Nursing Instructor Essay -- Personal Narrative Writing

Nursing InstructorPHYSICAL HISTORY My clinical rotation was at St. Francis Hospital on the orthopedic/medical-surgical floor, 5-1. I was assigned JB for a long-suffering 10/7 and 10/8. He was one day post-op from an elected bilateral knee arthroplasty. JB is a 69 year old ovalbumin male who stands 6 feet tall and weighs 251 pounds. He has a history of hypertension, benign prostatic hyperplasia, degenerative joint disease, and renal calculi. Medications taken at dental plate Nifedipine 60 mg. QD to man mount up his hypertension and nonsteriodal anti-inflammatories for the DJD. JBs major problem is the degenerative joint disease (DJD) also referred to as osteoarthritis. According to Colodny, more than 50 million Americans suffer from osteoarthritis and n first everyone 50 eld of age or older is afflicted with one or more of its classic symptoms. Symptoms include joint pain, stiffness, and limited range of motion. (Lewis et al. 1896) DJD is a slowly reform-minded disorder of mob ile joints, particularly weight-bearing articulations, and is characterized by degeneration of articular cartilage.(lewis et al. 1896) In the afflicted joint, the connective tissue (cartilage) that cushions the ends of the bone degenerates and allows the bones to rub together. This bone-to-bone butt against can be extremely painful. (Colodny, 24) JB recalled his knee difficulties beginning in early adolescence. He had no specific injury, but the discomfort began a a couple of(prenominal) months after he became involved in athletics. His surgical history consists of two knee operations. The first surgery was at age 16 and the morsel was several years later. He has been treated frequently over the years for this problem. Recently the number of physicians visits has increased ... ...zed manner. My interventions were appropriate and corresponded with the overall medical teams progress in caring for this patient. A considerable amount of time went into establishing a trusting nurse /patient relationship. That enabled me along with the patient to develop a workable nursing care plan and have a semiprecious learning experience.Works Cited Lewis, S. M., I. C. Collier. and M.M. Heitkemper. Medical-Surgical Nursing. St. LouisMosby, 1996. Potter, P. A., and A.G. Ferry. Fundamentals of Nursing. Missouri Mosby. 1997. Yandrich. terry J. Preventing Infection in Total Joint Replacement Surgery OrthoPaedic Nursing. March/April, 199515-19. Kasmot, Keith. spying Deep Vein Thrombosis in Time Nursing. October, 199434-42. Colodny, L., and W. Minale. Osteoarthritis -is there assuagement in sight? Better Nutrition. June, 199724.