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Caring 2
reflective practice standards and the LEARN model. Though my time on 600A
has only just begun I have learned so much. Like many second year
her early 80s. She was good natured and very easy to get along with. She
was cognitively aware and quite bright. As a result of bowel surgery she had
an ostomy. This was new to her and I could tell she was unsure about it. My
first day with her we did a lot of chatting and sharing. She told me about her
I had her to come for walks with me down the hall and once she was
up and moving she said she felt much better. I helped her with her first
outside the door while she was in there. When she was finished, I helped her
to apply lotion to her dry skin and at her request gave her a good back rub.
My shift ended and I said my goodbyes. My client told me she was sad to see
That night when I went home I did some research into ostomies.
I was excited to return to clinical the next morning. My client had a big
smile for me when I walked into her room. Throughout the evening the
ostomy nurse had come in, did some assessments and quickly taught my
client how to empty and clean the appliance. Unfortunately since the nurse
was very busy she did not have the time practice with her. My client told me
she was unsure and nervous about performing the task. Since I had taken
the extra time to do the research the night before, I was able to take the
client into the bathroom and walk her through the steps. I had the knowledge
necessary to put my client at ease and make her feel more comfortable with
My client went home that day while I was still on shift. Before she left
she thanked me and told me she wouldn`t have felt ready to leave if I had
not been able to teach her about the appliance. She even made sure I met
nurse that day. I believe I had a positive impact on that client. I took the time
not like any other job — it is a profession that allows us to influence lives in
ways that we know and ways that we cannot imagine. Clients and families
Caring 4
carry with them the words of comfort, caring and encouragement you say
during difficult times and throughout the rest of their lives.`` (Ireland, 1998)
My client had a big adjustment to make and I was there to offer the support
she needed. By taking the time to care about my client, not only as a client
but as a person I was able to make her stay at the hospital a better
experience for her and her family. She felt comfortable and well cared for
and her husband was more at ease knowing people were there to care when
he couldn`t be. I was able to anticipate the client`s needs and prepare
and evaluated.” (Sault College of Applied Arts & Technology School of Health
& Community Services, 2008) Based on this principle of caring I feel I did a
good job of caring for my client post-operative needs. I was able to form a
caring relationship with her. I was competent in the skills I performed with
job at caring for this woman and her new ostomy but I forgot about just the
woman. Lois White explains, nursing the whole person: physical, emotional,
the other areas I did not provide the best care I’m capable of. She may have
about how others will react, especially her family and friends. An ostomy is a
huge adjustment to make and as the nurse I could have offered some
support.
art and a skill and they only way to perfect it is to do it. I will try spending
more time thinking and planning how I am going care for my clients. I will
reflect on how my work with clients affected them and gauge this with their
reactions. The client themselves are in the best position to evaluate my skills
as a caregiver.
This week when I return to the clinical setting I will put my new
approach into action. After data collecting I will think about more about the
holistic person than just treatments involved with their current surgery or
illness. I will do my best to identify any issues fears the client is facing and
offer support for these. I will speak to my client about their mental and social
more I may be able to offer brochures or phone numbers for support groups
in the area.
While working with the nurses, I will observe their interactions with the
clients and the care they provide. I will attempt to use the good I see and
learn from the bad. If I find someone with a style of caring I truly admire I will
find time to discuss it with them and take in any jewels of wisdom they have
to offer me.
At the end of the day or when I find a quiet moment I will reflect on the
care I provided that day. I will think about my clients, and how I made them
feel. My goal is receive positive feedback from all the clients I interact with
each clinical day, whether it is verbal or a simple smile. I will leave my clients
knowing that I provided them with the best, holistic care I could.
I would also like to take some time either on a break or after clinical
ends and really talk to my classmates about how they feel they are doing.
We could discuss not just the new skills we learned and may have preformed,
provided good care for my client’s ailments but I never took the time to
really think about everything they may need to feel well again. Secondly I
realized in order to be a truly caring nurse you need to take the time to think
about your actions and interactions with clients. Reflecting back on the day,
References:
Sault College of Applied Arts & Technology School of Health & Community
Services. (2008). Practical nursing program student success guide
2008-2009. Sault Ste Marie, ON.
White, Lois. (2000). Foundations of Nursing: Caring for the Whole Person.
Albany,NY: Cengage Learning