Intensive Care by Echo Heron

There is so much I can say about this novel, but for the sake of time and to entice more readers I will only speak to a few main points I took from it.

One of the first things I would like to point out is that Echo was a mother while also going through nursing school. She raised her child to the best of her ability and did have some "real-life" events that threw her off her guard at points. The fact that she included these life events in her book as well really influenced my perspective of her as a nurse and her as an author. 

It truly is easy to become swept up in the grandeur of medicine and forget about the bad days, hard decisions, and inevitable consequences of others' decisions. Intensive Care is a great reminder of the challenges nurses face. It is also a gleaming example of all that is important about nursing. The compassion Echo shows her clients is incredible! I think every nurse strives to provide the best care for their patients and the stories Echo shares are only a few examples of the ways we can do so.

That being said, I encourage all healthcare providers and families of healthcare providers to read this in order to gain a deeper insight into one woman's perspective of the healthcare industry. It hopefully will gain us nursing students some compassion and nurses a little more respect than frequently experienced.

Spring Break, Day #3

My Spring Break checklist is near complete. I have successfully slept in (10am), eaten good food (sushi, Chick-Fil-A, In-N-Out, salmon, etc.), finished a book (Sea of Hooks - review to follow), spent time with my sister, watched movies, and caught up on my YouTube subscriptions. I have even had a little opportunity to study!

My sister has unfortunately had to return to work, but I have had the freedom to do all the lazy bits and bobs of a typical Spring Break. In fact, the majority of my checklist was completed today. What can I say? It's been an eventful Monday.

It is weird to think that I have one more day with my sister before heading back to Portland. She and I are mentally inseparable. Lately, what with me still being in school and with her working, it has been harder and harder to stay in touch. My schedule is, for lack of a more succinct way of putting it, not really conducive to my family's schedule.

I have always said I make time for those I love, but lately it is seemingly more difficult than normal. Times like this, when I can spend quality time with my family, I despair going back to school and the rigorous schedule I uphold. As much as I love nursing, growing up is hard.

Knowing that my family is a "weakness" of mine, I have conversely been able to use them as a strength. I know I can rely on them for support as well as motivation. I have several photos of them surrounding focal points in my room and look to them whenever I start to feel stressed. Of course, I pray as well, but it is nice to have a physical reminder to relax.

Anyway, I am determined to make the most of all the time I have with my family. If that means doing whatever they want to do or making all the arrangements, so be it. For the meantime, I will do what I want in preparation for spending quality time with them.

Christmas Reflections

This past month has been a whirlwind of struggles and tasks accomplished - mainly to do with school and academics. The first week was finishing up projects for three of my classes and preparing for my one and only final the week after. The second week was mostly spend stressing over finals, stressing over a regional club meeting for M.E.Ch.A., saying goodbye to friends as they left for the holidays, and feeling homesick. The meeting went as well as could be expected during a college break. 

Once home, I was able to reconnect with friends and spend plenty of time with my family. We furtively shopped and wrapped around each other as Christmas drew nearer and even got to play in the snow! One evening, my godmother took me to see It's A Wonderful Life performed by the local theater. Eventually my sister arrived and my brother and I embarked on what ended up being a 2.5 hour adventure around SeaTac in the late evening. 

Christmas was well spent with my family, including my grandparents, great-aunts, aunts, parents, and siblings. The food was delicious! I'm a sucker for ambrosia. 

Now that Christmas Day is here, the Christmas season may begin. Merry Christmas!

Why is Monday Nicknamed John?

Because Monday was long.

I am not sure where that cheesiness came from, although today was indeed long. I was determined to get as much done as possible, but the more I progressed, the more unnecessary distractions and obstacles arose. Long story short, today was not my finest day.

I lost my patience and a bit of my compassion. As much as I would like to simplify it to my frustration getting the best of me, I feel slightly ashamed that one "bad" day caused me to react so poorly. I could blame it on stress or lack of sleep, but in all honestly, I could have kept my calm.

I cannot help worrying about how my future career and how I still have so much yet to learn. Late-night shifts, long shifts, and troublesome patients are still in my future and I need to be able to regulate my emotions better in order to provide the best care for my patients.

