NR 451 Week 1 Graded Discussion Topic: Our Care Culture

NR 451 Week 1 Graded Discussion Topic: Our Care Culture Week 1: Our Care Culture (graded) 70 70 unread replies. 107 107 replies. This week's graded topic relates to the following Course Outcome (CO). CO1: Applies principles of nursing, theories, and the care philosophies to self, colleagues, individuals, families, aggregates and communities throughout the healthcare system. (PO#1) Care expressed and practiced in professional nursing models provides a way of looking at the nursing role from the aspect of care. It may seem excessive to consider aspects of caring and compassion in nursing. However, precisely because it IS nursing makes it crucial to our continual progress of defining and upholding one of our central professional principles. Address each of these items: • Reflect on a caring and compassionate experience with a patient or family encountered in your practice. How was your compassion demonstrated? What other ways do you wish you would have expressed caring? • How does your thinking about compassion expand to include self and colleagues? Please complete the iCARE Self-Assessment (Links to an external site.)Links to an external site. and download for your own use and information. The self-assessment is not a graded item. A recent experience was with a patient who was in his late twenties. He was withdrawing from opioids (oxycodone, Fentanyl.) He was fearful of returning to his family unit where substance abuse was part of the fabric of his family life. His mother was a high functioning alcoholic and his father smoked marijuana on a daily basis. When I was rounding on him, he had just found out his girlfriend was breaking up with him because she knew if he went back home, he would quickly revert back to his old behaviors and she could not handle the stress. This patient also had other medical issues that were resolving but created a high level of anxiety and lack of confidence in himself that he could “make it” once discharged. His father was at the bedside, was very over powering and did not see a problem bringing him home. I asked the father to allow me to have time with his son alone and he accepted this offer, going to the family room. During our conversation, my patient expressed his feeling of confusion, frustration, loneliness and difficulty in communicating with his family. He expressed feelings of not seeing a way out of the situation since he felt it was a “dead end”. To demonstrate compassion, I used verbal and non-verbal communication to ensure that this patient felt that my attention was on him and only him. I repeated back to him concerns he expressed to me and frequently allowed for silence and reflection during our conversation. He basically was refusing to go home. I asked him if we could include the case manager in our conversation because she may have some suggestions for community resources that he would like to hear about. Even if he went home it might be possible to provide a lot of support within the community for him as he