Wednesday, September 29, 2010

Patient #2


Obviously, I am not allowed to tell my patient that he/she is my first or second or whatever patient because I don't want them to be nervous about being treated by an inexperienced student nurse. But they mean a lot to me though. Today is the day that I meet my second patient as a student nurse. You might ask me "What about your first patient?" Oh well... I didn't have much time to write about my first patient but I've thought about him/her a lot. (Excuse me for not providing enough information about my first patient. I want to be always vague about my patient to keep my patient's privacy.) Anyway, I just briefly finished with researching all the information that is related to my second patient. I think I always have hard time with nursing Dx part (diagnosis). This means that I always have hard time with picking a point to improve my patient's condition. Patients tend to have more than one diagnosis (Dx with concurrent Dx) so it makes me more confused because I don't know what to pick. Let's say that my patient was diagnosed with a chest pain and his concurrent Dx is dyspnea. I wouldn't know if I should improve the patient's chest pain or dyspnea. Because you can only pick one condition to work on one at each time. Well, I will see what I can do. I am bringing my NANDA-I book to the hospital today to decided later.

PS: So it was true that geriatric patients are prone to polypharmacy... As you can see in the picture above, the patient that I am working on is taking more than 10 different medicines. Sigh... I need to pay attention about of drug-drug interaction and adverse effects from it now. I am afraid a little bit.

Sunday, September 26, 2010

Episode 2. Ambulation

I couldn't quite understand the use of cane while studying Mobility and Immobility chapter. So I practiced ambulation with a cane with my dad's golf club. Now I do understand.

My role?

Role of nurse outside the hospital:
Teach persons within the community
Educate parents
Teach public about over-the-counter (OTC) drugs
Teach people not to share prescriptions

Yeah, I am pretty good at these :-)

Episode 1. BP

I was so bad at measuring BP i.e., blood pressure. On the first day of Health Assessment lab, I was just terrible at it. I tried 5 times on my lab partner, A.J, but had no clue. Why? I simply couldn't hear anything at all through my stethoscope. I had a lot of things in my mind at that time. "Why is it like this? Why can I hear it? Why? God, am I this untalented at nursing? Then why did you let me in this major?" I was quite frustrated... until my lab teacher told that that I was wearing my stethoscope in a wrong way. Oh, hahaha. I was wearing it back to front. No wonder I couldn't hear anything. I tried again and guess what? I could hear his heart beats. I was in ecstasy! I am super good at measuring BP now :-)

Starting as a nursing student

I am a nursing student in a 4 years college and this blog will be my log for my nursing life. I do know well about patient confidentiality so you won't find anything so identifying because I will be always vague about my patients... anyway, Rock on!