Ok. Today was a very frustrating day for me - We had our first day on care plans
. We had a 3 hour lecture then we were supposed to go back and write care plans in lab about 3 cases.
I'm just not thinking the right way yet and I wasn't able to communicate effectively to my teachers about my issues. I would try and give an example and they would get so hung up on the details of the example without answering the conceptual question behind it.
Ok. So, one of them was something like this:
Jane Smith has double above the knee amputations, is diabetic, obese and confined to a wheelchair. She is very active and often agitated. During her periods of agitation, she waves her arms around wildly and tends to sweat heavily. She has developed a 7cm x 3cm injury to her skin underneath one of her abdominal folds.
Now. I understand that the skin integrity is the most important thing. I really do. But out of all that, I see the (rather extreme) agitation as being very abnormal and potentially a huge contributing factor. Yes, treat the skin issue. But shouldn't the second priority be making sure she gets a psych eval or something?
I was just so frustrated when I was trying to talk with my instructors because none of them were understanding my train of thought and therefore couldn't help me redirect it to how it's supposed to be going. For me, it just doesn't work to say "this is the way we do it, now think like this." I have to understand what it is we're doing, why we're doing it etc.
This is my first quarter in my direct entry nursing program and my first big snag and it's kind of gotten me down. I don't think she meant to, but the way my clinical instructor responded to one of my questions/ideas really got to me - she basically just made me feel like I was the stupidest person alive. *sigh* Hopefully tomorrow goes better.