Amanda l had a mixture of emotions, although I could understand why she would want to give up and the only reason was due to the pain she was starting to experience nursing reflective essays over her body rather than just the back pain. Use these questions as a framework, and fill the essay with unique content. We will occasionally send you account related emails. Most healthcare professionals encourage reflective writing to sustain the development of relational, ethical, and clinical competence in nurses while promoting self-knowledge, nursing reflective essays. Amanda, he asked me several questions.
My Nursing Experience Reflective Essay Essay Example
The ward was also post-operative caring for patients who have received PEGs, RIGs and carotid endarterectomy. For this essay, I will be aiming on my personal experience and feeling on how I related with a patient Mrs Amanda pseudonym during my stay at a frailty ward with pain and End of Life management. Throughout the essay l will reflect on how l provided holistic care to Mrs. Amanda until her last days on the ward which made me choose this experience due to the different aspects of care that will be explained in the essay that I nursing reflective essays while she was on the ward.
Care delivery, delegation and prioritisation will be explored along with team working, risk assessment and patient safety, taking into consideration my role as a supervised student nurse whilst analysing the roles and responsibilities of those supervising me and what influence this has on my practice. The discussion will comprise of the knowledge reinforcing practice and evidence base for the clinical skills that l learnt and validating them with the accessible literature. The essay will also include a reflection from my team work peer assessment during contributions in fixed team work and team based learning see appendix 1. When I arrived on the ward, my mentor Michael pseudonym briefed me about the patients on the ward, nursing reflective essays. I introduced myself to the patients because it is important that the patients are aware of who l am and my status if l am to provide nursing care for them, nursing reflective essays.
During this placement, Mrs Amanda was admitted following a fall in her bathroom at home issues and was brought in by her family members, nursing reflective essays. She had been also catheterised whilst on the ward because she had trouble of pass urine and had spent the last 8 weeks receiving holistic multidisciplinary care, for example nursing care, physiotherapy and occupational therapy and was due for rehab when medically fit for discharge. Under the supervision of my mentor while attending to other patients on the ward, Mrs, nursing reflective essays. Amanda called out to me that she was in severe pain since she had been admitted with lower back pain. On approaching her I observed that she was in pain and once she had my attention she said she was in terrible pain and needed more pain killers.
I approached Mrs Amanda and introduced myself with the aim of establishing a pleasant nurse-patient relationship. I assured Nursing reflective essays. Amanda that I will have a word with a qualified nurse and will be back. I walked up to Michael and asked that Mrs Amanda would need some pain killers as she is in severe pain, nursing reflective essays. Michael then asked me where is Mrs. And instead of getting the pain killers for Mrs, nursing reflective essays. Amanda, he asked me several questions. How do you nursing reflective essays that she is in such severe pain as you have just described to me?
Have you asked her with the trust policy of pain scale? see appendix 2 What type of pain killers have been given to Mrs. Amanda and for how long ago were these given to her? He went on and on and I felt embarrassed and at the same time very eager to correct my mistakes. I was unable to answer any of the questions he asked and I presume I was overwhelmed with sympathy rather than empathy for the patient. I brought Mrs. As a nurse it is important to use critical thinking to resolve problems nursing reflective essays to direct patient care and as a student nurse, I asked nursing reflective essays additional help since l did not know what else was happening to Mrs.
Amanda because she said she was feeling very exhausted. Following discussion with Michael, I felt that Mrs. Amanda was uncomfortable, in pain and one of the healthcare assistants mentioned that Mrs. To preserve safety under the NMC codeI made a referral to Michael so that we worked towards the best interests of Mrs, nursing reflective essays. Amanda as this was a concern to me. This is where my time management skills came in place, I made a timely report to the doctors who reacted appropriately since her oxygen levels and blood pressure were low. To my understanding, nursing reflective essays, blood pressure and heart rate are very important to know the patients wellbeing to avoid cardiac nursing reflective essays. The multi-disciplinary team members obtained information that clarifies the nature of the problem while suggesting possible solutions.
After re-assessment by the doctors that responded to the call, the doctor prescribed 48 meropenem for her since she had history of cystic fibrosis an inherited condition that causes sticky mucus to build up in the lungs and digestive system. I had the competency in medicine administration but on this occasion l was observed by two qualified nurses including Michael who talked me through the procedure while asking me questions about cystic fibrosis which l answered but he gave me feedback that I had insufficient information about the disease but I turned this into a positive feedback and read about it, nursing reflective essays. Amanda was deterioting. Nursing reflective essays ward sister discussed with the doctor that Mrs. Amanda may benefit from Opti flow and the team agreed for Opti flow trial.
An Opti flow is a non-invasive device that warms and humidifies high flow nasal cannula air or oxygen which are delivered to the patient. Doctors recognise and work within the limits of their competence through making the care of their patient their first concern. The doctor called the critical care outreach team to provide the Opti-flow but Mrs. Amanda was feeling tired. For example, one of the nurse showed her courage and commitment to patient care by explaining to the doctor that it was not appropriate to continue the Opti flow due to exhaustion and poor improvement of Mrs.
The doctor listened to the nurses concern and responded by later requesting for continuous positive airway pressure which is used as a treatment for obstructive sleep apnoea. Since Mrs. Amanda had capacity, the doctors and consultant explained to her and the family members that some of her organs were failing to function and among the roles of a doctor is to maintain trust by being honest, open and act with integrity. Amanda was then placed on End of life Pathway see appendix 3 for End of life pathway for acute hospitals with her consent, transferred in a side room for privacy and referred to the palliative team.
A nurse is expected to provide safe and competent care so that harm such as physical, psychological or material to the recipient of the service is prevented. While End of life as a patient, she was now nil by mouth because she had difficulty in swallowing and to prevent more discomfort, the doctors and nurses agreed to switch her to humidified oxygen for comfort. While on humidified oxygen, Mrs, nursing reflective essays. Amanda was sweaty and getting exhausted when me and one of the sisters were changing her. The ward sister then explained to the family that she was getting exhausted so they should limit making her talk, nursing reflective essays.
Relating Mrs. Acute pain is of short or limited duration usually associated with traumatic tissue injuries, whereas chronic pain is a pain or discomfort persisting for about 3 to 6 months and may persist beyond the healing period. Chronic pain despite therapeutic interventions for example medications, nursing carenursing reflective essays, physio and occupational therapists is classified as intractable pain which Mrs. Amanda was experiencing. Pain can be influenced among other things by culture, previous pain experience, mood, ability to cope or even belief and individuals should be treated differently, nursing reflective essays.
Initially when I learnt that Mrs. Amanda was now on end of life management, I was interested to find out more about the patient and their condition but also sad to know that she will soon be a last office. When I met the patient, I felt sympathy towards her and the family and upon discussion she expressed herself that she felt like giving up and ending it all, nursing reflective essays. Looking at Mrs. Amanda l had a mixture of emotions, although I could understand why she would want to give up and the only reason was due to the pain she was starting to experience all over her body rather than just the back pain. I was quite confident at problem solving however this was a period where l was faced with a situation where l could nursing reflective essays the problem but was not able to come up with a solution due to the lack of experience in end of life management of patients.
On reflection it was a positive experience as it allowed me to see how people cope differently with terminal conditions, and the impact it has on the family and carers. This being my first encounter of meeting a patient with acute pain and end of life management, I learnt so much and gain information especially about acute pain management having asked several nursing reflective essays and establish a good patient-nurse relationship. During this experience, the nursing team had built a good professional relationship with the patient and their family. The patient had plenty of time to discuss any concerns or issues that she had for example how she felt was important and her needs to be taken into consideration. I found the tool to be beneficial for effective management of pain because it was a good indicator as to when we would need to adjust her analgesia to ensure the patient was in the least amount of pain.
The principle of upholding professionalism under the Nursing reflective essays code is supporting appropriate service and care environments by raising concerns when issues arise that could compromise quality, safety and experience. Professionalism in nursing and midwifery is realised through purposeful relationships and underpinned by environments that facilitate professional practice. Michael confirmed to me that Mrs. Amanda may need a new review by the palliative team to reassess her pain. I went to inform Mrs. Amanda of this. On nursing reflective essays to her, I introduced myself with the aim of continuing our nurse-patient professional relationship and to obtain consent, nursing reflective essays.
I informed her that she will need a reassessment by the palliative team to change her pain killer or if there is need to increase the dose and that the doctor has been notified of this. This seemed to calm her down a little as I explained and nursing reflective essays empathically to her. Nursing is the art of caring and we must listen empathically to what service users and patients want so that we can deliver the care they deserve. When one of the palliative team member came on the ward, she told the doctor to prescribe PRN midazolam 2. Amanda was very complaint with her medication.
The Mental Capacity Act says that a person is unable to make a decision if they cannot do one or more of the following, understand information given to them, retain that information long enough to be able to make the decision, weigh up the information available to make the decision, communicate their decision — this could be by talking, using sign language or even simple muscle movements such as blinking an eye or squeezing a hand. Amanda had capacity and the multi-disciplinary team made sure that she was involved in her care. As the primary caregivers, nurses must ensure that sensitive care and comfort measures are given as the clients illness progresses. The relaxation of the urethral sphincters of the bladder causing urinary incontinence can indicate approaching death WHO With consent from Mrs.
Amanda, I informed her that the catheter is to be removed for her comfort and an absorbent pad will be provided which she accepted. Particularly women are at risk of urinary tract infection due to the short urethra and its closeness to the anal and vaginal areas. Nurses provide information and instruction in hygiene and diet to help prevent recurrences of urinary infection for example increasing the fluid intake for patients. So, l made sure l played my role as an advocate for Mrs, nursing reflective essays. Amanda making sure that her comfort rounds were done and that she was comfortable before her last offices on the ward.
See appendix 4 for comfort round. In addition to caring for Mrs. Amanda, I was given the opportunity nursing reflective essays be involved in meeting with the palliative care team for the hospital which enhanced the importance of good communication skills and accurate record keeping ensuring that all participants in Mrs. In terms of communication I felt I was gaining confidence especially with the family members as I had built up a relationship which was both professional whilst being friendly and trusting. Hello, dear nurse!
refelctive essay
Under the supervision of my mentor while attending to other patients on the ward, Mrs. Amanda called out to me that she was in severe pain since she had been admitted with lower back pain. On approaching her I observed that she was in pain and once she had my attention she said she was in terrible pain and needed more pain killers. I approached Mrs Amanda and introduced myself with the aim of establishing a pleasant nurse-patient relationship. I assured Mrs. Amanda that I will have a word with a qualified nurse and will be back.
I walked up to Michael and asked that Mrs Amanda would need some pain killers as she is in severe pain. Michael then asked me where is Mrs. And instead of getting the pain killers for Mrs. Amanda, he asked me several questions. How do you know that she is in such severe pain as you have just described to me? Have you asked her with the trust policy of pain scale? see appendix 2 What type of pain killers have been given to Mrs. Amanda and for how long ago were these given to her? He went on and on and I felt embarrassed and at the same time very eager to correct my mistakes. I was unable to answer any of the questions he asked and I presume I was overwhelmed with sympathy rather than empathy for the patient.
I brought Mrs. As a nurse it is important to use critical thinking to resolve problems related to direct patient care and as a student nurse, I asked for additional help since l did not know what else was happening to Mrs. Amanda because she said she was feeling very exhausted. Following discussion with Michael, I felt that Mrs. Amanda was uncomfortable, in pain and one of the healthcare assistants mentioned that Mrs. To preserve safety under the NMC code , I made a referral to Michael so that we worked towards the best interests of Mrs. Amanda as this was a concern to me.
This is where my time management skills came in place, I made a timely report to the doctors who reacted appropriately since her oxygen levels and blood pressure were low. To my understanding, blood pressure and heart rate are very important to know the patients wellbeing to avoid cardiac arrest. The multi-disciplinary team members obtained information that clarifies the nature of the problem while suggesting possible solutions. After re-assessment by the doctors that responded to the call, the doctor prescribed 48 meropenem for her since she had history of cystic fibrosis an inherited condition that causes sticky mucus to build up in the lungs and digestive system. I had the competency in medicine administration but on this occasion l was observed by two qualified nurses including Michael who talked me through the procedure while asking me questions about cystic fibrosis which l answered but he gave me feedback that I had insufficient information about the disease but I turned this into a positive feedback and read about it.
Amanda was deterioting. The ward sister discussed with the doctor that Mrs. Amanda may benefit from Opti flow and the team agreed for Opti flow trial. An Opti flow is a non-invasive device that warms and humidifies high flow nasal cannula air or oxygen which are delivered to the patient. Doctors recognise and work within the limits of their competence through making the care of their patient their first concern. The doctor called the critical care outreach team to provide the Opti-flow but Mrs. Amanda was feeling tired. For example, one of the nurse showed her courage and commitment to patient care by explaining to the doctor that it was not appropriate to continue the Opti flow due to exhaustion and poor improvement of Mrs.
The doctor listened to the nurses concern and responded by later requesting for continuous positive airway pressure which is used as a treatment for obstructive sleep apnoea. Since Mrs. Amanda had capacity, the doctors and consultant explained to her and the family members that some of her organs were failing to function and among the roles of a doctor is to maintain trust by being honest, open and act with integrity. Amanda was then placed on End of life Pathway see appendix 3 for End of life pathway for acute hospitals with her consent, transferred in a side room for privacy and referred to the palliative team. A nurse is expected to provide safe and competent care so that harm such as physical, psychological or material to the recipient of the service is prevented.
While End of life as a patient, she was now nil by mouth because she had difficulty in swallowing and to prevent more discomfort, the doctors and nurses agreed to switch her to humidified oxygen for comfort. While on humidified oxygen, Mrs. Amanda was sweaty and getting exhausted when me and one of the sisters were changing her. The ward sister then explained to the family that she was getting exhausted so they should limit making her talk. Relating Mrs. Acute pain is of short or limited duration usually associated with traumatic tissue injuries, whereas chronic pain is a pain or discomfort persisting for about 3 to 6 months and may persist beyond the healing period.
Chronic pain despite therapeutic interventions for example medications, nursing care , physio and occupational therapists is classified as intractable pain which Mrs. Amanda was experiencing. Pain can be influenced among other things by culture, previous pain experience, mood, ability to cope or even belief and individuals should be treated differently. Initially when I learnt that Mrs. Amanda was now on end of life management, I was interested to find out more about the patient and their condition but also sad to know that she will soon be a last office. These strategies include the process where the graduate nurses will seek clarification when they are faced with challenges especially issues to do with unknown medications.
Monthly Index of Medical Specialities should also be applied as part of the strategies that should be followed. The importance of MIMS is that they provide proper descriptions in details where the nurses will be able to understand contradictions that might arise when a particular medication is administered and also learn on the side effects that might originate from these medications. Use of technology Implementation of technology in the nursing environment will also help with the mitigation of medical errors that graduate nurses are prone to make. Technology plays a vital role in healthcare organizations. Therefore, when graduate nurses are trained on how to use different kinds of technology, they will gain skills that they can be depended on to minimize the stress especially on medication which might also lead to medical errors.
Further, technology is stated to be beneficial to the point that it has a chance of promoting self-governance among the trained graduate nurse and it will boost the professional development. Technology can also help the graduate nurse to be able to make a comparison and conduct monitoring and evaluation. Monitoring and evaluation technologies will help in decision making which minimizes medical errors that nurses can cause. Further, technology can help a graduate nurse to be able to check on the patient identification which is against the procedures which encompass medication rights and administration. Through these strategies, there will be an achievement of the health care and consumer safety in healthcare organizations.
Development of proper plans and prioritization Another strategy to overcome these challenges is for the healthcare institution to develop proper plans and conduct prioritization on the graduate nurses. Prioritization will lead to the proper care and guidance of graduate nurses to allow for a smooth transition between training theoretically as a nurse placement as a graduate nurse in a health care institution or a hospital. Further, I selected the strategy because it is easy for the organizations to delegate duties to the nurses according to their capabilities. A nurse will be able to handle duties according to their capabilities which will also minimize stress levels and medical errors that might arise in the organizations.
In conclusions, it should be identified that different strategies are identified and selected as an option in the nursing organization. These strategies help the organization and a graduate nurse not only to overcome challenges that he or she faces as a graduate nurse but also it allows for the nurses to settle appropriately in the new placement environments. Consider the mistakes of fear and medical errors where a graduate nurse who has been placed in a new healthcare organization is capable of and prone to making. These challenges are detrimental, and there are strategies that an organization can implement and use to make sure that they address these challenges.
As noted above, the strategies include the establishment of placement programs where the graduate nurses will be prioritized and supervised until the time when they are safe and can conduct management care without making any medical errors. Furthermore, there is also a recommendation that there is a need to implement the technology. Technology helps in the minimizing medical errors and allowing the nurses to improve their efficiency especially graduate nurses. In these reflective essay, these strategies need to be implemented. It will generate positive impacts to the graduate nurse, the nursing organization and also patients who seek medical services from these institutions.
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