The focus of this assignment will be on a case scenario of an elderly lady with signs of a chronic venous leg ulcer. It will discuss the epidemiology, aetiology and the pathophysiology in relation to venous leg ulcers,
Nurse Management Introduction The focus of this assignment will be on a case scenario of an elderly lady with signs of a chronic venous leg ulcer. It will discuss the epidemiology, aetiology and the pathophysiology in relation to venous leg ulcers, as well as this also discussed will be the nursing care needs of a patient with a leg ulcer and a rationale of care will be given. It will look at the assessment process and take into account the patients life history and examine any factors that could relate to the patients condition. The assignment will also discuss the management of treatment and preventative measures. Aetiology, epidemiology and pathophysiology A leg ulcer is a breakdown of epidermal and dermal tissue, which is below the knee on the leg or foot which fails to heal (Moffat and Harper 1997). It can also be described as a loss of skin below the knee which takes more than 6 weeks to heal, the occurrence of leg ulcers increases with age and is most common in woman (Watson 2002). A venous leg ulcer is defined as an ulceration that is associated with venous hypertension arising from venous disease (NHS 2009). Veins in the body are thin walled vessels that return blood to the heart through the action of skeletal muscle pumps (Morison and Moffatt 1994). The venous system has valves that prevent the retrograde or backward flow of blood. The venous system in
SUPPORTING LEARNING AND ASSESSMENT. My experience of mentoring and assessing nursing students took place in demanding clinical area, which provides high dependency and critical care to children.
Module TITLE : Supporting Learning and Assessment Practice Module NO : GM6411 Intake : AO1 Assignment Title : Critically reflective account of my experiece of mentoring and assessing a student in PRACTICE. MODULE CO-ORDINATOR : LOUISE HUNT Contents Page NO : . 1-Introduction. . 2 - Knowledge and uderstanding of mentoring and assessing role. . 3-4 - EVALUTION of the learning environment in the practice setting. . 5-critical aprprausal of own perfomance as a mentor and asseeeor. . 6-Evidence of knowledge and application of relevant theories. . 7-CONCLUSION. 2. 8- appendix-1. 3. 9-refrences. Student Name : Kamlesh Jaiswar Student No : JAI05333730 Date of Submission : 5th dec 2008. Word Count : 2000. SUPPORTING LEARNING AND ASSESSMENT IN PRACTICE REFLECCTIVE ACCOUNT OF EXPERIENCE OF MENTORING AND ASSESSESSING A STUDENT IN PRACTICE Clinical placements for nursing students, is often
Inpatient case study
Introduction This essay will present a case study of a selected patient, who has been diagnosed with pancreatic cancer and whom I have cared for, whilst my placement in the inpatient setting. This placement was undertaken in an acute surgical ward at a multidisciplinary hospital specialized mainly for vascular patients, also tending after patients with colorectal, upper gastrointestinal, endocrine and breast problems. Informed consent was taken from the patient to proceed with this assignment reiterating the adherence to the guidelines set by the Nursing and Midwifery Council code of professional conduct (2002) for confidential information. As a result confidentiality and anonymity has been maintained throughout this essay by assigning a pseudonym and omitting some information on the biographic data of the patient. For the purpose of this assignment, a detailed holistic health profile and plan of care using the nursing process with the integration of pathophysiology has been explored. Three nursing diagnosis according to priority has been identified followed with patient outcome, nursing intervention and evaluation of the interventions has also been included. This essay will also include a discharge plan and will finally conclude with a brief reflection on the care that I carried out on this patient. Pancreatic cancer is the 11th most common cancer in New Zealand, with more
Case Study. This essay will examine the nursing process involved in managing chronic venous leg ulcers (CVLU).
