AB_Makeup_Clinical Reflective Journal_HM.doc

AB_Makeup_Clinical Reflective Journal_HM.doc - NU102 Adult...

This preview shows page 1 - 3 out of 56 pages.

NU102 Adult Nursing practice 2017/2018 Clinical Journal & Evaluation Tool Adult Nursing Practice Student Name: Ahmed Bakousha Class of: 102 This is the document where you reflect on your clinical experience and analyze how you believe you have met the course objectives and competencies. NU 102 Day Division – Clinical Reflection Worksheet & Evaluation Tool Course Objective 1 Use the nursing process to promote wellness, human flourishing and adaptation in adult individuals with selected medical/surgical conditions through the use of selected safe, culturally sensitive therapeutic nursing interventions (CII) Assessment: Assesses the patient physiological and psychosocial integrity; the safety of the care environment and holistic needs. Competencies : 1. Performs physical, psychosocial and environmental assessments of the adult patient using electronic resources, as appropriate (PSII) 2. Examines potential and actual hazards in the patient care environment intervening as appropriate (CII) 3. Correlate significance of normal and abnormal findings with patient’s diagnoses and emergent symptoms (CII) C.O. # 1 Assessment: Brief diagnosis statement. What are the specific results of your assessment of the client (not what you would assess)? Include all data related to that nursing diagnosis – should have at least 6 to 10 pieces of data (both subjective and objective Week 1 : This week I was in the inpatient female department for two days with the same case that was admitted to the hospital because of root accident with her mother that is in the ICU department, and the child was diagnosed with femur fracture. She admitted at 22-9-2018 at 9.30 Pm. First I started with the pt’s identification and the pt initial K.A, her age 10 years and check the safety and the privacy. There was IV and the pt did not have allergy. Then I read the file and collect all the data I need from it. Then I started with ABCD assessment: 1) Air way: the air way not patent, breathe from room air and there is no humidification of oxygen therapy. 2) Breathing: the respiratory pattern is regular, the depth is normal, there is symmetrical chest movement and accessory muscle used, and there is no abdominal breathing or cough or sputum. 3) Circulation: the radial pulse is regular and normal the apical pulse was 98bp/m and regular and the CRT <3 secs. 4) Disability: the pt was alert and orientated. 1
Image of page 1

Subscribe to view the full document.

NU102 Adult Nursing practice 2017/2018 Then the pupil assessment: 1) the size was 3 mm. 2) reaction was normal. 3) Consensual response was normal. The pain assessment: 1) location: in the left leg and the site of the cannula. 2) And provoking all the time and reliving when she take the medication. 3) Quality is burning. 4) The severity was 9. 5) It onset at the time of the accident. 6) She takes a zantak, deklofen, dexa and ringer 500cm every 12 hours.
Image of page 2
Image of page 3
  • Fall '19
  • amany gaber
  • Nursing, Ahmed Bakousha

{[ snackBarMessage ]}

Get FREE access by uploading your study materials

Upload your study materials now and get free access to over 25 million documents.

Upload now for FREE access Or pay now for instant access
Christopher Reinemann
"Before using Course Hero my grade was at 78%. By the end of the semester my grade was at 90%. I could not have done it without all the class material I found."
— Christopher R., University of Rhode Island '15, Course Hero Intern

Ask a question for free

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern