The patient I cared for today, was admitted into the NICU on October 17th. He was experiencing respiratory distress, has breathed (aspirated) meconium into the lungs around the time of birth. The neonate had stabilized, so the nurse and I were preparing for the family to discharge from the hospital. The immediate needs that were verbalized by the patient were hunger cries and soiled diaper/ angry cries. Immediate needs from the family were instruction on how much formula to feed the baby and circumcision care once discharged home. During my clinical experience, the patient experienced pain from the circumcision process. The health care team members alleviated the physical suffering by administrating lidocaine pain medication and giving the baby sugar water. I think the only improvement that I would make to these interventions would be to administer the lidocaine earlier so that it could be more effective in the patient’s pain management. Long term needs for the patient were speech therapy in order to improve the baby’s feeding technique, infection prevention, and teaching measures for the parents. The needs could be met through referral to a speech therapist upon discharge from the hospital, teaching family members proper handwashing, and educating parents on subject matters.
The healthcare team interacted with the patient and family in an excellent fashion. They utilized the teach back method when educating parents about infant care, used compassionate care, and used open
Throughout this reflective account i will refer to the individual I was working with as Gloria. I have not used her real name throughout this piece to protect her identity and to ensure that I am maintaining confidentiality. “You must respect people’s rights to confidentiality” (NMC 2013) Gloria is a 74 year old lady who lives at the residential care home at which I am currently on placement Gloria is under the Adults with Incapacity Scotland Act 2000 due to a diagnosis of Dementia. She is mobile with the aid of a Zimmer frame and is still as independent as her health allows. She requires the assistance of 1 carer for most activities of daily living. After breakfast I offered to take Gloria to the toilet
The purpose of this essay is to reflect on my personal role in the inter-professional team and the delivery of healthcare that I have encountered during my duty as a health care assistant in one of the hospitals here in England. In accordance with the NMC (2002) Code of professional conduct, confidentiality shall be maintained and all names have been changed to protect identity. The purpose of reflection as stated by John's (1995) is to promote desirable practice through the practitioner's understanding and learning about his/her lived experiences. I have decided to reflect upon an incident with the nurse in charge in one of my shifts and in order to structure my reflection I
The pain that the infants experience has a significant and lasting impact. In addition to the acute pain and stress experienced while in the NICU, there are lasting effects of these procedures for the patients. According to Grunau, et al. (2013):
I have never really focused on the issues that our economy is facing; therefore, I find reading articles like these rather interesting. They provide me with material and questions I would not have looked up before. My favorite quote from the article was, “Monetary policy has been keeping the patient alive, creating the possibility of a lasting cure through fiscal and structural operations,” as stated by BoE Chief. I thought this line to be very funny and blunt. The comparison of the nation to a patient really put into perspective the how tragic our economic system is doing. Also, I have come to belief that people are okay with the monetary policy because it has been providing some relief to our problems, but people must find an actually solution,
The objective of this reflection is to explore and reflect upon a situation from a clinical placement on an orthopedic unit. The incident showed that I did not provide safe, timely and competent care for my patient when the oxygen saturation was low. Furthermore, this reflection will include a description of the incident, and I will conclude with explaining what I have learned from the experience and how it will change my future actions.
In recent years, reflection and reflective practice have become well-known term with in the health care arena. They are words that have been debated and discussed with in the health care setting (Tony and Sue 2006). Reflective practice is essential for nurses, as nurses are responsible for providing care to the best of their ability to patients and their families (NMC, 2008). Reid (1993) states reflection is a process of reviewing an experience of practice in order to describe, analyse, evaluate and so inform learning about practice. Johns (1995) notes that reflection enables practitioners to assess, understand and learn through their experience. Reflective practice, therefore, offers nurses an opportunity to review their decisions and
My reflective clinical practice experience was based on my eight weeks placement in an acute mental health ward in a hospital. I was not sure of what to expect because I have never worked or placed in an acute ward and this was my second placement. Before starting my placement, I visited the ward and was inducted around the ward. This gave me a bit of confidence and reassurance about working in an acute ward.