This essay will examine the nursing process involved in managing chronic venous leg ulcers (CVLU). The decision to focus on CVLU was made during a community placement where their treatment accounted for more than half of nurse’s workload. According to Posnett et al. (2009), CVLU affect 1-2% of the UK population with over half having an active ulcer for more than one year, costing the National Health Service (NHS) between £266- £314 million. Personal cost to individuals living with CVLU was highlighted by Briggs & Flemming (2007). They report the majority of CVLU sufferers find it incapacitating with physical impacts such as pain & reduced mobility along with psychological impacts of low self-esteem, depression & social isolation. NHS Choices (2012a) define leg ulcers as sores below the knee that are non-healing by six weeks. They advise that different ulcers such as diabetic, traumatic & arterial ulcers can occur however Brown (2011) states around 80% of ulcers are venous. CVLU occur when blood in the lower extremities cannot adequately return to the heart causing hypertension & congestion in the legs. This occurs when calf muscle pump function is reduced, failing to pump blood back towards the heart or if valves in the leg veins that normally prevent blood flowing backwards are damaged. Pressure forces blood and fluid through the capillaries, resulting in irritation to
Discuss the care pathway of an adult patient who has undergone a surgical /acute procedure. Critically examine one aspect of this pathway.
Care pathways aim to assist care delivery, by providing guidance, milestones and expected outcomes over a set time period (Herring, 1999). Throughout this assignment, the care pathway for women undergoing a full abdominal hysterectomy will be discussed. To do this the term hysterectomy will be defined, and some common conditions resulting in the procedure will be identified. As will recent trends relating to hysterectomies in the United Kingdom. Care pathways will then be discussed, in relation to the nurses' role at each stage. The short comings and advantages of using such frameworks will also be identified. In doing this legal and ethical considerations, along with the principals of holistic care in a surgical environment, to meet the needs patients from a diverse society will be addressed. Within this the focus will turn to post operative pain, and the tools used in its assessment. Some common tools used in the assessment of pain will be identified, compared and critically analysed. Hysterectomy refers to the surgical removal of the uterus; this may or may not involve the removal of the ovaries, fallopian tubes and cervix depending on the nature of the patients condition (Castledine & Close, 2006). This is a major operation and is usually carried out as an elective procedure. The procedure may be carried out abdominally, using a horizontal incision on the lower
It is it essential that nurse as managers possess the qualities of good leadership to effectively manage contemporary clinical nursing teams. Critically analyse this statement with emphasis on the impact good leadership has on the performance of clinical nursing teams and on patient care.
This assignment will critically analyse the qualities that a nurse, as a leader must possess in order to effectively manage a contemporary nursing team. The assignment will focus on several areas and will include that of the role of the nurse as a leader and skills that the nurse requires as a professional practitioner. The assignment will go on to discuss the meaning of Clinical Governance and the components of this with regard to their involvement within the framework. Personal qualities of a nurse leader will be reflected upon throughout the assignment and the relevance in regards to communication, quality and leadership will be analysed. Finally the impact that effective leadership has on the performance of clinical nursing teams and on patient care will be discussed. The NHS Next Stage Review (DoH 2008) identified and described a future where the National Health Service (NHS) will deliver a high quality service to everyone and in addition this future will afford the staff the opportunity to focus on quality. To ensure that this is achieved, both existing and new staff will be in receipt of primary education and training in order that their current skills are supported and improved and new skills developed. The NHS affirm that their workforce operate on the most effective basis when they are reflecting the needs of the patients. However, we must consider the vast
Depict the care received by apatient during his recent stay in hospital.
