Nursing Wound Care

Education has a substantial influence on the knowledge and proficiencies of nurses. Nurses with Bachelor of Science in Nursing (BSN) degrees are better prepared to participate on today’s health care system. Being part of the BSN program growth my skills in critical thinking, health promotion, leadership, holistic care assessment of the adult and across the lifespan, and management. Every one of these classes provides me with the information required to advance on my clinical practice, and access to better job opportunity. According to the IOM, nurses with Bachelor of Science in nursing (BSN) degree possess the skills, knowledge, and abilities needed to manage the increasing complexity of both patients and the healthcare system(“The future of nursing,” 2010, para. 4) My philosophy of nursing has been continually changing since I started the BSN program. Nursing mission is to serve our patients and communities with compassion, equality, excellence, partnership, and stewardship.

Moreover, patient care must be Evidence base practice to ensure positive patients outcomes. Banner’s theory of professional growth introduce the concept that the expert nurses develop skills and understanding of patient care over time through education and experience (Journal of Nursing, 1982, p. 30). The Cooperative Work Experience course allowed me to reflect on my daily patient care. Before taking this course, I will start my day by getting bedside report and then provide care for my patient. This course has taught me to start my day with a set personal, professional goal, and to end it analyzing my accomplishments and failures. These goals include evidence practice, professionalism, and team dynamics.

Evidence-Based Practice

My goal for Evidence-based Practice was to identify and maximize wound treatment for two patients in the Intense Care Unit. I will document in this final report patient information, a standardized wound assessment process and consideration of what wound care options patients needed to achieve treatment goals.

Patient, J.P., a forty six years old male, was admitted to the hospital for removal of a malignant tumor of the colon. The surgeon created an opening in the abdomen that brings the colon through the abdomen and sews it down to the skin. This opening is called stoma or colostomy. Wound care nurses are consult to provide patients with stoma care, education, and emotional support. Patient are expected to go through emotional anxiety after the surgery. Every patient react differently depending on age, sex, profession, and others factors. The goal for the first meeting with this patient was to assess patient’s degree of acceptance. Also, to initiate the learning process about colostomy care, activities of daily living, and nutrition.

My goal with this patient was meet. I was able to provide emotional support and adequate education to guaranty patient will be able to adjust to new life style. My struggle achieving this goal was lack of evaluation of patient readiness for learning. Patient must be ready to accept the psychological and physiological changes on their lives before any other learning take place. Patient, C.A., an eight five years old male, admitted to the ICU after having a heart attack at home. Patient presented with multiple stage IV community acquired pressure ulcers. At the time of the assessment, patient had have become septic and family start planning for palliative care. The goal of palliative care is to promote the quality of life by managing and controlling patient’s symptoms (Hughes, Bakos, O’Mara, & Kovner, 2005). Wound care is an important element of palliative care for patients with wounds. My goal for this patient was meet. I was able to work with an interdisciplinary team to deliver the best wound since poor wound care can cause patient discomfort affecting their quality of life.

Professionalism

My goal for professionalism was to identify and apply to one work environment professional standards as applicable to Providence Saint Joseph Medical Center and the Education Department. This report will include summary of the situation, research, and implementation of quality of care.

The role of the preceptor is a gratifying experience that give me the opportunity to describe to the preceptee the professional expectations of the hospital. Nurses are expected to exhibit proficient skillful behaviors that are in alignment with the hospital mission. On January 22, 22014, I had a preceptee in the wound care team. I utilized all the education tools provided by the hospital to orient new nurses. My preceptee was introduce to patient- centered care, hospital protocols, evidence- based practice, and informatics. The day ended with an evaluation of the teaching. This evaluation process enhance the preceptor-ship program by proving opportunities of improvement. Regarding my goal, I was able to coach the preceptee with professional standards of the nursing profession.

Team dynamics

Identify one situation in which fragmentation of the wound care team contributed to poor outcomes on patient care. I will determine appropriate actions that contribute to improve outcomes. This report includes a summary of the situation analysis and implantation of standards of care and subsequent outcomes.

References
Hughes, R., Bakos, A., O’Mara, A., & Kovner, C. (2005). Palliative wound care at the end of life. Retrieved February 09, 2014, from http://www.ahrq.gov/professionals/systems/long-term-care/resources/coordination/wound/index.html Journal of Nursing. (1982). Skill clinical knowledge: The value of perceptual awareness. American Journal of Nursing, 82, 28-33. Retrieved from http://journals.lww.com/ajnonline/Citation/1982/82030/From_Novice_To_Expert.4.aspx Ohrling, K., & Hallberg, I. (2000). Student nurses’ lived experience of preceptorship. Retrieved from http://www.hindawi.com/journals/nrp/2012/572510/ The future of nursing: Leading change, advancing health. (2010). Retrieved from www.iom.edu/Reports/2010/The-future-of-nursing-leading-change-advancing-health.aspx