Clinical care case study. Mrs. Burton was left with a mixture of emotion mostly feeling of dissatisfaction after her appointment, especially as she had been so nervous and apprehensive about seeing the doctor in the first place. Mrs. Burton had suspected
Name: Nazrean Sajawal GT Group: 12 Guidance Tutor: Fiona Watson Foundation Studies Intake: March 2010 Cohort Module Marker: Submission Date: 4th January 2011 Module Title: This assignment will be identifying a service user from my clinical placement as well as discussing an episode of care that was received from a service user's perspective. This occurred during one of the days that the student nurse worked at the clinical placement. The term for person centre care is mentioned frequently in the older people literature, particularly in dementia care. Brooker (2004, p.219) proposes that 'in person-centred care the relationships between all the people in the care environment should be nurtured'. Similarly, McCormack (2004) proposes that relationships, environmental conditions and individual values epitomise person-centred gerontological nursing. The name of patient and the clinical placement will not be named as it preaches one of the codes of conduct from the Nursing and Midwifery Council, which is confidentiality (NMC, 2008). Throughout the assignment the service user will be called Mrs. Burton. The nurse patient relationship appears to be good between the student nurse and Mrs. Burton. Therefore, it was consider relevant to interview Mrs. Burton who had a positive and negative experience on care that they had received. There will also be relevant literature to
Praxis Note on Evaluating the outcome
Look back Being in my community placement for the past four weeks, I have met many different staff in the home and many of them are very kind hearted people. They know the resident's need and they do what they can to strive for that goal. I feel very fortunate to see so many kind-hearted staff in the home where the staffs are very strong-minded and will advocate for the resident's need. They know how to calm these resident down when there are agitated and restlessness, knows what these resident like to eat and drink and they even knows their prefer bathroom routine. My point is that these staffs know their residents very well. When so many people and kind-hearted and are working together, there is no doubt that these residents are not lacking of any basic necessities. What troubles me in the past is that I see some of the resident's dignity and right has been neglected. Elaborate Providing care in the community is challenging. Often different people has their own ways of thinking, they work and prioritizes differently. It is not uncommon for different staffs to have their own opinion towards a similar task or situation. The problem is when this situation arises in a health care setting, there is no one person can who is right or wrong and decide what the best approach is that is the most beneficial for the resident. In my past couple of weeks in the home, I have seen
MMR Vaccination.
MMR Vaccination MMR vaccine is a three part vaccine, given by injection, which is to protect (immunise) against Measles, Mumps and German Measles (Rubella). In the UK it is given to children at 12 to 15 months, with a reinforcing dose (a booster) before school, usually between 3 and 5 years. The Vaccine The vaccine is a freeze-dried preparation which contains live virus particles of the three viruses, which have been modified (attenuated) to stop them from producing the full effects of the disease. The vaccine is given, by injection, into the upper arm, thigh or buttock. It has been found that a booster, before school, makes it likely that more people will be properly protected. The idea is to fool the body's defence system into thinking it is under attack by the viruses, and to produce defence mechanisms (antibodies) which will fight off the conditions if they are encountered in the future. There is no risk of someone who has been vaccinated infecting other people with the viruses. Usually the vaccine is for children, but it can be given to non-immune adults. It is suggested that people in long term institutional care, who are not immune, should have the vaccine. It is also recommended that
Is there a link between the MMR vaccine and the increasing number of cases of autism?
Is there a link between the MMR vaccine and the increasing number of cases of autism? By Peter Rooney In 1988 the MMR vaccine was introduced to the UK. In this year there were 26,222 cases of measles and 16 deaths, more than 20,000 cases of mumps and approximately 25,000 cases of rubella. Ten years later and it was being hailed as a "wonder" vaccine as in 1998 there were just 112 cases of measles, 94 cases of mumps and 122 cases of rubella. What had caused its rapid decrease in popularity from its peak in 1996 when the percentage of MMR vaccine take-up in children was 92% to its fall of 10% in 2002 to 82%? Parents were being faced with the dilemma to either listen to the reassurances from the government and most scientists that the vaccine was safe, or to listen to the allegations made by Wakefield et al that the vaccine caused autism. Measles, mumps and rubella all have serious complications. Measles can cause respiratory problems, ear infections and meningitis. Mumps can cause deafness and before the MMR vaccine it was the biggest cause of viral meningitis in children. Rubella can cause inflammation of the brain and can affect blood clotting. In pregnant women it can cause disastrous consequences such as a miscarriage or health problems for the child such as heart problems or brain damage. In 1998 claims were made by Wakefield and his colleagues that there was a link
Are vaccinations really a safe method of disease prevention?
