starrys

I am in my psych clinical right now. It's been only day 2, and I have a lot more days left. The professor is very outspoken and she says it like it is which is the opposite from me. I am very quiet and shy, I get choked up every time I need to speak in front of the group especially during post-conference when we share everything. I talk 1:1 with the patient and I try my best. My previous clinical instructors told me I would be an excellent nurse and they never mentioned to me about being quiet, etc, but only good things. However, this professor is different. You can see right away she likes the most outgoing ones. When it was my turn, she had this weird look on her face and I had to speak up more than everyone else when I was the one who actually spoke to a patient more than others. Then in front of everyone she said I would never make it as a nurse because of my personality. I got so embarrassed and wanted to just leave.. I'm going back today and I don't know what to do...

we wore our white uniforms for our clinicals. do we wear the uniforms for the psych clinicals as well? or business attire?

I'm going to start my psych clinical soon and I wanted to get feedback from psych nurses. for the other clinicals, i had to get vitals and do a whole head to toe assessment. what can i expect to do during my psych clinical? i know we will do mostly talking, but for 5 hours each day for clinicals, what happens for psych?

I'm going to start my psych clinical soon and I wanted to get feedback from psych nurses. for the other clinicals, i had to get vitals and do a whole head to toe assessment. what can i expect to do during my psych clinical? i know we will do mostly talking, but for 5 hours each day for clinicals, what happens for psych?

i start school again soon and will have psych and maternity. i heard these classes are tough especially because of the exams. i heard the exam questions are completely different than what the professors teach in class and i am freaking out. what are some things i can do to help me understand/study better for these classes? i am more of a visual learner rather than reading the text.

I have 4 days left of clinical. I have a cold and started coughing a lot from 2 days ago. I have clinicals today and I am coughing so much. I have a productive cough and every time I cough, my chest hurts. I'm clearing my throat every 2 minutes. I also have clinicals tomorrow too. I wanted to go in, but I'm not sure if it's a good idea to go in when I'm coughing so much even if I'm sucking on cough drops. Is it okay to miss clinicals because of this?

I'm in my 2nd level at a community college. This is my 3rd clinical. I had no problem at all during my first 2 clinicals. The instructors told me I would be an excellent nurse and I always got a 4/4. However, in this clinical my instructor told me otherwise. I had put up a post before asking if I was sensitive in thinking my instructor was not fond of me, when I was putting 110% into my work trying to do my best. However, my instructor pulled me aside and told me I would never be a good nurse. I was just shocked. It was only my 3rd day at her clinical. I have about 8 more days left of clinicals. She told me this at the end of the clinical so when I went into my car, I just cried and cried. I have my nursing care plan due the coming week and I tried so hard, putting in extra things to show that I really want this. I don't know what to do..

I need to do a care plan related to RESPIRATORY. The patient I had was a 69 yo female. Her diagnosis was sepsis, UTI, anemia, COPD, and lung cancer. She also has psychosis with paranoid personality trait, confused, and agitated. She was not on nasal cannula, just room air. She coughed occasionally, and sounded productive. She had a high fever which was not going down and they were trying to find the reason behind it. it could be the uti or sepsis. I had to help her eat her food because she wasn't eating. on the 2nd day, she was very lethargic and her dentures were very loose. i fed her once and she barely chewed her food so i stopped feeding her. I took off her dentures. Her lung and heart sounds were clear, confirmed by the nurse. I honestly do not know where to start because she has a lot of things going on. I think her psychosis is important, but how do I incorporate that into a respiratory diagnosis? Do I do impaired gas exchange b/c of her lung cancer or tumor mass?

