briefly reply to each dicussion post : ( 2 total ) Post one : Recently I care

briefly reply to each dicussion post : ( 2 total )
Post one :
Recently I cared for a patient with schizoaffective disorder who was gravely disabled and admitted for cellulitis in their legs. Here is an example of some of the patterns of knowing and how I applied it on this patient. 
I used clinical evidence to assess and treat the cellulitis, explaining the need for antibiotics and wound care. This is an example of empirical knowing. 
Given the patient’s mental health condition, I approached care with empathy listening to their concerns and building rapport despite their initial resistance. This is what Chinn & Kramer would call personal knowing. 
I faced ethical challenges in respecting the patient’s autonomy while ensuring they received necessary treatment. The patient was hesitant about some interventions and I had to balance their right to make decisions with their need for medical care. This is an example of ethical knowing. 
I worked to create a calming nonthreatening environment by being mindful of the patient’s anxiety. I used a gentle and supportive tone and made sure to maintain eye contact, helping to reduce distress. This is an example of aesthetic knowing. 
Lastly, the patient’s situation was complicated by limited social support. I worked with the patient’s care team to connect him with a social worker to address his housing and long term care needs. This can be referred to as social knowing. 
Overall I felt comfortable applying the patterns of knowing mainly because as nurses I feel that we practice these on a daily basis with our patients. I think one of the biggest challenges though is making sure the team is all on the same page and that the patient has all of the resources they need to succeed. So, social knowing is probably the most challenging of the five because it requires the most effort from the care team, at least that is how I feel personally. It takes a team to make things work and keeping each other accountable can sometimes be challenging. 
POST TWO :
From Chinn & Kramer:
– A recent professional experience that I’ve had required both empiric and aesthetic knowing. I had a patient that was admitted for sepsis and while I was taking care of her, I began to worry that she was headed towards septic shock. Empiric knowing was applied as I understand the classical signs of septic shock and was able to address my concerns to both the charge nurse and MD that night. My aesthetic knowing was displayed in how I was able to tell that my patient was becoming uncomfortable despite her saying that she felt fine.
– Separate to the event, I believe that improvements can be made to emancipatory knowledge development as many still have difficulty understanding that multiple health issues are caused by social and political barriers that our patients face. These topics are often addressed in sections such as population health, but I think we would benefit from having education on certain policies or difficulties that patients in our current community face. This can better help us turn our emancipatory knowing into knowledge and help our communities.
– I believe the ways of knowing and the three components of EBP (best available research evidence, clinical expertise, and patient values and preferences) go hand in hand. “Knowing” is built on to create “knowledge”, which is then used to create and grow EBP’s that ultimately better our patients care.

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