Session #2 Exploring Benner Chapters 4-6 by Michelle Dasilva https://padlet.com/kmkk/fm4f784pwjsu Please post your groups answers here en-us 2017-02-26 22:20:28 UTC 2018-01-22 22:40:42 UTC hello@padlet.com Question 2 https://padlet.com/kmkk/fm4f784pwjsu/wish/156509684 The steps of Commitment to Healing are:
1. Mobilizing hope for the nurse as well as for the patient
2. Finding an acceptable interpretation of the illness
3. Assisting the patient to use social, emotional or spiritual support
Example: Patient came in with detox. The nurse gave the patient hope that he would get through it and would manage the detox. The nurse gave detailed expectations for the patient to expect, which ended up helping him not hit the call bell because he knew what to expect but was supportive and offered any support he needed to get through it.

]]> 2017-02-27 18:18:00 UTC https://padlet.com/kmkk/fm4f784pwjsu/wish/156509684 Question #5 https://padlet.com/kmkk/fm4f784pwjsu/wish/156509782 According to Benner "presence" means the ability to have self-confidence, and self-esteem with their patients. While educating a patient on a new diagnosis the nurse must develop presence within self-esteem, and self-confidence when sharing her knowledge to the patient.
Educating to a patient about CHF, and assuring the patient has an understanding is showing presence in the current situation.
According the Benner "touch" shows support, and comfort. Embracing touch with patients can be so central for nursing, but must be used with discretion and boundaries. A typical common area for touch would be a pat on the shoulder for encouragement through the process of healing. ]]> 2017-02-27 18:18:15 UTC https://padlet.com/kmkk/fm4f784pwjsu/wish/156509782 Question #4 https://padlet.com/kmkk/fm4f784pwjsu/wish/156509915 Comfort measures carried out by the nurse: 15 month old wound care.]]> 2017-02-27 18:18:34 UTC https://padlet.com/kmkk/fm4f784pwjsu/wish/156509915 Question #6 https://padlet.com/kmkk/fm4f784pwjsu/wish/156509968 Example of pain and strategies: I had a patient who was on hospice. She had a stage 4 decubitus ulcer on her sacrum.  She was in severe pain.  We had many interventions to assist with pain relief. She always used music as a method of release. There were also pharmacological interventions. She was in a cradle mattress and we always used body pillows to fully elevate the affected area. She was turned every two hours.]]> 2017-02-27 18:18:42 UTC https://padlet.com/kmkk/fm4f784pwjsu/wish/156509968 Question #9 https://padlet.com/kmkk/fm4f784pwjsu/wish/156510072 A patient was having syncope episodes at home. The student walked into the room and found him nodded off. The student went to the nurse and said that he may have been having another episode. When they looked at the heart monitor they found that he had a six second flat line. They went back into the room to check on the patient and he was sitting and reading a book. ]]> 2017-02-27 18:18:57 UTC https://padlet.com/kmkk/fm4f784pwjsu/wish/156510072 Question 3 https://padlet.com/kmkk/fm4f784pwjsu/wish/156510132 The wife of a pt called from Florida stating that she and her husband were angry that his privacy had been violated while he was in the ER. She stated that since she was not around, the pt's ex-wife was in the ER with the pt. They were angry because the doctor came into the room and started talking about his medical problems and why he was there. Apparently the pt did not want the ex-wife to hear any of his information, but did not verbalize his feelings.]]> 2017-02-27 18:19:06 UTC https://padlet.com/kmkk/fm4f784pwjsu/wish/156510132 Question #1 https://padlet.com/kmkk/fm4f784pwjsu/wish/156510212 During the pediatric rotation, there was an 8 year old girl with a J & G tube. Some days she was comfortable with having the nurse & student give medications through the tube, but other days she was not. The nurse and student taught her how to help and assist give medications through her tube so she was more involved and felt in control. ]]> 2017-02-27 18:19:17 UTC https://padlet.com/kmkk/fm4f784pwjsu/wish/156510212 Question #7 https://padlet.com/kmkk/fm4f784pwjsu/wish/156510459 Importance of Teaching - 
Nurses teaching patients about the care of their own diagnoses allows the patient to be responsible and accountable as well as giving the patient knowledge about the disease itself and the specific care they require
Example - 
A patient was self-catheterizing every 1.5 hours without anyone teaching him about the increased risk of UTI until he was admitted to the hospital with a UTI.]]> 2017-02-27 18:19:53 UTC https://padlet.com/kmkk/fm4f784pwjsu/wish/156510459 Question 3 – Group 2 https://padlet.com/kmkk/fm4f784pwjsu/wish/156511561 ·      Mercy Fitzgerald 
·      Aid to nurse & student nurse communication
·      Yelling outside a patients room
·      Miscommunication with students 
·      Unit huddle/in-service
]]> 2017-02-27 18:22:47 UTC https://padlet.com/kmkk/fm4f784pwjsu/wish/156511561 Question 8 https://padlet.com/kmkk/fm4f784pwjsu/wish/156512052 Patient was spanish speaking, confused and combative. Patient was unable to use language line and there was no translator available. The nurse could not get a baseline assessment and had to resort to using a family member.]]> 2017-02-27 18:24:08 UTC https://padlet.com/kmkk/fm4f784pwjsu/wish/156512052