Review of my performance in a nursing situation. Scenario 3 is about a 11 months old child who is looked after by 18 years old nanny while parents are at work. He was brought to the A&E department by the mother as the nanny had reported he fell down th

This commentary is related to simulated scenario 3 which took place during my studies at the university and it has helped me in meeting the module learning outcomes. It will include a self evaluation of my performance and the feedback from the lecturer. It will also give a summary of the learning outcome I achieved and implications for future development. Scenario 3 is about a 11 months old child who is looked after by 18 years old nanny while parents are at work. He was brought to the A&E department by the mother as the nanny had reported he fell down the steps. He had vomited several times and was very sleepy. His mum noticed a bruise on his head so she decided to bring him to the hospital. He has been unwell with a slight temperature and runny nose for several days prior to the incident. The following behaviours were carried out. Firstly, my uniform was assessed to confirm it was worn in a professional manner, the uniform was provided to me by the university. As a student, it is important I understand why I need to wear my uniform in a professional manner this include the use of name badge, fob watch, flat black shoes, removal of jewellery, tying back of hair securely off my face and also ensuring finger nails are of appropriate length, clean and without nail vanish. I learnt about these skills from www.infectioncontrol.nhs.uk which was part of

  • Word count: 1197
  • Level: University Degree
  • Subject: Subjects allied to Medicine
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Choose an aspect of the law and discuss this in relation to the role of the nurse

School of Health and Social Science Assessment Submission Sheet Student Full Name: Sophia Olanrewaju Name of Programme: BSC Adult Nursing Module No: 1003 Module Title: Foundations for Professional Practice Name of Module Leader: Margaret Herlihy Name of Seminar Group Leader; Jessen Lee Title of Assessment Item: Choose an aspect of the law and discuss this in relation to the role of the nurse Word Count: 655 Campus/Site: Hendon Date Assessment due: 9th November 2011 Date Assessment Submitted: 9th November 2011 Declaration of Academic integrity: I confirm that this is all my own work and that any information copied in part or full including references and quotations from both primary and secondary sources have been fully identified and properly acknowledged in line with the Guidelines on Referencing and Citation Style in Health and Social Science (www.lr.mdx.ac.uk/helpsheets/syudy_skills/hss.pdf) I have read the regulations relating to academic misconduct and submit this work as my own in line with those regulations. (www.mdx.ac.uk/24-7/assess/index.htm) I understand that my work may be compared against the work of others for the purposes of detecting plagiarism and collusion. When software is used for this purpose, I am aware thia will mean it will be held on a (secure) external database for the sole purpose of detecting plagiarism. When requested by the

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  • Level: University Degree
  • Subject: Subjects allied to Medicine
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Disposal Of Sharps In Diabetic Care

Disposal Of Sharps In Diabetic Care Introduction This essay is about sharp disposals in diabetes, in relation to competency number 1. Every nurse will encounter people with diabetes during his/her nursing carrier. The management of this group of people has increasing emphasis on education in psychological care, there by increasing the role that nursing plays. Improved glycaemic control is strongly linked to reduce morbidity and possible mortality from diabetic complications. To achieve this, the patient has to play the largest part in his/her care. A role the individual is often ill prepared for, and may be unwilling to take on. ADA (1995) describes diabetes mellitus as a condition in which the glucose in the blood is completely high because the body is no longer able to use its fuel. There are two important reasons for optimizing diabetes control. The first is to eliminate symptoms, and the second is the longer term of aborting the development of diabetic complications. These can be achieved by monitoring the blood glucose levels and it is done by using finger pricking devices to obtain a capillary blood sample. These devices should be disposed off properly to avoid complications and infections. The Rational Behind This Essay BMA (1992) defines sharp as anything which can puncture the skin and may be contaminated with blood or other body fluid. Safe disposal of sharps

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  • Level: University Degree
  • Subject: Subjects allied to Medicine
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Nursing the adult with acute care needs.

