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University Degree: Nursing

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  1. The following reflection will analyse the issue of post natal head moulding which has been observed in practice in very low birth weight (VLBW) infants especially those born at 23-32 weeks gestation.

    Dc Myer 2002 supports this finding also stating that when young babies lie too much on their back, the occiput becomes symmetrically flattened. Cubby (1991) observed that due to the weight of a large head resting laterally on the hard surface and because of poor neck muscle tone, progressive head flattening occurs in preterm babies. This results in cranio facial deformation which is caused by local deforming forces as the preterm infant lies with the head to one side or other, is relatively immobile and the skull bones are thin and soft.

    • Word count: 1991
  2. Anthropometric Measurement. This paper begins by comparing and contrasting the three most common types of anthropometric methods used in NHS hospitals (Hamwi method, Body Mass Index and waist measurement). It then explores the need to adjust measurements

    Actual weight is compared with this ideal benchmark (Hamwi, 1967). The advantage of Hamwi's method is that, it is easy to use, optimum body weight can be calculated by without the need for spreadsheet programs. The measurement requires only gender and height (Harvey, 2006). The disadvantage of the Hamwi method is that Dr Hamwi provides no references or explanations on the scientific methodology for his formula (Hamwi, 1967). It is based purely on his experiences and the assumption that, in general, males are larger than females and is therefore inaccurate.

    • Word count: 1827
  3. Interprofessional Education Reflective Essay. This reflective essay on an inter-professional education course argues that, in this particular scenario, problem based learning in a multi-disciplinary student team provided lessons to take into the real clin

    In true interprofessional working, task allocation should not be carried out according to traditional job descriptions but rather according to the person with the necessary skills, tacit knowledge and temperament. When our group of five was first formed, the team went through Tuckman's model: (Buchanan, 2010, p317) We formed by being polite with each other and spending more time introducing ourselves then focusing on the work as each person was keen to establish rapport and fit with the group over completion of the task.

    • Word count: 1389
  4. Urinalysis is executed as part of a routine physical evaluation. It is an inexpensive and easy method to indicate whether further follow up tests may be needed. These tests may include blood tests for diabetes via secretion of glucose in the urine or bloo

    An analysis of the solute composition of urine may aid in the diagnosis of dehydration, which may inform the prescription of oral or intravenous dehydration solution (Higgins, 2007). Ransmayr (2008) illustrates that an important part of the process of urinalysis is communication with the patient. It is important to explain to the patient why she is being asked for a sample, this facilitates patient consent and provides recognition of the patient as a person rather than a clinical object. If the patient is deaf or does not speak English it would be culturally sensitive for the nurse to use an interpreter of the same gender where possible.

    • Word count: 1258
  5. Discuss how integrating knowledge of biology, psychology, sociology and social policy contributes to the delivery of holistic nursing care.

    Antipsychotics main purpose is to block Dopamine receptors in the brain, and it is this block which is believed to be the cause of the development of Tardive Dyskinesia. During the usage of anti-psychotics, dopamine receptors in the brain become damaged, and patients start to develop symptoms which mirror Parkinson's disease sufferers, including involuntary movements, pouting lips, twitching and restlessness, particularly in the legs. Klawans (1973) decribes it as a Hypothesized result from increased responsiveness or supersensitivity of Dopamine receptor sites caused by long-term neuroleptic blockade.

    • Word count: 1278
  6. Free essay

    What Effects Does Poor Hand Hygiene Have On Patients Within a Hospital Setting?

    Polit and Beck (2008) wrote that Evidence Based Practice (EBP) is using the best clinical evidence, to make the best decisions regarding a patient's care. They also say that evidence comes from the research done by nurses and other health care professionals. Therefore, In order to find the correct Knowledge and Evidence to support me, I am going to be using literature searches and the university library to find reliable clinical evidence and research to grasp a good knowledge of the issue regarding my question.

    • Word count: 1678
  7. This essay will reflect on my first clinical experience during my placement.. Kelvin is a 7 years old boy who was admitted for sepsis (febrile neutropenia). I learnt about his medical history, his social background and treatment. I needed to have full un

    As it is impractical to obtain consent every time information is shared with other multi disciplinary, you must ensure patients understand that some information may be made available to other members of the team involved in the delivery of their care. There must be guard against breaches of confidentiality by protecting information from improper disclosures at all time. During my placement, I observed and learned from my mentor as I worked alongside with her. In order to protect patient's confidentiality, the name of the patient will be changed in accordance with the NMC (2008).

    • Word count: 1022
  8. Ethics and Law

    According to Hope et al (2008) Ethics is based on how a person should think and act. However Buka (2008) states that ethics can be based on social, religious and cultural beliefs. The NMC Code of Conduct (2008) provides a guideline to ethical decision making and the standards of professionalism that is required by the nurses. The case study referred to in this essay is about an elderly patient who has senile dementia, severe heart problems, immobile, is permanently in a nursing home and hwo has come into hospital for an operation to correct her current hip fracture.

