Observation of a Patient in Clinical Setting - Essay Example

Observation of patient in clinical setting Introduction Orthopedic ward is where patients are after surgeries fromtrauma and fractures. Apart from education given to these patients by nurses and physiotherapist, physical examination and exercises are conducted to patients. They are taken care of and rehabilitated in this ward. After discharge and during treatment patients are given social care and advices by medical practitioners in this ward. Physical exercises to the patients are also essentials to avoid bed sores from pressure due to much lay on the bed. This is by the nurses and professional such as sports medicine physicians. It also applies to those who undergo treatment from fractures and tissue injuries thus are move from the hospital and wards and therefore help in strengthening their joint dislocations and tissue repair in general. Any number of medical disorder are taken care of in this department that include disorders of the bonny compartment, bone deformities, tumours, fractures, cases of amputation and spinal deformities. Diseases of joints include arthritis, bursitis, dislocations, joint pain, joint swelling, and ligament tears. Hand, foot wrist and ankle fractures and deformities are also taken care off in this ward. Higher systems such as spinal cord disorders such as spinal stenosis, scoliosis, herniated or slipped disks, and other related spinal cord injuries are within the orthopaedic ward (Peate, 2013). Services and treatment `Services and treatment given in this ward are for physiotherapy where individuals affected injuries pains, illness disability through movements, manual therapy and advice are give to. Professionals help patient manage pain and prevention of the continued disease condition. Physiotherapist encourage patients develop recovery mentality. Significant involvement with the patients is providing education awareness, empowerment and participation in their treatment. From the education and social care given by this physiotherapist, patient can gain back their confidence. The determination is given despite the fact that no full recovery, they can return to their normal day to day lives. Physical medicine and rehabilitation doctors otherwise called physiatrists are patented to administer. Rehabilitation involves both the discharged and that still care of the nurses who can administer to themselves independently and need great care to perform some task despite having finished treatment. Causes of Dementia and brain damage as a result of tragic road accidents are the conditions that may make individual patients have rehab after being discharged. And this kind of service is provided in this ward. Involved also are the doctors as well as a non-doctor therapist and nurses in general. Sport medicine physicians are and got specialty in the family practice, rehabilitation, paediatrics, and physical medicine. Other doctors that may be part of the orthopaedic team include; neurologist, pain specialist, primary care physicians and psychiatrists. Non-doctor professional team includes; athletic trainers, counsellors nurse practitioners, psychologist, vocational workers, social workers and physical therapists (Dossey, and Keegan, 2013). Observation of the patient in clinical setting As the nurses had their ward rounds, they noted the behaviour the patients it the ward and hope they had responded. There were six of them in award bay where two of them were suffering from Dementia a disorder of the brain. The observation made was that these patients were with utmost care and respect; silence was observed to latter (Kogan, Holmboe and Hauer, 2011). The nurses conducted their duties in giving medication. Lunch to their designated patients who were responding to them effectively but was observed that there were no clear lines of communications between the medics and the patients (Peate, 2013). In the mind that these patients needed great care because they did not make most of the work and decision making. From records, one of the two patients was suffering from chorea dementia. A condition associated with frequent movements that resembled dancing whenever she was awake (Davies and Hodler, 2004). It was also noted that, the nurses had to contact a doctor to confirm the prescriptions he/she made pertaining to the patient they attend to. After medication, nurses would then record about the general progress of their patients this is so as to help the doctor know where to pick from (Peate, 2013). The analysis report also contributed to telling if the patient is improving or the health conditions are deteriorating. The observation they made with these patients is that they were treated with the highest degree of dignity and silence was observed to latter. The nurses conducted their duties by giving medication and lunch to their designated patients who were responding to them effectively. However, it was found that no proper communication networks between nurses and the patients and the patients (Nelson and Watson, 2012). Nurses –doctor relation is essential particularly when there is the shift of duties the doctor would want a clear clarification on the progress of the patient if he sees rapid change with the patient. By this, he would be able to tell exactly which drug to administer to the individual patient. Record keeping by the medical practitioners is very vital because it helps get to know the progress of patients despite being monitored despite the 24hrs monitor they get according to (Peate, 2013). The thirty minutes of clinical observation was of importance in that they discovered unlike to other wards, Patient –nurse relation is another important aspect. It assists in tracking the health progress of a patient and makes work easier. In this department, communication wasn’t observed therefore nurses were involved in moving up and down to meet the requirements of the patients. Despite it being a noise-free environment communication, is essential to both the nurses and the patient. They also noted that whenever they had a conversation, it helped the patient give their views and speak their mind. Regarding the environment and the general progress in the setup as they are undertaking their treatment (Peate, 2013). From this module, they get to learn that patient- nurse relation is important this is to both the patient and the nurses as well. From the observations made was that, after taking their lunch the patients began to converse with the nurses and were helped. Emphasis on the importance of record keeping that will assist in understanding that improvement status of the individual patients rather than general assumptions. Teamwork as seen in this setup has shown that it comes out a success when there is coordination of work. Therefore, they get to learn that communication is necessary because it helps the nurses to know what a particular patient wants. Therefore, it simplifies the work and enhances mobility (Metz, Ohanyan, Church and Maurer, 2014). Reference List Agarwal, A., Boyd, S., and Drews, R. C. (2009). Diagnostic and imaging techniques in ophthalmology. Panama, Rep. of Panama, Jaypee-Highlights Medical Publishers. Davies, A. M., and Holder, J. (2004). Imaging of the shoulder: Techniques and applications. Berlin: Springer-Verlag. Dossey, B. M., and Keegan, L. (2013). Holistic nursing: A handbook for practice. Burlington, MA: Jones & Bartlett Learning. Koran, J. R., Hauer, K.E., and Holmboe, E.S. (2011). The 12 points for implementation of tools for direct observation among medical trainees clinical skills during patients encounters. Medical Teacher, 33(1), 27-33. Doi:10.3109/0142159X.2010.507710 Kierans, C., Padilla-Altamira, C., Garcia-Garcia, G., Ibarra-Hernandez, M., and Mercado, F. J. (2013). Barriers of Health System to Health Care: Difficulties experienced by Uninsured Mexican Kidney Patients. PLoS ONE, 8(1), 1-7. doi:10.1371/journal.pone.0054380 Nelson, J., and Watson, J. (2012). Measuring caring: International research on caritas as healing. New York, N.Y: Springer. Metz, M., Ohanyan, T., Church, M. K., and Maurer, M. (2014). An Effective and rapidly acting therapy are Challenge-to-treat chronic an urticaria, Omalizumab: Retrospective clinical Evaluation. Journal of Dermatological Science, 73.1. 57-62. doi:10.1016/j.jdermsci.2013.08.011. Peate, I. (2013). Nursing Student Toolkit: An Imperative Guide for course survey. Chichester, West Sussex, Wiley-Blackwell. Read More