Within this period, the exposure to new procedures within rheumatology/internal medicine fields allowed me to observe and work hands on with patients of all ages with a wide variety of medical diagnosis. Working as an Extern taught me the responsibility of time management and working within a lean schedule; this allowed me to further develop my skill set.
Introduction In this account I will concentrate on an established clinical skill that I have been practicing for many years. Presenting this assignment reflects the assessment and care delivered to a patient within my working practice. Using Gibbs model (Gibbs, 1988) as a working model will allow my thoughts / feelings, evaluation, analysis, conclusion and action plan to be deduced. I will apply critical thinking and underpinning knowledge to evidence based practice and thus concludes with an evaluation of increased clinical competency and personal development. Reflection as a learning tool allows me to identify the positive and negative aspects of my practice and to draw upon previous experiences and apply them to new situations “Reflective practice has, however, the potential to help practitioners in all fields unlock the tacit knowledge and understanding that they have of their practice and use this to generate knowledge for future practice”.
I assist patients at meal times attempting to promote a healthy diet. I assist qualified staff by carrying out a range of tasks e.g., taking physical observations: BP, Pulse, completing safety checks and observations. I have a reasonable understanding of the Mental Health Act and am able to file important documentation in patient’s notes, so that they are easily accessible whilst maintaining confidentiality. I have developed a wide range of skills while working for the health board. I have learned how to build relationships with fellow staff to work as part of a team.
After the dietician calculates a suitable diet they will make recommendations to a physician so he can write the dietary order. The dietician will document the progress of the treatment in a medical record. The dietician also plays an important role in developing the care home menus. They will evaluate the amount of proteins, vitamin and fibres in each menu item and makes recommendations to the dietary director. He also plays a role
Erikson's theory of the 'Eight Stages of Development' describes a lifelong process through which human personality evolves as the individual responds to their environment, psychological experiences, biological influences and social interactions. These factors contribute to the core idea of Erikson's theory that each stage, beginning at birth and ending at death, offers a psychosocial conflict that must be overcome by the corresponding virtue in order to progress to the next stage of development. Any one of these stages can be applied to an individual, depending on their age and circumstance, who is hospitalised in order to offer nurses an approach to nurturing the development of their clients (AllPsych Online, 2011). Stage I is the year from birth to 1 year old, the conflict at this stage of Erikson's theory is 'Trust vs. Mistrust'. The infant, dependent almost solely upon others, learns to develop trust when the central caregiver, often
The risk factors associated with illnesses in the third trimester. The LVN is able to formulate a teaching plan based on the needs of the patient and evaluate the effectiveness of the plan. She would assess the patients understanding of the information given by asking her to repeat back to her the medication directions. If applicable, the nurse would also give Ms. R written directions detailing the instruction in terms the patient can understand. A “follow up” call would ensure the pt compliance as well as any additional questions or concerns she may have.
Lastly, a reflection of findings will be discussed as to how nurses could contribute the information from the two interviews into their own professional growth and development. The first interview question pertained to the interviewee’s role in their current position and their educational preparation. The CRNA interviewed had an extensive emergency and critical care background, which applies greatly to his position today as he works in several areas, including the ICU, of the hospital where he is employed. The nurse educator was previously a nurse practitioner in a family practice office where she learned the patient teaching aspect that transitioned into her educational role today. Each interview participant explained the unique contributions they each made as nurses and brought to their interdisciplinary team.
I chose (CBT) Cognitive Behavioral Therapy Approach because of the length of time of the client’s use of Meth. Many of the treatment strategies within the Model are derived from clinical research literature, including cognitive behavioral therapy, research on relapse prevention, motivational interviewing strategies, psycho-educational information and 12-Sstep program involvement. At this point she is going to need to change everything because of her old behavior all is know is how to use and use to live to stay well. I would implement the following guidelines for her treatment: The elements of the treatment approach are a collection of group sessions (early recovery skills, relapse prevention, family education and social support) and 3 to 10 individual sessions delivered over a 16-week intensive treatment period. Patients are scheduled three times per week to attend two Relapse Preventions groups (Monday and Friday) and one Family/education group (Wednesdays).
Our history gives us a perspective in the traditions we have as nurses and a legacy to pass on to new nurses as they enter the profession. We learn what has influenced, motivated, and affected nurses in the past so that we can use that knowledge to influence our perspective in making changes that will benefit those who enter the profession in the future. Over the years I have observed a change in how we, as nurse and the medical profession, address pain. When I started nursing, you medicated the pain. To put it simply pain was pain – you medicated to relieve the pain.
It helps people to live as well as possible while they manage their illness. Palliative care concentrates on maintaining quality of life by controlling physical symptoms, such as pain or sickness. It also looks at the emotional, social or spiritual needs that people may have. It supports both the person who is dying and their carers and family. Nurses provide education that will assist clients to understand, comply with cancer management regimens; and cope with the effects of cancer and related treatment.