Learning on the job
So far this semester, the ICU has
taught me so many things about pathophysiology. I remember always
hearing other students talk about how much they would learn in our
early med/surg clinicals. I always looked at them somewhat perplexed
because I never felt this way. Now with a world of theory behind me,
I have been able to see the presentation of disease on multiple
levels thanks to the complex interplay of bodily systems in the ICU.
Sepsis, diabetes, and cerebral hemorrhage are only a few that I have
witnessed, but understand so much more. The hardest thing about the
ICU was familiarizing myself with the devices and technology.
Although still working on this I have seen my mastery increase each
One of the most shocking things I have
noticed in the ICU is the youth of some of my patients. About half of
the patients I have cared for thus far have been below the age of 60.
A common theme among these individuals is either diabetes,
hypertension, or both. With these two conditions unusually common in
today's world, it amazes me at how devastating they can be to an
A recent patient of mine was admitted
for DKA. Sadly, his diabetes had caused so many other issues that his
life would be changed forever. An amputation and dialysis was needed
during his hospitalization, all because of poor health maintenance.
Fear of medical providers is a phobia held by many people in our
society. It would be one issues if they were able to practice health
life styles and have this fear, but many damage their body while
holding this fear. Other issues such as access to health care and
affordability contribute to this problem. Many times when a health
issue is identified for these people it's too late. As nurses its our
job to make the patient feel as comfortable as possible. Those with
bad hospital experience many be reluctant to return to seek medical
attention until the last moment, when at that time, nothing more can