to adopt healthy living habits that would ensure long-term success?
As I got to know Dan better, I shared stories with him. My sister has struggled with weight loss for some time. She never became clinically obese to…
Reference
ASPB. Retrieved online: http://www.asbp.org
Clinical Narrative 2
Clinical narratives are used for the articulation and sharing of knowledge and experience which has been acquired over time and through experiential learning and is a way of enabling nurses to "tap into the thought processes and best practices of expert clinicians" through sharing of stories based on experience. Professional conferences involve the attending of conferences, which expose nurses to ideas that are new and best practices of other
The Neuman Model is appropriate for senior care. Studies necessary with other models. Penrod, et.al.; Reframing Person Centered Care for Persons with Dementia Research and Theory for Nursing Practice 2007 Lit. Review, discussion Lit. Review Research shows individual personhood approach has positive effects on care. Biomedical and psychological models must be merged for persons with dementia. Integration models Further study using different integration modeling. Rajapaksa and Rothstein; Factors That Influence the Decisions of Men and Women Nurses to Leave Nursing. Nursing Forum 2009 Case
Exploring Patient History, Assessment, and TreatmentIn clinical practice, the intricate patient assessment and management process stands as the cornerstone of healthcare provision. This case study delves into a profound exploration of a patient encounter witnessed within the context of a recent practicum site visit. Drawing upon the essential components of the SOAP (Subjective, Objective, Assessment, Plan) note template, we embark on a journey through the patient�s intricate web of subjective
Nurse Lit Review TYPE OF RESEARCH STUDY - Quantitative or qualitative Descriptive, correlational, experimental, quasi-experimental, phenomenological, grounded theory ethnographic, historical SAMPLE METHOD & SAMPLE SIZE Knoll, Lautenschlager & Lipp (2009). British Journal of Nursing. Impact of workload on hygiene practices. Quantitative. Experimental. trials of nursing staff. Statistical. Enforcing hygiene practices has practical healing benefits for nurses. Souweine, B. et al. (2009). Intensive Care Medical Journal. Compared hygiene practices. Hand rubbing vs. hand washing. Quantitative. Experimental. person nursing staff. Workers completed self report questionnaires. Hand rubbing with alcohol
27). The proficient nurses perceive situations as wholes rather than in terms of distinct aspects, and performance is determined by maxims. Perceive or perception is the main word: The perspective is not thought out but presents itself based on experience and earlier events. Proficient nurses understand a situation because they perceive its meaning in regard to long-term goals. Because of their experience, proficient nurses can recognize when the expected normal
Nursing theory, research, and practice Scenario in which theory, research, and practice interact to create good patient outcomes Imogene King’s theory Functional Status Nurse-Patient Relationship Using the Imogene King’s theory to enhance Nurse-Patient Relationship Enhanced Patient care narrative explanation of your visual representation following the diagram. Nursing theories have been developed as a way of trying to explain the fundamental importance of clinical practice (INSCOL, 2014). Even though these theories are used to guide practice, it is true