Quote from robdob
I've started my clinical rotation in medicine, and I'm really disappointed in the unit i've been placed in. All my friends are in hospital with a variety of seriously ill, acute patients. My medicine floor is mostly older adults, with CHF, pneumonia, etc. I'm not trying to say that these patients are any less valuable or anything like that, but I hope to work in the ICU or emergency when I graduate, and I would do anything to get more learning opportunities than will be available on my floor. How can I get the most out of my rotation?
You mean....Your clinical rotation on a medical floor. Are you a med student? What semester are you?
While your DREAM will be ICU or Emergency medicine...it is difficult to get a position a a new grad. The patients in these areas will present with CHF, Pulmonary Edema, pneumonia so it would behoove you to know these diseases.
How do you get more out of it...? look up and study every disease process, understand the physiology...not just the pathology...the disease and why does it develop. Look up every co-morbidity and how it may or may not contribute to the disease process. Look up every med. Find out why it is given, how does the medicine work, how does it alter the physiology and how it affects the patients outcome. What nursing care would these patients need? why? What should you look for? what would indicate a worsening of their condition and why? What should you focus your assessment on? HOw can you teach them to better their quality of life at home?
I think there are plenty of ways to benefit your education. CHF while a chronic disease have acute episodes. How do you determine an acute episode of a chronic disease? How does pneumonia affect the elderly? How does being elderly affect their recovery?
I think there is plenty to learn.