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  • Essay / Using the Jewish Home for the Aged to Assess the Gibbs Cycle

    For my first clinical experience, I worked for approximately six hours with my peers at the Jewish Home for the Aged. Using the Gibbs cycle, I describe my clinical experience, talk about my feelings before, during and after the clinic, evaluate, analyze and finally conclude about my clinical experience. Say no to plagiarism. Get a tailor-made essay on “Why violent video games should not be banned”?Get the original essayWorking at the Jewish Home for the Aged during my clinical placement, the patients I met were elderly and mostly in pain of some sort of physical or mental disability. . The nursing home itself had a layout very similar to a hospital floor, with a central nursing station, a water and ice machine, medication carts, and a giant Bill of Rights poster patients. According to Mody (2007), nursing homes for the elderly face different health risks than the typical hospital environment. Although I have visited nursing homes before, entering one as a nursing student with the intention of actually caring for a patient made this experience particularly unique. From what I have learned in geriatrics and Mody (2007), it is very important to maintain good infection control in this environment because older people are more susceptible to illnesses and have fragile skin. The patient I worked with had a stroke with left hemiparesis, meaning she was paralyzed on the left side of her body after a stroke. Typical among older adults, she also suffered from polypharmacy, taking many medications together, both prescription and over-the-counter. Due to her left sided paralysis, I was tasked with helping her with her bed bath, which she needed a lot of help with. She also asked a lot of questions about over-the-counter and prescription medications. My patient, despite her current condition, was still very cooperative and happy to have company, and made my first clinical experience easier on my anxiety and more enjoyable. Before the experience, I felt very overwhelmed and unsure of what I would experience during my first experience. clinical. I was excited to use the practical skills I learned in the lab, especially taking vital signs. However, even though I am comfortable speaking with strangers, I was nervous about remaining calm and professional while performing the necessary skills effectively and correctly. Despite my initial fears and anxiety as my clinical date approached, once I started and worked through my clinical, I felt more comfortable implementing my skills with very cooperative. According to Holland (2012), 55% of communication between patient and nurse is non-verbal. Therefore, I tried to maintain a positive posture, such as standing straight, not crossing my arms, as well as helping patients to the best of my ability without giving false assurances or false answers, for which I inform the nurse of their needs. The Jewish Home is more like a hospital environment than the assisted living environment I had seen before, the hospital-like environment made it much easier to find materials such as gloves and towels, as well as the station of nursing care and paperwork. Hand sanitizer stations were easy to find and in every hallway, and there was a giant Patient Bill of Rights poster. After completing my clinical experience,I left with a more confident and assured mindset about my skills as a nursing student. With guidance and constructive criticism from the RN and senior nurse assisting me with clinical activities, I was able to implement my skills and receive feedback. I felt more able to communicate with real people when it came to practical nursing skills and I look forward to doing it again. During the clinic, I felt that I was successful in speaking with patients in a comfortable and professional manner and maintaining good infection control by remembering. to disinfect my hands if necessary. I was able to find the radial and brachial pulses and measure the pulses. I learned and was able, with help, to give a bed bath to my patient, who had had a stroke, was paralyzed on the left side and needed a lot of help. When taking vital signs, I would sometimes forget to take the patient's respiratory rate, while my partner or the main nurse would have taken it in case I forgot. I was so focused on taking vital signs correctly that I can't believe I missed one. When I remembered to take the respiratory rate, I wasn't sure what to do when the patient was very talkative. Towards the end of the clinic, I thought that based on the skills we had learned and the clinical goals, applying the skills learned, receiving constructive criticism and advice from my peers and my RN, and by looking through patient MARs, I was able to gain insight into the nursing experience. As I expected before the clinic, I took vital signs, learned more about geriatric care, and had the experience of working with real patients with legitimate physical or mental disabilities. The only thing I missed from this experience was taking blood pressure manually. Looking back on my clinical experience, the mistake I believe was most wrong was my inability to record respiratory rate consistently. Unlike the voiceless mannequins who remain mute and still during the laboratory, the patients at the Jewish Home are lively and communicative. Therefore, adapting to taking the vital signs of a person who is moving, talking, and breathing was both opportunistic and difficult. Respiratory rate was difficult for me to measure because the patients I cared for liked to talk. Since this was my first time taking the vital signs of someone who could respond, I didn't want to tell them to stop talking, out of respect, but I also needed to measure an important vital sign. to find and record pulse, find brachial pulse for blood pressure cuff placement and other vital signs. I had tried in the past, without as much success, to detect brachial pulses, but during my clinic I had better success finding brachial pulses before recording blood pressure. I also think my experience giving my patient a bed bath was very successful. Even with her left side completely paralyzed, the patient was very helpful and cooperative throughout the process; and her feeling comfortable with us washing her made me feel less anxious about cleaning her too. Throughout the process of rinsing, cleaning, drying, changing adult diapers, putting on his clothes, and repairing the bed for his comfort, I learned the importance of collaboration and hard work. team as defined in the QSEN skills while the help of my peers did the procedure. more efficient and.