Nursing the Adult with Acute care needs This assignment is about the crisis theory and how we as nurses can relate it to our patients and their families in an acute health care setting such as hospital. The crisis theory will be related to an aspect of nursing care that I provide for a particular patient. It will also look at how the patient is either going through a crisis or whether they are about and how we have intervened. The patient Mrs. Brown which is a psnendo name but to comply with the Nursing and Midwifery council on client confidentiality. Mrs. Brown is an 80 year old lady who was admitted with an acute right sided stroke , she suffers from hypertension which is the likely cause for her stroke. She is now completely dependant on nursing staff for all care. She is unmobile and bedbound and it is unlikely that she will be independent and mobile again. The family are very supportive especially her husband Mr. Brown. However Mr. Brown has a unrealistic perspective of his wife's recovery as he believes after a couple of weeks in hospital with physiotherapy that she will be back to her normal self. The nursing staff have explained to Mr. Brown that it is not so simple and that she will need a lot of care when she goes home. There is also communication problems with Mrs. Brown as communication has been impaired since the stroke we have tried to explain to her

  • Word count: 1177
  • Level: University Degree
  • Subject: Subjects allied to Medicine
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Contemporary Roles and Responsibilities of a Registered Nurse

Mahlia Lavery 8610673 NSB117 Page | ________________ Contemporary Roles and Responsibilities of a Registered Nurse Nurses together shape the largest of health professions within the health care industry, providing health care to the people of Australia throughout their lifespan. Today, nurses commit themselves to lifelong learning and career development in order to provide patients with the highest standard of health care. Hence why, innovative nursing roles have evolved significantly to meet the emerging needs of a dynamic and ever changing health care system. In Australia, there are two types of qualified nurses, an Enrolled Nurse (EN) and a Registered Nurse (RN) (Cubit & Lopez, 2012). This essay will specifically focus on the roles and responsibilities of a registered nurse as well as the knowledge, skills, regulatory bodies and legislation a registered nurse must acquire and abide by in order to be effective. A nurse has only one profession but many roles, as contemporary nursing calls for the roles and responsibilities of a registered nurse to be multifaceted. The definitions of the concept of role in relation to role theory include description of the behaviours, characteristics, norms and values of a person or position (Major 2003; Thomas & Biddle, 1966). An individual role describe attributes of the nurse that are socially accepted

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  • Level: University Degree
  • Subject: Subjects allied to Medicine
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My Autobiography - creative writing.

My Autobiography As the hospital doors slammed shut the horrific smell of unwashed bodies came over me, almost making me choke in disgust. I was being cut off from the beautiful fresh air that I was born to live in. It was rather humid and I was finding it increasingly difficult to suck the oxygen into my body. The walls, the ceiling and the floor were all the same dull color. My hospital room was small; there was a window which was rather small. Rain was on the window pane I could only take two large strides before I reached the other side of this stinking cage. I could not even stand on my tiptoes or else I would bump my head on the ceiling. I looked up at the wall and saw it was nine o'clock, I was lying down on my leather bed, which was warm, and someone had already been here. I looked out the window and saw plants in the hospital garden which were brown, they looked scary against the prison walls, and they just hung, wilted, for no reason. A nurse then came too me and put me to sleep by using the hospital gas, which was uncomfortable by the way but I wasn't going to say anything I was already in enough trouble with my mum already and I differently didn't want to make the situation any worse so I just sat waiting for the gas too take affect and put me too sleep. I've never felt this way before, sad and glum. Then it hit me what the fuck was I doing here!? If only I wasn't

  • Word count: 1122
  • Level: University Degree
  • Subject: Subjects allied to Medicine
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personal development plan for student nurses

Commentary related to achievement of learning outcome four. Identify the importance of appropriate communication skills necessary for professional nursing practice. In this commentary I am going to discuss one episode that occurred during one of my practice days on placement. This will be specifically related to learning outcome number 3: demonstrate an understanding of the professional role of the nurse and the core values and principles underpinning ethical health and social care practice. I am going to discuss this episode and show evidence of reflection by giving my opinion of how this episode could have been dealt with better. I will also identify any areas that require further development and discuss how this is going to be achieved. A definition of communication is The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups. Definition from online medical dictionary. http://cancerweb.ncl.ac.uk/cgi-bin/omd?communication During my 35day clinical placement I attended a ward round. I have chosen this particular occasion as I feel the communication between the healthcare professionals and the patient that attended the ward round was poor. I will now give a brief description of who attended the meeting, where it was held and a account of what happened during the meeting. The following Multi-disciplinary team members attended. The

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  • Level: University Degree
  • Subject: Subjects allied to Medicine
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Precordial Thump. In this report, I describe a case of successful cardiac resuscitation at my work place in the Intensive Care Unit, where an uncommon practice was performed and has helped save a patients life.

