Friday, April 24, 2015


Independent Component Blog

Blog 19:  Independent Component 2

Independent Component
Label:  Independent Component
Due Date:  Friday 4/27 by 8AM

Content: 
LITERAL:

(a) Statement saying: “I, student name, affirm that I completed my independent component which represents 30 hours of work.”

 “I, Adrienne Alba, affirm that I completed my independent component which represents 30 hours of work.”

 (b) Cite your source regarding who or what article or book helped you complete the independent component

 Article:
Jauhar, Sandeep. ʺNo Matter What, We Pay for Others’ Bad Habits.ʺ The New York Times. The New York Times, 29 Mar. 2010. Web. 23 Oct. 2014. http://www.nytimes.com/2010/03/30/health/30risk.html?module=Search&mabReward=relbias%3Ar%2C%7B%222%22%3A%22RI%3A13%22%7D

Article:
Chen, Pauline W. ʺThe Choices Patients Make.ʺ The New York Times. The New York Times, 09 Oct. 2008. Web. 05 Nov. 2014. http://www.nytimes.com/2008/10/10/health/10chen.html?pagewanted=print

Article:
Wick, Jeannette Y. ʺAdherence Issues in Elderly Patients.ʺ Adherence Issues in Elderly Patients. N.p., 13 Jan. 2011. Web. 29 Jan. 2015. http://www.pharmacytimes.com/publications/issue/2011/January2011/RxFocus-0111

Article:                                                                           
Karalis, Nicholas. ʺDay in the Life: Adherence.ʺ Day in the Life: Adherence. N.p., 22 Mar. 2011. Web. 11 Feb. 2015.

(c) Provide a digital spreadsheet (aka log of the 30 hours).   Post it next to your mentorship log.
Independent Component 2
 
(d) Explanation of what you completed.   
INTERPRETIVE
Defend your work and explain how the significant parts of your component and how it demonstrates 30 hours of work.   Provide evidence (photos, transcript, art work, videos, etc) of the 30 hours of work.

After volunteering at the Activity Center in Glendora Grand Nursing Home, I learned the value of patient care. The Activity Center is a place where patients can enjoy themselves, to have fun while their stay in Glendora Grand Nursing Home. The Activity Center offers many events and small activities that patients may do within their free time. The way the Activity Center works is that it is a place where a patients can get away from their caregivers (nurses) and get out of their rooms once in awhile to maybe stretch and check what the center has to offer. Yet what makes the work difficult within the Activity Center is the free-for-all atmosphere for patients who comes in and participates. Whatever patients needed for the Activity Center, the members have to do their best to provide what’s best for them.

Our job at the Activity Center is to make sure patients are enjoying themselves with the events we have offer to them. Pharmacists provides as much services for the patients that may assist them with their medication like consultation, handouts (with specific directions and information about the medication), or organization medication boxes (to keep track). In the Activity Center, we provide activities patients may enjoy for themselves during their stay in the nursing home such as nail polish services, permission to use the Wii, painting or color utensils, building blocks and more. We even provide savoring snacks for the patients. Patients are free to ask for whatever they need in the program and we will do our best to provide them of what they need.

My work is as similar as the other employees, to monitor patients and setup for activity event. Every morning there is always a new activity, whether it be drawing, dancing, exercising, or a movie, patients are always excited to come in. Every afternoon is always the same routine of Bingo. Seniors in Glendora Grand Nursing Home loves Bingo that one time they rioted when the Activity Center canceled the event and replaced it with painting. Usually I come to the nursing home every weekends at 10am or 11am - 4pm or 5pm or Fridays at 1pm-5pm.

Every Friday is Bingo, my routine is:
1:30pm: Set up for Bingo
2pm-4pm: Bingo Game
       Within this event, I assist a few Seniors who need help physically to play the game (AKA: Stamping the cards and repeating the numbers)
       2:50pm: Snack Serving, I set up the snacks and pass them around, providing Seniors a healthy eating before the next game at 3pm.

