...My experience as a patient began on October 25, 2015, I began my Sunday as any other Sunday with waking up and having breakfast and I decided that if was going to stay up to date with these pills I would try to match them up with each meal of each day as to train myself to take them. The medication I was to take: Red capsule take one capsule once daily, maroon/blue capsule one capsule three times a day, and finally the green/black capsules to be taken two times a day. I laid out my schedule that Sunday, I would take all three capsules with breakfast then progressively reduce the amount. So for breakfast on Sunday I took all three, at lunch time I took only two, and finally at dinner time I took the medication that was required to be taken...
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...My first experience interviewing a mental health patient was easier than I expected. After I was assigned my patient, I introduced myself to my patient and asked him if I could interview him. At first, he was staring at me and thinking about what I was saying. I explained to him that I was a nursing student from University of Maryland, and I kept smiling. He finally smiled back at me and said “sure”. It was a relief. Before the interview, he asked me how long it was going to take. I told him 10 minutes. He started panicking, stating that 10 min was a long time, and he did not think he was going to make it. I convinced him that 10 min would go by before he even realized it. He said “okay”. The interview went very well. My patient was looking...
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...the room and waited till they were done, cause that’s what your trained to do in a hospice. When I left the room, Ronnie was not in his best mood but to my surprise when I went back inside, I saw him all cheery again. So, I asked him what the doctor said to make his mood all better, and he replied saying, “Oh, you know this doctor actually listened to what I had to say about my disease and not show his callous apathy toward me like the others, which made me feel so much better about myself”. I’ve been visiting Ronnie for a few weeks now and he has never been so comforted as he seemed then. This really obligated me to think about the extent of the impact a doctor can have on his patients by just empathizing with them. It also made me question, do your doctor’s words and consideration make you feel better than that of your friends or family at times? Is this what narrative medicine is about? Narrative medicine focuses on prioritizing patients needs, values and seeing the illnesses through their eyes. Doctors are well trained in their fields but a lot more can be achieved when doctors implement elements of narrative medicine in their practice along with reflecting upon it like we see in the works of David Watts, Oliver Sacks and Richard Selzer. One important aspect of narrative medicine, i.e. the expertise to listen to the patients is very well portrayed by David Watts in his essay, “What Literature Can Do for Medicine: A Starting Point”. Watts describes a case in his essay where...
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...while being a doctor. In his final chapter, “Courage,” he discusses the idea of death and how some of his patients and family went into it. As Gawande discusses the stories and emotions he shared with these people, he explores the idea of narrative medicine that Rita Charon discusses. Rita Charon is a physician that practices narrative medicine in her practice. In her Ted Talk, “Honoring the stories of illness,” Charon presents the idea that we, as doctors and caregiver, should act as if the patient is more than their illness. Instead of treating just their physical illness, helping them understand and process it, as well as helping their mental health, are just as important....
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...Narrative report for Delivery Room duty. “Life is one precious thing that everyone can cherish. Some might waste it but when they see how our mothers gave all there effort just to bring each and everyone of us in this world, they might be fighting with their conscience.” This is what I learned from this rotation. My life brought me to this life changing experiences. My mommy is the only person I talk about my life, my problems, my achievements, and she fills up the emptiness I felt when I was down. In any instances, she never brought me down. I’m including this to my narrative, because even though she never really did felt the hard thing about “bearing down a child” because she was a post-cesarian section patient for me and my brothers, but she felt the pain in labor which is the hardest of them all as a patient told me. In my duty here in the delivery room made me reflect about the life my mommy, luckily gave me. So I decided not to waste it and cherish all the sacrifices and pain she felt when she was giving birth to me. And when I delivered my first ever baby, I texted my mommy right away saying, “Hey Mommy, I Love You! Thank you for this wonderstrucking life. I’ll be home soon.” Our clinical exposure here at Amang Rodriguez Memorial Medical Center made us stressed, tired but we can tell ourselves that after this rotation. We can surely handle anything else. Thanks to our Clinical instructor Ma’am Marie Ann Lapitan, She was one of my favorite instructor *no joke*. From my...
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...Private Bag 92019, 85 Park Road, Grafton, Auckland, New Zealand. E-mail: susanpw@xtra.co.nz W A T E R W O R T H S . ( 2 0 0 3 ) Journal of Advanced Nursing 43(5), 432–440 Time management strategies in nursing practice Background. With the increasing emphasis on efficiency and effectiveness in health care, how a nurse manages her time is an important consideration. Whilst time management is recognized as an important component of work performance and professional nursing practice, the reality of this process in nursing practice has been subject to scant empirical investigation. Aim. To explore how nurses organize and manage their time. Methods. A qualitative study was carried out, incorporating narratives (22 nurses), focus groups (24 nurses) and semi-structured interviews (22 nurses). In my role as practitioner researcher I undertook observation and had informal conversations, which provided further data. Study sites were five health care organizations in the United Kingdom during 1995–1999. Findings. Time management is complex, with nurses using a range of time management strategies and a repertoire of actions. Two of these strategies, namely routinization and prioritizing, are discussed, including their implications for understanding time management by nurses in clinical practice. Conclusions. Ignoring the influence of ‘others’, the team and the organization perpetuates a rather individualistic and self-critical perspective...
