Philo Statement 2

8/12/2019 Philo Statement 2

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St Paul University PhilippinesTuguegarao City, Cagayan 3500MSN- Philosophy of Education

St. Paul University Philippines- Quezon City

Atienza, Mille- Audrey Maria S.

Student No.: 2013-01-07525

I. A. ANSWER THE FOLLOWING QUESTIONS BASED FROM YOUR EXPERIENCES AS AHEALTH PROVIDER?

1. What experiences as health provider will better enable you to meet thechallenges of the real world?

I have been a Registered Nurse for only three years, and I could be classified as

an advanced beginner. I have been working as a private nurse since my registry tomy profession, and so the experiences I have encountered may not be as profound

as the veteran nurses. However, those superficial yet meaningful circumstances in

my professional career have taught me very much in life.

For one, the most basic of all is being able to associate and deal with people in

various social strata which includes accepting and respecting their values and

ideas. It can sometimes be very detrimental for a nurse when some learned

behaviors by the patients would be contradicting to his/her own and the end

result is the nurse being less effective in delivering the precise healthcare to

his/her patients. With this, I have learned to set aside my own values, as long as it

does not break the code of ethics in order to be more effectual to my patients.Never argue. That is my own simple mental rule when I deal with my patients.

Like what they say, Customers are always right. You can always state your mind

in a manner of setting a compromise between you and your patient that in the end

would make a harmonious nurse-patient relationship.

Secondly, my professional experience has taught me to see my patients

individually, one being different from the other. It is hypocritical to say I do not

wish my patients to be very cooperative with my nursing interventions, but that is

where the adept communication tactics take place. How you make a very

disagreeable patient agree is an accomplishment, and it took me a while before

learning how to deck my cards right.

Third, and most importantly it taught me two most important virtues: patience

and humility. In all fairness, patience is a virtue I have been trying my utmost to

learn for a decade and a half and only through my profession that I began to play

with it so well. When the situation becomes very demanding, I just close my eyes

and brace myself though my internal thought and devious self sometimes would


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just like to physically and forcefully restrain and tranquilize my patient. I know

its clich to use the Im only human phrase, but it is very applicable. There are

times when you just think of bolting through the doors and escape your patients

insults, profanities and demoralizing words. Yes, I have experienced it and it took

me a big deal of humility to maintain my composure and proceed with my job.

That is why, for some reason, it is the love of my profession that enabled me toovercome these very demanding situations. I still view my patients as my family

member and someone who needs special care and attention despite the

adversities.

As a whole, I may not be able to account all of the lessons I have learned

through my experiences but those aforementioned were the three most vital. I

believe, those experiences molded me to become a stronger person. It taught me

to accept my own weaknesses and acknowledge every constructive criticism. I

know there are still more challenging events that are yet to come, but I believe

those lessons have equipped me to somehow prepare myself to what the world has

yet to show me.

2. What is the validity of Nursing Diagnosis in terms of Data Analysis andProblem Identification?

This is a very interesting question. In nursing, we have a so-called nursing

process namely: assessment, diagnosis, planning, implementation and evaluation.

Prior to nursing diagnosis, you must have an in depth history taking and a very

good clinical eye and judgment. For this reason, our voluminous books come in

handy. You have to be very knowledgeable and skillful in outlining your patients

signs and symptoms as well as his/her clinical manifestations. Upon taking these

nursing cues, you formulate the diagnosis. Nursing diagnosis may either be anactual or a potential problem, depending of course with what has the highest

priority. With one patient, you could already have several nursing problems,

requiring specific interventions for each. The validity of the nursing diagnosis

being made by the nurse is relatively dependent upon the outcome of your patient

care. So if the patient responded very well in your nursing care, the probability of

having a valid and definite nursing diagnosis is high. However in some

circumstances, when your interventions do not work, you have to revise your

nursing care plan and go back to the first step. You could not just jump from one

problem to the other. It has to be very systematic and precise because it

determines the result of your nursing plan.

3. What process should a researcher use to determine the value of healthpractices to program participants?


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Qualitative data collection may be more effective in determining the value of

health practices to participants because it deals with experiences, meaning and

more subjective approach. In line with this, observation and interviews may be

advantageous. However, the validity of the results may not likely be plausible

because the conclusion only relies with what you observed and assimilated and

there is no supporting quantitative and tangible evidence.

4. How can you be an aid in developing ethics among your fellow healthproviders and your patients?

This is another fascinating question and a complex issue. For one, I believe no

matter how effective the communication skills a person may possess if the

receivers of the information are close-minded; everything is prone to

disagreement. With that, the basic rule before becoming an ethics advocate is to

determine whether you have an optimistic recipient or not. If the dice turn out to

be good, then the channel of communication is very open. You can integrate your

own values, beliefs and ideas without colliding with him/ her. It is sometimes veryintricate to make someone see your own point of view that will not result in a

vehement argument, especially with healthcare providers. I have encountered

health professionals exchanging blatant discussions that are sometimes overheard

in the whole hospital wing. I suppose you have to deal with own personal issues

prior to developing ethics in your co-workers. You have to know where you stand

and what you believe when a situation arise, and hopefully you can impart to your

colleagues your values and ideals and it will make them see your point. All it takes

is the right choice of words and a good manner of delivery.

