Progressive Care

Clearly detail your one on one patient health care and how it relates to clinical reasoning skills. I have dealt with the patient when I was working in a progressive care/ COVID unit at Harborview medical center. ever since I have worked there, I have developed many skills such as listening to the patients and also be more supportive through their tough time here at the hospital. There was very unexpected that happened while I was on duty at work. I was taking care of a  patient who was very difficult because she was very agitated, she was not a primary English speaker. she was not able to talk to anyone, she was refusing everything, even the medication.  Even the nurse I was working with did not know how to react to this situation. I remember going into her room trying to do the vitals but was refusing in the beginning,  I tried to talk to her in the primary language but was not talking at first. So I started communicating with her, asked her about her family in her language, it made her feel like she was in a safe environment, I asked her what she likes to eat and how does she want to eat? She was very comfortable with me because creating a comfortable environment for the patients is really important. She took all her medication with me there and was a lot happier later which made me realize that I am really good at communication because I was very shy and could not hold the conversation. but I realize that I had the potential all along but was never able to unleash it.  I have worked with COVID positive patients. they get agitated cuz they want to get out of the room that they are stuck in. I have seen patients who were giving up on their lives and were in comfort care. but meanwhile talking to them and engaging in their conversation, I have given that support in order for them to fight for their lives and I have seen them getting better and discharging with no COVID. I have death with schizophrenic and dementied patients and learned that the very important thing with those patients is how you approach them, you have to be ready for every phase when it comes to working with schizophrenic patients.

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