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...ASSESSMENT Personality Disorder Assessment University of South Alabama 1 PERSONALITY DISORDER ASSESSMENT 2 Initial Patient Assessment: Subjective Using instructions complete in narrative form. Gender_______FEMALE ______________________________________________________ Age________62________________________________________________________ Marital Status_______Widow _________________________________________________ Family Description: __________seven children (5 boys and 2 girls) _________________ Reason for admission to this facility____attempt to commit suicide as well as harm others ___ Previous psychiatric history Current medical problems and medications (Allergies, results of laboratory tests, e-rays, examinations No Allergies, Lab work: EKG, Chest X-ray, and blood work. Zyprexa 30mg p.m. and XR 150mg ______________________________________________________________________________ Drug and alcohol use or abuse (Amount, frequency, duration of past and present use of legal and illegal substances, date and time of last use, potential for withdrawal symptoms)_____________ __ _No use or abuse with drugs or alcohol _________________________________________ Disturbances in patterns of daily living (Sleep, intake, elimination, sexual activity, work, leisure, self-care, and hygiene) ___Do not work, daughter lives with patient for about a month now, hygiene appropriate. ______________________________________________________________________________ Culture...
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...Mini-Research Essay i) Mary Rowlandson's A Narrative of the Captivity and A Restoration is a captivity narrative. Harriet Jacobs's Incidents in the Life of a Slave Girl is a slave narrative. While they are considered distinctive genres, they share some characteristics. Look at the excerpts you have from them in your reading. How are they similar? How are they different? Be sure to provide evidence from the texts to support your conclusions. Answer the above questions in a 1,000-1,250-word essay. ii) Prepare this assignment according to the MLA guidelines found in the GCU MLA Style Guide, located in the Student Success Center. An abstract is not required. iii) Include three outside sources. These sources may be printed work or you can make use of the Grand Canyon University online library. You might find these databases helpful: EBSCO Host's Literary Reference Center and LION. Both are available through GCU's online library. Comparing Rowlandson’s Captivity Narrative with Jacobs’ Slave Narrative The fugitive slave narrative and the Indian captivity narrative are distinctive genres in the American literature; however, they share some characteristics and frequently are subject to comparison. The first captivity narrative in the American literature was Mary Rowlandson's A Narrative of the Captivity and Restoration in 1682, in which she wrote about her awful captivity experience by the Indians. Over sixteen decades later, Harriet...
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...Narrative Report - Left sided hemiparesis due to an ischemic stroke by Clifford Choi on Saturday, December 3, 2011 at 12:47am · I thank my mentors in neurology, integrative medicine, and my patient for his determination to overcome this. He is an atheist but believed in me and himself. The patient reports full recovery. Here is his letter 4 months later. He has given permission to publish the report. He is back to work, travelling, driving, and has no known deficits. 80% of ischemic strokes survive the stroke, but it is uncertain how many fully recover 100% function. _________________________________________________ Dear Dr. Clifford Choi, I tried to call the number you once gave me, but they told at the hospital SEIMC that you were not working there anymore. Anyway I just wanted to touch base and say hello to you and thank you and the colleagues you had at the hospital. The recovery has been very amazing. I was last week at this intensive rehabilitation (or so it was called) session at the _________ University hospital. I was supposed to be there the whole week, but they said that I’m actually in too good shape to gain anything from this anymore, so I left Wednesday morning. I’m allowed to drive now, and officially I will be back to work on August 26th. I can call you, if you want. But then I would need your phone number. The world is a small place, so maybe we some day run into each other. You never know. Best regards, patient x The report below was submitted...
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...If I would to guess the most common HIPAA violation is conversation regarding patient amongst co-workers. The discussion concerning a patient with certain condition, disease, or procedural case because it is interesting or peculiar with another co-worker are common. Discussion often occur in public places such as in the elevator, the hallway, or the cafeteria where patient’s family members, friends, or another patient are able overhear and identify the individual. It is human nature to gossip and be curious about an unknown subject. However, the discussion presents a HIPAA violation since he or she is identifying the patient through narrative. Even though workers attempt to keep patient confidentiality by omitting the patient’s name or pointing...
