495L week 3 (2replies)

Week 3 Discussion Prompt

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COLLAPSE

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Discuss two areas of difficulty you encountered or two new nursing interventions you learned this week at your clinical site. You may also choose to share one of each. Please remember to respond to two of your peers.

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Reply 1 Katherine

One challenge I have encountered this week is being able to adequately express empathy over the phone. Yes, empathy can be expressed by tone, active listening, and validating feelings of sorrow, anger, or grief. However, the challenge I have encountered is being able to make eye contact and read nonverbal cues. Although the patient or caregiving may verbalize, “they are fine”, nonverbal body language can paint a different story (Ameritech, 2020). When one is aware of nonverbal cues it can be used as a powerful tool to build rapport and strengthen relationships (Ameritech, 2020).

Teamwork is essential in community practice. For example, I came across two different caregivers who verbalized the need for medication and supplies. I contacted the VITAS team and was able to communicate this to them. This is a perfect example of professionals working together to solve a problem.

Reply 2 Leasia

Two Areas of Difficulty I Encountered at the Rehabilitation Center

There are two areas of difficulty that I encountered at my clinical site at the rehabilitation center. One of the areas was infection control. Resistant organisms are continuing to arise and evolve. Thus, infection deterrence and control remain a crucial component of maintaining public health, mainly among susceptible patient clusters such as young children and older people (Spellberg, Srinivasan, & Chambers, 2016). There are measures such as handwashing that have helped deter the spread of infections such as COVID-19 at health facilities. While at my clinical site, I realized that I did not frequently wash my hands as demanded by management and even despite being aware of the risk I was posing to patients and colleagues. I saw it as tedious or time-wasting to wash my hands every time I entered a patient’s room or touched a surface and only did so when colleagues or my supervisor monitored me.

Another difficulty I encountered was enforcing strategies to facilitate family members’ entry into the facility during the COVID-19 pandemic. The Centers for Disease Control and Prevention (CDC) came up with a guideline for the management of guests to healthcare amenities in the setting of COVID-19. According to CDC, guests to healthcare amenities should be restricted in the context of the outbreak, irrespective of recognized community spread (Centers for Disease Control and Prevention, 2020). My clinical site had additional strategies to help prevent the spread of Covid-19 while also permitting visits. For instance, it had designated an entrance that guests could use to enter the clinic and refused entry of people with flu symptoms. At times, I was in charge of screening the patients before allowing access to the clinic. I had difficulties in differentiating COVID-19 symptoms from other acute respiratory illnesses such as shortness of breath or coughing. As such, I ended up denying several visitors entry into the clinic.

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