Carla Mae A.

Boston N43 Reflection Care of Client with Cellular Aberration

Cellular Aberration is also known as cancer. It is the abnormal multiplication of number of the cells in a certain part of the body. When not detected or acted on, it resulted to organ involvement and later multiple organ failure and death. People suffering from this disease may suffers from physical to psychological instability. Caring for someone with this disorder gives a great challenge to me as a student nurses since caring for a patient with cancer is a whole different pneumonia. Provide Knowledge-skill-attitude when caring a patient with Cancer. When diet, etc. caring because for this a patient information with help a Cancer, you render you an must be world than caring for someone with diseases such as

knowledgeable about the what is cancer, typical signs and symptoms, effective nursing care towards the patient. Also, you must be more aware with the specific signs about the specific cancer the patient has to have more observation and determine the severity of the Cancer. Through this, you can render appropriate nursing interventions. Throughout the whole caring moment with the patient, you must maintain respect and dignity to the patient. Compassion and honesty must also be present to gain trust.

Give two ways to reinforce learning. To keeping reinforce self learning, with continual of rereading care and of concepts to and help updated trends technology

increase the life expectancy of the patients.

Carla Mae A. Boston N43 Reflection Care of Client with Eyes and Ears Disorder

There are lots of eyes and ears disorders being diagnosed and among them, I was able to have care with the 60 year old woman with Right Cataract who had been at the Operating Room an hour ago before she was transferred to the Ward and been assigned under my care though I was not the direct student nurse assigned to her but I was assigned as the vital signs so I was still able to give care to her. She was still under a 15 minute monitoring and I assessed her every 15 minute. I was able to instruct her proper positioning and all but I guess she failed to hear it because she was sleepy. With that, her relatives manage to move her. Provide Knowledge-skill-attitude when caring a patient with Eyes and Ears Disorder. Caring for patient with a visual difficulty can be a little stressful. The patient had a Right Operation for Cataract. With that, you have to guide her to move especially if she was moving to right because of her limitation. What makes things easier is the presence of her relatives to assist and learn to help their relative in their hospital. I was able to give proper health teaching to them and they participated and eagerly listened to me. I was thankful with that. Give two ways to reinforce learning. To reinforce learning, continual reading of concepts and keeping self updated with trends of care and technology.

Carla Mae A. Boston N43 Reflection Immersion

Immersion

is

part

of

nursing

wherein

the

Student

Nurses

picks/chose a family to assess. In this exposure, student nurses will have direct observation on how a family lives, usual food they serve, the things they usually do, their individual chores, their health status, etc. Building rapport is am important component before anything else because the family will not receive you if they do not trust you. The Family I was assigned was a welcoming family in the area. they are very participative in my activities which aims to promote health in their family. I was able to appreciate the way they live and the things they usually do. I respected their religion which is Filipinista. They are very well-informed in terms of health. There are diseases they know how to respond though they do not usually go to the Public Health Center; they go straight to hospital in Agusan del Norte Provincial Hospital.

Give

ways to reinforce learning.

To reinforce learning, continual reading of concepts and keeping self updated with new herbals, promotive and preventive ways to enhance health in community.

Carla Mae A. Boston N43 Reflection Patient Care Management Head Nursing

When I was assigned as the Head Nursing of the week, I was very nervous with things I will be doing in the ward. I know that I do not leader-manager qualities and if I have, then, it was not so big unlike the others. One of the things I was nervous about was the perceptions of my group mates that I will be not-so-good like the others. I really do not like comparison, but can I stop what they were thinking at that time. The first day was okay because even though I was confused with my activities, I was able to finish my tasks on time. I thankful with the group I had because they are competent in terms of caring with their patient. Though there are times were I felt like crying because of insubordination and disrespect. I was able to manage them, but not that much. I simply cannot change those who disrespect me over a week, I do not mind as well because it is such a waste of time. If my words of warning is not a warning for the, then there is really nothing I can do. For me, head nursing is a very nice and memorable

experience because I was able to assess myself. With this, I was able to see what I was lacking, what I need to develop and what I need to maintain.

