While I was assessing the patient he constantly complained of shortness of breath, so I decided to auscultate him. There were crackles present at the base of the lungs, but also his vital signs showed…
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Even though I am now a senior nursing student I still get anxious when I have to confront real world situations because I am afraid of making a wrong decision that would compromise a patient’s health. This is the reason why it takes me a long time to get a nursing diagnosis. Mostly I double check with another nurse to be sure that I am doing the right thing.
2) Did you miss anything in getting report on these patients? If so why? Were you distracted? Did you receive too little information? Did you receive not enough or incomplete information? Were there environmental distractors? Did you have a knowledge deficit regarding the concepts required to comprehensively care for this patient scenario? What actions could you have taken to improve your patient report? What systems are in place that would assist you? (SBAR, etc.) Describe them.
The report was correctly related to the patient’s condition. It helped me to understand the present and past medical history of the client. Professor Anderson was very thorough and easy to understand. This particular client had the diagnosis of congested heart failure, which had been covered recently in class. I had knowledge relating to this illness that helped me to provide care for the patient in this condition. One of the distractors for me was to be recorded while working. It made me nervous, not because I did not know what to do but just simply the pressure of knowing that somebody was watching me. I know that I have to work on that. Even now as a senior nursing student, my anxiety still increases knowing that someone is watching me. What I would like is more time with the patient and it would be better if the patient’s conditions were more realistic. In real life, after I administer medication such as Lasix, a beta blocker, and digoxin, I need time to reassess the patient to know if his or her condition has improved or not. It would be more realistic to have an SBAR instead of using the board
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