Learning report
1. My responsibilities included holding the patient up while changing diaper and linen.
2. I learned how to give a bed bath.
3. The best thing that happened this week was that the nurse, as well as, the patients I met were really nice and funny.
4. The worst thing that happened was that it got extremely awkward while the nurse was given the bed bath.
5. This week was fair because I did get to see multiple of different things, but it is not what I want to in the future.
Experience report
Technology:
The main technology that I observed was the vital sign machine, this machine takes pulse, BP and temperature, it also documents all this information. The IV and blood transfusion equipment was yet another technology I observed. The computer and the heating/cooling machine for the wipes were also technologies observed.
Diagnostic:
I observed my nurse use the vital sign machine on 14 patients and that is a diagnostic procedure. Taking the BP, pulse and temperature to update the chart and keep all the factors under control.
Therapeutic:
The major factor of therapeutic procedure I observed was when the nurse gave one of the patients a bed bath. She also changed his diaper and his condom catheter as a therapeutic procedure. The IVs and the blood transfusion of the patients is another procedure.
Disease:
I did not see any specific disease, but I did observed patients with different surgical procedure. There was multiple patients with knee replacements and hip replacements, I also saw a younger guy in my age that had had a respiratory surgery to improve his breathing. The nurse also told me they get patients with surgeries on arms and shoulders, so in conclusion most patient have surgeries on their extremities.
Medical terminology:
There was no medical terminology, this week was more interactive with the nurse, patient and I. The terminology was not there, because all the procedures that she told me about was common sense or i already knew the term.
Experience journal
I. The environment in this unit is very calm and healing for the patients. The lighting is bright in the hallways, but can differ in the patients room; some are dull and some are bright. This unit smelled like the rest of the hospital, a clean smell. It is barely any noise, there are only some random beeping of the machines when something is disconnected and some talking between nurses.
II. The staff at this unit was really nice, the nurse I followed was extremely nice and wanted me to see and get to do as much as possible. There were a lot of Hispanic nurses so many of them spoke in Spanish, so it was a little confusing when they talked between themselves. Other than that all the nurses worked well together and covered for each other if needed.
III. The major thing I learned this week was how to give a bed bath; it includes taking hot and cold wipes and basically wipe down the patient. This is used to clean the patient when they can not shower. I also learned what heavy work the nurses have to do, for example lifting and rolling patients to change diapers or linen. Another thing I learned is how the nurses take vital signs and document them on one machine and then have to transfer that information to their chart.
IV. This week was good, I got to be active for the entire hour, that means no sitting down. I also got to see multiple things which all were important things to see. The fact that I had a great nurse and her patients were all funny and nice had a major factor to how well this week went.
Friday, February 27, 2015
Saturday, February 14, 2015
GC-Garden Bridge
Acute dementia is a sudden onset of dementia, but the symptoms can range from mild to severe. Chronic dementia is a long-term dementia and has severe symptoms. Acute dementia can be caused by depression, excess use of alcohol, thyroid problems, and vitamin deficiencies. Chronic dementia can be caused by brain injury, alcoholism, drug abuse, and smoking, diabetes, high BP and cholesterol if this disease run in the families history.
Friday, February 6, 2015
Physical Therapy
Learning Report:
1. My responsibilities this week included timing the patients while doing exercises.
2. I learned new ways to stretch and strengthen the knee.
3. The best thing that happened was that the patients that I observed had just had a knee replacement and that is something my grandparents have done, so now I know how to help them.
4. The worst thing that happened was that I only got to see one patient in detail.
5. It was a fair week because I only got to meet one patient and I was mostly standing there and talked to the patient.
Experience record:
Technology-
I observed multiple things that land in this category. I saw all the different work out machines including a treadmill, bicycle and a leg lift machine. I also observed the vital sign machine and the computers.
Diagnostic-
There are not that many diagnostic procedure in a therapy room, because what they do is therapeutic care. I did see when the physical therapist went and got their patient and explained what is going to happened and why they will be doing it, that is diagnostic care.
