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University Degree: Nursing
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You will be able to gain experience in all areas of nursing, this will enable you to gain all the skills and knowledge you will need as a qualified nurse in whichever branch you choose. You will have to very disciplined with regard to your assignments as you will be studying at home as well as at university, running your home, taking care of your family and also having to complete your assignments on time. It will make life easier for you if you start on your assignments as soon as you are given them rather than leave them until the day before they are due to be handed in.
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The reason for this essay is to reflect on a critical incident experience during my six Week placement as a student nurse, on an orthopaedic ward,
reflective model as a guide because it is more understandable and will reflect more clearly on this critical incident. It is widely known that experience alone is met adequate enough to guarantee that any learning takes place, so it is important that integration of past experiences with new experiences occurs. This is done through the process of reflection. (Kilty 1983, Kolb 1984, Burnard 1985). "To be self aware is to be conscious of one's character, including beliefs, values, qualities, strengths and limitation. It is about knowing oneself" (Burnard 1992). "It underpins the entire process of reflection because it allows people to see themselves in a particular situation and honestly observe how they have been affected by the situation and to analyse his or her own feelings."
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I felt this was a good opportunity to learn more about the subject from an international point of view. Another reason for choosing this topic was that because of nursing shortages being so wide spread there would be a variety of opinions in the articles located. Location Process To locate the relevant information needed to complete this report I undertook the following steps * I located the University of South Australia library home page and used the link to the database home page * On the database homepage I selected 'N' in the database subjects to bring up databases associated with nursing.
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The following assignment will review a chosen piece of nursing research and reflect on how it could have an impact on practice.
The article is of a quantitative approach, this is described by Burns & Grove (1997) as 'a formal, objective, systemic process in which numerical data are utilised to obtain information.' In order to effectively critique, guidelines produced by Bennett (2001) will be followed (appendices 2). This will assist in producing an organised sub headed piece of work. Background The research was published in the Journal of Acute and Critical Care, volume 29(1), January/February 2000. This illustrates that it is relevantly recent and is not dated which could have posed questions regarding validity and the reliability.
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'You must treat information about patients and clients as confidential and use it only for the purpose for which it was given.' This essay explores the above statement taken from the Nursing and Midwifery Council (2002).
The professional and ethical obligations for the nurse are set out in the Nursing and Midwifery Council's (NMC) new code of professional practice published in April 2002. It states that to trust another person with private and confidential information about yourself is a significant matter. If the person that the information is given to is a nurse, midwife or health visitor, then the patient has a right to believe that the information given was given in confidence and that it will only be used for the purpose for which it was given. (NMC 2002). The United Kingdom Central Council for Nursing, Midwifery and Health Visiting code states that the nurse must protect all confidential information related to patients
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and may be underestimated due to concomitant co morbid conditions (Fehrenbach, 2002; BTS, 1997). The economic and social impact of this disease is steadily increasing with costs in the UK for the year reaching �500 million. In 2000, the world health organisation (WHO) estimated 2,74 million deaths .The WHO estimates 1,1 billion smokers worldwide increasing to 1,6 billion by 2025 (BTS, 1997; GOLD, 2001). Chronicity comes from the Greek word "chronos" meaning "time." Chronicity is the state of being chronic.
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This assignment intends to demonstrate the use of the Roper, Logan and Tierney model of nursing for assessment of a patient presenting with an ectopic pregnancy.
Stacy presented via the ultrasound scan department. The day prior to admission she had discovered that she was pregnant. The scan was requested by her general practitioner due to her previous history of an ectopic pregnancy four months prior. The scan confirmed that there was no evidence of an intra uterine gestation sac. Appearances suggested towards an extra uterine gestation sac adjacent to the right ovary containing an embryo of three millimetres in size with heart pulsations. The conclusion of the scan showed there to be present an ectopic pregnancy in the right fallopian tube. Subsequently, Stacy was admitted as an emergency to a specialist gynaecology ward to which the writer was based.
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Nursing. The aim of this assignment is to explore issues surrounding the concept of competence and how this relates to with reflective practice.
Carper (1978) identified four types of knowledge: aesthetic, empirical, personal (including experience and intuition) and ethical. No single form of knowledge is more superior or inferior to any other or should they be judged against each other. Aesthetic knowledge helps understand the human experience and insights into human condition, the lived experience of an illness whilst empirical includes evidence-based practices. Personal encompasses both that knowledge acquired through practice, experienced by self (experiential) and intuition (the gut feeling. A review of literature by the author has recognized three approaches to competence and its assessment.