5. Is there beauty in sickness?Merriam-Webster defined beauty as the quality or aggregate of qualities in a

person or thing that gives pleasure to the senses or pleasurably exalts the mind or

spirit. What a grandiose definition it is. However, I have my own definition of beauty.

Beauty for me is a sense of intrinsic gratification. Whether it came from ones own

personal reference or from an external source. It is attributed on how one sees the

other or his/her own self. It may be in a form of physical aspect or a social grace in

dealing with people. While one may view his/herself as an exceptional, voluptuous

human being, but his/her ability to interact with people is poorly executed, then that

person is stigmatized to be a very subjective definition of ugly. Beauty is not all glam

and fashion. It is the inert ability to impact other peoples lives in a manner that theyare remembered extraordinarily.

The same applies to the beauty in sickness. It is very crucial for some patients to

accept the physical deformity that often result from their medical condition. How they

are able to surpass this still remains a mystery. Nevertheless, I have a hypothesis. It is

their own abstruse definition of beauty that made them withstand those particular

predicaments. Sometimes, those patients see their plight as an opportunity to


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reconcile and make the most of their time. Often, it brings people together.

Sometimes it could be a bridge between communication gaps and towards

reconciliation. Yes, it is a substantial Maalaala Mo Kaya event. For some, the y

believe sickness is atonement for their transgressions and the hospital bed is their

purgatory. Being in a medical facility would really make you expose to various life

dramas like last minute forgiveness and untold feelings. In an Intensive Care Unit, it isa feat whenever a patient is transferred to a regular room and is progressing to

recovery, but often you could see the patients gasping every crucial breath and watch

them as life is slowly fading away and families outside the unit are in arms crying

shoulder to shoulder. Very heartbreaking. It is a situation none of us would want to

experience, but it is usually inevitable. Nevertheless, no matter how much the

anticipatory loss is, none could prepare us for the worst especially the aftermath of a

loved ones death.This is a bitter life reality.

Life is a cycle of having and losing, of sickness and health. The beauty of sickness

depends on how one perceives this upsetting truth. Personally, I admire those people

who seem to cherish the last few moments of lives instead of sulking at it. Peoplewhom, despite the hardships and turmoil they may be undergoing still smile and find

the beauty of their condition. For me, the strongest people are the most beautiful and

I admire them so much for the courage they exhibit amidst lifes bitter blows.

II. B Answer the following questions and justify:1. Is doing good to others the best medicine to maintain your health?In all fairness my answer would contain both yes and no. Yes, in a way that

sometimes seeing the altruism in you brings absolute and inexplicable joy. It oftenmakes the disruption of your normal body clock worthy, especially when youredealing with patients as a healthcare provider. I, for one have a vivid example forthat. I have been used to working for 12hours everyday. Sometimes I do not have arest day. It seemed like the days are never ending, like the time becomes fairlyunnoticeable. I deal with my patients problems one after the other. Often, they comesimultaneously and I do not know which to attend first. Very frustrating. There weretimes that I just do about anything in order to keep my patients from furthercomplaining, and those methods are oftentimes outdated like rubbing my palmstogether to create heat, and apply them over their abdomen just to relieve stomachcramps. Those things really do not support medical evidence as to alleviate pain andthat does not happen to appear in any nursing books. However, it did pacify mypatient. At least for a while, it surprisingly worked. Well that was just one of the fewthings I sometimes orchestrate to resolve my patients unnerving whims. Atthe end ofmy shift, or at the end of my entire care, seeing them up and about gives me anaccomplishment especially when they regard me to have a great deal in theimprovement of their health condition.

On the other hand, it is also a no. True enough that having participated in yourpatients overall progress gives a sense of satisfaction but it also pays a lot. For aworkaholic like me, my fulfillment in my profession gave me fibromyalgia (chronic,


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systemic muscle pain even at the slightest pressure), migraine and hyperacidity due tolack of sleep, skipped meals and stress combined. I love seeing my patients well, but Iknow in time if I overexert we may be switching places. People outside medicalprofession overlook the gravity of workload we have. Our only consolation is seeingpatients exit the hospital with a clean bill of health but it does not give a concretetherapy to our internal ailments. There are times when we smile in front of our

patients despite the fact that our backs are almost breaking from lifting up to 200lbpatients. I would also like to connote that it does not apply that being a nurse alwaysmake you less than a patient yourself. It is even harder to nurse oneself than to nursepeople back to health. So kudos! To my fellow hardworking nurses around the globeand of course to me!