Theraputic-
Almost everything a therapist do is therapeutic care, every activity and advise is to improve the health of their patient. I observed multiple different exercises for the knees, both to strengthen and stretch them. The strengthening exercises included leg raises, laying on the side and doing leg raises, and bicycling. The stretching exercises included bending of the knee by heal sliding, swinging of the knee, and high stepping.
Diseases-
I only met one patient today and he had had a knee-replacement done and was now going to therapy to get back the strength and flexibility in it. I did see other people in the room, one patient had an amputated leg and was strengthening that, there was other patients with knee replacements as well.
Medical Terminology-
TKR- Total Knee Replacement
TID- Three times a day
Experience Journal:
I. The smell in the therapy room was one thing that stood out to me, it did not smell the same was as other places in the hospital, not as sterile but it did not smell like sweat. The room is very well light and things are put in specific places to create walking room. This room is also one of the louder rooms in the hospital, people are talking; patients and therapist, as well as, the therapist among each other. There is also music playing in that room, I believe it is used to be a distraction while the patients are exercising.
II. The staff in this unit is very skilled medically and knows exactly what to do for the different patients. The staff is not as uniformed as in other units in my opinion, everyone works very individually and do not ask for help from others. The staff is not very talkative either, they do talk when they have to, but the most of them do not try to make small conversations and make the environment more comfortable.
III. I did learn some new exercises to strengthen and stretch the knee, but I knew some of them because I had to do them for my knees in the past. I learned that you can slide your heal to improve the bending of the knee and do high stepping to improve bending, strength and balance of the knee. I learned that the knee is very stiff after a knee replacement, it can not go in circular motion and bend fully.
IV. The rotation was good, I got to see multiple exercises and the patient I observed was really nice. I wish I saw more patients with different issues, so I would see different selections of therapy. I realized that I do not want to become a physical therapist, I did want to become one for a while but not after observing what they do. I feel like I can help more people if I am a cardiologist so that is what I am going to try to become.
1. My responsibilities this week included timing the patients while doing exercises.
2. I learned new ways to stretch and strengthen the knee.
3. The best thing that happened was that the patients that I observed had just had a knee replacement and that is something my grandparents have done, so now I know how to help them.
4. The worst thing that happened was that I only got to see one patient in detail.
5. It was a fair week because I only got to meet one patient and I was mostly standing there and talked to the patient.
Experience record:
Technology-
I observed multiple things that land in this category. I saw all the different work out machines including a treadmill, bicycle and a leg lift machine. I also observed the vital sign machine and the computers.
Diagnostic-
There are not that many diagnostic procedure in a therapy room, because what they do is therapeutic care. I did see when the physical therapist went and got their patient and explained what is going to happened and why they will be doing it, that is diagnostic care.
Theraputic-
Almost everything a therapist do is therapeutic care, every activity and advise is to improve the health of their patient. I observed multiple different exercises for the knees, both to strengthen and stretch them. The strengthening exercises included leg raises, laying on the side and doing leg raises, and bicycling. The stretching exercises included bending of the knee by heal sliding, swinging of the knee, and high stepping.
Diseases-
I only met one patient today and he had had a knee-replacement done and was now going to therapy to get back the strength and flexibility in it. I did see other people in the room, one patient had an amputated leg and was strengthening that, there was other patients with knee replacements as well.
Medical Terminology-
TKR- Total Knee Replacement
TID- Three times a day
Experience Journal:
I. The smell in the therapy room was one thing that stood out to me, it did not smell the same was as other places in the hospital, not as sterile but it did not smell like sweat. The room is very well light and things are put in specific places to create walking room. This room is also one of the louder rooms in the hospital, people are talking; patients and therapist, as well as, the therapist among each other. There is also music playing in that room, I believe it is used to be a distraction while the patients are exercising.
II. The staff in this unit is very skilled medically and knows exactly what to do for the different patients. The staff is not as uniformed as in other units in my opinion, everyone works very individually and do not ask for help from others. The staff is not very talkative either, they do talk when they have to, but the most of them do not try to make small conversations and make the environment more comfortable.