    • Word count: 1650
  9. Engaging with Vulnerable People

    In case 6 the patient's children are deemed vulnerable hence the reason why they have been placed into care. This essay will be looking specifically at certain areas of vulnerability including discrimination, prejudice, mental illness, safeguarding children and adult abuse. Paying particular attention to how the patient is affected and how anti-discriminatory practices can be promoted. The concept of vulnerability has been used to mean impairment to the physical or mental well being needed for a normal life and that it is at constant risk. The patient has been identified as vulnerable as she displays and fits into certain criteria.

    • Word count: 1978
  10. Should special needs children be educated in mainstream schools

    Children with SEN have regularly been segregated into separate learning environments, specifically intended to cater for the student's area(s) of needs (Jenkinson, 1997). This system is beneficial to some educators, as they are able to apply specific curriculum for the needs of the children. The abilities of children vary in individuals, and having a school setting in place specifically for those with special needs can enable teachers and educators to apply techniques and give specific support to those who require.

    • Word count: 1100
  11. Delegation of Medication Administration

    Delegation, to a great extent, involves the controlling function of management (McConnell, 2007). Further, delegation involves the concept of liability. When a RN delegates a task to a subordinate, he or she is legally accountable for the outcomes of the performed task. For this reason, RNs must follow strict guidelines when determining whether or not a task is suitable for delegation. This study will compare the appropriate use of delegation to the appropriate use of empowerment. The legal and ethical ramifications that inhibit empowerment will also be evaluated. Although McConnell (2007) argues that the two are closely related, empowerment is seen as a form of supervision that allows employees to solve their own problems.

    • Word count: 1299
  12. Delegation of Care in Public schools

    Delegation, to a great extent, involves the controlling function of management (McConnell, 2007). This study will compare the appropriate use of delegation to the appropriate use of empowerment. While McConnell (2007) argues that the two are closely related, empowerment is seen as a form of supervision that allows employees to solve their own problems. The ability of "empowered" employees to supervise their own work offers a key difference to the concept of delegation. Further, empowerment can be seen as the riskier option in a health care setting.

    • Word count: 1288
  13. Review of my performance in a nursing situation. Scenario 3 is about a 11 months old child who is looked after by 18 years old nanny while parents are at work. He was brought to the A&E department by the mother as the nanny had reported he fell down th

    As a student, it is important I understand why I need to wear my uniform in a professional manner this include the use of name badge, fob watch, flat black shoes, removal of jewellery, tying back of hair securely off my face and also ensuring finger nails are of appropriate length, clean and without nail vanish. I learnt about these skills from www.infectioncontrol.nhs.uk which was part of my online learning activities at the university. One other thing I was supposed to have which I had to borrow was a pen, as a nurse it is compulsory to always have a pen.

    • Word count: 1197
  14. In this assignment, the nursing problem of fluid overload will be discussed, with respect to one particular patient who was admitted to the medical ward, on which I did my recent clinical placement. The holistic impact on the patient as a result of this

    Volume overload may present itself in innumerable ways (Majorowicz and Hayes-Christiansen, 1989) and may cause a huge problem for the patient and their families (Wallace, 1998). Dyspnoea on exertion, increased fatigue, weight gain and oedema are all features of fluid overload. The above mentioned symptoms impacted negatively on the physical, psychological and social aspects of the patient's life. Faulkner (2000) recognizes oedema as the main visible effect of fluid overload. Oedema is described by the Dictionary Of Medicine (2001) as "swelling of part of the body caused by the accumulation of fluid in the intercellular tissue spaces."

    • Word count: 1380
  15. Health, Human Development and Ageing

    She believed she no need to use the face mask just like other people. The parent might wear the face mask as well. Then Brianna might think that everyone needs to wear the face mask not just herself. She has no asthma treatment before, so it may cause misunderstandings and misinterpretations. It may cause much anxiety in Brianna. They may be encouraged to do pretended healthcare procedures on her doll beforehand such as thermometers, blood pressure equipment and play needles. For example, Brianna can place a face mask over her doll. It may give her a better understanding about the procedures and help her to cope with her feelings.

    • Word count: 1325
  16. In this essay I intend to look at the concept of holism, why it is important, how it is supported in legislation and codes of practice and the possible benefits to the nurse patient relationship.

    Stevenson, Grieves & Stein-Parbom (2004, p16) suggests that holism is knowing more about a person rather than deciding on a clinical pathway. It could be argued that the holistic approach is a humanistic approach focussing on growth and individualism/wholeness. The NMC recognises the importance of wholeness and holistic care by specifying in the 2008 code of conduct that we should treat people as individuals and respect their dignity. From this statement alone it is possible to see that holistic care requires a positive regard and requires all practitioners to consider all dimensions of a person. Brown and Libberton (2007, p.99)

    • Word count: 1233
  17. Observation and reflection. Measuring vital signs - Temperature, Pulse, Respiration and Blood Pressure.

    l also had to have the MEWS Chart where l would record the vital signs data. MEWS is acronym for the 'Modified Early Warning System'. In the Nursing and Midwifery Council (NMC 2008) Code of Professional Conduct, a range of professional and ethical issues are addressed including the need for practitioners to respect the patient as an individual, to obtain consent before the implementation of any assessment/treatment or care, to cooperate with others in the team, to protect confidential information, and to act to indentify and minimise risk to patients. I thoroughly washed my hands with soap and water and dried them before going to the patient's bed so as to minimise the risk of cross infection from one patient to the other(DH 2005: C).

