Patient Deterioration in Nursing Assignment 2022

Patient deterioration in nursing
Name
ID
Course
Unit
Lecture
Date

Personal journal
Week one: Communication
I had only spent four days on my clinical placement facility. On this week, I came across a
patient but due to confidentiality of her information I will name her Mrs. A. It was on the fifth
day of the first week. I had joined nurses operating in the surgical ward. The surgical is divided
into male and female wards. However at that particular hour nurses in this institution had
allowed both female and male patients to interact freely. Consequently, when I was heading to
the surgical ward I came across a female patient sitting alone on a bench. The patient was Mrs. A
who was a 68 year old grandmother. She had been diagnosed with inoperable cancer of the
pancreas. Her life expectancy was 24-48months. Her pain was too much thus out of her control.
She neither stand nor walk herself. At this moment she needed assistance but she feared to ask
anyone. After having a chat with her, I realized that she knew the disease had no cure. I offered
to give her a cup of coffee.
Week two: competency
On the second week of my placement, I was working in the labor ward. On the third day of the
second week, an expectant woman was brought into the ward. The woman was 39 weeks
pregnant. She was expecting to deliver on this day. Immediately she was taken to the labor ward,
I alerted other nurses about the woman who needed urgent services. The first thing that we did
was to take the health and the birth history of the woman. One of the things that I could realize
was that the woman had postpartum hemorrhage in the last birth. We had to do everything to
prevent it from happening. One nurse could record condition including the blood clot. However,
after delivery we had to remove placenta remains that were preventing the uterus from

contacting. However, the family members also needed emotional support to assure them that
their daughter would be well. One nurse could do the emotional support as we checked on the
woman’s condition providing painkillers and other necessary support.
Week three: conflict
The third week was one of the worst days in my placement area. I was placed on a night shift in
mental health ward. When I arrived at the ward, the nurse that was working on day shift had
finalized her work and gone home. Consequently, when I arrived at the ward, one of the patient I
would name her Mrs. B was standing on the door. She was looking confused and disturbed. She
was 65 year old woman. I confidently approached to find out what she was going through. She
became so rough that I could not find a way to assist her. Apart from being rude and ready to
fight she demanded the nurse who had managed her during daytime to come and show her the
bed that was allocated to her. In few minutes time her son arrived at the hospital. He demanded
to know what had happened to her mum to an extend he was ready to fight. I realized that this
patient was suffering from memory loss and I had to come up with tactics to manage her.
Week four: clinical reasoning
On the last week of my placement period, an 88 year old patient was brought to the facility. The
decision to bring him in the hospital was made after he was found loitering on the streets by a
close neighbor. However, this old man was limping favoring to the right side. There were several
blood stains on his trouser and socks. Another critical evidence was tear on face. Considering
these conditions I placed the patient on a bed rest for other assessment. The first thing was to
perform an x-ray to confirm whether he had a fracture. He had earlier said that he had fell on a
ditch. After falling he was complaining of several back pains. In this incidence it required