NSG3RNP Grace Shak 7038357 To thump, or not to thump? Abstract It has been a known fact that a cardiac arrest is a medical emergency that is potentially reversible if treated early, but however, with delayed or absent intervention, clinical death is inevitable. In this report, I describe a case of successful cardiac resuscitation at my work place in the Intensive Care Unit, where an uncommon practice was performed and has helped save a patient’s life. Introduction In the cardiac chain of survival (American Heart Association, 2011), it is emphasized that early access, recognition, cardiopulmonary resuscitation (CPR), defibrillation and advanced life support can improve chances of survival and recovery for such patients. But how about an early precordial thump? I remember being briefly told in nursing school about the existence of a precordial thump as an early life saving measure of pulseless ventricular tachycardia (VT) and monitored ventricular fibrillation (VF) if no early access to a defibrillator is around. It is performed by a highly trained medical professional, witnessed, where he/she gives a single strike to a patient’s precordium with the fist, and that would cause an electrical depolarization to the heart of about 5 joules, which can regain a patient’s cardiac function. (NursingTimes.net) In the 1980s, The American Heart Association recommended the

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  • Level: University Degree
  • Subject: Subjects allied to Medicine
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Preparation for Practice Reflective Account. I have been working with patient A, who has a past medical history and for medical reasons has Dysphasia

What? As part of my preparation for practice module, I will be writing a reflective account, about one episode of communication I had with a single patient, carrying out care whilst in clinical practice. I will be using the driscoll model of reflection, as this is my first reflective account and is quite simple to use. (Driscoll, 2007). Whilst writing my account patient confidentiality will be maintained at all times. (NMC,2008). And the patient I am basing my account on will be referred to as patient A. I have been working with patient A, who has a past medical history and for medical reasons has Dysphasia. Dysphasia is impairment in communication, which is caused by brain damage to the left side of the brain which is responsible for language and communication. (Hicks, 2008). Communication with patient A was quite good, as they could say some words out of a sentence that I could understand and make sense of. Unfortunately due to medical reasons patient A suffered a setback which had worsened there dysphasia and was unable to communicate as well as they had done before. One occasion I want to reflect on is when I struggled to understand what patient A wanted to eat for lunch as everything I had asked, was answered with what sounded like “yes”. I had seen in the past, a Health Care Assistant (HCA), giving patient A food which they disliked, because they didn’t allow

  • Word count: 1106
  • Level: University Degree
  • Subject: Subjects allied to Medicine
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Should special needs children be educated in mainstream schools

Should children with special needs be educated in mainstream schools? Special needs children (SEN) have been the subject of debate within an educational setting for a long time. More recently educators and analysts have questioned whether children with SEN should be allowed to be educated in mainstream schools to maximise their learning experiences. The special educational needs and disability act 2001 states that children with SEN ordinarily should be included in mainstream schools. However, if major adaptations to the facilities or curriculum have to be made, or, other children's studies are affected by a child with SEN then a mainstream school may not be the best option for the child. There are differing factors for inclusion especially for those with different types of SEN. For those who have physical disabilities, having improved access within school may enhance learning. New technology can also help improve curriculum and help those pupils with communication difficulties. However those with severe and complex needs may struggle adapting to and learning within mainstream schools and segregation may be required to provide the best possible education and support for them. Children with SEN have regularly been segregated into separate learning environments, specifically intended to cater for the student's area(s) of needs (Jenkinson, 1997). This system is beneficial to

  • Word count: 1100
  • Level: University Degree
  • Subject: Subjects allied to Medicine
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