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Learning Objectives

Standard 1: Therapeutic
Relationships
6.07 During goaloriented interactions,
demonstrates empathy,
warmth and respect

Resources and Strategies

Consult appropriate text:


Reynolds, B. (2009). Developing empathy. In Barker, P.
(Ed.). Psychiatric and mental health nursing: The art of
caring (pp. 321-329). London, UK: Edward Arnold
Cutcliffe, J.R. & Cassedy, P. (1999) The Development of
empathy in students on a short skills based counselling
course: A pilot study. Nurse Education Today, 19, 250-257
Cunico, L., Sartori, R., Marognolli, O., & Meneghini, A.
(2012). Developing empathy in nursing students: a cohort
longitudinal study. Journal of Clinical Nursing, 21(13/14),
2016-2025. doi:10.1111/j.1365-2702.2012.04105.
Look up nursing blogs/websites for additional
knowledge/education:
http://nursing.advanceweb.com/
http://www.nursetogether.com
http://www.allnurses.com
Consult appropriate websites:
http://www.nursingchannel.ca
http://www.discovernursing.com
http://www.nursingcenter.com
Strategies:
whenever I can when dealing with patients and nursing
staff

Types of Evidence of
achievement
Empathized with a residents
G.V. and G.C. and were able to
care for them as persons, not
just as tasks, and sat and
chatted with them (refer to
personal journals October 713; November 4-10).
Reassured a newly-admitted
resident by talking calmly to
her and emphasizing that she
will be taken care of by the
staff and she wouldnt be alone
(refer to personal journal
November 11-17)
Interacted with a resident who
was known for being gruff and
irritable, and managed to
establish a connection in
preparation for my turn of
caring for him. Although he
became off-limits to students, I
could still walk into his side of
the room and converse with
him, unlike previous occasions
where he just ignored me and
wouldnt even let me get his
vitals (personal journal
December 2-8)

Criteria to validate
objectives achieved
Strength:
Fredesminda is very kind
to the residents as she does
their morning care ensuring
that all their needs are met.
She shows warmth and
respect as she describes to
the resident the care she is
doing. She is confident
giving care.
-Midterm Evaluation by D.
Lessard (Nov. 3, 2013)

6.08 Demonstrates a nonjudgmental attitude

Consult appropriate text:


Burnard, P., (2005). Counselling skills for health
professionals. (4th ed.) Cheltenham, United Kingdom:
Nelson Thornes Publishing
Hill, S. (2011). Nursing students-stigmatizing attitudes.
Retrieved from
journals.sfu.ca/hneh/index.php/hneh/article/download/81/
72
Look up nursing blogs/websites for additional
knowledge/education
http://crpnbc.ca
http://nursing.advanceweb.com/
http://www.nursetogether.com
http://www.allnurses.com
Strategies:
Learn to separate people from what they do, and
concentrate on their positive traits rather than the negative
aspects of their personality or their actions. Look at the
best of people and think of how a positive approach can
influence positive outcomes in the workplace and in
personal relationships.

In respecting the work of


others such as the HCAs and
not judging or making
assumptions about the quality
of their work (e.g. bathing), I
have demonstrated a nonjudgmental attitude (refer to
personal journal October 1420)
Focusing on creating a
connection with a known
difficult resident by striking up
a conversation about his
interests, instead of dwelling
on his prickliness, helped me
see the value of how a nonjudgmental attitude can also
benefit me as well as the
resident (refer to personal
journal entry: December 2-8,
2013)

Strength:
This is a strength of
Fredesminda is easily
accept people for her they
are she focuses on their
strengths instead of the
their weaknesses
-Midterm Evaluation by D.
Lessard (Nov. 3, 2013)

6.01
Recognizes the effect of
ones behaviour on
others e.g.
client/family, staff

Consult appropriate text:


Cantley, C. (2001). A Handbook of Dementia Care.
Philadelphia, PA: Open University Press
Touhy, T. A., Jett, K. F., Boscart, V., & McCleary, L
(2010). Gerontological Nursing & Healthy Aging.
Toronto. ON. Evolve Elsevier.
Look up nursing blogs/websites for additional
knowledge/education:
http://www.lbda.org/content/understanding-behavioralchanges-dementia
http://allnurses.com/psychiatric-nursing/taking-bloodpressure-804618.html
Strategies;
Be aware of the current state of the residents and look for
signs of agitation, anxiety or pain. Weigh if timing is
appropriate. Attempt to establish rapport with residents so
they are more amenable to activites/ assessments.