    • Word count: 1670
  18. This assignment discusses the recent experience of a close family friend with professionals. It will also discuss their experiences relating to communication and professional values.

    Moira was born with a right duplex kidney with an upper pole obstructed megaureter and hydronephrosis. Moira has been on trimethoprim prophylaxis ever since she was born. Everything was explained in detail to the Moira's parents as to why Moira was on antibiotics and why she was going to have an operation. They both understood the situation and happy to proceed down this line. Moira was booked in for her first ultrasound and the appointment card was given to her parents and it was going to be when she was two weeks old.

    • Word count: 1202
  19. Discuss the contribution of reflective practice to clinical nursing.

    Main Body What is Reflection? Reflection is characterised as learning through experience towards gaining new insights or changed perceptions of self and practice (Boud et al, 1985, Boyd and Fales 1983, Mezirow 1981) Taylor (2000) also gave a similar definition which defined reflection as throwing back thoughts and memories, in cognitive acts such as thinking, contemplation, mediation and any other form of attentive consideration in order to make sense of them to make contextually apparent changes if they are required. Through both definitions it can be drawn that via a process of thinking and learning from experience, reflection may be beneficial to some practitioners.

    • Word count: 1779
  20. I have escorted one young woman recently who had discovered she was pregnant but did not want to continue with the pregnancy. I was unaware of this fact until we were actually in the scanning room. The woman did not show any interest whatsoever in wh

    On a regular basis I have to escort very young women to the ultrasound department who may well be on their second or even third pregnancy, many of these young women are not in a stable relationship. I have escorted one young woman recently who had discovered she was pregnant but did not want to continue with the pregnancy. I was unaware of this fact until we were actually in the scanning room. The woman did not show any interest whatsoever in what the ultrasonagrapher was saying to her and displayed no interest in the monitor which clearly showed the pregnancy, which was viable.

    • Word count: 1920
  21. I focus my essay on a patient who suffers from urine incontinence following a cerebrovascular accident/stroke. For the reason that, I am interest in the causes of urine incontinence post-stroke, and the impact that it has both physically and psychological

    Mr Smith had a stroke defined by Tortora & Derrickson (2006 p517) as a brain attack causing injury or death to parts of the brain due to an interruption in the blood supply. Because a stroke is a brain injury, the effects, or symptoms, will depend on the part of the brain that is affected (Michael 2006 p21). In Mr. Smith case in accordance with Thibodeau & Patton (2002 p280) the right hemisphere of the brain controls the movement of the left side of the body.

    • Word count: 1562
  22. Reflection on personal learning needs

    The four main Learning styles defined by Honey & Mumford (1992) in the questionnaire are Activist, Reflector, Theorist and Pragmatist. I found out my learning style score is evenly spread between the four learning styles (appendix 4). Using the Gibbs Reflective Model (1998), I reflected on theory and practice occasions (appendix 5-9), and achieved the following conclusion about my learning styles strengths, and weaknesses My strengths: I am flexible and open minded; adaptable to change; keen to put ideas, theories and techniques into practice; and think through problems in a logical manner.

    • Word count: 1298
  23. Free essay

    Reflective Essay - Discuss core professional issues that underpin inter professional health and social care practice, making reference to your own future profession and to your own personal development

    Within the health care profession there are lots of different codes of conduct, but they all stem from the Health Profession Council (HCP), as a student nurse the coving body that I must follow if the Nursing and Midwifery Council (NMC). Communication is vital within the health care profession but in order to be a good communicator you firstly must be able to understand the different components of communications they are verbal, non verbal communication, and written. Verbal communication is when we speak using words, there are many barriers that can arise within the health care setting sometimes one of

    • Word count: 1923
  24. Health and Illness

    A study was conducted on adults who contracted Coronary Heart Disease (CHD) and it was establish that lifestyle choices in adult-hood such as smoking and alcohol abuse was not a significant factor in developing CHD. According Ogden (2007) some psychologist believe that a child's development is crucial at certain stages in their life. For example, Freud argued that if a disturbance or traumatic incident was encountered, the individual would experience the event as intolerable and repress it into the unconscious and the repressed experience and feelings could express themselves as a physical or mental illness in adulthood.

    • Word count: 1662
  25. Reflective essay

    Siviter (2004) describes that reflection is the process in which you look at yourself and your practice objectively. Bolton (2005) argues that it is the way you incorporate your theory and practice in order to grow as a professional. Additionally it's how you convert yourself from a student into a nurse, and later how you transform yourself from a novice to an expert using Benner's (2001) model. Benner developed a model of skill acquisition for nursing. It describes five levels of proficiency and their characteristics which.

    • Word count: 1601
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