This will be a goal I will be aiming at in my next placement though discussion with my mentor and further research. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. The next step of the framework is disability. The colour of the patient’s lips was observed they were pink, as a result the nurse concluded that no sign of cyanosis was present. This is due to confidentiality. This is a reflective essay that will be focusing on my experience and feeling on how I related with a patient who was complaining of severe pain in the surgical ward during my posting there. Company Registration No: 4964706. All strong opioids require careful titration from an expert practitioner it is better to begin with a small dose and increase gradually in conjunction with careful assessment of its effectiveness (Hanks et al 2001). Lactate and haemoglobin levels need to be taken to ensure no blood transfusion is needed and that the patient is not entering septic shock and finally the insertion of a urinary catheter to assess kidney function is mutually suggested by Creed & Spiers (2010) and Daniels & Robson (2008) Due to Mrs Smith being tachypnoeic, low in saturations and having a high respiratory rate as outlined by the nurse, the SHO took an Arterial Blood Gas. This paper will discuss the core value number three: holistic communication, therapeutic environment and cultural, Nursing is a learned profession. NICE Guidelines (2007) recommends that all staff caring for critically ill patients should be competent in monitoring and interpreting patient’s vital signs to enable appropriate treatment and interventions are conducted. Fourthly the analysis of my experience about what I can make out of the situation. Monitoring vital signs and recording them accurately. I went to inform Mr Jones of this. The nurse observed Mrs Smith’s airway for any signs of obstruction. Both Creed & Spiers (2010) and Daniels & Robson (2008) outline six main steps to follow in the treatment of sepsis. We use cookies to give you the best experience possible. Reflective practice writing is a way of expressing and explaining one’s own and others stories crafting and shaping to and understanding and development and it enables practice development because the outcomes of reflection are taken back into practice, improving and developing (Bolton 2005). Under the supervision of my mentor, I actively participated in the monitoring of Mr Jones vital signs. When planning for sustaining evidenced based practice, it is vital to adopt a methodical critical thinking decision, times of health care, patient satisfaction and safety are imperative in order for care to be provided. The nurse stated Mrs Smith’s past medical history of chronic back pain, mild asthma and recurrent UTI’s. Patricia E. Zander focuses on the different aspects of nursing by involving Barbara Carper’s “four patterns, Nursing care is grounded by the belief of providing holistic care to patients, with which is guided by evidence-based practice. The nurse then progressed onto the next stage of the framework because no further interventions to maintain Mrs Smith’s airway was required. Throughout this essay, the client along with the family will learn how to manage the illness, Description of Organization: These steps coincide with the treatment prescribed by the SHO. One of the underpinning principles of the Roper-Logan-Tierney model of nursing is the individualisation of nursing care and nursing practice (Roper et al 2000). Acute Nursing Care Essay: Patient Handover Scenario. I hope to increase my nurse-patient relationship and how to deal with acute cases. In addition to the Gibbs (1998) models, there are the Johns’ model of reflection (1995); Kolb’s Learning Cycle (1984) and the Atkins and Murphy’s model of reflection (1994). 2095 Words9 Pages. But what else could I have done or what could I have done differently? And to my utmost surprise, instead of getting a cocktail of pain killers for Mr Jones, she was asking several questions. It begins as a first day nursing student who is unknowledgeable about protocols and procedures utilized to care for another human being with individualized disease processes. Crystalloid fluids of 0. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the UKDiss.com website then please: Our academic writing and marking services can help you! For my case the management of this patien… I was very surprise when my mentor said to me “okay, where is Mr Jones drug chart”? I will continue to reflect and study how acute pain is managed and the role of the nurse in such management and most especially to ensure I look at documentation for patients. The ward sister informed me that some of the important factors to look out for when managing a patient with bowel obstruction are the presentation symptoms and vital signs such as pain, dehydration and fluid and electrolyte imbalance and nausea and vomiting. Registered Data Controller No: Z1821391. The nurse recorded the patient’s blood pressure using a dinamap it was measured at 88/50, it was then rechecked manually to ensure accuracy. There are certain standards and guideline designed by the American Holistic Nursing Association in which establish the core values of holistic nursing (Frisch, 2001, p. 1). During the first 24 hours patients often receive a high dose of fluids to restore their cardiac output and limit organ damage. - During this week I was not in the clinical setting, however I did participate in a case studies in which I was able to plan provide, Holistic Core Values As I have come to realize, pain may not be totally objective but subjective and included in this are elements of emotion as well as personal experience (Braun et al 2003). To my surprise, this seemed to calm him down a little as I explained and listened empathically to him. The patient was agitated and disorientated to time and place, pupils were equal in size and reacted to light and her GCS was 13/15, however her muscle function was normal she was able to lift her arms and legs on request. ‘Fluid resuscitation is replacing some of the circulating volume that has been lost because of capillary leak or oedema’. Effective pain management is fundamental to quality care, good pain control speeds recovery. Acute pain is of short or limited duration usually associated with traumatic tissue injuries, whereas chronic pain is a pain or discomfort persisting for about 3 to 6 months and may persist beyond the healing period (Sinatra et al 2009; Ready and Edwards, 1992) and pain could progress from acute to chronic (Blyth et al, 2003). No IV cannulas were present on the patient, thus a cannula site was not the cause of infection for Mrs Smith. The literature serving as testimony to the care that nurses provide has been growing increasingly, however, there are still areas of nursing care where the evidence is deficient. I learnt according to Mr Jones past medical history that he was first admitted in to the hospital in September 2009 for hernia repair and discharged home. Pain according to the International Association for the Study of Pain is, “An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” (IASP 1979). The aim of this assignment is to critically discuss the nursing assessment individualised care and nursing interventions of the acutely ill patient. In a study carried out by Matthewson at the elderly care unit at New Cross Hospital in Wolverhampton, she concluded that nursing is the art of caring and as such we must listen empathically to what patients and service users want so we can give them the care that they deserve (Matthewson 2002).

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