elaborate is of an elderly woman who was of a non-British ethnic origin and spoke little English. A junior nurse visited her home to provide care but her attitude towards the patient has been discriminatory and abrupt‚ a situation that calls for serious reflection on the issues of racial discrimination at the clinical setting. The patient was apparently treated with leg ulcer. The questions that have to be considered here are: Where in the observation did discrimination occur and how this could have affected
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Today‚ one of my patients presented to the ED with a 3cm laceration on his right hand that was three days old. He also reported a pain level of 7/10. First‚ my nurse preceptor and I had the patient wash his hands with soap and water to remove the dirt and bacteria from the wound. Thereafter‚ we sprayed wound cleanser to the wound and rinsed it with normal saline to further aide in removing debris and decreasing bacterial counts. After‚ I dried the wound edges with a sterile gauze. This is done in
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nurse only needs to look after poorly patients‚ administer medication‚ and write documentation. That caring is innate to human beings and doing it as a job is not so much difficult. But in my personal opinion‚ nursing is anything other than straightforward. Nursing as a profession requires critical thinking and sometimes spur-of-the-moment decision-making as the lives of people depend on such decisions. (Reflective Model Used) This paper aims to apply my reflection on an incident that I encountered
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lips finished the last word‚ I felt a drop of sweat fall onto my pant leg. My head ached and I started to hyperventilate. Everyone else seemed to be fine‚ so normal. I grabbed my friend’s shoulder as I felt like my heart was going to burst out of my chest. In a muttered manner I said‚ “I need some fresh air.” As I scraped my feet along the door‚ I stepped to the outside of the door with the hope that some cold air would aid‚ what seemed to be‚ a heart attack. I wanted to figure out the cause of
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reflect on is the administration of Intramuscular (IM) injections. I will use a reflective model to guide me in my reflection. The Gibbs reflection cycle features‚ description‚ feelings‚ evaluation‚ description‚ conclusion and an action plan (Gibbs 1988). The first stage of Gibbs (1988) is description of events. On my clinical placement I had the opportunity to administer a drug to a patient via IM injection under the supervision of my mentor. I had already observed this skill on various occasions
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THE CHEST EXAMINATION Physical examination of the chest The chest indicates the region that lies under the neck and above the abdomen. Chest wall is composed of sternum‚ ribs‚ and vertebras. The anterior part is a little shorter than the posterior part. Chest examination includes many components: chest shape‚ chest wall‚ breasts‚ vessels‚ mediastinum‚ bronchus‚ lung‚ pleura‚ heart‚ and lymph nodes‚ etc. In addition to general physical examination‚ the following check methods have been
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Case Study-Harry Tonka (Chest Pain) Case Scenario Harry Tonka entered the emergency department with midsternal chest pain‚ which started while he was playing basketball at the gym. Harry Tonka is 42 years old and 5’10” tall‚ and weighs 205 pounds. He smokes one pack of cigarettes per day and works in a office. On admission‚ he complains of nausea but no vomiting and no diaphoresis. His blood pressure is 175/92 mm Hg; his temperature is 99ºF‚ pulse is 127 beats per minute‚ and respiration rate is
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is a term used to describe the interconnected maze of nerves that carry the painful stimulus to all the different areas of the brain such as the central cortex‚ thalamus and limbic system that are involved in perceiving‚ reacting to and regulating pain. (Keefe‚ Abernethy & Campbell 2005‚ Melzack 2005‚ 2001‚ 1999‚ Moseley 2003) Essentially three different areas of information feed into the neuromatrix. 1. Sensory information from our physical body (skin‚ muscle‚ organs etc). 2. Cognitive
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Advocacy for Chronic Pain Patients Advocacy for chronic pain patients is the voice for all people involved. Advocacy is the answer to some better pain care for its patients. Advocacy is the voice in Congress so that these people can be heard. Advocacy is getting better educated on the chronic pain management and how to help patients deal with their pain. The research I have done is search the web and read articles on chronic pain. The most influential part is that I have met and
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Interview Video Reflection Assignment According to Fruth (2014)‚ “the initial patient interview‚ also known as the health history or the subjective history‚ is undeniably the most important component of the patient examination” (p.12). This initial interview acts as a base on which the therapist can perform physical examination and subsequently plan the intervention (Fruth‚ 2014‚ p.12). Being a novice‚ it is important to perform a self-appraisal after completing patient interview
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