III. I did learn some new exercises to strengthen and stretch the knee, but I knew some of them because I had to do them for my knees in the past. I learned that you can slide your heal to improve the bending of the knee and do high stepping to improve bending, strength and balance of the knee. I learned that the knee is very stiff after a knee replacement, it can not go in circular motion and bend fully.
IV. The rotation was good, I got to see multiple exercises and the patient I observed was really nice. I wish I saw more patients with different issues, so I would see different selections of therapy. I realized that I do not want to become a physical therapist, I did want to become one for a while but not after observing what they do. I feel like I can help more people if I am a cardiologist so that is what I am going to try to become.
GC-Rehab
There are multiple devices for assistance that help individuals with disabilities some include a wheelchairs, walkers and crutches, hearing aid and reacher. A wheelchair is used for people that can not walk, this allows them to be able to get places without walking. A walker and crutches are also help for walking, but this is aid for when the person is able to walk by themselves but need some help with balance or support. A hearing aid is a devise that help people hear better, pretty obvious. A reacher is usually a stick with some sort of grabber at the end; this allows individuals to reach and grab something from longer distances if they are unable to walk.
Sunday, February 1, 2015
Pharmacy
Learning Report
1. I did not have any specific responsibilities this week, but I had to ask questions and take notes.
2. I learned how many different medication there is and how many different sizes/amounts there are of the same drug.
3. The best thing that happened this week was that the technician I followed was nice and good at explaining things while he did them.
4. The worst thing that happened was that I did not see any medical procedures on patients.
5. This week was fair because I got to talk to cool technicians but the unit itself was not interesting.
Experience Record
Technology- I observed several different types of technology in this unit, on of them was the cabin that contain all the drugs; it calculates the amount of drugs in it and opens the doors needed for what drug you are looking for. The shooting doors that leads to new hallways with drugs where another type of technology that i saw. I also saw the computers and the labeling machines that they use to know what drugs that are needed for what patients. The machine that sends the different drugs up to the floors in a little tube was that last technological thing I observed.
Diagnostic procedures- The pharmacist and the pharmacy technicians do not do anything that is diagnostic procedures for the patients. The only diagnostic thing they do is prepare drugs and IV bags.
Therapeutic procedures- Everything they do in the pharmacy is for therapeutic help for the patients, every drug given is a therapeutic procedure. They make all the IV bags and every drug to help a problem that a patient has.
Disease observed- In the pharmacy you do not see any diseases directly but we see medication that could go to so many different diseases. There are medication specifically for babies, pregnant women, medication that can only be taken by mouth and heart and lung disease medications.
Medical terminology-
BP- blood pressure
Px- prescription
Experience Journal
I. The environment in the pharmacy was clean and strict but messy at the same time, for example it was sterile and everyone did their job in an orderly matter but there were drugs everywhere and for an outsider it looked messy. The smell in there was not different compared to the rest of the hospital and it was a lot brighter light in there than the rest of the hospital.
II. The staff in the pharmacy was really nice and willing to teach, if you started talking to them. They were not as strict and "boring" as I had imagined, they were fun and helpful people. They also worked as a team; covered and helped each other when needed.
III. This week I learned that there are many shapes and sizes for the same drug, and that it because different cases need different amount of the drug and it can also depend on the way they are giving the drug to the patient. I also learned that the pharmacy technicians have to have everything approved by the pharmacist before they can send the drug away. I learned that the drugs can be send up to the different floors in the tube machine, but if the drug cabinets on the different floors need to be filled the technicians walked them up to the floors. The technicians know what drugs and the amount needed because of the labeling machine that prints out prescriptions every time the nurses send what they need, that is another I learned.
IV. This week at the hospital was okay, I learned a lot about the technology in the pharmacy but because there was no patient interaction it wasn't that fun. I did enjoy talking to the technicians because they were really nice and liked to teach. What I learned from this week is that I do not want to work in a pharmacy, I want to interact with patients.
1. I did not have any specific responsibilities this week, but I had to ask questions and take notes.
2. I learned how many different medication there is and how many different sizes/amounts there are of the same drug.
3. The best thing that happened this week was that the technician I followed was nice and good at explaining things while he did them.
