Reflection On Transition Of Care

“Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (American Nurses Association, n.d.). The purpose of this paper is to expand my nursing philosophy as I transition into an Advanced Practice Nurse.

The aim of this assignment is to write a reflective commentary on scenario 2 (Mrs Green) and how it has assisted me in meeting the module learning outcomes and build up my clinical skill such as Privacy and Dignity, Personal Hygiene, Elimination, Fluid Balance. Catheter Care, Pressure Area Care, Moving and Handling, Observation and Rapid Assessment.

The purpose of this paper is to bring forth awareness when it comes to patients and medication errors and further educates health care professionals on the importance of communication especially during transition of care. According to Williams and Ashrcoft (2013) “ An estimated median of 19.1 % of total opportunities for error in hospitals.” Although not all medication errors occur during transition it is the time most prevalent for these errors to occur. As per Johnson, Guirguis, and Grace (2015) “An estimated 60% of all medication errors occur during transition of care. The National Transitions of Care Coalition defines a transition of care as the movement of patients between healthcare locations, providers, or different levels of care within the same location as their conditions and care needs change, [and] frequently involves multiple persons, including the patient, the family member or other caregiver(s), nurse(s), social worker(s), case manager(s), pharmacist(s), physician(s), and other providers.”

In my role as a care assistant, I care for elderly people who have a wide spectrum of physical conditions and dementia. I am responsible for delivering person centred care and I always treat people with dignity and respect. I have gained experience in the importance of meeting hydration and nutrition needs, personal care and communicating with people who may have communication, comprehension and sensory deficits. I have gained basic knowledge on the causes and treatments of disease by speaking to nurses and fellow care assistants. The nurses I work with have explained medical jargon and the uses of medication to me, which I feel would be useful for this course. I have completed a course on mental capacity and best interest’s decisions along

Cancer is a term used for diseases in which irregular cells divide without any control and have the capability to penetrate and infect normal body tissue through the blood and lymph system. Cancer is the second leading cause of mortality in the United States, exceeded barely by heart disease. According to the CDC Cancer Statistics and Data, there were more than 1.45 million people diagnosed with various kind of cancer between 1999 and 2007 and out of those more than 562,000 people died due to cancer (cdc.gov, 2012). Currently there are more than 200 different types of cancer that have been discovered. Cancer could be

I am a rehab support worker at level three of the skills for health (2009) framework, within a multidisciplinary team of nurses, therapy and healthcare. This reflective account looks at my involvement and contribution to the care of an elderly gentleman, nursed in his own home living with his wife who provided him with nursing care between his private carer visits. The gentleman was also receiving care from a private agency and had district nurse involvement, as his condition worsened he had been referred by his doctor to a specialist palliative care team who assessed the patient and put him on the Liverpool Care Pathway (LCP). The LPC is a best-practice model of care, supporting care in the last hours/days of life driving the quality of

This assignment will reflect on and critically analyse my personal and professional development in the domain of care management over the last three years. It will additionally outline how I plan to continue to develop in this domain once I have qualified as a registered nurse. My development so far will be analysed from the perspective of the skills, knowledge and values required of a registered nurse. Through this reflection I hope to confirm that my practice meets the standards for entry onto the nursing register as outlined by the nursing and midwifery council ((NMC) 2008).

Informal care is unpaid care that may be provided by family, friends or neighbours. (Brodsky, Habib and Hirschfield, 2003) state “Informal Care is by far the dominant form of care throughout the world.” This essay will state how important informal care is in modern society and how this has affected current social policy. It will define what the differences are between informal and formal care, what exactly informal care consists of, what a carer is, include statistics about informal carers, explain what the mixed economy of care means and conclude the importance of informal care in society.

Transition of care appeals to me the most in my practice as a case manager. When a patient gets admitted, the interdisciplinary team starts working on the discharge planning. I always wonder how can the team know for sure, that the patient is ready to be transitioned and how can we know for sure that the transition of care is safe and it would not be overlook?

The transitioning to a long-term care facility can be scary and stressful for residents, and some may find it difficult to adjust. I agree with you that the enabler role can be of great assistance to the resident and their families to help reduce the stress of entering a new facility. The frequent visits and encouragement from the social worker will let both the patient and their family know they will not be alone during this transition. Have you ever had to utilize the services of a social worker? In my current position, I come into contact with patients who require the support of a social worker typically for help with resources that they need to attain. Being a social worker is a demanding position since they are there to assist the patient,

The authors of this article explore the importance of and latest advances in transitions of care programs for patients with Heart Failure (HF). The authors paint a clear picture about the scope of the problem and go on to discuss some of the most well-known and researched transitions of care interventions in current practice. Although many of these interventions have been successful, the authors report fact that programs vary in organizational framework, team composition, and program focus. Programs are also noted to differ based on population size and care

Transitions are a part of each and every person’s life, defined as a passage from one fairly stable state to another fairly stale state (Meleis, 2010). While human beings constantly face transitions throughout the lifespan, nurses work with people going through a health and well-being transition and have the ability to support or negatively affect the person during this vulnerable time (Meleis, 2010). In the mid-1960’s, theorist Afar Ibrahim Meleis began studying the impact of transitions on health and illness and the role nurses play in assisting patients to manage these transitions successfully (Meleis, 2006). This paper will discuss theorist Afar Ibrahim Meleis, define the Transition Theory and its multiple components, and apply the theory to nursing practice today.

Melissa, your presentation is excellent! It is interesting with in-depth information, especially those slides with the literature support. I think the way you presented the speaker’s notes is one of the strengths of the presentation. It was as if you were speaking to a live audience. I find it very attractive. Another aspect I liked was the stress on the chlorhexidine use in the creation of your care bundle. As the surgical site infection (SSI) has devastating effects on the patient’s health and quality of life, increasing the patient’s awareness is crucial in the prevention of the SSI (Greene, 2015). Therefore, I believe, you should have included the patient education aspect in the care bundle. Besides this, I liked your presentation and

The purpose of this assignment is to reflect upon my personal and professional development. It will consider the quality of the care I provided, the skills I developed in my specialist placement, plus my learning since the commencement of my nurse training. Personal learning and self-reflection will be identified. I shall be using Gibbs (1988) Reflective Cycle to consider my practice. Gibbs (1988) Reflective Cycle looks at six aspects which include the following; what happened, what were my thoughts and feelings, what was good or bad about the experience, what sense

Transition theory is one of the most applied theories in the nursing practice. In fact, whether or not nurses are aware of this theory, it is often used in the nursing practice because nursing is all about helping people that are going through changes, whether they are physical changes like an illness or developmental transitions like the birth of a child. Meleis reiterates this point as he states “Nurses often are the primary caregivers of clients and their families who are undergoing transition. They attend to the changes and demands that transitions bring into the daily lives of clients and their families” (2000, p. 13). Before going any further in exploring Transition theory, we must define transition. Meleis states that “Transitions are both a result of and result in change in lives, health, relationships, and environments” (2000, p. 13). Transitions are the times when a nurse can step in and act as a therapeutic medium and help the individual have a smooth transition from one semi stable state of being to another semi stable state of being (McEwen & Wills, 2014, p. 237). This is the essence of Transition Theory. It is the process that goes on between people undergoing some changes in their lives, and the nurse who is guiding care for a stable outcome.