...This practice based learning is a case study that involves discrimination towards a patient who is part of the traveling community. This practice based learning is a case study that involves discrimination towards a patient who is part of the traveling population within our society. My group colleagues and I decided to use the same methods of collecting information as in the previous case studies. I feel very frustrated because there is a lot of ignorance within our society, lack of information and understanding of people who disregard others because of were they come from. Firstly I make reference to the NMC’s guidance on anti-discrimination practice; As a qualified nurse I am personally accountable for my practice, and when caring for my patients I must; 1.1 Respect the patient as an individual 1.2 Protect and support the health needs of individuals 1.4 I have a duty of care to patients, who are entitled to receive safe and competent care. 2.3 As a registered nurse I am personally accountable for ensuring that I promote and protect the interests and dignity of patients and clients, irrespective of gender, age, race, ability, sexuality, economic status, lifestyle, culture and religious or political beliefs. 2.4 I must promote the interest of patients. This includes helping individuals and groups gain access to health and social care, information and support relevant to their needs. The NHS is accountable for all acts and omissions that relate to equality and human...
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...emergency cardiac arrest and rapid response phone numbers. I was shown the fire exits and was told what to do in case of fire. I followed registered nurses around and participated in caring for the patients. A patient was allocated to me to care for, my mentor and other team member supervised me to ensure that adequate care was given to the patient. I have the opportunity to learning advantages and experience in sharing with others. The knowledge gained in my placement has given me experience to improve on my skills and standard of care. In nursing, reflection try to identify the true value and meaning of our actions in order to qualify, enhance or discard them and to enable us to replicate them appropriately to their best effect in future interactions. Each situation reflected on must be treated as a unique event if the maximum learning is to be gained. Hogston and Simpson (2002). Professional practice involves abiding by regulations that have been established to avoid misconduct and unprofessional practice. This conduct states that a nurse must act in a manner that will maintain the good reputation of the profession, that a nurse is accountable for their individual actions and omissions (NMC 2002). The (NMC 2002) states that a nurse must practice in accordance with an ethical and legal framework which ensures the primacy of patient interest and well being and to respects patient's confidentiality. Throughout the placement, patient's confidentiality, dignity, privacy, and wishes...
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...The purpose of this assignment is to discuss how the module content and practice experience has contributed to my development as a nurse. It will involve reflecting on a particular episode of care delivery to a patient by me and my nursing mentor whilst on my 5 week placement and how I felt that the Foundation to nursing practice module helped equip me with both the knowledge and skills. In education for health-care professions it is recognised as an essential tool for helping students to make links between theory and practice and enables you to develop your knowledge and skills towards becoming a professional. Reflective practice is noted as being fundamental to development as a professional. To protect anonymity and maintain confidentiality the patient focused on this assignment will be known as patient A, furthermore consent was gained from patient A and they were provided with clear information on what would be included in this assignment and where informed that no recognisable information would be given, this is done in accordance with the Nursing & Midwifery Councils Code of Professional Conduct (2002) guidelines. Nursing assessment is considered to be the first step in the process of delivering individualised nursing care which is defined by A Dictionary of Nursing (2008) as care that is planned to meet the particular needs of one patient, as opposed to a routine applied to all patients suffering from the same disease. Every person...
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...book Introduction: how this book can help you to become a qualified nurse Becoming a qualified nurse is quite an achievement. After three or four years of education involving academic and practice experiences, entering the nursing register of whichever field of nursing you qualify in is something to be proud of. The hard work pays off and you are able to become a professional in your own right. This does bring with it some challenges as well as rewards. You may now find that there are different expectations of you, and a set of roles and responsibilities that are different from those experienced as a student under supervision. The aim of this book is to explore and develop important aspects of the roles and responsibilities of the qualified nurse in order to develop your understanding and prepare you to successfully make the transition from student nurse to registered professional. It can also be used as a resource for those who may already be qualified and registered, but are looking for helpful advice and are wishing to continue their professional development. The roles and responsibilities of a qualified nurse include essential professional skills such as: ● ● 01-Burton-01.indd 1 Leading in care management and care delivery situations Maintaining standards of care 10/22/2010 5:41:38 PM OUP UNCORRECTED PROOF-FPP, 10/22/2010, GLYPH 2 Chapter 1 Becoming a qualified nurse ● ● ● ● Making ethical and legal decisions Being accountable, Working...
