REFLECTIVE ESSAY on Learning Outcome No 3 Nutritional support refers to any method of giving nutrients which encourages an optimal nutritional status. It includes modifying the types of food eaten, dietary supplementation, enteral tube feeding and parenteral nutrition. One of the most common types of enteral nutrition nowadays is the percutaneous endoscopic gastrostomy (PEG) feeding which is dominantly used for someone who are unable to swallow or eat enough and needs long term artificial feeding ( Nelson, 2000). As an ONP student adapting in the UK, I felt that learning the proper technique in PEG feeding an elderly client is an important aspect of my nursing practice hence the reason why I made this as one of my learning outcomes. Enteral feeding is already a familiar procedure for me since in my past experiences as a nurse in the Philippines I have encountered patients whose nutrition is met through the use of it.
Reflective account in the ward. 12/07/2012 The purpose of this account is to reflect on an incident that I encountered when working in the unit in a hospital. In accordance with the Nursing and midwifery council (NMC 2010) code of professional conduct, confidentiality shall be maintained and all names and places have been changed to protect identity. I will use Gibbs model of reflection (Gibbs 1988) to help detail my practice in a constructive manner. During my placement time, I seconded health care assistances and nurses supporting patients with personal care, my mentor was pleased with my work and she started allocating me to help patients who needed minimal help with their personal care.
I thanked the Resident for this opportunity. I modified the interview for my resident by presenting her with her glasses, sitting at eye level, speaking slow and clearly, and repeating questions for clarification. After the data was collected I highlight the patient safety issue related to the aging process and resident physical needs. The primary safety issues that were identified are impaired mobility related to CVA, endurance related to fatigue, pain, nutritional status related to resident eating habits, impaired sensory related to vision, improper walker usage, polypharmacy, and the need to check expiration date. Appendix A Writing Assignment 2.2: Nursing Care Plan Date | August 26, 2014 | Student Name | KhrisYettia Y. Perry | Patient Name | J. F. | Medical Diagnosis | Osteoporosis | Pathophysiology | Osteoporosis (porous bone) is a metabolic disease characterized by bone demineralization, with loss of calcium and phosphorus salts leading to fragile bones and the subsequent risk for fractures.
Around eight of the morning, I took Mrs. Smith vital signs and noticed that Mrs. Smith was breast-feeding her baby in bed. Mrs. Smith asked if I could teach her about the sitz bath, to decrease the perineal discomfort after her shower. As I acknowledged her request, before leaving the room she said “Would you bring me a cup of ice water?” On the way of getting ice water for her, I was thinking about the postpartum care I received when I had a child in Thailand; which is different than what I am providing to the patients here in the US. Back home, I was not allowed to drink cold water nor to shower for few days after delivery. In spite of the fact that the US has diverse cultures, as a nursing student, I had to learn and adapt to different types of cultures.
Theory relating eating and drinking will be covered during Health and Social care workshops. Practical instruction will be given by experienced staff in your work place. Learners will also need to complete a workbook and activities to demonstrate their understanding. These will be handed in to the health and social care assessor and feedback will be given. The activity book should then be kept in your portfolio as evidence for your Diploma.
D2, Evaluate the influence of two major theories of ageing on health & social care provision. In the assignment D2, I will be evaluating the influences of the two major theories, activity & disengagement theory on health & social care provision. To do this I will be researching about health and social care services that apply to these theories. The first one is a social care service because it is helping the elderly to maintain their social life, Luncheon clubs help do this, these are clubs that are available to the elderly, which gives them an opportunity to maintain a social interaction as they grow older. They also get the elderly out of the house as well, some luncheon clubs might do transport there & back so it wouldn’t be a struggle to get there.
She said that A&P is very important for a nursing student to grasp because in nursing it never goes away. She said that understanding the details of A&P and how the body works makes your nursing classes a little easier to grasp. When she started taking her core nursing classes at Hannibal-LaGrange, she said that that was when the real reality of college hit her. Her first semester at Hannibal-LaGrange was devoted to the Fundamentals of Nursing which are the basics. You learn how things in the body are supposed to work.
To investigate how caregivers emphasize daily dialogue and mutual reflection to reach moral alternatives in daily care. The nursing home occupies a central position in contemporary discussions in healthcare ethics. On a day to day basis, the kinds of issues that the residents of nursing homes confront are matters that at first glance appear mundane or banal: Can I eat what I want? When can I go out for a walk? When can I expect help in using the telephone?
The main problem being the PEG tube and the residents nutritional status will be established and a structured care plan will be included and a discussion of all the nursing interventions and the reasoning for these interventions. This assignment will be completed with the evaluation of these nursing care interventions. For the residents confidentiality I will name him James Dawson. James was admitted following a TIA in 2008 and had suffered from dementia. Prior to his admission he had been living in Creagagh nursing home.
I believe the core of nursing is patient education. “Patient teaching regardless of what medical condition or injury a patient is being treated for, the success of the recovery process will be greatly affected by how well educated the patient is about what they are suffering from.”(Righthealth Community, 2008). As nurses we are suppose to teach patients how to take care of their health. We try to teach them about the disease process, medications and how to manage their day to day life with their illness. Patient teaching can be the key to teaching