Monday, November 28, 2016

ISTAN Reflective Journal


 NUR 201 Simulation Lab Reflective Journal    Name: Sydney Flynn 


 1. Discuss 4 tasks you completed or tried to complete in simulation lab.

1. Inserted a straight catheter 
2. Provided an armband with correct name and date of birth for patient
3. Assessed vitals and head to toe on patient 
4. Maintained patient privacy 

2. What did you learn most about the situation(s) you encountered in simulation lab?

I learned how important it is to work as a team to complete the tasks ahead in a timely manner. It's easy to freak out and make mistakes when in a stressful situation, but if you're able to stay calm and actually think things out, tasks will become much simpler. I also learned to never forget about allergies- a simple wheeze could indicate the beginning of an allergic reaction hours later. 

3. What will you do differently during your next simulation experience?

I will familiarize myself with the supplies in lab more, as they are very different (at least in my opinion) than at the hospital. I will also improve my body mechanics so I'm not dying at age 30. 

4. While watching your peers’ simulation experience, what are 3 things you learned? 

I learned that effective communication with the patient and our peers makes the world go 'round so much smoother. I learned that in order to get everything done, we have to delegate and prioritize our time. It's okay not to have all the answers, and it's okay to ask your teammates for help. I also learned how to correctly label and draw labs, which is crucial. 

5. What 3 things did you learn in the classroom (didactic) that you put into practice during your simulation experience?

1. Using SBAR for phone calls
2. Providing patient safety at all times (bed in lowest position and locked, side rails up x3, call light in reach, verifying name, date of birth, and allergies before medication administration)
3. How to increase oxygen saturation (start nasal cannula, raise head of bed, assess lung sounds and O2 continuously) 

Wednesday, October 5, 2016

EBA article on Adolescent Depression

Adolescent depression is a debilitating and chronic disorder, coming in as the most common psychiatric disorder in the US. Depression can result in emotional suffering and social and educational disruption. It is one of the most leading causes of morbidity and mortality in the world today and places an extreme burden on society. In recent years, researchers have recognized the importance of focusing on early detection, prevention, and treatment for depression.
Depression can occur with multiple signs and symptoms, which include emotional, physical, and mental changes that can severely alter one’s personality. This is thought to be the result of predisposition factors, which can be triggered by environmental stressors. The best method to assess depression is the patient’s self-report, along with the reports from family, friends, and other outside sources. Suicide and suicidal ideation is a huge concern for those with depression. It’s extremely important to ask patients whether they have ever had any thoughts about ending their life, what exactly they have thought about doing, and if they have ever actually tried it.
Treatment for adolescents is limited. Trails have shown new pharmacologic and psychotherapeutic methods that show promising interventions. It’s important to help the family and adolescent understand the symptoms of the disorder, and to provide coping mechanisms the help with day to day problems. Treatment therapy includes selective serotonin reuptake inhibitors, which alter dysfunctional neurotransmitter systems. Cognitive behavioral therapy, which monitors and changes dysfunctional ways of thinking. And interpersonal therapy, which improves interpersonal skills and problem solving abilities.

Depression in adolescence is a strong predictor is recurrent depression in adulthood and long-term functional impairment, which is why measures should be taken to help in all ways possible. Follow-up care should always be performed. 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1070798/

Wednesday, September 7, 2016