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Reflective Essay

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The aim of this paper is to show the development attained within the following four areas: Professional/Ethical Practice; Care Delivery; Care Management and Personal/Professional Development. Through the use of case studies I will attempt to outline these developments from experiences gained whilst on placement. The names of the people referred to throughout this paper have been changed to maintain confidentiality, in accordance with the NMC Code of Conduct, Clause 5. Care Management The domain Care management will be addressed within this paper using a long term condition case study to highlight the development and learning of this student. The Long Term Medical Conditions Alliance (2002) defines the term long term condition as "a condition of prolonged duration that may affect any aspect of the person's life". A literature search was carried out using the terms care management and long term conditions and the results of which appeared to show that care management is an area of long term conditions that spans the Inter Professional Teams (IPT). From hospitals to primary care they all have input from the IPT and the focus appears to be increasing support for self care, strengthening primary care, responsive specialist care and management of vulnerable patients (DoH, 2004). The NSF for Long Term Conditions, as released by the DoH in March 2005, aims to bring about a structured and systematic approach to delivering treatment and care for people with long term conditions. Personal/Professional Development A literature search relating to personal and professional development gave rise to many results advocating reflection as the prime area for developing the nurse's professional development. Gustafsson and Fagerberg (2004) suggest professional development starts when reflection begins. Williams (2001) suggests that reflection and the development of this ability should be inextricably linked to professional development. Introduction to Case Study The module four placement was based within a renal unit and was the first experience of a younger client group with needs that appeared to differ from the older adults whom I'd worked with on previous placements. ...read more.


who said that staff who had become familiar with caring for patients with AVF tended to forget the response received outside the clinical setting. The impact upon body image for many patients is quite high leaving many feeling uncomfortable and unattractive with their own self image. I sat with Mrs Woods and listened to her speak about her views on her illness and its impact upon her life. She said that her husband was very supportive of her and she considered him to be her closest friend. She did not have any other family in the UK other than her husband and two children. Her children were, as she said, too young to understand what was happening. Her husband did not speak English and as a result she felt the responsibility for communications outside the home was hers. Because of this she felt anxious to return home as soon as possible. When asked if she received any help or support at home from Social Services (SS) or if she had communications with the Renal Clinical Specialist Nurse (CNS) she replied that she had not. She then mentioned that she would be interested in hearing a little more about the services that were available. I tried to inform her as best I could of the social support that she may receive from SS with regards to housing and help with attending her dialysis appointments. She said that she was interested in having a Renal Social Worker visit her to discuss the matter further. I informed her nurse of this decision and proceeded, under supervision, to fill in the SS referral form for Mrs Woods. Conclusion The work I carried out with Mrs Woods gave me an important insight into holistic nursing. I had been assigned the job of completing the admissions documentation with Mrs Woods and by the end of which we had completed the admissions but I had also helped make her comfortable by helping provide information on the procedure and her AVF. ...read more.


In conclusion I have found the experiences and learning I have had throughout my second year of training have enabled me to see the greater role played by the nurse. I look with anticipation to what the experiences of the third year have to offer. References: * Cancer Research UK (2005). What is an ulcerating tumour? http://www.cancerhelp.org.uk/ Last visited: 20th April 2005 * Carter S and Green A (2002). Body Image and Sexuality. In: Hogston R, Simpson P (eds). Foundations of Nursing Practice. 2nd edition. Basingstoke, Palgrave * Department of Health (2005). National Service Frameworks. http://www.dh.gov.uk Last visited: 30th April 2005 * Department of Health (2005). National Service Framework for Long Term Conditions. http://www.dh.gov.uk Last visited: 28th April 2005 * Department of Health (2004). National Service Framework for Renal Services. http://www.dh.gov.uk Last visited: 27th April 2005 * Douglas I (1999) Reflective Practice. Foundations of Nursing Practice - Making the Difference. Basingstoke, Palgrave Macmillan * Faithfull S et al (1996) Observations. In. Mallet J and Bailey C (eds) Manual of Clinical Nursing Procedures. 4th Edition. Oxford, Blackwell Science * Gagliardi B A (2003) The experience of sexuality for individuals living with multiple sclerosis. Journal of Clinical Nursing, 12, 571-578 * Hunt G (ed) (1994) Ethical Issues in Nursing. London, Routledge * Lofmark A, Hannersjo S, Wikblad K (1999) A summative evaluation of clinical competence: students' and nurses' perceptions of inpatients' individual physical and emotional needs. Journal of Advanced Nursing. 29(4), 942-949 * Long Term Medical Conditions Alliance (2002) Facts About Long-term Conditions. http://www.lmca.org.uk Last visited: 22nd April 2005 * McDonald J (1997) Dialysis (part 1): continuous ambulatory peritoneal dialysis. Nursing Standard. 11(22), 48-55 * MedlinePlus Medical Encyclopedia (2003) http://www.nlm.nih.gov/medlineplus/ Last visited: 22nd April 2005 * Naylor W (2002) Malignant Wounds: aetiology and principles of management. Nursing Standard. 16, 52 45-53 * Riley J (2003) Nursing patients with cardiovascular disorders. In. Brooker C and Nicol M (eds) Nursing Adults The Practice of Caring. London, Mosby. * Thomas, N (2002) Renal Nursing. Edinburgh. Balliere Tindal * Williams B (2001) Developing critical reflection for professional practice through problem-based learning. Journal of Advanced Nursing. ...read more.

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