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...identified health need/problem: Dysphagia Student Name: Dashante` Burgess Green Cohort- Group 1 Module: NIP 1000 Word count: 3,010 A stroke is a life changing disease and sudden attack of weakness to one side of the body resulting from a interruption to the flow of blood going to the brain that can be a minor attack and resolved in a few days or major attack leaving the person with physical disabilities and cognitive deficit (McFerran 2008). Therefore, stroke can affect the quality of life of an individual from the lack of communication, mobility and independence and intern can cause one to become depressed. This essay is concerning the case of Mr. Alfred Smith who was admitted to hospital with muscle and facial weakness with asymmetry and no movement to the left side of his body. He was eventually diagnosed with left-sided stroke resulting in right-sided hemiplegia affecting his balance and mobility. With the many health problems associated with stroke this essay will focus more on the problem of dysphagia and the patient’s needs related to this particular problem. Dysphagia is a condition in which the action of swallowing is either difficult or where the swallowed material seems to be held in its passage (McFerren 2008). The assessment, planning, implementation and evaluation (A.P.I.E) of the patient on admission and discharge will be discussed in further and more precise detail throughout the essay while maintaining the dignity and respect of Mr. Smith. This health problem...
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...nursing practice, state why there are important to nursing practice. It will then explore confidentiality as a principle E of nursing practice, report why confidentiality is extremely important within nursing practice and will discuss the patient’s rights in relation to law. Relevant reference of published literature will be put forward in this essay to support the author statement. Main body: RCN (2010) states that the Principles of nursing practice “describe what everyone can expect from nursing practice, whether they are colleagues, patients, the families or carers of patients”. There are eight Principles of nursing practice such as; Principle A: “focuses on dignity, equality, diversity and humanity” Principle B: “focuses on ethical integrity, legal integrity, accountability and responsibility”. Principle C: “focuses on the safety of all people (patients, visitors and staff), the environment, organisational health and safety, management of risk, and clinical safety”. Principle D: “encompasses themes of advocacy, empowerment, patient-centred care, and patient involvement in their care”. Principle E: “focuses on communication, handling feedback, record keeping, reporting and monitoring”. Principle F: “focuses on evidence-based practice, technical skills, education, training and clinical reasoning”. Principle G: “encompasses themes of care and treatment, multi-disciplinary and multi-agency working, and co-ordination, integration and continuity of care”. ...
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...Kyle Thompson – 05970640 Management of discharge Management skills in adult nursing UZTR6D4-40-2 05970640 The NMC Code (2008) charges nurses to protect confidential information, and to only use it for the purposes given – for their treatment. Therefore all patients and events mentioned in this essay are inspired by real patients and events, but names, locations, dates and other details have been altered or obscured to make identification impossible. Following the introduction of the knowledge and skills framework (DH 2004a) and emphasis on quality of health care and patient centred, interprofessional, health and social care (DH 2000; Leathard 2003; Thompson et al. 2002) health care professionals and students will need to be able to demonstrate the quality of our care and team working abilities. There is a connection between practice and thinking about practice – action and reflection are interdependent; they need one another. Reflection may be triggered by an awareness of a gap between theory and practice, a difference between what ‘should be’ and ‘what is’ (Sullivan & Decker 2005). Our actions and the quality of our care are improved by reflection-on-action, by making sense of what we have experienced, and thinking about how we might act differently in the future (Lillyman & Ghaye 2000). Reflection has a rôle in maintaining one's personal portfolio and maintaining competency and continuing professional development. Support and supervision from managers, who already have a responsibility...
