CONESTOGA COLLEGE INSTITUTE OF TECHNOLOGY & ADVANCED LEARNING SCHOOL OF HEALTH & LIFE SCIENCES, & COMMUNITY SERVICES

Practical Nursing Program Student Name: Maryam Botros Teacher: Cory Farago Clinical Start Date:1 st Dec,2011 Week 1 2 3 4 5 6 7 8 9 10 11 12 13 14
STUDENT REFLECTION

The quality of care is based on the relationship between the nurse and the patient. Care demands that the nurse should acquire knowledge about the patients life world. The nurse needs insight into the patients understanding and experience of his/her life situation and illness (Lyngaa, 1998). Through this helping relationship nurses assess patients to promote, prevent and maximize their health and well being. The nurse needs to be supportive and therapeutic, interacting with the patient to explore his/her experiences and problems. The nurse must be able to use theoretical and practical knowledge and the development of the self to facilitate the growth of the helping relationship (Sundeen, Stuart,Rankin & Cohen, 1998). These are very good definitions. However , what does it mean quality of care to me? I concluded that, It is listening to someones deepest pain with respect. It is teaching someone an easier way to do a necessary task. I discovered that it can be summarized as

Theory

Practice

Nursing Action

Actually, this is my personal experience as a nursing student in her second semester who is trying to build her scope of practice based on the learned experience and the reflective practice. The records accurately described my assigned patient as a

pleasant patient;" he is a wonderful patient. I approach the room prepared for all reactions. While performing my head-to-toe assessment and providing the bed bath. I explained the rationale of each test and action; my patient would always smile and respond with do what you gotta do. At first I found that I had to rely heavily on my notes and I felt as though I was merely reading out a summary of the patient rather than giving a summary of care that had been given. Once when I had built up a small bit of confidence I still used the notes but instead of writing down everything that I wanted to say, I wrote down the key items that I wanted to say to ensure that I didn't forget. Practically, this way wouldnt work if I have more than one patient. It means that I should find a way other than writing what I will say to my patient during the assessment. I tried to practice at home and at the lab on the different scenarios that might happen during the care. I made up a role play with my family members. I acted like the nurse and they acted like Mr.TT and Mr.DW. Then, I performed the physical assessment on Mr. TT and my son was trying not to help me. I asked him to act like he isnt able to move or to talk loudly. I made sure that I was talking loudly to him and trying to perform the task beside him and ask him to do it like me. For Mr. DW I asked my husband to lay down and contract his legs and resist me while I am trying to put on his brief. I found it helpful to keep a pillow between his legs to keep it open. Also, I found it helpful to get him to hold a towel in his hand to keep his hand busy. I received my Nonviolent Crisis Intervention training certificate from CPI as I did the training at Extend A Family. I think this would help me with Mr.DW. He is sometimes grapping my hand and my arm. I know now how to prevent this from happening and how to avoid any harm that might be as a result of this. Overall, I think I am really ready to deal with them. I am reminding my instructor to allow me to see Mrs.B Annas patient .I want to learn how to clean the feeding tube. I want to administer narcotic again under her supervision. I want her to walk me through the steps again. I also want to see the colostomy.

Lyngaa, J. (red).(1998). Sykepleje fag. Reflektion og handling. 2 vol. Kopenhamn: Munksgaard. Sundeen, S.J., Stuart, G.W., Rankin, E.A., & Cohen, S.A. (1998). Sixth edition. Nursing client interaction. Implementing the nursing process. Washington: The C.V. Mosby Company.

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