I was working as a nurse associated with the neo-natal ward in the hospital. The neo-natal ward had 4 pre-term babies at that point of time. There was a special case of one baby boy who was born at 26 weeks gestation and weighed about 1.5 pounds at birth. The neonatologist had given a probability of survival at only 50%. However, the parents were clear that they wanted the infant to survive. One fine morning, I rushed to the ward, hearing the screams of the mother. The mother was furious with someone and gesticulating wildly. I asked her to calm down and explain the situation. She was barely coherent, shouting at the interns and the nurses on duty. Apparently, the equipment was showing falling levels of oxygen saturation and no one was concerned enough to investigate the issue. Besides, some alarm was ringing inside the ward and the neonatologist was not summoned. The mother was really out of control and shouting at everyone. It took me more than half an hour to calm her down. In between I also got angry and tried to reason out the delay in nurses attending to the issue. She got more violent and began to throw a few things off the table. In the end we had to restrain her physically albeit for a few minutes. She broke down, sobbing. I kept a gentle arm on her shoulder and made her sit down. Meanwhile I ordered a cup of coffee at her request. It was handed over to her. Then I asked her if she had taken her breakfast. She replied in the negative. I ordered a quick but healthy breakfast from the hospital canteen. Once she consumed her breakfast, she was able to speak coherently. Even now, she was a bit loud and angry, but she was more logical and rational than before. I realized that there were shortcomings on the part of the nurses on duty also. Since the incident happened just before my shift was beginning, I was unable to understand the context fully. Structured Reflection Sometime later, I was trying to assess what had happened during the situation in the neo-natal ward. Firstly, what were the issues that were apparent on the surface? My reactions to the issues must also be analyzed. The primary issue was negligence on the part of the nurses and attendants on duty at the ward. The secondary issue was the tantrum thrown by the mother, though in hindsight, the tantrums were probably justified. On reaching the scene, I was initially angry and flustered. I reacted instinctively, trying to fight fire with fire. I was perhaps not successful. It only resulted in the argument getting louder. My feelings during the encounter ranged from anger to empathy. In the first instance, I perhaps started arguing and countering her on the various allegations raised. At this juncture, I was going by the gut. There was no thought on my part. I was merely reacting like a provoked child. Perhaps, my reactions were influenced by the nature of the encounter. Maybe, the situation was completely out of line with the otherwise quiet and brisk environment of the hospital. Possibly that made me angry.
The essay "The Critical Incident: A Challenging Communication Encounter" describes that during periods of stress the nursing profession is beset with workload of the highest order. Doctors are not expected to be in attendance throughout the day. They can take short breaks from work, although they cannot get away from the hospitals for an extended duration of time…
He was dropped off in the emergency room by a building security guard after he apparently collapsed on the street. He did not have any wallet or identification with him, and when he regained consciousness a few minutes after admission, he was incoherent, and could not understand what was being asked of him.
It was a routine journey; we were in pleasant humor and were chatting on the way. We had stopped in some stationary traffic when from nowhere a transit van smashed into the back of our car, throwing us all forward. Since our car was not in motion, this accident was very unexpected and frightening.
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In such cases where there is a severe disparity in the weight or size of the twin babies, a discordant growth in pregnancy is said to have taken place (quote). A reason why discordant growth in twin pregnancy has always been a source of concern to health practitioners is that the situation predicts two major things.
ICU Consultant and a junior staff nurse to the parents. The family appeared to fully understand the news of brain stem death. The family belonged to the Roman Catholic faith. Organ donation was also mentioned to them but they were opposed to the idea of organ donation.
It was therefore visualized that the National Health Service (NHS), in order to provide quality services to the patients would need information technology. Therefore, they set up The National Programme for IT in the NHS ("the Programme" or NPfIT). This system obviously puts patients at the centre of decision making through innovations in information and communication technology.
This is all the more significant if one were to consider the targets of attacks in Iraq. "Between January 2004 & March 2006, insurgents carried out attacks on oil and gas pipelines that cost Iraq more than $16 Billion in lost oil revenues." (Flynn, 2006).
It was decided that an elective surgery will be done on her. Accordingly anterior cervical decompression and fusion at C4-C5 levels will be done. A detailed preoperative history revealed no history of allergy, no history of asthma, no previous surgeries, and she had never been subjected to any anesthetics.
One of the major problems in healthcare relates to dehydration. Research indicates that this problem prevails more amongst older people, compared to young individuals, and it accounts for a high rate of hospitalization
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