Reference no: EM134005613

Question 1

Include a description of the selected date's field activity with distinct detail of the interactions with preceptor that demonstrate the nurse's role in promoting the sphere of care (i.e., education, collaboration, communication, referrals, resource allocation, services)

In the course of my observational experience with an RN BSN, I had the opportunity to witness the provision of hospice care for two patients, a demographic aged 79 and above.

I observed the care of a 79-year-old patient diagnosed with congestive heart failure, bedbound, Diabetic foot ulcers present on the left foot, and a history of opioid abuse. The family was concerned about utilizing opioids due to the patient's history of opioid abuse. The nurse assessed the patient's pain level and provided nonpharmacological interventions, such as turning and repositioning, a quiet environment, and relaxation music, before administering pain medications to the patient. I noticed that those interventions were effective, and the patient appeared comfortable.

The second patient was an 80-year-old female with malignant neoplasm of exoteric with mets, unmanaged pain related to cellulitis in RLE, resulting in a blister on RLE. Despite Percocet being given, the patient continues to rate 10/10. The nurse relayed information to the physician regarding her pain level and needing medication to be adjusted, as well as RLE cellulitis not improving. The nurse and the doctor collaborated, and new orders for ABT and pain medication were ordered.

I also observed the nurse making breakfast for both patients based on patient preference and the requested time.

Question 2

Include a description with specific details of the rationale for how the activities of the nurse are related to the documented sphere of care.