Limitation:
Dealing with dementia patients
require patience, therapeutic
skills, and good timing. Ive
learned that with dementia
patients, it is important to
observe if the time is right for
certain things such as
measuring vitals because if she
could get agitated by a simple
procedure and cry out of
confusion, disorientation or
perceive it as painful, thereby
possibly arousing agitation and
anxiety in others in the same
room (see personal journal
entry, October 21-27, 2013).

Fredesminda has only


begun to work with
dementia and therefore will
work on this aspect of
evaluating the outcome of
one resident being upset
and how this behavior
affects the other residents
-Midterm Evaluation by D.
Lessard (Nov. 3, 2013)

Standard 2: Transfer of
Theory into Practice
3. 02 Measures vital
signs

Consult appropriate text


Perry, A & Potter, P. (2010). Clinical nursing skills &
techniques. St. Louis, MO: Mosby, Inc.
Consult appropriate websites/online videos :
http://www.evolve.elsevier.com/Perry/Skills
http://www.youtube.com/user/hawknurse?blend=6&ob=5
http://saddleback.edu/alfa/vid_index.aspx
Consult nurses, health care aids, instructors and
classmates to reinforce theories and observations
Strategies:
I will practice reading vitals at home on my family and
friends.
I will practice on equipment at available sites if permitted
by the facility, and volunteer as often as possible.

I have successfully taken vital


signs from residents on several
occasions (refer to personal
journal entries on the
following periods:
October 14-20, November 410, November 11-17,
December 2-8)

Fredesminda has an
understanding of the
importance of taking vital
signs and how to document
them. She has practiced on
her peers and on residents.
She also has learned that
taking vitals on residents
who have dementia may
not always be on her time
line and she will have to go
back and take them later.
-Midterm Evaluation by D.
Lessard (Nov. 3, 2013)

3.56
Adheres to Universal
Precautions

Consult appropriate text:


Perry, A & Potter, P. (2010). Clinical nursing skills &
techniques. St. Louis, MO: Mosby, Inc.
Consult appropriate websites/online videos :
http://www.allnurses.com
http://www.evolve.elsevier.com/Perry/Skills
http://www.youtube.com/user/hawknurse?blend=6&ob=5
http://saddleback.edu/alfa/vid_index.aspx
Strategies:
Always keep in mind that I can cause other residents to
get sick if I dont consistently wash up. I also need to
remember that if I make myself sick, I wont be able to
help patients,

After forgetting to wash hands


on occasion between patients
during first week of clinical
(see October 7-13 personal
journal entry), I have made it a
point to wash hands everytime
I leave a residents room after
giving care. I have washed my
hands so often that they
usually feel sore and tender
after every clinical. I also
make it a point to wash up
after removing each pair, and
to double up when cleaning up
a client after voiding (see
personal journal December 28, 2013).

Fredesminda uses hand


washing hand techniques.
She washes her hands
before going on the floor
and between patients. She
uses her gloves properly
taking them off before she
leaves room and washing
her hands once she has
removed her gloves. Her
only opportunity to use the
gown and mask was during
lab.
-Midterm Evaluation by D.
Lessard (Nov. 3, 2013)

Limitation:
3.50
Uses equipment and
materials to provide
support and protection

Consult appropriate text:


Perry, A & Potter, P. (2010). Clinical nursing skills &
techniques. St. Louis, MO: Mosby, Inc.
Consult appropriate websites/online videos :
http://www.evolve.elsevier.com/Perry/Skills
http://www.youtube.com/user/hawknurse?blend=6&ob=5
http://saddleback.edu/alfa/vid_index.aspx
http://www.crpnbc.ca
http://www.youtube.com/watch?v=M29JBWRcaLg
Strategies:
Consult with nurses, care aids, instructor, and classmates
if in doubt or apprehensive about certain equipment.
Practice as often as possible to gain skill and confidence.

As written in my journal
(December 2-8, 2013), Ive
had several times to practice
performing transfer lifts and
sit-to-stand so that I feel more
confident working on a client
by myself or with another
classmate when moving clients
from bed to chair, or from bed
to toilet. The time it takes to
perform these supportive and
protective activities becomes
shorter as I continue to gain
confidence with each practice.