Are vaccinations really a safe method of disease prevention? Vaccination is a method of disease prevention. Vaccines contain an inactive or weakened form of the bacteria or virus causing the disease which is trying to be prevented. A response is triggered by our body's immune system but the disease is not caused. The production of antibodies is stimulated to help eliminate the bacteria or virus from the body. Edward Jenner was responsible for disease prevention by vaccination in 1796. He noticed how dairymaids who caught cowpox, a minor disease, never caught smallpox, a fatal disease. He infected a young boy with cowpox and he suffered from it for a short while. Later, he exposed the same boy to smallpox and the boy did not catch it. Cowpox was enough like smallpox for the body to become immune to smallpox. This was the first recorded vaccination (1). Today, humans around the world are vaccinated against many different diseases, and most people believe them to be safe and effective. But are they? The number of cases of several different fatal diseases has declined and many diseases have been eradicated in the past years, but is it the vaccine that should be awarded for this or is it that living standards have improved? Microbiologists would probably attribute the decline of reported cases of disease to the increase in mass vaccination. They would claim that it is
Reflective Portfolio
This assignment will illustrate instances wherein reflection as a nursing approach has helped me in my professional and personal development. This assignment is about my nursing experiences during my first clinical placement. This assignment also relates and focuses on patient confidentiality. I have chosen Gibbs (1988) Reflective Cycle framework for reflection. I hope to demonstrate my ability to reflect on a specific incident during which I have observed and practiced. During this process of reflection, I aim to demonstrate my ability to link theory to practice. Reflection has also enabled me to have a better understanding of myself and my professional practice. During this process, I became aware of some uncomfortable feelings which have stemmed from experiences which I needed to explore to identify the root of my concerns. Having analysed these feelings and knowledge, I hope that this assignment would illustrate that as a reflective new practitioner, I have arrived at new perspectives and action plans. According to Gibbs (1998) Reflective Cycle provides a straight forward and structural framework and encourages a clear description of the situation, analysis of feelings, evaluation of the experience, analysis to make sense of the experience, conclusion where other options are considered and reflection upon experience to examine what the professional would do should the
reflective case study
Reflective Case Study The concept of reflection as a learning tool in workplace education can enable the student to problem solve in practice. By exploring the individuals own unique situations and past experience they can, in order to learn, consider past thoughts and memories to achieve a desired outcome. (Rolfe, 1998). Taylor (2000) suggests that, to reflect on action from an event, we must remember our thoughts and memories. Then we must use the ability of contemplation, meditation and consideration, which will enable us to make sense of them in order to modify our behaviour, should we encounter a similar experience in the future. Introduction The following reflective account aims to explore specific complications and difficulties encountered after obtaining a history and performing a physical examination on a young patient that presented to the Accident and Emergency (A&E) Department. The incident that I have chosen to look at took place whilst on a placement in the Minor Injuries Unit based in an A & E Department following a theoretical module on Patient Assessment. Confidentiality has been preserved throughout in accordance with the Health Professions Council (HPC) Code of Professional Conduct (HPC, 2002). To achieve and understand the use of reflection in a structured manner, the Gibbs (1988) Reflective Cycle will be utilised. Bulman and Schutz (2004)
What is to blame for Autism?
What is to blame for Autism? Following reports in the media, 'the triple measles, mumps and rubella vaccine was yesterday given the all clear by experts'1 after nearly eight years of worry. Because of what the experts have said in the past about it causing autism, parents have feared letting their children have the MMR injection. Research suggests that levels of autism have increased over the last ten years, but nobody really knows why there has been such an increase or what is causing it. Autism is a condition that starts in childhood usually between the child's first and second birthday, and continues throughout adult life. It is a developmental disability that affects the way a person communicates and interacts with other people. Reality to an autistic person is a confusing interacting mass of events, people, places, sounds and sights. Many autistic children have exceptional skills, such as drawing, mathematics or playing an instrument, whereas others tend to spend a lot of time alone and become obsessed with objects or routines. About one in 2,000 people have an autistic disorder. Boys are four times more likely to be affected than girls, although some research suggests that when girls have the condition they may be more severely affected.2 So what is causing autism? A paper was published by a Dr. Andrew Wakefield in the medical journal The Lancet in 1998,3
Advanced directives
Introduction This assignment will explore ethical, legal and professional issues surrounding advanced directives. The writer will attempt to objectively critique the literature relating to the study area and it's relevance to issues of justice and diversity. The assignment will employ the four principles of health care these being, justice, autonomy, beneficence and non-maleficence. Considerations of the findings of the review, the implications for practice and the impact on care provision will be discussed and a conclusion containing a reflective summery of the process of enquiry considering how the writer's individual values, beliefs and attitudes have been challenged. What is an Advanced Directive? Advanced directives are a way for patients to exercise their right by preparing for a time when they may lose their capacity to make or communicate a decision and allows a competent adult to indicate which treatments they would or would not want to have at the end of life, if they were to become seriously ill and were then unable to state their values and wishes (Davis, Aroskar, Liaschenko and Drought 1997) see appendix. When making an advanced directive a person is asking the medical profession not to give them certain medical treatment. (Dimond 2002). Legal, Ethical and Professional Discussion In 1976 Joe Quinlan asked a US Court to allow him to make a legal decision for
Is there a link between the MMR triple vaccine and the increasing number of cases of autism?
Is there a link between the MMR triple vaccine and the increasing number of cases of autism? What is the MMR vaccine? The MMR vaccine is a three-part vaccine, given by injection, which is used to immunise against Measles, Mumps and German Measles (Rubella). In the UK it is given to children at 12 to 15 months, with a booster dose before they begin school, usually between 3 and 5 years. Measles, Mumps and Rubella all have serious symptoms and can be fatal. Measles can cause respiratory problems, ear infections and meningitis. Mumps can cause deafness, and before the vaccine, was the biggest cause of viral meningitis in children. Rubella can cause inflammation of the brain and also can affect blood clotting. In pregnant women especially, it can cause miscarriage or health problems for the newly born child such as brain damage or heart conditions. The vaccine is freeze dried during preparation and contains live particles of the three viruses, which have been altered to prevent them producing the full effects of the disease. How many people receive the MMR vaccine? In 1988 the MMR vaccine was introduced in the UK. The number of vaccines given was at its peak in 1996, when the percentage of MMR vaccine take-up in children was 92%. This figure fell to 82% in 2002. Many parents are faced with the decision to listen to the reassurances by the government and the