With all that has occurred today, the most embarrassing part is the fact that I actually feel ashamed of my emotions. Should I really have to "battle" with my emotions as a nurse? If I do, I wonder if it will always be this way...

Contemplation

I apologize for the lack of postings the last few days. It is becoming needless to say I was drained from the preceding week's events and needed a break from obligations. This break included my weekly trip to the farmers' market where I purchased pear butter (delicious, try it if the opportunity arises), a trip to see my cousins, and a necessary trip to Anna Bannanas to try a new beverage and study.

Among the hot topics worthy of pondering, the three most popular at the moment are:

1. The list
2. Christmas gifts
3. Jobs

I continually think of good ideas to add to the list but eventually come up with a reason not to add them. For instance, I was thinking of adding a silent retreat to the list, but then I thought it would almost be the same as a day of silence. I could use a few creative minds' suggestions as I am getting restless and want more challenges. Hint, hint. Where should I take this project?

I know I really should not even be thinking about Christmas gifts as it is not yet even Halloween, yet I find myself trying to think of creative gifts rather than strictly material ones. I have one idea for my close friends, but I would also like to do something festive. Any ideas?

I am so grateful for the job I currently have, but I have been thinking about where I want to work in the future. Not the long-term future, the short-term. What I mean is, I will hopefully be getting my CNA license in December and I would like to have a job for January, but I do not know where I want to direct my application efforts. Should I apply for a job at a long-term care facility? Should I apply for a job at a clinic? Should I apply for a job at a hospital? Should I continue to work in food services until I am ready to work in the healthcare field?

Thoughts like these rotate around in my head, sharing equal time bothering my sanity. The weather is not helping either - it puts me in such a contemplative mood! 

Disturbed Sleep Pattern Related to Anxiety, Secondary to Nursing School

The title of this post is in the format of a Nursing Diagnosis. A nursing diagnosis is sort of like a medical diagnosis in that it identifies a particular aspect of a patient to treat, however, it is has more to do with the individual, family, or community experience/response to the medical diagnosis or life processes than the medical diagnosis itself. It is basically distinguishing things that nurses can do to affect a patient's treatment experience. I am going to take you through my nursing diagnosis step-by-step, partially because it is an educational experience for me and partially because it is a de-stressing activity.

Nursing school has so many side effects on nursing students. There are obvious ones like increased critical thinking and communication skills, decreased gag-reflex, and impaired writing skills. One major one for me is increased anxiety levels. Up until now, I have dealt with the anxiety-inducing events with ease, following the thought process that the event is going to happen anyway so I might as well prepare as best as I can for it while I can instead of stressing about it. Now, with a completed medication administration performance evaluation under my belt (as of this afternoon) and a major exam coming up tomorrow, my mindset is a bit less accepting. This afternoon, immediately before my performance evaluation, I felt the first symptoms of my anxiety. They diminished slightly after running at the gym, but resumed at a greater intensity after I returned to campus and studied with peers. My anxiety, as it is due to more than one factor of nursing school, is secondary to nursing school.

Although my heightened anxiety is of reasonable concern, it is not my major concern at the moment - my lack of sleep is. A "disturbed sleep pattern" is a nurse's way of saying I am not getting enough sleep for some reason. Despite having the right environment to sleep (a quiet, warm, dark room), an adequate amount of time to sleep, and providing myself with an almost excessive level of comfort (body pillow, three blankets, and a stuffed cat to cuddle - DO NOT JUDGE ME) I am consistently unable to fall asleep. Whenever I try to sleep, my brain will not "power down" and I continue thinking about the same things that are causing me stress, further amplifying my anxiety.

As I write, I realize that the explanation of my anxiety is not complete; I have not spoken to what anxiety is and how I experience anxiety (such as the physical response). I will not go into detail in this post about it as I do want to try to get some rest in preparation for my exam tomorrow, but I will emphasize that everyone experiences and expresses anxiety differently and that some forms of anxiety relief are not as effective for some as others.