Fredesminda is learning on
weekly basis the equipment
that is used on the unit in
looking after the resident.
Her knowledge will
increase over the next few
weeks.
-Midterm Evaluation by D.
Lessard (Nov. 3, 2013)

Standard 3:
Professionalism
5.04 Identifies own
learning needs in relation
to client care

Consult appropriate text:


Perry, A & Potter, P. (2010). Clinical nursing skills &
techniques. St. Louis, MO: Mosby, Inc.
Consult appropriate websites/online videos :
http://www.evolve.elsevier.com/Perry/Skills
http://www.youtube.com/user/hawknurse?blend=6&ob=5
http://saddleback.edu/alfa/vid_index.aspx
http://www.crpnbc.ca
Strategies:
Consult instructor about observed gaps in learning.
Observe classmates and health professionals to get ideas
about areas of concern.

Throughout my personal
journals (from October 7 to
date), I have identified areas
for improvement or things that
I failed to do. In the beginning,
I was hesitant about assisting
with ADLS, performing vital
signs and head-to-toe
assessments, and doing
supportive and protective body
transfers using lifts. I was also
terrified about giving
medications because of
possibility of giving the wrong
drug. However, as summarized
in my December 2-8 entry, I
have made considerable
improvements since then.

Fredesminda through the


use of her journal and
reflective thinking in
working her identifying her
learning needs. She will
continue to do so in the
coming weeks
-Midterm Evaluation by D.
Lessard (Nov. 3, 2013)

5.06 Maintains
confidentiality

Consult appropriate text:


Henderson, V. (2006) Competencies. Journal of Advanced
Nursing 53(1), 2134
Consult appropriate websites/online videos :
http://www.crpnbc.ca
http://www.youtube.com/watch?v=Pu8yI3PLYb0
http://www.youtube.com/watch?
v=Jds1AlKzVGg&list=PL17ABEF16BE578739
Strategies:
Never discuss patients with people other than the direct
caregivers, the cohort group and with the instructor.

Respecting residents privacy


means keeping things
confidential. I summarized in
my journal that maintaining
confidentiality has been easy
for me to do (December 2-8,
2013), as I kept in mind that
nothing leaves the facility
including information.

Fredesminda does well.


She does not take
information off the unit and
uses initials to identify the
resdnet.in addition her nonjudgmental attitude take
her to another level
because she is looking at
her experiences from the
point of view as to how she
can improve
-Midterm Evaluation by D.
Lessard (Nov. 3, 2013)

Standard 4: Ethics
Consult appropriate text:
7.01 Engages in goaloriented communication
(verbal/nonverbal)

Burnard, P., (2005). Counselling skills for health


professionals. (4th ed.) Cheltenham, United Kingdom:
Nelson Thornes Publishing
Consult appropriate websites/online videos :
http://www.crpnbc.ca
http://www.cna-nurses.ca
http://www.rpnc.ca
http://nursing.advanceweb.com/
http://www.nursetogether.com
http://www.allnurses.com
Consult my clinical instructor, nurses, and classmates
Strategies:
Use therapeutic communication to establish a connection
with residents so that specific goals can easily be
facilitated.

From dealing with patients, I


have learned to use goaloriented communication to set
up the atmosphere and prep
them for an activity or process.
Learning from my initial
issues with measuring vital
signs, I now acknowledge the
benefits of talking with
residents and letting them get
to know me so that I dont
seem like a stranger and they
are more willing to let me feed
or care for them, or get their
vitals or head-to-toe
assessment ( see October 2127, December 2-8, 2013,
journal entry).

Fredesminda has only been


on the unit a few weeks
and is working on goal
oriented communication
and will work on her
improving this skill over
the next few weeks.
-Midterm Evaluation by D.
Lessard (Nov. 3, 2013)

7.04 Verbalizes
observations to
appropriate persons

Consult appropriate text;


Perry, A & Potter, P. (2010). Clinical nursing skills &
techniques. St. Louis, MO: Mosby, Inc.
Consult appropriate websites/online videos :
http://www.evolve.elsevier.com/Perry/Skills
http://www.youtube.com/user/hawknurse?blend=6&ob=5
http://www.crpnbc.ca
http://www.allnurses.com
Strategies:
When in doubt, ask.
Consult instructor, nurses and care aides to clarify and
verify.

For any unusual or


inconsistent observation, I
report it immediately to my
instructor, or to care aides and
the shift nurse, whomever has
direct responsibility over the
issue. For ADL-related
matters, I consult the care
aides, and for medications and
other matters, I ask or verify
with the shift nurse (see entries
in October 21-27, November
4-10, and December 2-8)

Fredesminda understands
who to report her findings
to. When doing care on a
resident and she has
questions such as which
sling to use she will ask a
care aide. In doing vitals
she documents and takes
variations to the nurse.
-Midterm Evaluation by D.
Lessard (Nov. 3, 2013)

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