Reflective Account of supervised management placement. Introduction. The student nurse hopes with this assignment to allow the reader an insight into my experience during my management placement within a busy rehabilitation ward in Wishaw General. With the guidance and supervision of my mentor I participated in all areas of running a busy rehab ward. The student nurse will reflect on health promotion issues as this stood out to me in several areas, The student nurse discovered that although we can nurse a patient back to health it is so important to make the patient aware of how necessary it is for them to participate in their care by adhering to what is recommended to them by various members of the Multidisciplinary Team and the devastating consequences that the patient can encounter if advice is ignored.
It breaks down the nurse patient relationship and roles into three categories, Wholly compensatory, partly compensatory, and supportive. The patient progresses in each of these categories toward independent self care. In wholly compensatory, there is no active participation in care by the patient. All needs are met by the nurse. Partly compensatory is where nurse and patient work together to achieve self goals.
If any changes need be made to better the care that patients receive it should done by enforcing more supervision. There should be more supervision to assure that proper care is being given by all nursing staff and not half done. We should, as healthcare professionals, at all times provide the best care as we possibly can. One way to stay atop of this is by envisioning the patient as our own grandmother, sister, cousin, aunt or any other family member. Total Care Nursing is or can be very stressful on the patient and their family members as well as the nurse.
However, when speaking to a client, using jargon and medical terms can be considered as inappropriate and confusing for the people involved. When Patients come into a hospital, they are concerned with their health and they would want to know as much information as a nurse can give them. By using the correct language, and knowing how much information to divulge, a nurse can positively contribute to the care of their client. (Wright, Lorraine M.; Leahey, Maureen. 2009).
Ethical Analysis of Nursing Care Caring for patients requires a holistic approach that identifies a not only a patient’s physical needs but their psychological, cultural and spiritual needs as well. Each patient must be viewed as an individual with unique needs and different levels of caring. It is important to understand that humans development cannot thrive without caring and a patient who is not at an optimal level of wellness is especially vulnerable to emotional comfort in this time of need. Lachman (2012) breaks down what is necessary for the highest level of care to be given and received. Elements of Caring According to Watson’s theory of caring there are three different elements that a nurse must recognize to provide such care.
As a nurse we need to ensure that patient’s nutritional needs are met and that they understand how to provide adequate nutrition to themselves and family. If a patient is impoverished then financial assistance may be available for them to be able to provide for their family. These patients not only need to know how much the body needs but also how much is too much. Becoming over nourished can be a medical problem as well so it is vital that patients are informed about their bodily requirements and limits. References Fyke, Mary K, and Rebecca J. Frey, PhD.
These include things like food, water, and air. The second is developmental self-care requisites including maturational and situational. The third is health deviations which are the needs that arise based on the patient’s medical condition. If the patient can’t meet personal self-care requisites then a self-care deficit occurs. This is when the nurse will step in and develop a support modality which could include total compensation, partial compensation or education and support.
The nurse also has to treat the patient with dignity and aide in the healing process that is conducive to each individual. The scope of practice is a parameter set in place that defines the rolls, procedures, actions, and processes are permitted by a licensed professional. An example would be a RN administering medication to a patient or doing a care plan after patient check in and assessment. An advanced practice nurse has skills beyond the normal scope of practice of a RN. They generally have more knowledge and experience in a concentrated field of study with a complexity of skills and intervention practices.
Career Mapping In this essay I will briefly be describing the roles of a registered nurse, self evaluating myself by comparing personal transferable skills that I can bring into nursing. I will be looking at how to develop my skills that I am lacking in and discussing nursing career goals and opportunities I have learnt so far. The role of a nurse is very diverse, they have to be a care giver by assisting patients attending to their needs, communicator as they have to communicate with a range of people; patients and other healthcare professionals. Teacher by educating patients learn about their health and health care procedures they need to perform maintain or restore Health, Advocate to protect the patient and the human rights. Counsellor which is a process helping the patient recognise and cope with the problems.
Effective communication is an important skill that the professional nurse needs to develop in order to interact effectively with patient and bring about a better resolution in patient’s health condition. Johnson (2010) emphasizes the importance of effective communication by nurse with patient and staff. He says, “ The communication process enhances the broadcasting of information needed to ensure patient safety and promote quality patient care”. When nurse clearly communicates the details of a patient’s condition or progress verbally or writing to other members of the healthcare team handling the case as well as nurses that deal with the patient on other shifts, the likelihood of mistakes that put a patient in jeopardy greatly decreased, so patient are safe. The consequences to the patient if nurses do not clearly communicate all important patient information may be greater pain, a worsening of the patient condition, permanent injury or even death.