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Nursing concepts and practice

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Nursing concepts and practice Introduction The aim of this assignment is to discuss and identify a nursing skill whilst on placement. As this was my placement the nursing skill I performed was bed bathing a patient. The skill of bed bathing is fundamental and essential for my first year at nursing school. By participating in bed bathing a patient it has enabled me to identify how to plan and implement nursing care to patients in conjunction with affective nursing skills. However, I not only had to consider the practice skills with a patients hygiene needs but also the privacy and dignity of the patient. Throughout this assignment names have been changed due to confidentiality of the patient and staff involved. Nursing skill procedure It was my second day on practice placement and Nurse Smith asked me to assist giving a patient a bed bath. The patient was an eighty one year old lady named Ivy. She Had recently had a hip replacement and suffered with pancreatitis. Due to her hip replacement her mobility was greatly reduced, and the pancreatitis also caused her severe pain. We first explained to her what we were going to do and asked for her consent, which was given verbally, the Code of Conduct states ' those who are legally competent may give consent in writing, orally, or by co-operation' (Nursing and Midwifery Council 2002). ...read more.


I could not participate in this procedure as it involved the moving and handling of the patient, which I was not able to do. I observed then proceeded in removing my apron and washing my hands which removed any transient bacteria, and reduced the risk of cross infection, Dougherty (2004) states that strict hand washing before and after patient contact can reduce rates of infection. I returned to Ivy's bay and asked her if she was comfortable, she asked if I could re adjust her pillows, I asked for assistance with Ivy so that I could place another pillow behind Ivy. The area surrounding Ivy's bed was cleared and processions were put back into place. I asked ivy if she wished to brush her hair and teeth. This procedure was documented in Ivy's care plan, this allows us to assess the hygiene and care needs on a daily basis and notice any changes that may occur. Communication and Inter-personal skills The personal hygiene of a patient enables us to interact with a patient on a one to one basis. We are able to listen to any concerns the patient may have, this can decrease any barriers between nurse and patient and build a therapeutic relationship (Dougherty 2004). ...read more.


Once Nurse Smith and I had finished the procedure Ivy thanked me, and I felt that I had built a rapport with this patient. Conclusion I have learnt a lot of valuable skills through this procedure. I feel that communication is a vital part of a nurses work. In addition you have to be able to communicate effectively with staff as well as patients. This involves sharing information, and good communication skills are then beneficial to all staff and patients. I have also found that assertive behaviour is crucial, a nurse is then in control of their own actions, it is also then a balance of an appropriate expression of your own need while understanding the needs and rights of others. This required patience, listening, and observing. To reflect on my clinical skills during this procedure, I felt that I would have been more involved if I had been able to move the patient with Nurse smith as this broke the interaction between Ivy and myself. I also felt that a thermometer should have been used to test the water rather than the patient test it by placing her fingers in the bowl. I understand that this was promoting the patients' independence, and choice, but it could of also posed a serious situation especially if the water had spilt on the patient and it had caused scalding. ...read more.

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