The nursing process, which is an organized approach of planning, delivering, and evaluating individualized care for clients in any state of health or illness was not followed in this case. Kamila, after moving the patient from the bed to the commode should of assess the oxygen saturation of the client since the client was on 2 L via nasal cannula. The nursing process is recurrent with each steps depend on the accuracy of the previous one. With the nursing process being decisive, the goal is to provide outstanding, individualized, client-centered care. I found it vital to know the baseline assessment of my patient. As soon as Melissa informed me about the status of my patient; I assessed the patient, vital signs were within the normal range and I failed to report it to either the nurse or my team leader.
Although during report the ongoing nurse failed to mention the patient was on 2 L via nasal cannula, as the student nurse assigned to that patient I should of report the incidence and my assessment to the nurse to prevent future escalation of the patient condition. This assessment of the patient being short of Breath on exertion could be helpful in the development of the care plan of the patient in response to actual or potential health conditions or needs.
Excellent communication between the healthcare team is fundamentally imperative in taking care of a client. Constant follow up is important in comparing the baseline assessments and the actual findings to determine if the outcomes are met. In this case I didn’t communicate it to nurse nor the team leader who could of reported to our clinical instructor. I was in the receiving end, and didn’t take it further. This kind of poor communication is not beneficial toward the patient outcomes or a modification in the plan of care.
As patient advocate, in taking care of a patient we need to critically think about the outcomes we want to achieve in planning care. Because Critically thinking is an intelligently well-organized process of actively and competently conceptualizing, applying, analyzing, synthesizing, or evaluating information collected from, or created by, observation, experience, reflection, reasoning, or communication, as a pilot to confidence and action. I failed to critically think in taking care of my patient by not anticipate that the nurse contact the healthcare provider, to ask for an order foe oxygen which is at this point very important in the plan care of this patient.
Oxygen therapy is a medical intervention, which involves administration of oxygen in both acute and chronic care. Oxygenation of body tissues is vital for cell metabolism and subsequent physiological functioning of the body (PLoS Medicine, 2008). According to Bailley (2010), continuous oxygen therapy is often prescribed for patients with severe Hypoxemia and Chronic Obstructive Pulmonary Disease (COPD). There are three common modes for oxygen administration. These include; compressed gas, liquid gas and oxygen concentrators. Physicians need to be extra vigilant to ensure that patients with Chronic Obstructive Pulmonary Disease receive continuous and long-term oxygen therapy. There is significant evidence that proves administration of long-term and continuous oxygen therapy increases survival of patients with severe hypoxemia but not nocturnal desaturation (Bailley, 2010).