2. Why do nurses need a CODE OF ETHICS? Do you think it is necessary?If Moses had Ten Commandments, Nurses have Code of Ethics. It is the guiding

principle in determining what is right and wrong. Situations in the medical unit can be

very compelling; like having to decide who to save-the mother or the baby, the young

or the elderly; whether to hook a person with multiple morbidity to a mechanical

ventilator which in reality only prolongs the agony on the part of the patient and

family, not to mention the foot-long list of hospital bills. I believe that not all that is

necessary are always applicable to be right. For instance, having a post vehicular

accident patient with brain death and multiple organ failure. That persons survival is

next to impossible. Now, the question goes: is it truly necessary to do resuscitative

efforts and do a traumatic endotracheal intubation and chest compressions just to

prolong his/her life in a matter of an hour or two just to say that at least you have

done something as if his injuries are not evidence enough that he/she has suffered a

lot. That is a considerable argument between what is right and just. All just depending

on the matter of perspective of the person. Every situation is unique like every person

is. I trust that the code of ethics oftentimes a subject of debate, depending on thepresentation of events. However, it is always good to abide by the accepted norms in

dealing with lives because I know, people generally aim for the good of the other.

III.A. Which among the following commonly heard sayings are you interested in?How does it affect your life as a person and as a health provider?

IV.B. How does it affect the life of your fellow health providers and yourpatients?(Choose at least 2)

- Do unto others as you would have them do unto you.- Honesty is the best policy.- The end justifies the means.- Be the best you can be.

Answers:


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breathing, of sleepless nights and long list of medical expenses. I watched him fightingevery breath a minute after the other. I was always on his bedside. He was my firstpatient before I even graduated in the nursing school, even before I became a licensednurse. When he drew his final breath I promised myself I would do everything I can togive almost the same care I had given my father because I knew what it felt to behelpless in seeing a love one struggle because of a medical condition.

My filial obligation for my father that time is my greatest achievement. Amidstthe numerous awards and medals I received in all my scholastic years, I never felt thisfulfilled. I had not been a good nurse if it were not for my father. It did not only teachme bedside techniques, but it also taught me to be empathetic with my patients andtheir family. Up to this point, when I commemorate my fathers struggles I could nothelp but cry. However, I do not regret anything. I took care of him and given him thebest care only it was already time for him to go. Of all the things I did not do butcould have done, this does not count. I may have regretted several things and wishedfor playbacks, but not this. I know my old man is very proud of me wherever he is andI owe it all to him and to my mom who is my forever clinical instructor and supervisor.

I trust that my achievement is guided by my philosophy in life like doing toothers, as I would have them do unto me and being the best that I can be. I wouldhave not reached this point in my life if it were not for my philosophies, and I wouldnot have attained my greatest achievement for the same reason. At present, asidefrom being a Registered Nurse, I am also a Certified Renal Nurse with rank one in theaccreditation exam. I am also a certified Cardio-Pulmonary Nurse and Critical CareNurse. If I did not endeavored to be more than ordinary and be the best I can be Iwould not earn these merits. Lastly, if I did not do good to other people, I believe Godwill not reward me with the graces I am experiencing now. Life for me now is notutterly unpleasant. Some unwanted people just make it difficult, but I keep onsurviving and that is good enough for me.


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If I could love again, I would love like a child:

wanting, needing, understanding too little but feeling too

much.

If I could rewind my life, I am not even sure which

episode I would like to be at and what I would do then.

If I could have one ability to possess, I would choose

for people to read my mind so they would stop trying to

surmise who I am.

If I could have anything in the world, I would choose

peace of mind. I am tired having to ponder one thought after

the other.

If I could give anything to anyone, I would give a

piece of myself that is worth remembering.

If I could be anywhere now, I would be sitting on a

beach facing the sunset. Like watching the day come into

conclusion and await the next day that is to come.

I may have made mistakes but I am thankful because it

means I am still alive and I still have a chance to remake

them.

I may have been a wayward in a lot of things; at least

it is consoling that people still stay in my life.

I may have lived an imperfect life, but I have the

prospect of making things right one day at a time.

I may have few friends, but they are the people who

know me best.

I may have cried too many tears, but after which I

smile and know I deserve better.

I may have been broken too many times, but importantlyI could reassemble myself back again.

Some people would tend to define me. Some say things

they think I am or I am not. They would assume they know me,

but I do not know how much. Life at present is very tedious,

but somehow it is consoling that most of the people make it


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relatively interesting by giving me induced tribulations. I

have watched people come and go in my life. Oftentimes, it

is unnoticed. A bitter fact remains that people who stay in

my life are half unwanted, and those who left are the ones I

am missing. It is now becoming very exhausting in trying to

reason every unbidden circumstance.

-M.A.M. ATIENZA

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Philo Statement 2