Reflective Writing

My First-Hand Experience as a Recovery Healthcare in Theatres

Introduction

Throughout my high school education I have attempted to develop my interest in all my subjects but have constantly believed my biggest interest along with capability to lie in sciences. This is essentially pleasuring in the accuracy included in written and practical work. So, the potential of my future career, which is medicine, has been a unique chance for numerous decades; the large number of specialized subjects, which this medicine might bring about, thus the flexibility to move around in ones’ work, particularly being attractive to me.

Description (My experience)

In an internship all through my 2nd year, while I worked in a theatre/surgery room, I served under my mentor’s supervision, taking care of a 72 year old man, Mr Khane, who previously had gone through abdominal operation. I was requested to take out his sore bandage in order for the physician to assess the wound on ward round.

I took out the bandage under the supervision of my mentor, utilizing touch-free process, and cleaned the sore, as requested by the physician. The doctor got was called to tend to another patient during that time, thus as he needed I remained with Khane as we waited for the doctor to arrive to inspect Khane.

The physician was with another patient, investigating their sores, and then I noticed her come directly to Khane to inspect his sore. She did not clean her hands or utilize alcohol gel first. I as well saw him wearing long-sleeved top, and I became worried that cuffs might get contaminated. I thought in for a moment of what to do or say; however, after I summoned adequate courage to speak, I thought it was very late as the doctor was now checking Khane.

Feelings

I became shocked with this happening, since I expected the physician to clean her hands or utilize alcohol jelly before inspecting Khane’s wound. Nonetheless, I became intimidated since I thought that this physician was greatly professional more than my expertise as a nursing undergraduate in 2nd year. Thus, I did not want to disgrace her. In addition, I did want to make Khane concerned by confronting the doctor in front of him.

Afterwards, I talked with my mentor about the event. She suggested we talk to that doctor jointly regarding the problem. My mentor called the physician privately, and questioned her whether or not she cleaned her hands before inspecting Mr. Khane. She became quite alarmed. She then answered that she was very busy and had not thought of washing her hands. My tutor then explained the significance of sanitation of hands to the doctor (Atanelov, 2016: Pankhurst & Wilson, 2009), and the doctor guaranteed that she will clean her hands before checking all patients in future.

Evaluation (how I performed, what I gained, and my accomplishments)

The occurrence was very difficult for me. I regret for noting taking action to challenge the physician’s practice prior to examining Khane, this was a poor performance for me. However, I’m happy the surgeon reacted very constructively to my mentor’s advice, and I’ve noticed that this doctor has already reformed her exercise after this happening. I as well have gained much from this occurrence, because it trained me significance of taking action boldly with equals, in an insightful way, so as to protect the wellbeing of patients. My accomplishment is that I was able to tell my mentor about the doctor’s act and he talked to the doctor about and, and the doctor agreed to change his unhygienic nature.

Analysis (application to NMC Code)

The Royal College of Nursing (2005) Code demands that hands sanitation is an essential action for minimizing crosswise-infection, furthermore states that numerous medical doctors don’t clean up their hand as frequently needed. Also, the Department of Health (2007) underscores the likelihood of doctors transmitting diseases through uniforms, as well as the requirement to assess standards on doctors’ attire. The NMC (2008) section 8, demands that nurses ‘ should take action to discover and eradicate the danger to clients and patients. As an understudy of nursing taking care of Mr Khane under my tutor’s control, this too is applicable to my personal profession.

Conclusion (my failures, areas of improvement)

On reflection, I trust I could have taken action sooner, and I could have guaranteed that the physician cleaned her hands prior to checking Mr Khane. I now can perceive that this inaction of mine during this episode placed Mr Khane’s healthy in danger. Following the discussion with my tutor, I realize I need to build up my courage to challenge the professionalism of my equals, and place the clients’ well-being a priority in my intellect. Also, I recognize I require being helpful to contemporaries, comprehending the strains, which they might be experiencing, but making sure their professionalism doesn’t put patients in danger.

Action Plan (what I intent to do)

In future, I’ll aim to build up my confident capabilities when doing work with contemporaries so as to make sure that the patients’ healthy is sustained. Likewise, during my placement, I will make this objective for my learning, and will talk about it in the midst of my tutor to find techniques to accomplish this.

Research on Difficult Upper Airway

Introduction

I am making use of Gibbs reflection model (1988) in my thesis to allow me evaluate my experience in upper airway. For confidentiality purposes (Nursing and Midwifery Council 2008), I will rename my client, James. James is man of 70 years, admitted into pulmonary treatment programme. James has a disease called Chronic Obstructive Pulmonary and got prescribed for Short Rupture Oxygen Psychotherapy (SROP) to heal his symptoms.

The WHO (2013) describes chronic obstructive pulmonary disease (COPD) as lungs sickness, which prevents oxygen flow to lungs due to chronic obstruction. So, normal pattern of breathing isn’t sustained and COPD’s negative effects are fully not reversible.

Description (my experience)

Throughout my internship, I closely worked with respiratory group after being offered the chance of going to PRP to get understanding into edification and reality for the sick people, who have COPD. A major focus of this training conference was about breathing methods, particularly tightened lip respiration (TLR).

In my practical work, I recorded the James’ score on ModifiedBorge Scale (Borge 1982). Immediately after beginning the walking work, James became so breathless, and agitated. From mornings’ teaching meeting, which I gained about motivation, I urged James to utilize the TLR method. After console of almost fifteen minutes, James recovered his gap and became calmer and comfortable. Conversely, James was incapable of continuing with the training programme such moment.

