Nursing : An Example of a Clinical Incident

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Nursing : An Example of a Clinical Incident

In this assignment the author shall first of all choose a clinical incident when they were involved in a health program during a clinical placement. The author shall give a clear rational for choosing this particular intervention and will write a brief summary of the background of they client or clients that were involved in the health program including the care setting.

The author will then choose a Model of health and give a rationale for choosing this model and discuss its application in relation to the chosen intervention and health need.

The author must then use a reflective framework to evaluate the health nursing intervention also giving a rationale for choosing this particular framework for the chosen intervention.

To complete this assignment the author has chosen to use an intervention that was carried out during their community placement. The reason that this intervention was chosen was because it is one which they enjoyed doing and one that sticks in their mind. The author also feels that this was a very valuable experience for them during their training and therefore feels it is an appropriate intervention to reflect on. The author also feels that this is one time that an intervention they carried out truly had an effect on more than one individual's health. I have chosen to complete this assignment in the terms of the first person, as it is a reflective piece of work.

The health visitor and I chose to complete a teaching session on weaning because we asked the parents at a previous mother and baby club what they felt they did not have enough knowledge about. After discussion it was agreed that they did not have enough knowledge about the weaning process in all aspects and so this is how we decided on the topic. We agreed amongst ourselves that the session would best be done in a group instead of individually as the mothers could share their own experiences with each other and offer each other some valuable advice. Group sessions also meant that less time would be consumed than carrying it out the session with each mother separately, and time is very valuable to health professionals. The reason that we decided to carry the intervention out with mother and baby club attendees was that they were very enthusiastic mothers who truly wanted their child to have the best start in life.

The area in which the health visitor's caseloads were based was a very deprived area in every sense of the word. The housing conditions of the area were extremely bad; most of them were damp and cold with insufficient heating for a family especially with a young infant. Job prospects for the families in the area were also very bad; most jobs were taken by people living in surrounding areas because people in the area had no or very little qualifications. This meant that many families were living of benefits and claims, and so they therefore found it hard to be able to afford a baby. Many of the parents did not have a partner to give them assistance financially or physically and this was not only mothers, there were many single parent families where the father was the single parent. There were also not very many nursery places for those mothers or fathers who could work and so there was also a lack of childcare.

The mothers who attended the mother and baby club did not fit into all of these categories but many of them fitted into at least one of them. They had come to mother and baby club because they were lonely having just a baby to look after and felt they'd meet new people this way and they wanted to give their child the best start in life that they possibly could.

Using a model of health promotion can be helpful because it encourages u to think theoretically, and come up with new strategies and ways of working. It can help you to prioritize and locate more or less desirable types of intervention.

When completing this health promotion session Tannahills model of health promotion was used. This model was used because both the health visitor and myself felt this model was easiest to comprehend and apply. This is also a health promotion model that was mentioned on numerous occasions during lectures and so this is the model that I felt I was most familiar with. There is also a lot of literature to support our choice of health promotion model and so we would be able to justify and support any decisions or choices we made together as a team or individually.
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Tannahill(1985b) developed a model which identifies three distinct elements that make up the field of contemporary health promotion activity. The three are health prevention, health protection and health education the element of health education is then divided into three further headings which are primary health education, secondary health education and tertiary health education.

Tannahill (1996) defines health education as communication to enhance well being and prevent ill health through influencing knowledge and attitudes

Health prevention also known as illness prevention is defined as having an aim to prevent ill health (Ewles and Simmnett 1995)

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