Learning Feedback Diary
REFLECTION
1. What are your nursing responsibilities to patients with ventilatory and perfusion conditions and their families?
My nursing responsibilities to patients with ventilatory and perfusion conditions are: to
detect changes in respiratory status early, assess the patient’s tissue oxygenation status regularly
and evaluate ABG results, indices of end-organ perfusion and stay alert for conditions that can
impair O2 delivery, such as elevated temperature, anemia, impaired cardiac output, acidosis, and
sepsis. To enhance Ventilatory perfusion matching, turn the patient on a regular and timely basis
to rotate and maximize lung zones because blood flow and ventilation are distributed
preferentially to dependent lung zones, ventilatory and perfusion is maximized on the side on
which the patient is lying. Regular, effective use of incentive spirometry helps maximize diffusion
and alveolar surface area that can help prevent atelectasis and regular rotation of ventilatory and
perfusion lung zones by patient turning and repositioning enhances diffusion by promoting a
healthy, well-perfused alveolar surface. Increased metabolic demands or inadequate nutritional
intake to ensure adequate caloric and protein intake to meet the patient’s respiratory needs.
Provide appropriate education to the patient and family to promote adherence with treatment and
help prevent the need for readmission and explain the purpose of nursing measures, such as
turning and incentive spirometry, as well as medications.
2. As a nurse, how can you help reduce the mortality rates from critical conditions?
As a student nurse I can help reduce the mortality rates from critical conditions by
applying my knowledge and skills that I enhance in learning critical care nursing on how to
differentiate emergency and critical cases. Learning how to manage the present situation in any
given setting. Use my creativity to improvise things, initiate and assert without altering the
principles of caring the patient and without causing danger to my patient. By viewing the delivery
of healthcare as a science and reaching out to the higher authorities to increase the funding for
health services research, so that we may be able to increase the use of effective therapies and, as a
result, reduce patient mortality. Furthermore, reaching to the government to extend their hand
for the health care services to give more resources and materials in order to give an ideal
treatment to the patients.
2. As an Ignacian- Marian nurse, how can you apply your learning in critical care nursing to your family and to
the community in this time of pandemic.
As an Ignacian- Marian nurse, I can apply my learning in critical care nursing to my
family and to the community in this time of pandemic by teaching them the positive preventive
measures. Talking with them about their fears, and giving them a sense of some control over their
risk of infection to help reduce their anxiety through adjusting daily schedules, balancing work
and other home activities, getting creative about how they spend time. Processing new information
from local authorities about COVID-19 , connecting and supporting their friends and family
members in new ways. Educating them to prevent contracting the virus and encourage them to be
vaccinated in order to protect themselves. Thus emphasizing also on taking extensive precautions
such as extensive hygiene protocol (e.g., regularly washing of hands, avoidance of face to face
interaction, social distancing, and wearing of masks, and encourage them to eat a balanced diet,
get enough sleep, and exercise regularly; this will help them develop a robust immune system to
fight off illness.