I am writing this reflective journal in accordance with the CNO`s reflective practice standards and the LEARN model. Though my time on 600A has only just begun I have learned so much. Like many second year students, this is my first experience in the hospital. It has proven to be much different than my previous clinical experiences. My time with my first client stands out in my mind as a key learning experience.
I like to believe that I am caring and compassionate with everyone I meet, especially in a professional setting. This particular client was a lady in her early 80s. She was good natured and very easy to get along with. She was cognitively aware and quite bright. As a result of bowel surgery she had an ostomy. This was new to her and I could tell she was unsure about it. My first day with her we did a lot of chatting and sharing. She told me about her husband, children and career as a kindergarten teacher. This helped build a certain level of comfort with me as a caregiver.
I had her to come for walks with me down the hall and once she was up and moving she said she felt much better. I helped her with her first shower post-op. I made her feel more comfortable by promising to stay outside the door while she was in there. When she was finished, I helped her to apply lotion to her dry skin and at her request gave her a good back rub. My shift ended and I said my goodbyes. My client told me she was sad to see me go and was looking forward to my return the next morning.
That night when I went home I did some research into ostomies. Through my textbooks and previous experience I had a solid knowledge of the basic care but just in case I wanted to refresh.
I was excited to return to clinical the next morning. My client had a big smile for me when I walked into her room. Throughout the evening the ostomy nurse had come in, did some assessments and quickly taught my client how to empty and clean the appliance. Unfortunately since the nurse was...
References: Ireland, S. (March 2004). President`s message. The Standard, 29 (1), 4.
Sault College of Applied Arts & Technology School of Health & Community Services. (2008). Practical nursing program student success guide 2008-2009. Sault Ste Marie, ON.
White, Lois. (2000). Foundations of Nursing: Caring for the Whole Person. Albany,NY: Cengage Learning
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