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It is through personal communications that people make their thoughts and wishes known to one another (Hargie et al 1994). Davies (1994) defines communication as an interaction where two or more people send and receive messages and in doing so both present themselves and interpret the other. Communication is about sharing information, through speaking (verbal) and writing (non-verbal) gestures like hand movements and even making faces (Hargie et al 1994). It will be almost impossible to care for patients without the use of verbal and non-verbal communication (Ellis et al 1995; Hinchiff 2003).
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The Reflective Cycle (Gibbs 1988) will be used as a framework. Furthermore, the assignment will be organised into sections based on the components of the reflective cycle (Gibbs 1988). Pseudonyms will be will be used to maintain anonymity and confidentiality in accordance with clause five of the Nursing and Midwifery Council (NMC) Code of Professional Conduct (NMC 2002). Description As well as managing community nurses in her team and the entire patients case load, Trisha (the district nurse) was looking after several patients during this particular shift.
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Discuss how development of self-awareness in the nurse may assist him/her in delivering patient care
This then allows the nurse to view problem solving through greater perspectives which encourages empathy instead of sympathy, Kalisch (1971) defines empathy as the ability to perceive the feelings of another person and to communicate this understanding to them, it may even stop the fusion of ego's where patient and nursing care boundaries are destroyed resulting in the patient losing guidance or help that they require and where role reversal may even become evident. As Burnard (1990 p.28) writes; "If there is no differentiation between our own thoughts and feelings and those of others, we blur ego boundaries, our sense of ourselves as an independent, autonomous being.
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Reflective assessment of the critically ill patient - Haemodynamic monitoring: Observing and optimising appropirate parameters.
Postoperatively, (in recovery) he developed respiratory failure and became cardiovascularly compromised; with Arterial blood pressure (ABP) of 65/35(45) mmHg, Central Venous Pressure (CVP) 15 mmHg, temperature was 38 [�C], respiratory rate of 35 breath /minute. Arterial Blood Gases (ABG) read as follows; FI02: 60%, PH: 7.2, PC02: 9.5kpa, PO2: 7.2kpa, HC03: 26.0mmol/l, Base excess: -1.4, K+ 4.3mmol/l, S02: 84%, HB: 8.6g/dl, NA: 130mmol/l. He was cardiovascularly supported with Noradrenaline at 18mcg /minute and Dopexamine at 0.5mcg /kg/minute, he was intubated and mechanically ventilated, and transferred to our intensive care unit for Postoperative management. Thirty minutes after his admission to our ICU, Pulse contour cardiac output (PiCCO)
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I walked through the emergency room doors, and she ran to me where is your father she asked. I told her that I had left a message on his cell phone, and that I was sure he would be there soon. It wasn't like my father to have his cell phone off for to long. My Grandmother and I sat down in the waiting room. The emergency room staff was still working on my Grandfather he had not regained consciousness yet. We sat quietly, and very still just staring into space. I tried my best to comfort my Grandmother, but I knew that I could not do very much for her she needed my dad.
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This leads on to the 'how' of health services research. The 'how' is a set of methods (hard and soft data within this context) which enable health professionals to detect patterns and to have confidence that the interpretation that is placed on them is the correct one (Hewison 1995). Hard Data Couchman and Dawson (1990) compare quantitative data to 'hard' data generated from standardized questionnaires, while qualitative data represents 'soft' data derived from indepth interviews. They (Couchman and Dawson 1990) further classify these differences as producing inductive logic through qualitative methods from one extreme, to deductive logic through quantitative methods on the other.
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Bed bath - The aim of this paper is to alert nurses in our local intensive care unit (ICU) to practice their work rationally and not on a ritualistic routine approach.
Henderson and Nite (1978) consider that cleanliness is essential to a normal physical and mental state and point out that many diseases inhibit physiological functions such as lacrimation, salivation, and sweating, that, in a sense, cleanse the body so that "cleansing processes inadequate in health may have to be modified in sickness." Nightingale (1859) considered that leaving a patient unwashed was interfering injuriously with the natural process of health just as effectively as if she were to give the patient poison.
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In this analysis the author will therefore aim at clarifying the meaning of sexuality by distinguishing the normal, ordinary language usage and its scientific use from a nursing perspective. Uses of the concept The Collins dictionary (1991) gives three definitions of sexuality namely: 1) The state or quality of being sexual. 2) Preoccupation with or involvement in sexual matters. 3) The possession of sexual potency. All three definitions mention the word sexual, however one can associate each meaning with three major categories or states of our life.