The aim of this study is to depict the care received by a patient during his recent stay in hospital. In accordance with the NMC Code of professional conduct (2002) "to respect patients' autonomy, and treat information about patients as confidential" names have been changed and the patient will be referred to as "Kit". The study will look at pre and post operative care, evaluation of the nursing model used, cultural issues, multi disciplinary team roles, health promotion and services available. Kit consented fully to being the subject of my study knowing his anonymity would be maintained. PATIENT BACKGROUND Kit aged 54 lives locally with his wife and teenage children. Until 2 years ago Kit was a self-employed builder. Mobility problems and restrictions imposed by his present condition, together with long periods of absence have forced him to leave his occupation. Kit is diagnosed as having osteoarthritis of the hip. "Oesteoarthritis is a wear and tear arthritis that affects weight bearing and highly stressed joints such as the hip and knee". (Palmer 1999). Prior to the onset of osteoarthritis Kit had enjoyed good health, was physically fit and active, he had minor eye surgery 7 years ago, and his appendix removed at 19. Kit and his wife enjoy social dancing, mobility problems and pain have prevented this for the past 18 months, and their social life has consequently
The Reflectice Mental Health Practitioner
Module code: DF215004S SID: 0402654 THE REFLECTIVE MENTAL HEALTH PRACTITIONER INTRODUCTION The purpose of this essay is to reflect upon an aspect of my professional practice I have encountered as a student nurse during my placement on an elderly (mental health) ward. I will begin by defining the term 'reflection' followed by the rationale for the change that l want to take place. The part of nursing care that can benefit from change will then be identified. An explanation of how to involve management in the changes being implemented will be explored. I will also write on my identified area that l felt needed change which is "handover". The actual change will be looked at by looking at resources, prioritising needs, whether this is within the nurse's influence or not. Both short term and long term objectives will be identified. Motivation and reinforcement will be analysed using the model. The writer will also examine and adopt Lewin's change theory to implement this change, then go on to draw an action plan to emphasize on how the change was executed and finally sum with a sound conclusion. REFLECTION What is reflection? Reflection is a process of gradual self-awareness, critical appraisal of the social world and transformation. These are not particularly comfortable
My chosen policy is the code for best practice standards for the use of urinary catheters (2009). The research evidence underpinning this policy consists of many research articles.
My chosen policy is the code for best practice standards for the use of urinary catheters (2009). The research evidence underpinning this policy consists of many research articles. The three articles I intend to analyse in this paper are, Wilde, M. (2003) 'Life with an indwelling catheter: The dialectic of stigma and acceptance'. Godfrey, H (2007). 'Living with a long-term urinary catheter: older people's experiences' and McConville, A. (2002) 'Patients' experiences of clean intermittent catheterisation.' My analysis will attempt to scrutinize the trustworthiness, dependability, credibility, transferability and reflexivity of this research. To do so is imperative as authorities base their recommendations on this research and specific policies are implemented as a result. These same said policies can then, in theory, be used behind the implementation of further policies or laws. And, so, a re-enforcing cycle is established, whereby research lead to laws which lead to similar tax-funded research, which calls for more law. Arguably, this can lead to a self-sustaining cycle that can discourage contrary evidence and critical thinking about the data on which the laws rest. Fundamentally, these articles inform the delivery of care the service user receives. For that reason alone it is surely vital that all research articles be subject to thorough editorial process, relevant service
Systematic approaches to client care
Systematic Approaches to Client care 2. Zoe Hannah 0808427 CFP 108 10/08/2009 Contents. Page. . Learning Contract including Outcome and Evaluation One -Medicines 4. Learning Contract including Outcome and Evaluation Two -Infection Control 7. Systematic Approaches to Client Care Essay 6. References INITIAL LEARNING CONTRACT & ACHIEVEMENT PLAN 1 What do I want to achieve? I want to be a competent student nurse that can accurately calculate drug doses and administer prescriptions in a safe and appropriate manner whilst maintaining accurate records of medications and gain knowledge base for types of medications and their effects. How will I achieve it? I hope to achieve my learning outcomes by participating in medication rounds on the ward with my mentor as supervision. I will ask advice on the medications prescribed to build my knowledge of medications used. I will also use appropriate research such as journal articles and an up to date copy of the BNF and evidence to gain more understanding of effects of medications. I will accurately record effects in client evaluations. I will make use of numeracy sessions in order to gain confidence in drug calculations in order to be competent in practice. A qualified member of staff will always check calculations that I make on the ward. I will be able to identify the correct generic name for prescribed medications,