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...Based on my interactions with patients, thus far, I realized that many patients must overcome challenges, such as language barriers or socioeconomic status, to obtain personalized care that addresses their needs. Therefore, I strive to be a physician that advocates for my patients and empowers them to take control over their own health by providing accessible education, developing trust, and forming meaningful relationships. I observed this type of doctor-patient relationship in elementary school in my first job, my grandma’s translator at her doctor’s appointments. Our first visit was nerve-racking due to my concern of not translating properly. When the doctor came in with a friendly smile, my nervousness faded. With his patience and respect...
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...with electronic health records is the face to face communication with the doctor. While in with the patient, the doctor has less contact and direct communication with the patient. The doctor makes less eye contact and gestures toward the patient (A.K. Mwachofi ET Al. 2016). The doctor must get the information into the system while in with the patient. If they don’t enter the information into the system in a timely manner, they may either forget parts of the visit or they won’t get reimbursed by insurance companies. A study was done in an emergency room that found 43% of a provider’s time was spent imputing medical records online and only 28% of time was spent on direct care with the patient (S. Hoffman ET AL. 2014). To deal with the problem of interaction between the provider and patient with electronic health records, some physicians have an assistant go with then in every exam room to type the notes while the physician interacts with the patient. Many patients over the age of 65 reported a problem with their face to face communication with their doctor due to electronic...
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...Correspondence: Margaretha Jerlock Institute of Nursing The Sahlgrenska Academy Goteborg University ¨ Box 457, SE-40530 Goteborg ¨ Sweden Telephone: þ46 31 773 60 39 E-mail: margaretha.jerlock@fhs.gu.se 956 J E R L O C K M , G A S T O N - J O H A N S S O N F & D A N I E L S O N E ( 2 0 0 5 ) Journal of Clinical Nursing 14, 956–964 Living with unexplained chest pain Aim. The aim was to describe patients’ experience of unexplained chest pain, and how the pain affected their everyday life. Background. Chest pain is one of the most common reasons for patients to consult the emergency department. Often no clear ischaemic heart disease or any other somatic explanation is found. Exploring the pain experience and how the pain affects everyday life may provide insights into the patients’ perspective, fill the gaps in our knowledge about this condition and give needed direction for nursing practice. Method. The study sample (n ¼ 19) included 11 men and eight women admitted to the emergency department. An open-ended unstructured interview was conducted with each patient and the data were...
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...that every time. In the work that I do, research was once likened into a light that provides us a sense of direction. To an extent that is what I can do in the job that I perform in the workplace, for my students, co-workers, and research consumers or beneficiaries by helping them make informed decisions using research results as an empirical basis. If there is something that I would like to be remembered for, it is that of being a patient worker. God knows the many things that I have endured so I can be what I am now and where I am now. Was too patient working on researches I was tasked to do, going far beyond the expectations of my institution or of the funding agency; I had the same patience exerted over the long years it took me finishing my graduate program and dissertation. But good things are worth doing and they are worth doing well. That is how I would want to be remembered. Someone who took the pains of doing things—whether research-related or not—without giving up, despite the long hours or even years of doing and finishing them. And someone who would always tell the story afterwards. As you can see, I also keep a personal blog site, which I call Bobbetcentrism (www.bobbetcentrism.com), where I write my daily travails and victories as stories or as personal narratives. Hence, I want to be remembered as a storyteller as...
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...Billy Best.” ii. Personal Narrative II. Body A. Background Information iii. “Carcinogen.” Wikipedia. iv. “Cancer.” Wikipedia. B. Opposing Perspectives v. Schorr, Andrew. "Interview with Amie Blanco: Hereditary Colon Cancer." vi. Joe Chemo. Image. vii. Phillips, Gavin.“Interview with Dr. Burzynski.” C. Thesis + Support viii. Holistic vs. Medical treatment: medical treatment seems to be a better shot at surviving. ix. Kelly. “Adenoma/Glioblastoma multiforme/Anaplastic astrocytoma/Glioma Cured.” x. Cousins, Emily. “Life after Treatment Can Be Almost As Hard as the Chemo.” xi. Messoria, Josie. Personal interview. 15 November 2012. III. Conclusion xii. Personal. Abstract In this essay the author discusses cancer, what causes cancer, holistic vs. medical treatments. The first part of the essay the author presents a piece of an interview conducted with a young cancer patient who was going against the grain and refusing treatment. The essay then goes into a personal narrative on how the author feels about cancer then from there goes into a great descriptive paragraph about cancer and carcinogens. Her thesis is clearly surrounding the argument whether or not holistic or medical treatments such as surgery, radiation, and chemotherapy are ideal in treating/curing cancer. She explains that there are some cancer patients who swear by holistic remedies,...
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