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...the role of the nurse in the context of the inter-professional team. Discharge planning will be discussed and analysed incorporating relevant knowledge such as teamwork and role enhancement. Relevant social, economic and health policies such as clinical governance will be discussed. Perspectives of each of the principle professional groups including myself as a third year student nurse, will be incorporated and collaborative team working addressed. The Department of health (2002) describes discharge planning as a pathway used to decide patient needs, for a smooth move from one level of care to another (Hunt 1996) and is the process through which patient’s needs are identified and plans are written, facilitating continuity of health care (Jackson 1994). According to the department of health (2000) discharge planning illustrates well, the role of the nurse within the inter-professional team the balance between goals set, care delivered and evaluation of care from a nurse and team perspective. Nurse involvement is considered integral and, aims to provide effective discharge plans (Department of Health 2000). The Royal College of Nursing (RCN 2002) supports the concept of nurses taking the lead and recommends the development of nurse led protocols in discharge planning. However the NMC (2004) highlights the importance of nurses being able to integrate within the team, seeking advice and sharing knowledge where appropriate. Effective and ineffective communication will be addressed...
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...org/Nurses-and-midwives/Standards-and-guidance1/The-code/The-code-in-full/#community The code in full The full text of the code published in May 2008, with links to relevant advice and scenarios Other formats available: You can download a PDF or listen to an MP3 of the code in our Publications section. The code: Standards of conduct, performance and ethics for nurses and midwives The people in your care must be able to trust you with their health and wellbeing. To justify that trust, you must: • make the care of people your first concern, treating them as individuals and respecting their dignity • work with others to protect and promote the health and wellbeing of those in your care, their families and carers, and the wider community • provide a high standard of practice and care at all times • Be open and honest, act with integrity and uphold the reputation of your profession. As a professional, you are personally accountable for actions and omissions in your practice and must always be able to justify your decisions. • Regulation in practice You must always act lawfully, whether those laws relate to your professional practice or personal life. Failure to comply with this code may bring your fitness to practise into question and endanger your registration. This code should be considered together with the Nursing and Midwifery Council's rules, standards and guidance. • Information about indemnity insurance [pic] Make the care of people your first concern...
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...WORD COUNT 1648 1 Law, Accountability and Ethics in prescribing During my supervised practice in an outpatient clinic the non-medical prescriber I was with was asked by a colleague to prescribe for a patient on her behalf. In my role as a vascular clinical nurse specialist, I run nurse led clinics working alongside other nonprescribing colleagues seeing patients with peripheral vascular disease, this can range from patients with leg ulcers or diabetic foot ulceration with wound infections to patients with intermittent claudication, Abdominal Aortic Aneurysm or varicose veins, all of whom may or may not need medications or wound management treatments prescribed. It is very likely that during these clinics once I qualify as a non-medical prescriber I will be asked the same. In this essay I will explore the issues of law, accountability and ethics raised by prescribing on behalf of others. The legal system of England and Wales has two branches of law; criminal and civil Criminal Law: Statues are acts of parliament which are presented via the House of Commons moves to the House of Lords where amendments are made, returns to House of Commons, for final discussion when complete the Bill is given Royal Assent and passes into law. Criminal law involves offences against the state, it is usually the Crown that brings the action against the defendant (Gagan 2010 cited by Courtnay & Griffin). In terms of non-medical prescribing there are two important statues ...
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...A 2500 word assignment based on an individual who has health care problems due to their lifestyle and cultural influences, looking at the response of the health service, policies and practices, the structure and teams that provide their care. The purpose of this assignment is to analyse how an individual’s lifestyle and cultural influences has been an underlining factor in causing their medical condition. I will be looking at their lifestyle and the environment in which they live in, how statistically trends have influenced the healthcare provision, the structure in healthcare systems involved and their contribution. I will be looking specifically at Childhood Obesity. Obesity is a condition in which excess fat has accumulated in the body and an individual has a Body Mass Index of over 30 in adults (Oxford, 2008). The World Health Organisation (2007) defines Body Mass Index (BMI) as a simple index of weight-height ratio that is commonly used to classify underweight, overweight and obesity in adults. However, in children over the age of 5 this is adjusted to take into account their age and gender and healthcare professionals now more commonly use the term percentile which uses a percentage of the overall BMI. The categories are set out are overweight being over the 85th percentile and obese being over 95th percentile. Nursing and Midwifery Council (NMC) have set out a code of conduct on how to maintain confidentiality within a healthcare setting and state that we must...
