Reflective Learning Nursing - Personal Statement Example

Discussion During the actual encounter with the patient, I had to make the patient comfortable by introducing myself, and telling her I was her nurse, asking how the patient feels prior to inviting her to sit down and giving her instructions, with eye contact while we talk. I made sure that I was attentive, not only listening, but also mentally taking note of the patient’s body gestures, facial expression, and fears, if any. Through these gestures towards the patient, I was able to make her feel relaxed and comfortable (Tollefson, 2010).

During the interview establishing identity of the patient and the reason for the visit, I had to note how the patient feels and limit the question and answer on matters with regards to her health, current condition and history. This way, I was able to maintain professionalism as well as make the patient feel safe and respected (Kuiper and Pesut, 2004). I also noted if there were communication problems, such as language barrier, or communication discomfort on the part of the patient. Fortunately, the patient was easy to talk with.

Throughout the interview, I encouraged her to talk about her health issue or issues but avoiding much prodding as well as repetition of topic. I was able to accomplish this by taking notes on her answers and with my focus on her alone. Where there was unclear information given by the patient, I had to paraphrase and ask through a question answerable by yes or no for confirmation. After sufficient information was provided by the patient, I summarize the information and confirm from her if the information was right.

I also checked if the patient had identification band in order to compare data provided. I then proceed to take the vital signs but I failed to explain to the patient why these were needed. After getting her consent to perform the procedures, I washed my hands. I had to ask every step of the process if the patient felt comfortable, and make the right adjustment if not such as the position of the chair, or even the air conditioning. Throughout, I maintained eye contact. I first took the temperature.

I committed a slight error by not immediately taking note of her temperature or recorded in her chart. In taking the pulse rate, I had to prepare the equipment, prepare patient about the procedure, provide privacy, identify the landmarks, palpate lightly with finger pads in identifying pulse, then note the rhythm and strength. I counted then calculated the rate per minute, and made sure to note whether or not there was irregularity. I terminated the encounter, then replaced and disposed the equipment, wash my hands based on standard precautions, and then filled up the form or chart of the patient (Daly et al, 2006).

Where there was irregularity of pulse, I had to inform the patient of my role. In taking the blood pressure, the same procedure of routine hand wash was undertaken. This will ensure sanitation and safety. I then check on the patient documentation then the patient status. If the patient is new or whom I have not established familiarity, yet, I introduce myself and asks for her identity, too, such as how may I call her (O’Toole, 2010). Then, I informed her procedure to be done and why it is needed.

I then ask for consent to perfo