Although I did not get to witness each of the skills I desired, I did receive the chance to distinguish the use of collaboration within the facility. Due to the fact that the first floor exists as a rehab unit, I witnessed a great deal of interprofessional collaboration – patients, family members, CNAs, nurses, LPNs, case managers, and doctors. It remained fascinating to perceive how collaboration occurred between individuals, the message of the communication, and the ultimate goal of the collaboration. Today, I experience collaboration first hand, illuminating the importance of communication. Lastly, during my final clinical day, I sought to leave an encouraging impression of the facility, as a whole, as well as on individual patients. While this cannot be directly measured, I felt as though our clinical group made constructive progress towards gaining trust with the staff and residents. Staff members openly offered new experiences, …show more content…
On the first floor, one of the residents is a elderly woman from Hong Kong, who speak minimal English. Against the other residents, she stands out for her gratitude and endless smiles. During the morning SBAR, the night nurse shared the resident had been pointing at her right heel, showing a distress face, but could not communicate on the cause of her pain. When the nurse and I assessed the resident’s right heal, we found a stage three pressure ulcer with drainage. Aware that pressure ulcer required an interdisciplinary team to heal and prevent complications, a team of health care workers joined in the patient’s room – the doctor, the nurse, the certified wound nurse, the resident’s daughter, the resident, and myself. From a medical perspective, the doctor informed me that the pressure ulcer resulted from recurrent pressure placed on the right heal, which formed a blood blister sore, that opened up during the night. Based on lab work, it was determined that the resident stood malnourished, meaning she was unable to feel the pain sensations that individuals normally feel, which would trigger her to shift positions. With the daughter serving as a translator, the nurse and I questioned whether the resident was had pain associated with her heal, due to her lack of subjective and objective pain indications. The patient had been receiving