https://padlet.com/csiwula/xo3npzi9cdd3 Label you responses with your group number and your first names. Outline what you will discuss then you will share with the group in class! en-us 2018-02-04 18:29:59 UTC 2021-03-08 16:11:31 UTC hello@padlet.com https://padlet.com/csiwula/xo3npzi9cdd3/wish/446466954 5. Presence means to be present and actively listening to the patient in their time of need. It isn't doing, it's just the act of being there and communicating with your patient. Letting your patient talk about their concerns and using therapeutic silence can help the patient process their thoughts. The importance of touch is to provide comfort and reach out to a withdrawn or depressed patient. This is a type of comfort and communication. A patient was newly diagnosed with cancer and he was very distressed. You could tell that he just had to vent and I just sat there and actively listened to him. You could see that it relaxed him just being present.

6. We had a patient at clinical who had severe back pain. We first tried nonpharmacological interventions like repositioning and distracting, however we could tell his pain was not being effectively relieved. A pharmacological option was given in conjunction with these nonpharmacological interventions. ]]> 2020-02-17 18:09:43 UTC https://padlet.com/csiwula/xo3npzi9cdd3/wish/446466954 https://padlet.com/csiwula/xo3npzi9cdd3/wish/446466996 8. An example of a cultural difference that could alter the care of a patient is expression of pain. For example, the patient may not verbalize their pain or  "look" like they are pain, so their care may be altered. The nurse must be aware of these differences and know to look at vital signs and other measures of pain in order to properly assess the pt.

9. Nurses are often the first one to detect a significant change in a patient since they are the ones most frequently in the patients room. An example from clinical was a patient who had a knee replacement, when he suddenly began to hemorrhage. The nurse noted this significant change from a notable decrease in BP. The provider was called and the issue was fixed by stapling the incision at the bedside.]]> 2020-02-17 18:09:49 UTC https://padlet.com/csiwula/xo3npzi9cdd3/wish/446466996 https://padlet.com/csiwula/xo3npzi9cdd3/wish/446467011 #7. The importance of teaching is so much more than just an expert skill such as teaching or coaching. It involves attention and not making hasty generalizations when watching an experienced nurse who may be strict or seem too hard on a patient. 
Example: Reinforcing education on a patient that has already been taught and is not following the plan of care. - A client who has to be retaught that they should limit sodium in their diet if they have CHF. This happens all of the time in home health care already.]]> 2020-02-17 18:09:50 UTC https://padlet.com/csiwula/xo3npzi9cdd3/wish/446467011 https://padlet.com/csiwula/xo3npzi9cdd3/wish/446467075 4.) Comfort Measures 
While at clinical, I had a patient on hospice. The nurse preformed comfort measures on the patient. Comfort measures included re positioning the patient,  suctioning his mouth, giving him his medications, and bathing him. 
5.) Presence would be using eye contact, paying attention, actively listening, and providing emotional support. The importance of touch is to show a sign of support. While in clinical, I got to experience the importance of touch as I held a woman's hand while she gave birth.]]> 2020-02-17 18:10:01 UTC https://padlet.com/csiwula/xo3npzi9cdd3/wish/446467075 https://padlet.com/csiwula/xo3npzi9cdd3/wish/446467469 Commitment to Healing
1. Mobilizing hope for the nurse and the patient
2. Finding an acceptable interpretation or understanding of the illness, pain, fear or other stressful emotion
3. Assisting the patient to use social, emotional or spiritual support.

Communication Problem and how was or could be resolved

Communication between a designated nurse, patient and the interdisciplinary team that is involved doesn't match which causes unwanted confusion and stress.


]]> 2020-02-17 18:11:09 UTC https://padlet.com/csiwula/xo3npzi9cdd3/wish/446467469 https://padlet.com/csiwula/xo3npzi9cdd3/wish/446467476 9. Patient in ED with change of LOC after seeing respiratory. Had to change the CPAP machine setting.
1.Pateint came out of surgery with significant blood loss and had the choice of receiving blood or not ]]> 2020-02-17 18:11:11 UTC https://padlet.com/csiwula/xo3npzi9cdd3/wish/446467476 https://padlet.com/csiwula/xo3npzi9cdd3/wish/446467637 7. Importance of teaching: education of patient, to not assume, to educate community, family members, increasing compliance, understanding of illness in real world
Ex. Incentive spirometer 

8. Cultural difference: Jehovah's Witness patients in the ICU]]> 2020-02-17 18:11:32 UTC https://padlet.com/csiwula/xo3npzi9cdd3/wish/446467637 https://padlet.com/csiwula/xo3npzi9cdd3/wish/446467672 1. Allowed Pt. to have control:
- Sensing Pt. ability to improve
- mobilizing these forces
2. Commitment to healing:
- Mobilizing hope for the nurse and the patient
- Finding an acceptable understanding and  of the illness
- Assisting Pt to use social, emotional or spiritual support.]]> 2020-02-17 18:11:39 UTC https://padlet.com/csiwula/xo3npzi9cdd3/wish/446467672 https://padlet.com/csiwula/xo3npzi9cdd3/wish/446468461 3.) Communication is key in patient care.  The lines of communication must be open between anyone involved in the patients' care.  An example of communication problem was a nurse received orders over the phone for morphine and did not read back the dosage or route of medication, the nurse called the doctor back to confirm the correct dose and route of medication for patient safety.
4.) In chapter 4 comfort measures are discussed. The patient in the chapter 4, discussed with the family how she did not want any more medical treatment done. The nurse knew the patient for some time, the nurse knew that keeping the patient comfortable was important to respect the patients' wishes towards the end of her life.]]> 2020-02-17 18:14:12 UTC https://padlet.com/csiwula/xo3npzi9cdd3/wish/446468461