The Situation That Occurred During My Med Surg Clinical

The Situation that Occurred During my Med-Surg clinical, I was assigned to a patient who was a 94 year female that had several medical conditions. The situation that ensued was difficulty communicating with her, since she did not speak English. Not only did the patient not speak English, but was only alert to herself, as well as extremely confused. As a result, being able to provide effective and quality care became a challenge. The reason for her admission was hyperkalemia, UTI, congestive heart failure (CHF) and acute renal failure (ARF). Unfortunately, the patient had other comorbidities that affected her well being such as diabetes mellitus, hypertension, atrial fibrillation, BPPV, CAD, s/p stent, DVT, CKD, stage 4 sacral decubitus ulcer, cholecystectomy, hip fracture and LE fasciotomy DVT. When speaking to the nurse prior to interacting with the patient I was informed by how the family dynamics have escalated the situation. For instance, the nurse and I had to reposition the patient every 2 hours. This bec ame a higher priority, since the patient already had a stage 4 pressure ulcer on her sacrum and was forming ulcers between her toes. Sadly every time we would move the patient, she would scream due to her being confused, the language barrier and being in pain. To make matters worse, after we would reposition the patient, the son would put her back the way she was originally. This became a continual struggle. Therefore, not only was there an obstacle to communicateShow MoreRelatedSpiritual Assessment Tools For Health Care Essay2175 Words   |  9 Pagesno matter what their situation or status is in life. Patients have a right to believe in whatever they choose and nurses must respect their patient’s spiritual beliefs as we respect their cultural beliefs. We must support their spiritual preferences and attend to their spiritual needs. Holistic nursing views the patient’s spiritual needs to be just as important as their physical needs. Nurses often see patients and their families during a time of crisis. It is during these times that we mustRead MorePeptic Ulcer8318 Words   |  34 Pagesulcers. Another category of ulcer which is less commonly seeing and it is called esophageal ulcers which are in esophagus. When the ulcers are in stomach and duodenum then these are called as peptic ulcers. By the opinion of some doctors ulcer is occurred as a result of stress or eating food with too acidity. But majority of cases are come about by an infection which is because of germs. It may happen by many reasons. The main two reasons are stomach makes too much acid and occurring the liningRead MoreImpooving Employee Performance72019 Words   |  289 Pagescommon problem. Certainly one reason that managers don’t give their subordinates honest, tough-minded appraisals of their performance is that they simply lack the courage to provide straight-between-the-eyes feedback, and no book will cure this sad situation. But a more important reason for the problem of organizational grade inï ¬â€šation that occurs in so many companies is that managers have never been told exactly how to set speciï ¬ c goals. They don’t know how to communicate exactly what results they’re