I need to do a care plan related to RESPIRATORY. The patient I had was a 69 yo female. Her diagnosis was sepsis, UTI, anemia, COPD, and lung cancer. She also has psychosis with paranoid personality trait, confused, and agitated. She was not on nasal cannula, just room air. She coughed occasionally, and sounded productive. She had a high fever which was not going down and they were trying to find the reason behind it. it could be the uti or sepsis. I had to help her eat her food because she wasn't eating. on the 2nd day, she was very lethargic and her dentures were very loose. i fed her once and she barely chewed her food so i stopped feeding her. I took off her dentures. Her lung and heart sounds were clear, confirmed by the nurse. I honestly do not know where to start because she has a lot of things going on. I think her psychosis is important, but how do I incorporate that into a respiratory diagnosis? Do I do impaired gas exchange b/c of her lung cancer or tumor mass?

i had a 69 yo pt with sepsis, uti, and lung cancer. she's completely bed rest, needs total help. she also has paranoid psychosis personality so she's confused, agitated at times. in my nursing care plan it says to put the development stage. according to her age, she's in the ego vs. despair stage. however, do i put what her mental state is in? she wouldn't be in the despair stage nor the ego stage because of her psychosis. i found the first stage which was the trust vs. mistrust stage where the person depends on the mother or caregiver. is this correct for the patient?

I need to do a care plan related to RESPIRATORY. The patient I had was a 69 yo female. Her diagnosis was sepsis, UTI, anemia, COPD, and lung cancer. She also has psychosis with paranoid personality trait, confused, and agitated. She was not on nasal cannula, just room air. She coughed occasionally, and sounded productive. She had a high fever which was not going down and they were trying to find the reason behind it. it could be the uti or sepsis. I had to help her eat her food because she wasn't eating. on the 2nd day, she was very lethargic and her dentures were very loose. i fed her once and she barely chewed her food so i stopped feeding her. I took off her dentures. Her lung and heart sounds were clear, confirmed by the nurse. I honestly do not know where to start because she has a lot of things going on. I think her psychosis is important, but how do I incorporate that into a respiratory diagnosis?

thank u sooo much!! i cant reply because im a new member. it made me feel better. thank uuuu

I'm in my level 2 of my nursing program at a community college. I've been to 2 clinicals and I am in my 3rd one. I did well on the first 2 clinicals. Both instructors said positive things about me and I got a 4/4. Yesterday was our 3rd day at my new clinicals I'm in right now. I was in the patient's room trying to get an assessment. After getting the report from the nurse, she asked me if I can try feeding her. When I went in, she was very lethargic. I introduced myself to her even though she is lethargic. She is also very confused, has psychosis paranoia, copd, uti, bed rest, etc. When I introduced myself, she did respond so I wanted to see if she was able to eat. I gave her one small piece of her potato and told her to chew. She chewed and fell right asleep. I thought it was a bad idea to feed her so I was cleaning her mouth and cleaned the table. Then all of a sudden, I see my instructor walk in and ask what I was doing. I don't know if she was trying to listen to what I was doing behind the curtain since the patient was in bed 2. I tried my best to fix her up with the help of the nursing assistant later. I took her temp every hour because she had a high temp. I washed her face, arms, legs, and the patient managed to give me a smile although 5 minutes later she would yell at me saying to leave her alone and said she needed to go somewhere. I calmed her down and turned the tv on for her. I finally got some rest time so I went into the back room where some of the students were and I started to write my nurses note that I needed to hand in at the end of the night. the intructor comes in and goes to her bag trying to take something out and says to me that my patient is yelling out something that she needs to go somewhere with her mom. so i went to my patient to see if everything was okay. i just felt like she was just checking up on me or something. during post-conference, we were sharing about our patients. she started with the student near her and i thought we were going around in a direct circle, but just when it was my turn, she skips me and asks the next student. i was the last to go. i don't know if im being super sensitive. i help other students when they need help, i try to see what other nurses do so i can learn, and most importantly, i attend to my patient. am i being sensitive?

I need help with writing my care plan that has to do with respiratory. My patient yesterday was a 69 year old female with sepsis. seconday problems was uti, anemia, lung cancer, and copd. She also has paranoid psychosis and is very confused and combative at times. when i listened to her lungs, there were no adventitious sounds. her bp was 148/86, temp normal, pulse 76, respirations 22, spo2 97%. i noticed her nasal cannula was off so she had labored breathing. i told the nurse and put the nasal cannula back on. her labored breathing calmed down. I'm stuck as to what i can do my nursing diagnosis. Is ineffective airway clearance r/t chronic obstructive pulmonary disease and lung cancer okay? or impaired gas exchanged r/t lung cancer or copd?

what's so funny? i wanted to sincerely express my gratitude towards the doctor. i don't understand why you find it humorous.