How To Write A Reflective Account For Primary Care

Nearing the end of my shift in the Emergency Department, I was requested to accompany a patient while the nurse readied the discharge papers. Upon entering the bay, I met a very small and fragile patient who was anxious to go home. Conflicted between my primary duties and responsibilities to complete training for two inexperienced volunteers, I decided to put forth my interests in teaching by demonstrating compassionate care to my trainees. Although the patient repeatedly refused my assistance, I gave my best effort to calm her as I cloaked a warm blanket around her. As I listened to her confide in me of all of her hospital anxieties, I was shocked from the lack of quality care she had received which made her feel more sick after the first

This essay will demonstrate an understanding of the theory of reflective practice within healthcare and nursing. Furthermore, the essay will identify and analyse the different models of reflective practice, the effectiveness of the models and how healthcare professionals can apply this within their profession. Also, the barriers that may prevent a healthcare professional from reflecting will be discussed in this essay and how it will impact the quality of care delivered to patients.

This objective will affect my future nursing practice because conducting physical head to toe assessments and obtaining vital signs is a different process when working with paediatric patients rather than adults. It is crucial to note any changes that I can catch throughout my assessments, and vital signs since paediatric patients might not be able to communicate with me if they feel any changes in their health. By understanding the anatomy and physiology, the developmental stages of children, and obtaining accurate vital signs and assessments, it will increase my knowledge, skill, ad judgment to successfully complete and distinguish any abnormities and changes during my assessments. Also, knowing the developmental stages and distraction therapy method techniques can help me provide thorough examinations and find ways to help my patients cope if they are feeling anxious and scared.

My past place of employment had a high level of excellence and a high level of trust. I was employed at this facility for 11 wonderful years. The upper management was involved with all of the employees and remained available for employees for with any concerns and they had encouraged communication. A new manager was hired on my unit and she had earned the trust of the staff rather quickly. Trust was obtained by working alongside the staff, assisting with tasks, and maintaining effective communication. The manager’s expectations were clearly identified and ideas provided by the staff were valued. Although meetings were held in a professional manner, nurses felt they were able to discuss concerns and feelings, freely. When managers openly

Insulin is a crucial thing in a Type One Diabetics life. It is the only treatment for them. Not to confuse you, but insulin is no cure by any means. Their pancreas has stopped making insulin, so they must inject themselves with insulin several times each day in order to stay alive. They also must check their blood glucose levels at least every five hours throughout the daytime to make sure it does not go to high or low and before each meal. The only real treatment for Type Two Diabetics is eating healthy foods and exercising daily. They also must check their blood glucose levels regularly, but not near as often. Some people do take insulin for their Diabetes to help their pancreas produce a little more insulin, but it is only required if food, exercise and medicine (pills) are not working.

I had been working with a child where I needed to conduct an assessment. Before the meeting to share the information with the parents, I sent them a copy of the completed assessment to enable them to gather their thoughts so that at the meeting I was able to answer any specific concerns. The mother had rang me the day she received the assessment as she was not happy about the comments written. I explained to the mother that we could discuss the matter at the meeting but, although she did not respond, I could sense that the mother was still irate.

My paternal grandmother, Lucille, has many chronic conditions, yet we decided to focus on her diabetes for the majority of questions concerning her health and wellness. When asked, Lucille could not remember when she was first diagnosed with diabetes, but does remember when she “switched from taking pills to taking insulin.” She began taking insulin the spring of 2009 after her doctor decided it was time to switch. She has had two incidences where her blood sugar was so low that she could not even call out for help. Both times were in the night and thankfully at that time her husband (my grandfather) found her and was able to get the necessary help. After these incidences, she switched to taking her insulin in the morning instead of before bed.

This reflective account is going to discuss quality systems in nursing practice in relation to service development and improvement. Quality systems in healthcare are the systems that are put in place by the management to monitor, assess and improve the quality of care provided (Wagner, 2001). Examples of such kind of activities are the implementation of guidelines, continuing education, internal audits, patient feedback questionnaires, nursing dashboards and the use of care plans to assess patients' needs. In this reflective account, I am going to use Driscoll's (2007) reflective model reflect on incidences that I have observed in practice. To protect the identity of the patients and the department I worked on I am going to adhere to Nursing

During clinical this week we were shadowing a nurse on our clinical unit. I had a couple personal goals at the start of the day. First off I wanted to get comfortable with the unit. I wanted to learn where everything was located in case my patients, throughout the rest of the quarter, asked for something. I also wanted to learn how my nurse prioritized patients. While I am aware that I will only be taking care of one patient on any given day this quarter, I know that learning this skill will be useful in my nursing career.

What is primary care? Primary care is the patients “first point of entry into the health care system and the continuing focal point for all needed health care services” (Primary Care, 2015). This is where physicians and non-physician providers provide care to patients with undiagnosed signs or symptoms, as well as care to healthy patients. This type of care includes “health promotion, disease prevention, health maintenance, counseling, patient education, diagnosis and treatment” in a variety of settings, (Primary Care, 2015). These settings could include but are not limited to offices, long-term care facilities, day-care and critical care centers.

Primary care is what patients mainly look out for when they are in need of help- health wise. It is delivered through GPs, dentists, pharamists, optometrists, walk-in centres and the NHS 111 number. They are commissioned by NHS England who also commission some other specialist services. NHS England is in charge of

American Diabetes Association (ADA). (2017, January). Diabetes care in the hospital. Diabetes Care 2017, 40(1), 120-127. DOI: 10.2337/dc17-S017

We aim to improve the process by which diabetic medication is administered in the medical surgical unit. The process begins with nurses reviewing medication orders and ends when patient receives medication. By working on the process we expect better patient outcomes as evidence by better controlled serum glucose levels and fewer instances of patient hyper/hypoglycemic episodes. It is important to work on this now because uncontrolled blood glucose levels can cause longer hospital stays, increased risk of infection, and initiation of new, additional comorbidities.

This report includes the recommendation for solving this problem, the supporting reasons for the recommendation, the counterargument and rebuttal, and a concluding section. In addition, this report examines the negative impacts of primary care utilization of the Emergency Department, the advantages of connecting patients with a primary care

Establish rapport and have a pleasant student nurse-client working relationship with our client, Sir Xxx Client x, and his significant others so that the group can gain their trust and can obtain pertinent information from them;