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The first six weeks of the nursing program has forced me
to turn myself inside out and examine/analyze a lot about
my way of life. It has forced me to look deeply into my communication
and listening skills. I have learned many different ways to
deal with situations and problems that may arise with my impersonal
and Intrapersonal relationships. I’ve been trying out
different skills with my roommate and trying to really understand
what we do in class by actually doing it. I have always found
it hard to express myself if I thought I would hurt someone
or that a confrontation may arise. But I am now more aware
of different ways to handle conversations so that I express
myself fully ant the outcome is wondrous and successful. -
author unknown
Touch, to me is the most valuable sense. Being
able to touch and feel your environment and the world around
you is such an important tool. I find it so interesting that
touch is so important to life and learning. The realization
that many children are dying from not being touched by their
parents is unreal and devastating. It is not a hard thing
for parents to do – to touch, cradle, hug and kiss their
children. This closely reflects on our society and the recent
paranoia about sexual harassment, abuse etc, that is discouraging
parents from touching their children affectionately. - author
unknown
Continuing Care - ward 23 (RLI) Ward 23 is
a combined elderly rehab and rheumatology ward. The merger
of two formerly independent units has resulted in some tensions
and unsettling within the staff, but overall the ward is coping
well with what must have been a difficult transition phase.
I really enjoyed this ward. The philosophy of care is built
on maximising independence (along the lines of Orem's model)
and promoting dignity and self worth to the (mainly) elderly
client group. Although one cannot get away from the fact that
it is a hospital ward, the aim is to make the environment
as 'normal' as possible. Patients' own clothes are worn throughout
the day, as opposed to nightwear, and meals are taken in a
dining room (unless the patient particularly wants to eat
at the bedside). A self-medication system operates at varying
levels where appropriate in order to educate patients regarding
their medication and prepare them for self-medicating following
discharge. The discharge planning is the best I have seen,
with strong liaison with other multi-disciplinary team members
and community staff. One of the most difficult things to learn,
coming from hectic acute wards to ward 23, was to stand back
and allow patients to do things for themselves instead of
rushing round doing everything for them - and one of the most
satisfying things was to see the confidence and independence
of these individuals growing through the patient support of
the nursing staff.
Finally, with regards to this placement, I must mention my
most satisfying experience of my nursing career so far. It
was in fact giving someone a bath. Seemingly not the most
remarkable of events for most of us, but this lady, who suffered
from chronic rheumatoid arthritis, had not been able to have
a bath for the past three years. In assisting her to do this
I recieved the warmest gratitude - and it really made me feel
so good! Just shows how the simplest things we take for granted
can make a huge difference when they are no longer available
to us...
Acute Medical - ward 2(RLI) This was my first medical ward
and lasted for ten weeks from November 1998 right through
Christmas. I loved this ward! It was exceptionally busy mainly
due to the 'flu epidemic which swept the country in December
and January - affecting both staff and patients. Perhaps because
of the hectic pace and the staff shortages I was given more
responsibility than ever before and in taking this on I gained
so much confidence. Despite being so busy, the nursing style
was still far more holistic than on my surgical placements
and the involvement of the multi-disciplinary team was far
more evident. Overall a very good experience indeed.
General Surgery - Ward 33 (RLI) I have just
finished my ten week placement here, and I'm so glad it's
over! It has been my least enjoyable placement so far. The
pace was so fast and the ward was very understaffed - which
means of course that students get treated as dogsbodies for
much of the time rather than having the time and space to
really learn. Added to this was the fact that we had an important
exam to study for in the midst of all this. It made for a
very stressful time and I often wondered what am I doing this
for. Ward 33 is a mixed gender 28 bedded ward which is always
full. As soon as someone is discharged there is another patient
waiting to come in. It takes both elective and emergency cases
mainly for vascular surgery and bowel surgery. There was such
a lot to learn, so much interesting stuff going on, but all
in all the whole experience was just too stressful by far.
The staff were a mixed bunch with some very highly skilled
and knowledgable nurses, but some which made us feel so stupid
and worthless and treated us really badly. It was as if they
couldn't remember what it felt like to be a student nurse.
Having said that there were also a few really lovely nurses
who worked there, but all in all the atmosphere was not good
- Rae McCarron [more]
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