Carla Mae A. Boston N43 Reflection

Patient Care Management Practical Clinical Instructor When I was assigned to be the Practicing Clinical

instructor, I was a bit nervous and dismayed. I nervous because I will be assigned to manage my groupmates. I was assigned in Consultation and Prenatal Check-ups. On my days as a PCI, everyone was busy preparing for the upcoming Culmination. On my first days as PCI, we are assigned in Masao Public Health Center. Unfortunately, there was no pregnant woman. Despite this, we had fun. Our CI review us with topics relating to medical-surgical Nursing and CHN. We learned things that are easy to remember. I thankful for that. On my second day as a PCI, I was worried that this day will only result to preparation. If that happened, then I will not be able to appreciate PCI in community. Luckily, we went to Ampayon Public Main Health Center. There lots of people coming for consultation. I was able to assign my groupmates and circulate them in the centers task. Above all, I was able to appreciate what consultation is. It was really nice because people avail to health centers services. It was my first time to experience to work in collaboration with a doctor in a community.

Carla Mae A. Boston N43 Reflection Community Exposure( Project Implementation and Training) What are the insights or Learning you gained from the activity? The insight or learning I learned in the project implementation is teamwork with the Student nurses and community people because without it the project implementation will not be successful.

Based on the projected implemented which among them do believe will greatly help to alleviate the communitys problem. The project that will greatly help the community is the Comfort Room Project. This will enhance health and somehow stop the illegal and unhealthy disposal of waste.

What The

are

the we

problem had

you

encountered is only

during minor

the which

project is the

implementation and CHW training? problem encountered gathering of the money for the other materials that needs to be bought. We all have contributed on different amounts. We had solicited the major materials such as the big tubes from hardwares for free.

Which among the five management process did you perform well in leading the community residents during project implementation and training? Why?

Carla Mae A. Boston N43 Reflection Prenatal (care of Pregnant Woman) What objectives have been met/not met? The Objectives that was met were: able to assess, observe and interact with the pregnant mother, perform Leopolds maneuver and give and impart health teachings and information regarding the danger signs. The objective not met is the administration of tetanus toxiod to the mother. Give evidence/proof of knowledge gained from these experiences. During the exposure, I was able to have actual charting of the ITR of the pregnant mother. With this, I have interact with the mother and identified her status in her pregnancy. In relation to her pregnancy status, I was able to give appropriate health teachings. Our discussion had been interactive.

What do you think are the implications for nursing practice and education? The implications of then nursing practice and education is

promotion of healthy lifestyle and prevention of diseases.

Give at least 2 recommendations to reinforce learning process. To reinforce learning, continual reading of concepts and keeping self updated with new vaccines, promotive and preventive ways to enhance maternal health in community.

Carla Mae A. Boston N43 Reflection EPI (Care of Children during EPI)

What are your learning insights in performing the role of PHN during EPI? I was able to somehow build my confidence in administering vaccines to the babies. Also, to I realized mothers that proper the information dissemination the regarding

vaccines are important since some on them do not know what to do with the effects. The aid of a hand-outs being given is also important to enhance their learning.

What objectives were met or not met? All of my objectives were to met. the I was able to have the information dissemination public regarding

vaccines, and I was able to have hands-on administration of the vaccines. I was also assigned in records and weighing of children.

Give recommendation to reinforce learning. To reinforce learning, continual reading of concepts and keeping self updated with new vaccines, promotive and preventive ways to enhance health.

Carla Mae A. Boston N43 Reflection Family Health Care

What new insights have you gained from the activities. I learned are that health promotion and prevention times must be adequately taught on the family I was assigned. Even though they properly oriented, there are that they should be reminded such as being hygienic at all times when preparing meals or after using bathrooms.

Based in the identified nurses role in the family care practice, which among them were you able to identify the most and which is the least? Why? The role that of I had identified through and the most is being is an and Educator promotion information because Community health Nursing of about

health

adequate prevention

education

dissemination

diseases

through proper demonstration.

After caring for a destitute family and being a catalyst for change, in what way can you help that family to become a self-reliant and self-sustaining family? I think I can help them by making them understand the that health is vital to everything we do in this world.

Father Saturnino Urios University Nursing Program Butuan City Carla Mae A. Boston
N43 Reflection IMCI( Care of Children with Communicable Disease)

What are the challenges you encountered during care of child under IMCI case management, referral and case finding? The challenges I had encountered is when you have to determine the signs the child was experiencing. Observation and assessment is really vital and that you must be really quick in noticing changes in the child.

What are your learning insights in performing the IMCI process?]What can you recommend to improve the system? The learning I have when performing IMCI is that you must be very observant in assessing the child.