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Blood pressure may be defined as the force applied by blood flow, on the resisting walls of blood vessels. This pressure varies within different areas of the circulatory system, with pressure being highest in the aorta, and gradually decreasing as blood is pumped on through the large arteries, small arteries, arterioles, capillaries and eventually the veins (Walsh, 1999). Blood pressure is expressed as two numbers, e.g. 140/80. This is due to the fact that there are two phases within a single heart beat.
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Much care work in hospitals is done by people who are not qualified or registered. Why does this happen and what are the consequences
she observes the time DS spend around the patients (1991, p16). Although DS are not supposed to talk to patients, the time spent around them naturally leads to relationships being made - joking with the patients or spending time listening to them. This is acknowledged by nursing staff to be useful and even therapeutic. This example illustrates how these two categories of staff, nurses and DS duties overlap , but in a hospital there are many categories of staff, either working permanently on the wards, or visiting the hospital in a professional capacity ie social workers, health visitors.
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Reflect on an incident and explore and discuss research and theory with my understanding of the incident.
He had been drinking heavily which made him aggressive. They put him into the side ward, as it appeared as if he could be harmful to the other patients. As I began my shift I could see he was becoming agitated. It was a bit chaotic in the ward, staff nurses were rushing around, and doctors were preparing for the ward round. I sat at the nurses' station with a piece of paper in my hand preparing for hand over. Mr Bloggs came and sat beside me and looked annoyingly at one of the staff nurses.
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Once sparkling white molars, now I and my colleagues have been reduced to a discoloured mess of cavities. And now look where this has come to - a dreaded visit to the dentist, Dr. Burr. Sitting there inside the dental surgery's waiting room, I anxiously anticipated the grim fate that lies before me. Looking for consolation, I turn to the innocent smiles from children beaming at me from posters (or should they be a plaque or two) adorning the walls. Yet my gaze is soon interrupted by the shrill motorized buzz of dental drills reverberating from behind the closed surgery doors.
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For the first day, they were forced to sleep on the snow. They were sent to a new prisoner camp called Skoplye soon after they were finished with their first "meal". The prisoners must have been as uncomfortable as a person trying to fit into pants 5 sizes smaller than they would normally wear. I use this analogy because the prisoners being transported in the boxcar were so crammed they were incapable of even sitting down. Three days after departing from their first camp, the prisoners reached Skoplye. The Serbs finally gave the prisoners a "home".
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Aspect of Care Essay: The Post-Operative Care Following a Hysterectomy and Bilateral Salpingo-oophorectomy.
Her two sons and daughter live close by and a family member visits her at least once a week. The pre-op clerk nurse carried out Chloe's nursing assessment a week before her surgery. The ward uses the Roper, Logan, Tierney (RTL) model as a basis for patient assessment and the model has been used to create the ward's nursing assessment document. The RTL model is based on 12 activities of daily living (e.g. breathing, sleeping, elimination etc) and looks at how independent a person is at performing those activities (Roper el al, 1996). The model encourages the examination of all factors, which can affect health.
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A leg ulcer is defined as a loss of skin below the knee on the leg or foot which takes more than six weeks to heal, the occurrence of leg ulcers increases with age and is most common in women (Watson, 2002). The underlying cause of a venous leg ulcer is poor venous return which can be recognized by oedema, skin pigmentation and are usually flat (Watson, 2003). It is important that this type of ulcer is assessed by the use of a Doppler test (Maylor, 2002).
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(Nendick 2000). The pca machine works by reducing stress responses by blocking nerves and neurons conveying impulses to the brain or spinal cord, therefore reducing sympathetic nervous system activity, thus achieving an effective analgesic concentration with minimum side effects. (Thomas 1996). It must also be noted that although many health professionals have an active role in treating pain it is the nurse who normally assesses pain and evaluates the efficacy of pain control. (McCaffery & Beebe, 1994). Therefore when considering pain management, it is necessary to contemplate the nurse's attitude towards the concept of pain, as it is often criticised in literature.
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(Aho et al., 1980). A stroke can affect a person in many ways but with Adwoa's situation it was sensory (motor) loss resulting in hamiplegia (paralysis of one half of the body, with or without hemianasthesia (sensory loss of half that is paralysed). One side of her body including her face was partially paralysed leading her to poor mobility, loss of balanced and control of limbs, slumping posture and lack of sensation. Once the initial phase has passed, Adwoa was carefully assessed for the degree of disability, and a detailed rehabilitation programme for her was made.
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