Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Goal To learn and practice a variety of palliative care strategies for Hospice patients. To develop time management strategies for managing multiple patients and prioritizing care. To learn psychological support techniques for the patients and families involved in an End of Life care setting. Goal To better understand the treatment process for patients Clinical Performance Goals Strategy Observe the ways that nursing staff provide comfort care through positioning, physical care, medication management, emotional support, and other techniques. Assume more nursing tasks each week that deal with providing palliative care. Review the on-site resources for staff and families regarding methods of comfort care; and also search the internet and additional literature to learn more on the subject. Solicit ideas for time management from my preceptor. Utilize an organized worksheet for each patient to manage the nursing care tasks and patient specifics throughout the day. Discuss my daily plan with my preceptor before beginning each shift. Review the efficiency and quality of my nursing care at the end of each day with my preceptor. Observe Hospice staff interactions with patients and their families. Review literature on this topic recommended by my preceptor and search the internet for further reading. Interact regularly with patients and their families to improve my comfort level in this setting. Educational Goal Strategy Demonstration of Goal Attainment I will discuss new learning and experiences with my preceptor. My preceptor will state a level of confidence in my basic knowledge of palliative care measures used in Hospice setting. I will confidently be able to name and recite general information about at least 10 medications used for palliative care. I will be able to name 10 additional techniques used for palliative care and the reasoning behind using these techniques with Hospice patients. Have the ability to safely and confidently manage a full assignment of patients by the end of the quarter. Complete tasks on time and in a non-rushed manner. Noting through journaling a marked improvement in my confidence in offering psychological support. My preceptor will be able to remark on my improvements and skills in this area. As I will be witnessing the End of Life care of many cancer patients in the Hospice setting, I would like to learn more about what these individuals have likely gone through over the months or years leading up to Hospice Demonstration of Goal Attainment Discuss information learned with my preceptor and my diagnosed with lung cancer. care in their efforts to treat the cancer. I am very interested in what these families and patients have gone through with their disease. This will include researching literature about chemotherapy, radiation therapy, naturopathic remedies, physical therapies, and many more to be discovered, including new trials of therapies. As cancer is such a varied diagnosis, I will focus my research on the treatment trajectory for lung cancer patients. In order to best understand the course of therapy, I will also delve more into the pathophysiology of this specific cancer and compile general information and statistics about the disease. Professional Development Goal Strategy Goal To gain confidence and learn communication strategies with interdisciplinary health care staff members. Listen to the dialogue between the nursing staff and other health care staff. Practice as often as possible by sharing and receiving information about the patients that I care for with other health care staff and ensure that I am the primary contact for nursing questions regarding these patients (when my preceptor is confident in my abilities). clinical instructor. Share information about a lung cancer patient in my clinical setting with my classmates during seminar and include some of my research findings. Demonstration of Goal Attainment Effectively and confidently communicate with all staff members involved in caring for the patients that I am working with. Student Expectations of Preceptor That we will have a brief check-in at the beginning and end of each clinical day to review my goals for the day and strategies to attain them, in addition to reviewing my preceptors vision for the clinical experience on the particular day. Be open and honest with me and provide ongoing feedback. Hold me accountable for my actions. Challenge me with questions regularly. Role-model the proper ways to perform various nursing skills. Encourage me to try new things. I am a visual learner. I learn best by first watching then by getting hands-on experience. Find a variety of learning opportunities for me and take advantage of teachable moments (including seminars, classes, staff meetings, and trainings available) When she is comfortable, allow me to function as independently as possible. Be professional and engage in her role as a preceptor. Suggest further reading and self-study of recommended topics. Preceptor Expectations of Student Act and dress professionally, and be on time. Respect the patient and family, the staff that I am working with, and myself. Communicate my comfort zone on patient care and help her to provide the education skills that I need to be a skilled professional nurse and caregiver. Each shift she expects me to gain skills. As my preceptor becomes comfortable with my skills, she will allow me to perform with more independence. Once I am proficient with one patient, she will increase by one additional patient, so that at the end of our time I should be able to plan and care for 5 or 6 patients in a time efficient manner. She recommends that I read “The Final Gift”. I will attend the Hospice Pain Management course with her offered by Evergreen Hospital (6 hours CEU’s). When I do not understand something or want further information, I will not hesitate to ask questions. She expects me to always ask before doing. She hopes to help me build my confidence in my skills, so that I will be very successful in my nursing career. Schedule: Absence: Time and Logistics Wednesday, Thursday, Friday evening shift from 3:00pm to 11:30 pm. Clinical began on March 31,2007, and will finish on June 1st, 2007. It will include a total of 10 weeks and 240 hours. If I am ill or will be unable to attend my scheduled clinical day, I will contact my preceptor at (phone number)or (cell phone number) as soon as possible. I may also need to call the nursing station to leave a message at (phone number). Make up clinical will be coordinated on another day when my preceptor is working at her convenience. If my preceptor is unable to make it on a scheduled clinical day, she will contact me on my cell at (phone number) and/or e-mail me at (email address). _____________________________________________ Student signature __________ Date _____________________________________________ Preceptor signature __________ Date _____________________________________________ Clinical Instructors signature __________ Date