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

ReflectiveEssay to Discuss the Nursing Process and how it was Applied in the ClinicalArea in which I was Placed

Extracts from this document...


Reflective Essay to Discuss the Nursing Process and how it was Applied in the Clinical Area in which I was Placed INTRODUCTION This is a reflective essay to demonstrate the nursing process and how it was applied in The clinical area in which I was placed. Atkinson et al (1983, p2) describes "The nursing process is a system of planning the delivery of nursing care, consisting of four steps: Assessment, Planning, Implementation and Evaluation". This is a client focused assignment; therefore I will choose a client whom I have participated in providing nursing care for. I will discuss the nursing process, how it was applied and the context in which it was done. I will use reflection to compare my findings to how literature states it should be done. I plan to show an understanding of holistic care and how it is used in each stage of the nursing process. Holistic care is an approach to healthcare which treats the individual as a whole person in relation to their needs (Hinchliff et al, 1998). In order to maintain confidentiality I have provided my client with a pseudonym (Nursing and Midwifery Council, 2002). I based this assignment on Mary, who is a 72 year old lady and suffers with osteoarthritis which is a degenerative disorder in bone and cartilage (Hinchliff et al, 1996). She had fallen at home and was presented at the Accident and Emergency department by emergency services. After a short stay on Medical Assessment she was transferred to the unit for rehabilitation following her fall. ...read more.


Due to the nature of this ward care plans usually determine discharge outcomes. Targets are set for a maximum rehabilitation period of 28 days. Reasons for this are due to the fact that patients are not acutely ill and need very little medical attention. Instead, they have a great deal of input from physiotherapists, occupational therapists who work closely with clients both individually and in small groups. Newton (1996 p.29) states "Goals of Nursing care must be realistic and achievable and reflect the patients goals for living, so they must be set in close partnership with the patient and based on assessment of the individuals AL's and on the nursing knowledge associated with them". The care plan is initially implemented by nursing staff who will also take into account client centred outcomes. The easy care (single assessment) document allows the client to say what they would like to achieve. All key players will acknowledge care plans at some point, therefore they must have easy access to the information they need, laws and standards mandate that care plans be specific, clear and legible (Alfaro-LeFevre, 1998). In order to keep Mary involved in her care, goals were agreed with her. This is to ensure patient autonomy but also to give Mary a clear picture of what will be expected of her during her rehabilitation period. It was established that the goal set for pain was highly prioritised and so analgesia was reviewed by a doctor. ...read more.


After a discharge date was set the nurse made appropriate arrangements for transport via an ambulance and liaised with a family member in order ensure a safe arrival at home. CONCLUSION As both care giver and observer, I found that the care planned matched the care given. Collaboration between the Multidisciplinary Team and working closely with patient and family enabled outcomes to be achieved. This experience has taught me the importance of holistic care in relation to the nursing process and how an effective therapeutic relationship between patient and healthcare professional allows more information to be retrieved, thus creating a more precise and individualised care plan. To care for a person holistically requires ongoing assessments - utilizing knowledge, attitudes and skills. Improving assessments and patient involvement in care is highlighted in the essence of care document (DoH, 2001b). The fact that the MDT were based within the same unit allowed a more timely advantage for both patient and staff , allowed maximum communication to all concerned and worked well in relation to discharge planning. My client had commented how she enjoyed the 4 weeks on the ward. I think that the social aspect of the ward helped a great deal. Mary was encouraged by the whole team and maintained as much independence possible throughout her stay. I have benefited as a result of this placement, as it has taught me the importance of the nursing process. I have become more efficient in collecting information from the client and utilising it appropriately in order to care for the client in a holistic way. ...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 Healthcare 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 Healthcare essays

  1. Marked by a teacher

    The purpose of this essay is to carry out an assessment of a patient ...

    3 star(s)

    Because activities of living are complex and interrelated (Roper et al, 2000) it is difficult to consider each one independently. Assessing Jane involved careful judgment under supervision, about a cluster of signs and symptoms before problem identification and diagnosis (Roper et al 2000).

  2. Marked by a teacher

    Social work assessments are an art and a science.

    3 star(s)

    Taking all these points into consideration ensured that I worked in an anti oppressive manner. Coming from an Asian heritage background myself I feel I can understand and empathise with people from my own culture. However I realise as Henley (1986)

  1. Reflective Essay

    If there had been it would have been interesting to see how this would have been dealt with and how we would have overcame the problem. An important point that doing the task made me realise was that when working in a team people have to be flexible and have

  2. The importance of therapeutic relationships in the delivery of care.

    On reflection I shall try to remember that tasks such as handing out food and drinks are important, to always ask how a patient likes their drink. When assisting with feeding make sure the patient is comfortable, the food is not too hot, ask which part of the meal they would like to eat, and not rush the process.

  1. Cultural Safety of Indigenous Clients and Nursing

    To ensure the relationship between client and nurse is therapeutic and culturally safe it is important to ensure that there is understanding and sensitivity in the carers initial approach (Tabbner 2005). Frustration with the health system because it is not linked to internal beliefs of Indigenous Australians can result in

  2. Inter-proffesional Collaboration in Social Work

    The person who we met and showed us around was Anne Gillespie, a social worker within the unit, who was very helpful and informative. The team in which Anne works was set up 7 years ago, and has been collaborating with other agencies since it began.

  1. The aim of this assignment is to critically evaluate the biopsychosocial perspectives and influences ...

    and KLEBER, D., 2000. Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation. The Journal of the American Medical Association; 284 (13) p1689-1695 MEDLINE PLUS., 2011. Alcoholism and alcohol abuse. American Accreditation HealthCare Commission. Available from: http://www.nlm.nih.gov/medlineplus/ency/article/000944.htm Accessed on 18th February 2012 MORGAN, Y.

  2. Nursing Homes. The main objective of this research work is to assess the development ...

    Employer Paid Insurance * Employers with a large number of employees will often offer health insurance to their full-time employees. * Purchasing insurance for a large group of people is more cost effective (volume discount). Who are the primary care givers and how is the care team structured?

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