Journal 4
Identify one-two Watson Carative Processes utilized with this patient; describe how each applied in
this situation and how each affected your practitioner-patient relationship.
Caritas Process #6 Creative use of self and all ways of knowing as part of the caring process;
engage in artistry of Caritas nursing. I feel that this Caritas Process of using the creative self
describes my relationship with my patient this week. I had to learn to communicate with my
patient in a new way this week. It mostly consisted of short yes or no questions as well as easy
to follow instructions. Working with one of my patients who was very confused led me to an
interesting experience. I needed to get a blood glucose reading, all the while she wanted her
mittens removed. I had to use some creative language in order to get her to understand why
the mittens must be put back on after I took the reading from her finger. Without deceiving
her I was able to convince her to put it back on. The extra time that I spent with her making
sure she was comfortable and warm paid off. Keeping the patient relaxed and talking to her
was one of my interventions that kept her cooperating with me. The therapeutic relationship
that I created was very effective in my care. I think I was creative in my interactions.
Journal entry (Feelings about day, use of Watson’s Carative Processes for self, something new learned,
something to incorporate into my practice).
Well I think it is safe to say that 6/16/16 was a failure for me. Moving on from that embarrassing
subject. I learned about ventilators and even got a lesson on how suction and get a Leukins/Trach
Culture. After we were done suctioning we sent the pink frothy secretions off to the lab. Learning
about all the settings on the ventilator was also very interesting. I was aware the expiration is
normally twice as long as inspiration phases in the normal adult. In patients who are ventilated it
is common for expiration to be even longer. The sensitivity to trigger assisted breaths on the
ventilator is also an option. I was able to visualize how this affected his respiration rate. Next to
the preset number of breaths, you could see what the patient was actually getting. This
experience with the ventilator gave me greater insight. I have not had any experience with
ventilated patients before and actually having a patient helped me understand how turning the
patient and moving the bed up and down effected the patient and the ventilator. Even
communication is different. It was good to learn more about ventilators as it is a crucial machine
that I need to fully understand. This hands-on experience really is crucial to my understanding. I
have not had a patient with PD, a ventilator, or sepsis. Critical care for me was an eye opening
experience and I plan on really working hard next week to give a good SBAR, researching my meds
(even the ones I know)(I just learned today that Levothyroxine and Oral Calcium Acetate should
not be given together), and
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