After Bingo, dinner time is already set by 5pm, so at the meantime, everyone is setting up for dinner within a hour. During this time, I set up hot beverages for the Seniors: hot chocolate and coffee. I stand at my post and wait for the Seniors to come up and asked for their request which is a difficult position than it sounds. There is no line or patience these Seniors have. Most of the Seniors come at once, telling me they want hot chocolate and one wants coffee at the same time. Throughout this process, I am multitasking everywhere with the cream, sugar, hot water, etc. But at the end, I succeed my task by 5:30pm and call it a day.




APPLIED
How did the component help you answer your EQ? Please include specific examples to illustrate how it helped.

My Independent Component taught me the value of patient care and the difficulties to face when trying to communicate with patients. For these few months working at Glendora Grand Nursing Home, I got a taste of interacting with noncompliant patients and it tasted very bitter. All retail pharmacists have interacted with that one patient who is frustration to communicate with and difficult to consult about the use and effects of their medication. There are even patients who deny to have consultation with their pharmacist and at the end, they come back to the pharmacy to complain about the side effect they gotten from their medication.

In the Activity Center, we cannot give “everything” to what the patient has requested because there are a few restricted requests we cannot fulfill for them due to their specific medical conditions such as patients asking for hot chocolate, sugary treats, cream with their coffee, paints, Wii, or even crayons due to patients with uncontrollable arms. It is difficult to not fulfill patient’s request due to restrictions we must follow from nurses, doctors, and other healthcare providers’ recommendations. Such as there are times when patient’s demand for chocolate, like they really demand for it.

It was on a Friday afternoon, Bingo event was going on and it was time to take a small break and serve snacks to the patients in the center. As I was passing out cookies and oranges, an elderly man called out to me and asked me if I could get him hot chocolate. Since I am a volunteer, I needed official permission to give patients these treats. When I asked my advisor, she told me that I shouldn’t give any sweets to that man because he has a diabetes condition. I told the man that I wasn't allowed to give him hot chocolate and instead suggested to him if he wants juice. The man kept asking me why I couldn't get him the beverage he wanted, so I told him the truth that he has a diabetes condition and he shouldn't eat anything sweet. Then he kept telling me he was allowed to have sweets because apparently the doctor said he could. I didn't know what to do, but obviously I didn't believe the man. All I could have done is deny his request, which I did and apologize that I couldn't fulfill his request. Then the man started to yell at me, telling me I was a lazy employee and he was going to get the hot chocolate himself, which he did.

I found that event unexpected, but my supervisor told me that the fault will be on the man who got the hot chocolate because some patients do have the authority to do what they request. Some patients have permission to eat all the sugary treats even though they have a huge condition of diabetes. My supervisor told me that these types of patients have full fault at the end of their line.

This is just as similar as a pharmacists as they have consultation with patients and their benefits with their medication. Pharmacists cannot force to make their patients change their life style, but they can do their be to give the right advice and suggestions for patients to improve their healthy habits. If the patient still doesn't listen, then it will be the patient's full fault if he or she suffers noncompliant health problems with the decision he or she has chosen.

My component helped me understand the value of patient care and the use of other employees. If I didn't asked my supervisor's permission to serve hot chocolate to the man then I could have gotten  in trouble and cause a major problem with the man's diabetes. But instead, I didn't and the man causes himself to have problems with his diabetes with the beverage. As the health care provider, you sometimes cannot fulfill patient's request all the way. The importance of delivering patient care is doing the best you can to provide the patient with special need they request they may have. Trying to find another suggestion or solution to still benefit for the patient's need.

With the use of other employees, it can really help prevent human error to occur, such we set up for Bingo and clean it up. Usually at the Activity Center, there is about two people working, but adding a third person along, AKA me, can make set up and clean up end quickly. As we set up for Bingo, we are able to set up the game such as passing out materials and collecting the papers, only takes about a few seconds to finish. In the pharmacy, technicians were used for of the minor tasks of the pharmacists, then the pharmacist would have more important work to focus on while technicians cover up their minor works. Pharmacists can have more time to deliver the proper consultation to patients and to make sure their patient understand the purpose of their medication. 
 
 
 
 
 
 

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