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**Wow it's been a year since I logged in on this website. A lot has changed! This is a question about Tanner's Model of Clinical Judgement. For those who are unfamiliar with this model, it's basically an explanation of what clinical judgement means. It has four stages: noticing, interpreting, responding, and reflecting. I have most trouble understanding the difference between noticing and interpreting. Could anyone please provide me examples (patient care scenarios) that illustrate the main difference between noticing and interpreting? For example, you are assigned to a child who shows obvious signs of bruises and fractures. The "noticing" part would be that I can see the bruises and fractures. The "interpreting" means that this child is abused because I'm aware of the parents being violent and etc cetera. Am I doing this right? Any suggestions or advice would be greatly appreciated. Thank you!

Wow, such wise words from all of you! Thank you so much. You're right - nursing school is hard and the first we need to focus on is studies. I am lucky that I have one friend but sometimes I would feel lonely whenever I see someone in my nursing classes going up to a person to start a conversation easily. I can't do that. I cannot just go up to the person easily and start a conversation because I'm a huge introvert. I hope that when the right time comes, I'll have plenty of friends.

Oops, I forgot to mention one thing! Last year I had one speech language pathologist who assessed my speech and said to me, "I'm not concerned about your speech. There were some words I couldn't understand but overall your speech was very good." Perhaps you were all right - I'm jumping to conclusions way too fast.

Thank you for your comment. I like this comment. My speech is pretty understandable - I mean a lot of classmates could understand me (in fact some of them even told me that my speech was good but I find that hard to believe). One of my classes has a component in which you are assigned to a group and then you discuss what you learn in that class. I always raise my hand to participate (participation is mandatory) and I get surprised when someone or my instructor can understand me. I don't know what's going on, but now I can feel my speech is getting worse a bit, so that's why I said I'm getting speech therapy sessions soon.

Hi GrnTea, yes I am aware that I have made multiple threads but this thread is particularly about making friends or communicating with my other nursing classmates. As for the two threads you posted, the suggestions are very useful for me, but I felt I needed to post a new thread about socialization. I'm sorry if I keep bothering all of you with my multiple new threads. Missmollie, Yes! Sometimes people do come up to me and start a conversation, and in order to maintain it, I would ask them questions like, "how was your weekend? Did you like the new professor? blah blah..." Often, they would interrupt and say, "oh I have to go." This has happened MANY times. Even on Facebook, when it's easier for me to communicate because I don't have to miss anything out, people would not even respond at all! Luckily, there's one friend whom I can talk to and we can have conversations that would last hours, but she doesn't initiate a conversation neither. It has to be me.

Also, thank you for your support. I much appreciate it.

Yes, there are other hearing impaired students at my university but I haven't met them (they are not in nursing; in fact, a faculty member told me that I'm the only nursing student with a hearing disability). I have to admit that I can be reluctant to start a conversation sometimes. Based on my past experiences with how people get frustrated when communicating with me, I completely avoid socializing with people at all.

I know I shouldn't blame this on my hearing disability alone, but I believe it's the culprit. I'll explain why: when I attempt to make a conversation with someone, I would notify them about my hearing loss first so that they would talk slowly and clearly. This goes well. Two minutes into the conversation, I would miss something out and ask them to repeat what they said again. You could see a bit of frustration in their facial expression and they repeated what they have just said. I would say, "oh wow! That's great! blah blah". As I mentioned before, I have a bit of an accent so I can easily pinpoint (based on personal experiences) whether or not people are putting an effort to understand me or communicate with me with my limited hearing. This is a different topic but there's one girl whom I met in my nursing class and we added each other on FB. Then she asked me a question about some science course or whatever and kept asking me questions about gastrointestinal system, cardiovascular system, nervous system, EVERYTHING. It seems that she wanted me to teach her the whole course, so I didn't mind. Now she stopped asking me questions and whenever I see her in lectures, she wouldn't even bother starting a conversation with me. She would say, "hi how are you?" and that's it.

But how long am I going to wait till I get a job to find real friends? Because I am almost done my first year, all nursing students will have a clinical placement once a week and I don't live in the same city as the placement. I commute to save money and someone suggested that I sleep over at one of my friend's house before the clinical placement every week. What friend?

I'm a nursing student but again posted this topic in this section because you are all very experienced and intelligent. So here it goes: I attend a university for nursing, and I absolutely love the program. The faculty members are phenomenal and they also have tremendous support for me to succeed in this program because I have a hearing disability. I'm beyond grateful to have their support. I was born deaf in both ears and got a Cochlear Implant so I can hear everything now. But in the school, it's almost over (two more weeks until exams) and I still have not made any friends. Not even a single friend. Let me elaborate. I've added the new friends I've made on my Facebook and whenever they are online, I would initiate a conversation to, you know, make new friends. That works but the problem is that they NEVER initiate a conversation with me. Never. Not even once. Sometimes people would come up to me and say, "hi" and that's it. They would walk away and sit in a different seat. Because of my hearing disability, my speech sounds a bit different (it's now worse but I will have speech therapy soon to rectify the problem) and I've noticed that when I'm in school and I go up to people to chat, they are like, "what?" As in they don't understand me a bit and they seem to be a bit lazy. For example, I asked a girl beside me in a lecture, "is that our professor?" and she said, "yea....wait what? What did you say?" People don't seem to be putting in an effort in making a conversation with me with my hearing loss. Also, every time I go to lectures, I've noticed that when my nursing classmates are with their circle of friends. Always. I have seen a few nursing students who come in alone but they will end up sitting with their friends in the lecture. I've always sat alone. There's one girl who I like and we are kinda "friends" but whenever she sees me sitting alone, she would say "hey how are you? blah blah blah" and then sit next to me. I would be so happy until HER friends come in and then she moves to a different seat to be with them. This happens to me every single time. Everywhere I go, I see nursing students with their circle of friends and I have no one literally. I'm a HUGE introvert but nonetheless I always make an effort to make new friends or talk to people. I think it's because of my hearing disability.

Thank you so much for sharing this valuable piece of advise. As a nursing student, I will definitely keep this in mind.

No, it can be ANY kind of pain. Not just phantom limb pain.

In my school two days ago, I overhead a conversation between three nursing students and one of them was having symptoms for some medical condition that her doctors cannot identify for some unknown reason and her friend said, "well, that's because the pain is all in your head." The third student said, "no that's ********. It cannot be in your head. C'mon, you are having PHYSICAL symptoms and the doctors cannot brush you off like that." Do you believe the pain is really in our head? Why or why not?

Whatever, when I told my friends that I've decided to be a nurse, they were like, "ohhh....but in the end, you will be a doctor right?" Well, I have deep respect for nurses and I don't consider nursing as a "stepping stone" towards medicine. I agree with CodeteamB - the public DOES highly regard us.

LOL this is completely off-track, but I didn't know what constipation was when I was in high school. So when I had constipation, I told my mother about my bowel movement and she confirmed that it was constipation. Not knowing the "stigma" surrounding the act of talking about BM's, my friend asked me what happened and I told her, "I had constipation." Her face was like, It was really awkward now that I know what constipation is.