• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

Reflection on a clinical skill

Extracts from this document...

Introduction

This essay will discuss a clinical skill in which I have become competent in practising, as 'developing the ability to perform practical skills safely is necessary for all nursing students' (NMC, 2002). I will reflect on this skill and discuss how I achieved this level of competence and how it influenced the individualised care the patient was given. The clinical skill I have chosen to focus on is the dressing as part of treatment for healing of pressure ulcers. I have chosen to do this, as in my first clinical placement this was a skill I found interesting and I was involved in. I therefore researched the topic of pressure ulcer management and treatment. A pressure ulcer is defined by the European Pressure Ulcer Advisory Panel (EPUAP) as 'an area of localized damage to the skin and underlying tissue caused by pressure or shear and/or combination of these' (EPUAP,2003). The patient was an elderly woman who had been on the ward for a few weeks. Over this period of time she had developed a pressure ulcer on her left heal, approximately 2cm round. I was asked to assess the patient's pressure ulcer and determine which stage it was in. ...read more.

Middle

I removed the dressing pack from its outer packaging and placed it on the trolley, taking care to maintain sterility (Nicol, M et al, 2004), and opened the pack to reveal its contents. Inside was a yellow waste bag which I placed to one side. I was advised to use alcohol-hand rub to cleanse my hands before starting the hands on procedure. My mentor was talking me through the procedure step by step, this gave me the confidence that I would be able to do the job to the best of my ability, but also if something were to go wrong she was there to reassure me. My mentor asked me to open the yellow waste bag and put my hand inside so that the bag acted like a glove and remove the previous soiled dressing. This was to reduce the risk of cross infection and to prevent cross contamination of the environment (Dougherty and Lister, 2004).I then opened the glove pack, taking care not to touch the outside of the gloves as they were sterile and I put them on. Hollinworth and Kingston (1998), state that a sterile technique helps prevention of transmission of micro-organisms. ...read more.

Conclusion

The purpose of this clinical skill for my patient was to create an optimal healing environment for this pressure ulcer, by producing a well vascularised, stable wound bed with minimal exudates (Dowsett, C, 2002). This is because the maintenance of skin integrity and management of acute and chronic wounds is a major component of nursing care (Bryant, 2000) and the care should be aimed to relieve the pressure as well as minimizing the symptoms (Dougherty and Lister, 2004). My level of awareness concerning evidence based practice, and its importance, has been enhanced with the use of critical reflection. My competence, within this clinical skill, has been further developed through the research I undertook to increase my knowledge and awareness surrounding this subject and I therefore realise that any procedure that I participate in, I must evaluate my performance and the effectiveness of the treatment ensuring I implement any necessary improvements to ensure patients receive the best possible care. This has also highlight to me the importance of adapting the care to the individual patient according to their needs. I now feel that my personal and professional development is progressing and I would feel confident to inform and deliver evidence-based care on pressure ulcer management and treatment. ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our University Degree Nursing section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related University Degree Nursing essays

  1. The aim of this essay is to critically evaluate the bio-psycho-social perspectives and influences ...

    Mrs Jones was happy to go home but was anxious that without Millie she would be lonely. Fitzsimons, (2010), states one defining concept associated with the growing number of elderly individuals due to longevity is loneliness. The Office for National Statistics, (2009), state there are 9.9 million individuals living in

  2. Nursing case study. The aspect selected is pressure area care and nursing models, knowledge, ...

    HCAs do the same, and sometimes the notes are confused and not clear, with lots of abbreviations. NMC (2007) standard for record keeping says that records should not include abbreviations, be recorded using terms that the patient or client can easily understand, be recorded clearly and in such a manner

  1. My chosen skill is to assist the patients to feed and drink. I ...

    to observe patient body language, to monitor patients vital signs and the use of appropriate "nutrition assessment tools". To validate the assessment it is important that all members of the multidisciplinary team are involved such as the "dietician", "nutritionist", "speech and language therapists", "occupational therapists" and "physiotherapists" (Essence of care, 2003).

  2. HOSPITAL CASE ANALYSIS. This case study takes place at a hospital and is based ...

    Smith will coordinate all the team, over seeing the teams' performance. The team would be given the authority to plan, perform and evaluate their tasks and overcomes. > 360-degree evaluation What problem(s) does it solve? I. Bad human relation It solves the issue of bad human relations by helping nurses

  1. Reflection Essay. The nursing skill I will be discussing is bed bathing a male ...

    We approached a male patient who needed assistance with washing and explained to the patient the situation; he was more than happy for me to bed bath him with my associate?s guidance. So What? I gathered all essential equipment needed on a trolley, and brought along a skip to collect all the dirty linen in.

  2. A Critical Appraisal of a Published Piece of Research Related to Practice. ...

    The author then reduced the data to ?significant statements? relating to dignity, coded these statements into a coded framework that enabled her to construct meaningful charts. Using the framework approach for this case study ensured the data analysis was sufficiently rigorous (Ritchie and Spencer, 1994).

  1. The aim of this assignment is to critically evaluate the role of a mentor ...

    He suggests that these analyses are a continuing evaluation and not just completed in a once only basis (Price 2004). There are many reasons why we evaluate students, to assess whether they are experiencing difficulty and to evaluate the teaching methods effectiveness.

  2. Pain Assessment. The implementation and rationale for using pain assessment tools is focused ...

    Anxiety and pain control The association between anxiety and pain is well known (Thomas, 1997) with heightened arousal and anxiety being a normal response to the threat of pain (Irving & Wallace, 1997). Evidence suggests that anxious individuals experience heightened pain, with anxiety being associated with increased muscle tension and

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work