RUA Reflection week 5

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Reflection on Nursing Care for a Client with Acute Abdominal Distress

The care and assessment of Ms. Sigmund presented a critical learning experience in the management of a client with severe gastrointestinal distress and systemic complications. Ms. Sigmund, a 39-year-old woman with a history of alcohol abuse, gallstones, and tobacco use, was admitted with symptoms consistent with an acute abdominal crisis. She presented with frequent bilious vomiting, intense and unrelenting epigastric pain, abdominal distention and tenderness, fever, tachycardia, and decreased urine output. These findings were highly concerning for acute pancreatitis, a condition often associated with alcohol use and gallstone obstruction, both of which were present in her medical and social history.

The nursing assessments were thorough and demonstrated the importance of early recognition of serious clinical signs. Key abnormal findingssuch as the bilious emesis, severe pain, systemic fever, and signs of early fluid imbalance (e.g., excessive thirst and oliguria)required immediate communication with the healthcare provider and rapid intervention. The nurse appropriately advocated for symptom management and escalation of care, reinforcing the critical nature of the nurses role as both a clinician and a patient advocate. The effectiveness of nursing care in this scenario depended heavily on not just the technical skill of assessment, but the ability to synthesize complex clinical data into meaningful action.

Additionally, this experience underscored the need for a deep understanding of pathophysiology and how lifestyle and family history intersect with disease risk. The clients alcohol use and smoking, paired with a family history of pancreatic cancer and chronic pancreatitis, pointed to a high-risk profile. Recognizing these patterns allowed the nursing team to anticipate complications such as systemic inflammatory response syndrome (SIRS), dehydration, and even the risk of sepsis or organ dysfunction, which can follow severe pancreatic inflammation.

Emotionally, this case also reminded me of the human side of acute illness. Ms. Sigmund was alert but agitated and in visible distress. Pain was a constant barrier to her comfort and engagement. As a nurse, bearing witness to this type of suffering reinforces the importance of compassionate care. Pain management, emotional reassurance, and presence are just as critical as technical interventions. The nurses calm and confident demeanor, along with timely assessments and advocacy, likely made a significant difference in this clients experience and outcome.

This experience also challenged me to reflect on interprofessional communication and teamwork. The documentation showed clear, concise SBAR (Situation, Background, Assessment, Recommendation) reporting to the provider, which is a core component of safe handoff communication. It reminded me how essential it is to be specific, objective, and thorough in relaying information about a client, especially in urgent or unstable conditions.

Overall, Ms. Sigmunds case provided a comprehensive and impactful learning opportunity. It reinforced the necessity of critical thinking, clinical vigilance, and empathy in acute nursing care. It also deepened my appreciation for the nurses role in identifying early warning signs of clinical deterioration and initiating timely intervention. I will carry this experience forward as a reminder that acute care nursing is not just about reacting to emergencies, but about proactively anticipating and preventing them through excellent assessment, communication, and patient-centered care.

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