This article discusses the dynamic issue related to team that are formed in health care settings. The article states that healthcare teams have been around in health setting for many years. They indicated that there is small empirical data that really show the effective in the outcome related to teams in health care organizations. The article reviews the specific range of outcome associated with the work of team in health care.
My current employment in the field of Research and Public heath requires working with collaboraters from across the globe. My interpersonal and soft skills have always differentiated me from others in my ability to work with scientists and researchers from different backgrounds of interest. If given an opportunity, this will be major strength that I will bring to DLR.I have worked in this field for many years and still enjoy the chanllenges and opportunities that a enviroment of diverse backgrounds bring into a project. I bring in the positive attitude and belief that it is truly the people that make a project
For the purpose of confidentiality and anonymity, I have changed the patients name and throughout of the reflection I will refer to them as Mrs Smith.
The careful consideration of professional or personal actions in such a way as to transform present and future experience describe reflection ( Kofoed, 2011). As I reflect over the past ten months, I have enjoyed my journey in the Doctor of Nursing Practice (DNP) program and am looking forward to graduating in approximately ten weeks. The knowledge, skills and competencies I have acquired has enhanced my teaching skills and confidence and helped me to care better for my patients. Although the transformation from a clinical floor nurse to a nurse educator with leadership skills has been problematic, I am acquiring ways to create change in patient care through the reflection in practice, clinical supervision, leadership, education, and evidence-based
Speaking with the residents and learning about your program really made a lasting impression on me and I am excited to be part of this community. I particularly was impressed by its dedication to remove barriers to care. I also believe looking after patients within the context of their communities whether its local or abroad will improve compliance rates and quality of care.
My course was unlike most classes I have taken in college. This course educates me on issues in health care, professionalism, regulation, health safety, and quality. I feel like this course has made me understand the importance of professionalism in healthcare. This course has also taught me to attain a high standard in my medical profession. I have gained more knowledge of the responsibilities of medical professional in healthcare. I have gained an understating on the issue of accreditation, certification, and licensure, and it 's impact on my profession.
The family that this teaching assignment will focus on was observed at Avista Adventist Hospital in Broomfield, Colorado, on October 20th, 2014. Both the mother and father were first time parents to baby girl, ‘Nicole’. Nicole was delivered full-term vaginally with meconium consumption that caused moderate oxygenation insufficiency, resulting in neonatal intensive care unit (NICU) observation for a minimum 48 hours, as outlined in facility protocol. As first time parents, the couple needs education on the feeding, bathing, and caring aspects of newborn care in addition to the variations required with having a child in the NICU. This paper will focus more on the care provided in the NICU setting that minimizes overstimulation of the infant. Both the couple and extended family need to be included in the conversation about how to accommodate to having an infant in the NICU, rather than private room setting, to both facilitate healing of their own child as well as others in the nursery. In order to provide adequate teaching for this family both verbal and written information should be provided in English and Spanish. Following the teaching sessions the learning objectives can be evaluated based on subsequent visits to the NICU by the family, where further teaching can take place or nursing goals will be considered met.
For health care workers, cultural competency is important for obvious reasons. On a daily basis, healthcare professionals work with patients of a variety of cultures, and many work with team members who come from different cultures than their own. Medical and other healthcare professionals spend many years in school learning how and when to treat patients for giving symptoms, but teaching them to interact with patients currently falls on knowing the things that make up a person’s cultural identity. Cultural differences that exist between people, such as language, dress and traditions, and the way societies organize themselves, their conception of morality and religion, attitudes about illness and death and the way they interact with the environment. Cultural competence is important in health care because the patient outcome, patient readmissions, staff retention, and labor relations all determine the outcome of an organizations success. Diversity improves the effectiveness and productivity of the workforce. Disadvantages of ignoring cultural diversity can result in a loss of revenue for the business. Company growth will also be affected by ignoring cultural diversity. Steps an organization should take to face this challenge is to implement training that cover workforce diversities and keep an open dialogue among employees expressing concerns, differences, ideas, etc.