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Nursing Reflections

Monday, January 9, 2017 by Sarah Leave a Comment

 Nursing differs from many other careers in that it centers around people at their most vulnerable. Hurting, shocked, crabby and defensive. Perhaps having just received a new diagnosis. Maybe even facing the chance of death or disability. Times that bring out both the best and worst from the human natures of individuals and families.

I sometimes question my readiness to exhibit the calm, steady nerve needed to guide these people through the stressful days at the hospital bedside. My classes have spent a lot of time giving up the tools to manage these situations through discussions and simulated scenarios, but I am, as of yet, completely untried. How will I respond in real life crisis, when I am in charge?

 Recently, I and a few siblings joined a church group gathering at a local nursing home to sing Christmas carols. This was the same  facility where I had worked for a year at the beginning of my nursing studies. It’s been three years since I worked there, yet as soon as I walked through the doors, I remembered the regular rhythm of the nurse assistant’s day. The rush of helping everyone retire for the evening, six people vying for your attention at once. The moments bringing small comforts to those who enjoy their evening such as books or sweet snacks. And the careful, quiet walk through the halls in order to not wake those who suffer from sundowning, a high level of anxiety and disorientation in the evening due to confusion and fatigue that often affects those with dementia.

As I walked those hallways, I relived some of the most tender times I shared with those in my care. I flipped through photo albums of those patients, talking about the highlights and memories from their lives. These memories are now bittersweet, and I found myself blinking through misty eyes. No matter how much I try to maintain a professional distance needed for clear judgments and actions, I end up forming bonds with certain patients. When you stay with someone through their weakest moments, celebrate their small successes, and are the hand on their shoulder to comfort them when they are afraid, they end up touching you deeper than you know.  As I begin my work in the field of nursing, I know that I will be collecting memories as I go. Memories both sweet and sad, and many will stay with me forever.

Nurse holds elderly patient's hand

 

Posted in: Journal, Nursing Tagged: Nursing, pondering

Nursing Skills

Sunday, July 24, 2016 by Sarah Leave a Comment

One of my favorite things about my studies as a nursing student is how frequently I am able to apply what I’m learning to my daily life. There’s not a lot I can do for serious medical emergencies. I have been developing a step by step checklist in my head of everything that can go wrong or needs to be monitored, so I know what needs to be done.

Nurses specialize in easy interventions that don’t require a doctors prescription, so that we can handle as much of what we can on our own. Most of what a nurse does is common sense remedies, except studied, rehearsed and systematized, for every sort of health situation possible. Nursing also is about learning to stay calm and take action when everything is spinning out of control.

My year behind the books is completely unsupported by experience my own, so I’m not always positive I’ll be able to do much when the need for medical attention arises. When we got the call this summer that Alexander had seriously hurt his leg, I got a chance to see just how much I knew, as I was the first family member on the scene.

First, assessment. Vitals first, always, and they mostly fine, though respirations are high. cause: pain and anxiety. Leg bone integrity visibly altered, skin integrity intact.  Then circulation? Leg color pink, skin warm. Nerves intact? Sensation felt and able to move toes.

Then time to act. Leg elevated above heart? Check. Antiinflammatory for swelling and pain: given, 400 mg of ibuprofen. Breathing techniques for pain implemented. Full report of everything that has happened and occurred to health professionals in emergency room. Completed. Nursing care delivered.

Posted in: Alexander, Journal, Nursing Tagged: Nursing

It Begins

Sunday, September 6, 2015 by Sarah 1 Comment

Once again, I’m embarking on a new school year. This time, I return to college as an upperclassman and officially enter the nursing program. After receiving the course schedules listing all the tests, papers, and assignments for the year, I’m trying to sort out a semi-organized plan of attack. It’s a bit overwhelming, to say the least. This picture of (most) of my books is for my obituary that is likely to come out close to the end of the semester, so that the cause of death is well understood.

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But this is why I’m ready to dive in anyway:

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I’ll be getting ready to step into the hospitals and begin practicing on patients, starting in October.

Posted in: Journal, Nursing Tagged: Nursing

I’m Sarah. Pour a cup of tea and stay a while.

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