Mostly your instructor is looking to get a feel for the way you think about your nursing practice.
Atkinson et alp2 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, In order to maintain confidentiality I have provided my client with a pseudonym Nursing and Midwifery Council, 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, 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.
I spent seven weeks on a large intermediate care ward. The ward is nurse led with very little medical intervention. There is a great deal of input from a large team including physiotherapists, occupational therapists, social workers as well as nurses. Initially an assessment is made through Intermediate Care Assessment Team ICAT in order to find whether clients meet criteria to be accepted on this particular unit.
Its aim is to provide a multi-agency, integrated service approach to meeting the needs of vulnerable older people who have complex health and social care needs. ICAT follows up referrals from both acute and community settings and assessments are made relating to clients physical, social and mental health.
Clients on the unit will be over 65 years and live within the trust area. Why do we assess? The purpose of assessment is manifold but is essentially undertaken to identify risk and highlight problem areas in order to provide a platform for possible future intervention Hinchcliffe et al, We transferred information from recent documents, such as full name, date of birth, address and next of kin.
Under supervision of my mentor I was instructed to gather information by assessing Mary based on documents which made her personal file. Both myself and my mentor introduced ourselves to Mary who was sitting at her bed side in a cubicle. In an attempt to establish a therapeutic relationship with my client I firstly orientated her with new surroundings such as visiting times, lounge, dining areas.
Involvement and relationship with another is both necessary for the enactment of orientation and development of the therapeutic relationship Glasser,cited by Perry et al, Using an informal manner I went through each part of the assessment.
I used skills in observation, open ended questions and listening in an attempt to retrieve as much information possible, particularly in Activities of Living. This helped to build a composite picture of my client and allowed her to introduce new facts that might be pertinent.
The questions posed by assessing in the individuality component of the model such as how, how often, why and when furnished information not only about the way in which the person carried out each activity of living but also the knowledge and beliefs she held about it Newton, I carried on assessing weight, nutrition, and physiological observations.
Due to the nature of the ward the new single assessment process has recently been introduced.
DoH a states that "single assessment will provide better and more efficient access to cares services. It will minimise duplication of assessments by agencies and save older people from having to repeat their personal details and needs to a range of professionals.
On gathering individualised data, it then must be interpreted.This paper notes the dawning of reflective practice on the horizon of nursing practice and sets out to explore its value for nursing.
• Central to this value is the potential of reflective practice to enable practitioners to develop clinical expertise towards achieving desirable and effective practice and, through collaborative research, the. Example reflective essay - page 11 Critical Thinking and Writing for Nursing Students, Exeter, Learning Matters.
Readers are Table 1: Developing evidence‐based practice guidelines and a nursing illustration (adapted from. Reflective practice is increasingly being considered as a critical dimension of professional development for health professionals.
Professional standards and credentialing processes to demonstrate continuing competence for most health professionals now require demonstrations of reflection or reflective practice. Reflective practice is an important aspect of nursing management and in this essay we discuss implications of discrimination in nursing care and examine the importance of anti-discriminatory perspectives in nursing.
In this paper, the case study I will elaborate is of an elderly woman who was of a non-British ethnic origin and spoke little English. Nurse practitioner reflective essay thesis. November 18, feminism essay immortality of the soul essay about myself vidya niketan school ullal admissions essay words essay on diwali in punjabi nursing essays on philosophy of nursing.
Areas of Practice.
All Areas Of Practice; Airplane Accidents; Amusement Park Accidents;. Transforming Nursing through Reflective Practice is a collection of reflective chapters which embrace practice from a clinical, ethical, philosophical and cognitive perspective It is a powerful, empowering read and although not a beginner’s guide, a starting point can be extracted from the earlier chapters.