4. The worst thing that happened was that I did not see any medical procedures on patients.
5. This week was fair because I got to talk to cool technicians but the unit itself was not interesting.
Experience Record
Technology- I observed several different types of technology in this unit, on of them was the cabin that contain all the drugs; it calculates the amount of drugs in it and opens the doors needed for what drug you are looking for. The shooting doors that leads to new hallways with drugs where another type of technology that i saw. I also saw the computers and the labeling machines that they use to know what drugs that are needed for what patients. The machine that sends the different drugs up to the floors in a little tube was that last technological thing I observed.
Diagnostic procedures- The pharmacist and the pharmacy technicians do not do anything that is diagnostic procedures for the patients. The only diagnostic thing they do is prepare drugs and IV bags.
Therapeutic procedures- Everything they do in the pharmacy is for therapeutic help for the patients, every drug given is a therapeutic procedure. They make all the IV bags and every drug to help a problem that a patient has.
Disease observed- In the pharmacy you do not see any diseases directly but we see medication that could go to so many different diseases. There are medication specifically for babies, pregnant women, medication that can only be taken by mouth and heart and lung disease medications.
Medical terminology-
BP- blood pressure
Px- prescription
Experience Journal
I. The environment in the pharmacy was clean and strict but messy at the same time, for example it was sterile and everyone did their job in an orderly matter but there were drugs everywhere and for an outsider it looked messy. The smell in there was not different compared to the rest of the hospital and it was a lot brighter light in there than the rest of the hospital.
II. The staff in the pharmacy was really nice and willing to teach, if you started talking to them. They were not as strict and "boring" as I had imagined, they were fun and helpful people. They also worked as a team; covered and helped each other when needed.
III. This week I learned that there are many shapes and sizes for the same drug, and that it because different cases need different amount of the drug and it can also depend on the way they are giving the drug to the patient. I also learned that the pharmacy technicians have to have everything approved by the pharmacist before they can send the drug away. I learned that the drugs can be send up to the different floors in the tube machine, but if the drug cabinets on the different floors need to be filled the technicians walked them up to the floors. The technicians know what drugs and the amount needed because of the labeling machine that prints out prescriptions every time the nurses send what they need, that is another I learned.
IV. This week at the hospital was okay, I learned a lot about the technology in the pharmacy but because there was no patient interaction it wasn't that fun. I did enjoy talking to the technicians because they were really nice and liked to teach. What I learned from this week is that I do not want to work in a pharmacy, I want to interact with patients.
GC- Activities
Myths:
Dementia is a normal part of aging.
Depression is a normal part of aging because it is depressing.
The older a person gets, the less sleep he or she needs.
Heart disease is a man’s disease and osteoporosis is a woman’s disease.
Facts:
Dementia is not a normal part of aging, elderly tend to forget things earlier but dementia is a disease and it is not a part of aging.
There are cases of depression in elderly, but there are cases of depression in every age group.
An elderly person is like a young child, they do need a lot of sleep.
Heart diseases can occur in both sexes, it is not more common in one sex. Osteoporosis is more common in women but there are about 5% of the patients with it that are men.
These are just a few example of some myths and facts about aging, there are tons of them. It is important for health care personnel to know the difference between facts and myths because they need to stay around the facts. They need to know if it is a medical issue and in that case find a solution, but if it is a myth they need to be able to provide the right facts for their patients.
Dementia is a normal part of aging.
Depression is a normal part of aging because it is depressing.
The older a person gets, the less sleep he or she needs.
Heart disease is a man’s disease and osteoporosis is a woman’s disease.
Facts:
Dementia is not a normal part of aging, elderly tend to forget things earlier but dementia is a disease and it is not a part of aging.
There are cases of depression in elderly, but there are cases of depression in every age group.
An elderly person is like a young child, they do need a lot of sleep.
Heart diseases can occur in both sexes, it is not more common in one sex. Osteoporosis is more common in women but there are about 5% of the patients with it that are men.
These are just a few example of some myths and facts about aging, there are tons of them. It is important for health care personnel to know the difference between facts and myths because they need to stay around the facts. They need to know if it is a medical issue and in that case find a solution, but if it is a myth they need to be able to provide the right facts for their patients.
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