Anyway, I hope you enjoyed my brief explanation of nursing diagnoses! If you have any questions, please feel free to leave them in the comments below.

It's Been a Rough Week.

This week has challenged me more mentally and physically than any other week of nursing school. Returning from my relaxing week back home, I literally hit the ground running - I was going to miss the streetcar and have to wait another twenty-something minutes for the next one. I had several meetings scheduled and events to arrange as well as homework and working out. Yet with all that I am doing, I could not outrun the cold that is going around campus. I am currently fighting, tooth-and-nail to get over it, but for some reason, I cannot shake it! I need not tell you how FRUSTRATING IT IS.

With all that is going on, I am more frustrated with the sources of my friends' worries. One of the biggest concerns has been clinical sites that lack concern for residents to the extent that the residents are not receiving adequate care. Another concern has been our research course, which does not seem to satisfactorily prepare nursing students for the papers assigned. The last major concern has been keeping track of all the assignments due for each class. Although it does not seem like a significant concern, the Linfield nursing curriculum is linked with four classes a semester that must be taken concurrently and sometimes course assignments seem to run into each other because they are similar in topic.

 It is unfortunate that some clinical sites do not provide adequate care for its residents, however, as nursing students we should take that upon ourselves to make a good example. This is what we are taught to do - to develop our critical thinking skills and make the healthcare community better as best as we can! It seems daunting for a first semester nursing student, but we are also adults with two years of education behind us.

As far as our research course goes, I applaud students' efforts to go above and beyond realistic expectations of educational standards of nurses. Not many nursing students will go into research, but they still feel the need to learn the material. The students are struggling to write a literature review. Not only have we had very little experience with APA formatting, we do not understand the structure of a literature review. It is one thing to have very little instruction but plenty of resources and it is another thing to have very little instructions and very little resources. Fortunately, students have bonded together and commiserated over the lack of collective knowledge.

The last concern my friends' had was over the seemingly haphazard scheduling of assignments. One piece of advice given to us at orientation was to write all the assignments and projects out in our planners so we would always have a complete reference. The unfortunate part of this, is that professors often rearrange schedules and accommodate to the learning styles of each class. This can form a jumble of problems for those nursing students who like to have clearly defined schedules.

I apologize for my rant, I just want people to realize that nursing students are humans too. My friends and I are all compassionate people that want to be the best nurses, and people, we can be. Nursing school is challenging me in ways I had not even imagined - and it is only the first semester! If all weeks are like this, I may need more support, but I refuse to give in and fall into the monotonous stereotype of a nurse. I am not going to college, putting in this much work, and drinking this much caffeine to end up like that.

Nursing Diagnosis

Earlier this morning my friend and I were discussing other majors we would be if we could be more than one major. The self-imposed limit was four, so I chose five:

1. Athletic training
2. Anthropology
3. Psychology
4. Creative Writing
5. Microbiology

Sitting in the fading light of the afternoon helped me contemplate why I was not a double major. There were the obvious reasons (financial, temporal, etc.), but I kept returning to a thought I have had more and more frequently - there is too much to know. With whatever subject topic, there is literally too much to know. 

For instance, before I reflected on the previously mentioned conversation I was becoming increasingly overwhelmed with the amount of work I had to accomplish before the weekend. Added to the stress, I also felt the pressure of having to complete a major health requirement for clinical when I did not have the adequate level of health literacy to do so. (I'll talk about health literacy tomorrow. Point being, my anxiety level was high.) I could not imagine completing and being able to properly understand it all. There was too much to learn! 

My dilemma reminded me of a book I read over the summer called Too Big To Know which discussed the difficult topic of knowledge. It was a bit of a tough read conceptually, but it flowed well. I definitely recommend it for intellectual stimulation. Anyway, it talked about how knowledge has more depth now than ever before because of the increasing amount of knowledge available world-wide. It is actually rather mind-blowing. The book made it a point to reassure its readers that no matter how many books, articles, webpages, so on and so forth one reads, one will never be a know-it-all. As weird as it sounds, thinking about the book and all that it had to say calmed me and helped me focus on the tasks at hand. 

Oh the strange things I think about...