My dependent on the family and hospital staff for

My origin and my upbringing.

In the late 90’s I left my family and I
migrated to America. I was born and raised in a

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poor and politically tumultuous little island, Haiti. Its people have endured
suffering and repression at level that might have wiped out most. Living in
such poverty and the difficulties experienced as a result, have a way of deeply
affecting how you think. In my experience I have been left with the strong need
to bring relief to those I see suffering and in Nursing I know I can be of
service and develop myself into an effective advocate for others. In nursing
the needs and care of the patient are paramount. 

My clinical experience as a caregiver.

In the last 5 years, working as a
Patient Care Associate have taught me effective  and pristine quality nursing care, which in part means to do
no harm where  we think of it
as  “doing good” for others,
entails not only knowing clearly the scope of practice and duties but also how to
apply them in and balance requirements from multiple agencies, which can at
times can seem to be at odds, is an important ongoing learning process, where
the basic rules and policies must be familiarized with at each different
treatment site. These policies, with regards to procedures, should not cause us
to forget the original objective which is to serve and advocate for the
patient. I feel compelled to state that my Professors in the RN program and now
the PN program have each repeatedly demonstrated, with grace and patience, how
knowing yourself as well as the guiding policies are crucial abilities needed
to help us develop into knowledgeable, 
efficient,  and successful
practitioners. The exposure to our clinical rotation, assessment, care and
treatment of elderly or the frail with a variety of illnesses particular to the
presentations of symptoms with possible treatments in the geriatric rotation
deepened our understanding and knowledge about the complexities in working with
the rapidly changing older adults depending on their social economic, their
needs in the Maslow’s hierarchy of needs. They are primarily dependent on the
family and hospital staff for decision making and care. 

Assessment, notation of manual and
electronic data, patient history, handling of orders with a variety of
medications, establishing therapeutic client and inter-healthcare team
communication, pre/post operative as well as comfort care and teaching are not
exclusive but a slice of the many cross-disciplined skills needed and revealed
to us in ways that we were not aware of at the time but became evident
throughout the semester. Our faculty members were excellent examples in
practice consistently and that made for an enriched academic atmosphere at multiple
levels for learning. All of the above skills and learning objectives are
requirements as part of the nurse’s responsibilities but equal in importance is
being culturally sensitive and continued self-evaluation as to our responses
towards the patient’s choices. Throughout the academic year we have discussed
we and were provided with ways to identify potential bias so that we can
minimize the impact of our responses on the care and wishes of our patients. I
have learned that feeling comfortable with the choices I would make in a given
situation are just that my choices based on my experiences, cultural
influences, and family situations. The LPN program has promoted my development
in knowing why and what evidence based reasoning guides planning and treatment
which statistically is found to have the more favorable application, but also
in giving this information to the client I know that allowing the patient and
their family to express their feelings and thoughts is just as important in
providing appropriate care for the client. Advocacy is not fighting for what we
think should be done or provide but giving the patient as much information at
the appropriate communication level so that they and their support group can
make decisions which meet their basic needs even if they are not in total
agreement with the choices we might make for them or ourselves. Cultural
practices can be a strong influence it is part of our duty to explore and try
to gain knowledge about these possible influences and treat them with respect.

My life challenges.

Having suffered many obstacles or
stepping stones, depending on your outlook, in my life such as growing up
without my biological parents, stabbed and beaten almost to death by my
authoritarian stepmother and most recently going to college while caring for
other siblings in Haiti has opened many areas of knowledge but with that
knowing has come even more questions. Consistent introspection aids and
supports critical thinking, the basis of what we look at the how, what, and why
factors to take into consideration when making patient decisions. My childhood
vision of “what a nurse does” has not changed much in essence, from my initial
exploration in my first nursing philosophy. Nurses must instill confidence but
I now know that the practitioner’s fortitude must be built on prudent thinking
rooted in evidence based practice (EBP). (EBP’s) coupled with effective
listening to the patient and family dynamic including what it is they want to
address as their priority in needs serves as the guide in what essentially
becomes our responses and actions. I have since childhood been primarily
interested in the biological sciences’ my interest has never diminished.
Nursing keeps me highly motivated to review and seek the latest information on
patient treatment, pathophysiology, and breakthroughs in understanding about
the disease process.

Life is a journey and how we perceive
that sojourn gives it form in our memories.   To create such a transformational hope through one’s
live, precipitated by the harshness and the many derogatory and hurtful things
people, including family have said about my sexual orientation, my skin color,
my desire to become a nurse, but initiated by my impoverish  upbringing. The idea seems absurd but
the steadfast belief allow me to take those negatives and use them as fuel to
propel my life forward. These experiences serve as example of the human spirit
to create out of ashes, out of nothing even when faced the nothingness, the
absurd, the cruelty, the direst circumstances that you can see blood dripping
there is always hope.