The Relationship as A Foundation for Nursing Interventions Analysis
Description
- Review two student’s initial posting and provide a nursing review of the information. Provide honest open feedback; yet, remain professional and courteous.
- Ask a specific pointed question. Below are suggestions points to guide you in asking your question
- Ask for clarification
- Insight to a different thought/view
- Possible direction of additional interventions
- Ask for missing information
- Provide direction to a potential different outcome
- Consideration of missing assessment data or suggestions of more data details
- 1. My client was a 54 yr old M, He came in with chest pain radiating to his L arm and was immediatley placed on the cardiac telemetry floor due to the elevated ST wave found on his ECG and an abnormally high blood sugar, the nature of my relationship with the client and his family was professional and informative. Upon arrival both the client & the family were extremly anxious about what theirn day would entail and were fearful that something more serious was going on. In particular he was confused and nervous to go to the Cath Lab later in the day for his angiogram, and because of my own medical history and experiences I was better able to empathize with him. That being said he was also on a restricted diet due to the procedure which intern also added to his irritabilty, In order to ease his anxiousness a bit more I advocated for him to get ice chips which made him a lot less tense and built a bit of trust within our patient-nurse relationship. While in the beginning the client presented anxious and frustrated, as the day went on and I spent more time with them, he began to me more open to the idea of bettering his health and taking actions to do so. The clients symptoms were most likely caused by yearsb of excessive smoking/ vaping and poor diet. The most noteable solution and then one his HCP utilized first was an Angiogram where two blockages were found and a stent was placed. In order to get the full medical picture of my patient I consulted his chart in order to obtain hisn medical and social histories. My goal for the patient and his family was for them to feel some sort of peace or stability with his current situation/ diagnosis. One thing I did to try and ease the client anxiousness was, take about 10-15 mins to explain to he and his family what his day looked like and why each procedure was nessecary for diagnosis and resolution, during which I also tryed to acknowledge their concerns and feelings on their current situation was proved to be somewhat of a stressor. The patient and their family were appreciative of my willingness to take time and ackowledge their concerns, My nurse was pleased with my willingness to stay and help and commended me on my professionalism. My nursing knowledge/ skills were expanded today because, I was able to go with my client and obserev the Angiogram. The Cath Lab staff was very knowledgeable and did not hesitate to explain what was goingon during then procedure, why they do things the way they do, orn what signs or syptoms they look for during the procedure. Next time, I will better educate myself on the procedures my client has ordered for that day in order to better answer/ respond to their questions. Throughout this expierence I was reminded of how important acknowledging and responding to the patient’s feelings are and how much it impacts the quality of their care.
- 2. Today I was at Midland Memorial post-surgical unit, the patient I picked today was a 73 year old female that was admitted for an asthma exacerbation. The patient expressed her husband had passed away and her kids as well as her grandkids were all living out of town. The relationship between the patient and I was very much a therapeutic relationship for the patient. As I stated the relationship was very therapeutic for the patient in allowing her to express her feelings and voice her concerns as she wished. Through the experiences I have had and experienced in the past I felt I was able to communicate with the patient and help her to express her emotions by knowing how to react to the patient’s body language. I believe a nurse plays a vital role in guiding the patient through the emotions they feel while being hospitalized. Nurses can connect and build a relationship with their patients very easily when allowing the patient to have time to express themselves. Today as I built my relationship with my patient I also felt a great deal of emotion in being able to help the patient in a way she wasn’t able to achieve without her family being here to help her express her feelings about being in the hospital. The first thing I noticed about the nursing situation was that it was more being a nurse to the patient, the patient needed extra support especially with her family not being close enough to be there physically during this time. As I spent more time with the patient she opened up more and more about her situation and past life experiences. As the day continued I noticed she had some unresolved grief regarding past life events that had happened. Simply asking simple questions such as if she enjoyed lunch turned into the patient becoming very emotional because it reminded her of her late husband that passed away 10 years ago. I also learned the patient was very hesitant in being discharged because of the lack of family nearby. The patient from the beginning of the day was nervous as she thought she would be discharged today but her condition was not yet stable enough to be discharged and that gave her relief. She expressed she didn’t want to bother her kids in coming to help her after she got out but didn’t know how she would receive help once she was discharged. I was able to learn alot from this nursing relationship with the patient and was able to experience really helping a patient express their feelings and concerns about their life and health status. With the things I noticed in the patient and what I discovered from what she expressed to me, I believe the patient would really benefit with a social worker coming in to talk to her to help her sort out her situation once she is discharged to help provide relief to the patient. I wanted no more of the patient’s living situation such as where she lived, how she lived before her exacerbation, and what her plans were once she was discharged. With the situation the patient was in I felt like the patient’s chart could not tell me the problems that the patient was facing outside of their health status so asking the patient questions was the way I was able to get the information I needed. My goal for this patient was to help the patient feel comfortable with the idea of being discharged. The interventions I put into place were asking the nurse what more we could do for the patient, asking if a social worker visiting her would be possible, and also addressing what the patient thought would be a solution for herself. Once the interventions were put in place I could tell the patient felt more at ease with the idea of being discharged once her condition returned to normal. The patient was very relieved knowing she would have arrangements sorted out before she was discharged and would not have to worry about needing to ask for care or find care. I continued to carry out this relationship in helping the patient express herself just in case any concerns arose throughout the day. Today helped me develop skills in being able to communicate to my patient beyond the means of just providing healthcare and advocating for my patient when a problem was identified. One thing I would do differently in this situation is get help for the patient related to her problems sooner to help resolve an issue that is outside of my means of care such as a social worker.
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