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...The law is a system of rules that a particular country or a community acknowledges and enforces, in addition to regulates the actions of its members though the imposition of penalties. Nursing is a profession full of legal issue. A person must give their permission prior to any type of medical treatment or examination by a medical professional (NHS, 2014). Nurses have to follow the nursing midwifery code, which states nurses should “make sure appropriate informed consent is given and documented before carrying out any action” (NMC,2015). Therefore, prior to any treatment given, the person must give consent for the nurse to carry out the treatment. In order for consent to be valid, it must be voluntary. The person must have come to the decision themselves, with no influence from medical staff, family or friends (Griffith et al, 2013). The consent must be informed, the person must have knowledge and understanding about the what the treatment involves, including risks and benefits or alternative treatments and what will happen if the patient does not have the treatment. For the consent to be valid the person must have mental capacity, meaning they are able to understand the information given and make an informed decision based on the information given to them. Consent can be written, however, signing a form is not valid consent. The person need to have the opportunity to gain knowledge about the treatment, as well as ask a medical professional, with the correct knowledge, any...
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...Frameworks: A care plan for Mrs Ashton. The following essay will outline and describe the assessment, care plans and evaluation for an adult patient using Orem’s model of nursing. The patient’s name has been changed in order to protect her right to confidentiality which is a requirement of the NMC code of conduct (NMC 2008). Mrs Ashton is 71 years old and she was admitted to hospital following an episode of severe shortness of breath. She suffers from Asthma and has a history of recurrent chest infections and bouts of bronchitis, which she takes antibiotics for in the winter. She takes Salbutamol 100mgs three times a day. However, over the last week she has been feeling very tired and reports an inability to sleep because of the tightness in her chest, coughing up sputum and wheezing. She has lost her appetite and is unable to carry out her usual activities because she experiences difficulty breathing. Mrs Ashton lives alone in a first floor flat. Her husband died five years ago, her only son lives a few miles away and he visits once a week with his children. Mrs Ashton’s difficulty breathing was noticeable during the initial assessment as she had to take long pauses while communicating, her respiration rate was rapid and wheezing was audible. The care plan for Mrs Ashton will be informed by Orem’s Self Care Model. This model takes an individual and holistic approach to health care; it is underpinned by three inter connected concepts namely: the theory of self care, self...
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...This essay aims to describe briefly what is meant by patient-centred care. It will also focus and expand on two key aspects of patient dignity - making choices and confidentiality. Patient-centred care (PCC) is an extensively used model in the current healthcare system (Pelzang 2010:12). PCC is interpreted as looking at the whole person and considering their individual values and needs in relation to their healthcare. By implementing a PCC approach it ensures that the person is at the very centre of any plans that are made and has a dynamic role in the decision making process (Pelzang 2010:12). Service users of NHS Scotland are no longer being looked upon as being inactive receivers of care and are invited to have more involvement in the decision making. The Healthcare Quality Strategy for NHS Scotland was launched in May 2010 and one of the three Quality Ambitions is person-centred care:- “ mutually beneficial partnerships between patients, their families, and those delivering the healthcare services which respect needs and values, and which demonstrates compassion, continuity, clear communication and shared decision- making” (NHS Scotland healthcare quality strategy 2010). It is evident from the above aim that shared decision making plays a significant part within the patient-centeredness approach that is emphasized continuously within NHS Scotland at present. By encouraging a more active patient role in making decisions it is said to have a positive impact and improve...
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...cycle with six stages: description, feelings, evaluation, analysis, and conclusion and action plan. The rationale for using this model is because it is clear and precise. The essay will take into account my personal journey and the skills I am bringing to this course. Confidentiality will be maintained in accordance with the Nursing and Midwifery Council (NMC, 2008). Informed consent where necessary was also gained in accordance with the NMC Code (2008). Description I am currently working as a Registered Mental Health Nurse involved with patients with various challenges, and with staff at various stages of professional development. Learning and mentorship is an important activity in such an environment. Some of my colleagues had already completed their mentorship training and their recommendation of the course as taught in this University inspired me to apply. Furthermore, I enjoy teaching people and thinking about the challenges that come with it. Teaching people helps to develop my professional skills and knowledge including communication and the building up of rapport when you meet people for the first time. According to NMC (2008), Nurses should continue to develop their skills and knowledge through continuing professional development. Feelings I was pleased to be accepted onto the course and felt valued by my...
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