Joanna appeared to understand no English at all, I tried to calm her down and reassure her, but she did not seem to comprehend. The staff nurse thought that she was upset at seeing the boy after her procedure and went to get a mobile screen to separate the patients. Joanna then became more upset. I called the ward and
The Nurse in charge told me that the trust operates a ‘protected meal times’ policy where routine nursing care stops and care assistants dedicates time to serving food and helping them to eat. She asked me to assist Mrs C with lunch. Mrs C is a frail old lady, 95years old who suffers with Dementia and Diabetes and has Aphasia [Speech loss] and Dysphasia [Swallowing Difficulties]. She is being nursed in bed and because of her medical issues; she needs assistance with many of the activities of daily living. Having read the communication book and the care plan of Mrs C, to know more about her needs and how she prefers to be addressed, according to the Legislation Act.
REFLECTION: Communication with Dementia Patient During my rotation in Care of Elderly on Sarratt Ward, WGH, we once had a patient with severe dementia. She came in with a chest infection and had been unwell for two weeks and therefore not mobilized during that period of time. Previously she was walking with supervision of one. She was living in a residential home and for her to be able to go back there she was expected to be able to walk again with minimum assistance of one. The nursing staff reported that her chest infection had resolved and she was now more alert.
She collapsed to the floor and died despite attempts to resuscitate her. At the time of the incident there was 12 other patients in the dining room also needing support with eating but only one carer was available. The coroner's court heard how this was the second time Mrs Taylor had suffered from a choking incident while in the care home. Collette Puntis, safeguarding adult co-ordinator for Hampshire Adult services, told the hearing that due to poor care plans, there was confusion among staff about how food should be prepared for Mrs Taylor and how much supervision she should have. She said " The instructions were not clear or consistent or specific enough.
She didn’t have any of the pregnancy symptoms before 8 weeks, but after 8 weeks, she started having morning sickness, and her breast felt sore. Her appetite has also changed. She lost 5 pounds at the first trimester of pregnancy because her stomach felt sick. Gina felt much better after the 4th month of pregnancy and gained almost 20 pounds at the end of her pregnancy. Gina knew that prenatal care should start before getting pregnant, but she did not know the medical system in the U.S.A.
It will also critically reflect on the interagency challenges and the range of ethical dilemmas which exist and or can exist in the case. Mrs T is an elderly lady living in an elderly mentally infirm residential unit, which she has lived at for the past four years, her next of kin is her only living relative her son Mr T. Mrs T has a diagnoses of Dementia and is continually reviewed by the community psychiatric nursing team. Mrs T requires assistance from one member of staff with activities of daily living and does not present with any challenging behaviour. She is happy in her mood and enjoys been cared for at the Home. Mrs T suffers from Headaches and is prescribed medication for this on an ‘as and when required basis’.
Biopsychosocial Impact In this reflective account I will demonstrate the knowledge and understanding I gained from working with a service user in the community mental health setting where I had been based. The service user in question had a diagnosed of depression which was due to a stressful period in his life which had resulted in changes he was experiencing difficulties For this purpose I have chosen Gibbs (1988) reflective cycle (www.ahot) In compliance with the Nursing and Midwifery Council (2008) ( www.NMC) and the General Social Care Council code of conduct relating to client confidentiality (www.GSCC) I have changed the service users name and for the purpose of this reflective account I will refer to him as Albert. I was allocated the case of a gentleman of 72 who had previously been diagnosed with depression by his GP who had prescribed him anti depressants. Depression can be described as a range of symptoms and behaviours (Freeman, Gilliam, Shearin, Plamping 1997 page 15) which can indicate a mild to severe form of the illness which is usually expressed as sadness or worry and can affect an individuals daily activities (Freeman, Gilliam, Shearin, Plamping 1997 page 14). The symptoms include low or depressed mood, for the same two week period (Freeman, Gilliam, Shearin, Plamping 1997 page 14) which is accompanied by at least five other symptoms ranging from loss of interest or pleasure in normal activities, inability to concentrate, disturbed sleep, poor appetite, self hate and suicidal tendencies (Freeman, Gilliam, Shearin, Plamping 1997 page 14).
This was also brought up in the pre-elections when David Cameron visited Mumsnet headquarters and had an online chat with parents, where he was forced to admit to not knowing how much the NHS spends on these special incontinence nappies. On Wednesday 19th January 2011 Riven received a letter stating that there is no more help available. A very tired and unhappy mother had to make a big decision to send her daughter in to a residential care home where she would receive better care. Riven then stated to The Guardian newspaper, ‘That she was disappointed by David Cameron’s failure to deliver on a personal commitment. This is a side-effect of cuts.’ Riven then went on to say, ‘David Cameron could have done better protecting families with disabled children from a lot of this.’ She also stated that she would be angry, if she wasn’t so
In this essay I have chosen to reflect on the clinical skill of administration Intramuscular (IM) injection .During my first clinical placement I became involved in this widely used method of drug administration. The first stage of Gibbs reflective cycle requires a description of events. While on my clinical placement I was ask to administer IM injection to a patient. I performed this procedure under the supervision of two qualified nurses including my mentor. The patient consented to get the drug administered by a student nurse.
This essay will discuss and reflects using Gibbs reflective cycle (1988) about the use of pressure ulcer prevention tool and how functional it is based on evidence based practice (EBP) that will facilitate to enhance the possible result of an underlying procedure. According to Jasper (2003), reflection is a fundamental tool in order for the student’s to understand the broad perspective between theory and practice. Reflection is an active process that enables health care professionals gain a deeper understanding of their experiences and it serves to extend our professionalism and develop our confidence in a bid to make sense of clinical experiences (Ghaye, Gillespie & Lillyman 2000).In accordance to Nursing and Midwifery Council (NMC) Code of practice the details about the client will not be given to ensure the confidentiality and protection of the patient (NMC, 2008). The first part of Gibbs reflective cycle is the description. As a health care professional trained in different approach, I assessed my client based on the theory and learning experience that I have had.