Feelings

Since I worked in respiratory unit in a hospital during my internship, I felt calmer and courageous in helping James to assist in eradicating his nervousness and gasping. I became powerlessness because I couldn’t physically perform anything, which could alleviate the devastating symptoms James was facing. Contrary, I thought by utilizing the methods from our morning’s edification meeting plus my reassurance words could assist and comfort James.

Evaluation (how I performed, what I gained, and my accomplishments)

The activities of our morning class about breathing methods were important during this circumstance. Through such teachings, I was able to apply them in restoring James breathless state, and this was my accomplishment and good performance.

Through attending this course, I understood dyspnoea is a widespread problem for James and others who have COP Disease. This is an area I target to study more to get deep insight of the way it impacts ordinary life and the manner it adds to the anxiety linked to COP Disease. Additionally, I will study SROP’s effectiveness.

Analysis (Application to NMC Code)

According to NMC code (2008), pulmonary treatment by nursing practitioners should include: first, exercise instruction—which intends to increase patients’ confidence, improve inhalation methods, increase cardiovascular robustness, and hearten regular, current exercise. Second, it includes education—explain how the intervention works. By attending the morning class, it was fulfilling the NMC code of professional conduct I applied all that we learned to James after he became breathless. PRP utilized MBS (Borg 1982). This is a measurement instrument to gauge speed of potential dyspnoea. It is also supports clients to check their progress. Since James was incapable to talk this became a valuable device, because he became capable of recognizing his achievements devoid of becoming extremely breathless.

I helped James to his chair; after he got settled James sat upright to attempt to resume his inhalation. This was my accomplishment and my best performance. Kennedy (2008) consented that this is valuable for many patients. James was extremely short of breath and unable to talk. From our morning’s instruction meeting, I motivated James to utilize the TLR methods, which decelerated his respiration and minimized his stress.

Conclusion (what I learned, areas of improvement)

To reflect, it’s clear that COP Diseases is an incapacitating sickness, which results in patients’ sentimental, social, emotional and bodily pain because of its effect on daily existence. Also, Dyspnoea is a key factor linked to all kinds of anxieties. Since that is an enduring issue, I will become a master in controlling such situations and recognize what strategies profit patients Nonetheless, programs like PRP may extremely be essential to me as the knowledge of training and bodily exercise may eradicate social seclusion and tendon deconditioning of patients. These are forces connected to the worsening of James’ situation (Bellamiy & Bookerr 2004).

Action Plan (what I intend to do, areas of improvement)

In case a client has been ailing form COPD for many decades, they turn into experts in controlling their conditions. Communication and listening successfully will become fundamental in building treatments rapport. Because patients will now be anxious, it will be essential for me to remain unruffled and courageous so as to provide support and handle the condition lucratively.

When necessary I will attempt to utilize Zigmonnd and Snaithi (1983) HADS tool of assessment because being capable to evaluate a client holistically offers a superior assessment of the needs of such patient. I intent to use the latest knowledge I gained to all situations important since I have abundant insight about COPD as well as its underlying factors.

My First-Hand Experience in (Leadership and Management Role) In Recovery Area Theatres

Introduction

This is my reflective account about my encounter during surgery placement that took five years inside our nearby clinic. The goal of this paper is to explore communication plus relational skills used in medical profession. I chose this specific occasion because I exhausted a great deal of time communicating orally and expressively with this client. To secure the privacy and uphold secrecy of my client I chose to alter his name and call him ‘Jones’, according to NMC (2008) professional code. To help me amid this reflection procedure I will use Gibbs model of (1988) reflection.

Description

Jones is aged 70 and was admitted in ward room from crisis unit 2 days before I started my foremost placement. He was ailing from Diabetes, and feeling great agony. I and my tutor got told we will be caring for Jones during this day. Later Jones knee got amputated. My tutor said we have to change Jones bandage by first washing the wounds. We were ready for the task. I introduced myself to Jones an understudy clinician. I acted under my mentor’s supervision. We told Jones what we had come to do and asked him if he was ready for the undressing of his wound. After getting his consent, I began the task and later on, the doctor joined us to inspect the wound for further action. The doctor observed and concluded that Jones was okay and should be bandaged and be ordered us to discharge him to go back home. We bandaged him, though Jones had not recovered fully and could not walk well, the doctor gave order that he should be discharged. I was shocked because Jones needed rest and full recovery but the doctor denied him confirmed that he should be discharged. Though I capable as a leader, I couldn’t intervene for Jones at that time since the doctor’s decision was final.

Feelings

I pitied Jones because he could feel pain while going home since he had not gained full recovery. The doctor showed no compassion to Jones and disallowing him full recovery in hospital before discharge was in an inhumane act. I felt worried of the doctor’s decision, though I could not confront him to stop that at that time because it would have brought chaos and bad impression. I felt annoyed, and regretted why I failed to be more courageous as a leader and question the doctor why he discharged Jones yet he had no attained full recovery.

Conclusion (my gains, areas of improvement)

Eventually, I have learned that patient consent is very important in every hospital setting. When a patient gets admitted in hospital, assessments must be done and proper decisions created. Jones’ doctor needed to identify the degree of needed care and establish what period he could stay in hospital. Overall, throughout this reflective I have learned that that consent is a fundamental requirement in nursing practice which will make me perform well in my future career as a nurse.