This is a reflective dissertation based on a predicament encountered during my first six-week placement with an ear, nose and throat ward in a local clinic. In order that I really could use this scenario for my personal reflection the person will be referred to as " Mister H". This really is in order that his real term is guarded and that in complete confidence maintained in line with the NMC Code of Professional Execute to

" Treat details about patients and clients while confidential and employ it only for the idea for which it was given. "

In order to assist with my own reflection I've chosen Gibbs (1988), as the style to help with my refractive process. This model comprises of a procedure that helps the look at a scenario and think about their thoughts and feelings. The experience attained in this can then be used to manage other circumstances in a professional manner.

The Nursing method is a platform used by the health care pros. The framework is made up of several components. Evaluation of the individual on admittance to clinic, considering all the patients individual needs in order to determine any concerns. Planning: at this time the doctor and if required carers, relatives and the patient discuss possible goals and just how these can end up being met. Applying: This is the immediate care essential for the patient, precisely what is to be done for the individual, when and by whom. This provides you with the patient a understanding of what will happen to all of them throughout their very own stay in clinic. Evaluating: This step of the procedure informs the carer as well as the patient if the goals established have actually been attained (Kenworthy, ou al 2002).


While working on a morning switch I was asked if I might assist a team of nursing experts and breastfeeding assistants with washing and making someone comfortable.

Mister H was a 68-year-old sufferer who had previously undergone cranial facial medical procedures to remove a tumour, which has been invading his left eyesight. This was a very rare type of cancer. After a recent COMPUTERTOMOGRAFIE scan it was found the tumour experienced reoccurred and this time was inoperable. It was soon after this prognosis that he was transferred to each of our ward intended for palliative care.

The World of Overall health Organisation (WHO) defines palliative care because:

" The active total care of individuals whose disease no longer responds to preventive treatment. Charge of pain, of other symptoms, and of psychological, social and spiritual problems is extremely important. The goal of palliative care is usually achievement of the most effective quality of life for patients and the families"

(Lugton, Kindlen 2000)

On entrance to the ward the people care program was finished with an initial individual assessment, relating to the " Activities of daily living, " (Logan ainsi que al 2001). The aim of this care strategy was to permit the patient to die with well-controlled symptoms and to help the patient and family receive psychological, psychic and psychological care during the last days of the patient's your life.

It was just through his body language the nursing staff could inform if the level of medication was correct and whether he was in any discomfort or pain. Mr L was given diamorphine for his pain, cyclizine an anti-emetic drug to stop sickness and hyoscine to aid with his secretions. A syringe driver was used to give a continuous subcutaneous infusion, as at this stage Mr H was not able to swallow.

The patients family were with Mr They would and so had been asked to wait outside even though the patient was washed and made comfortable. Mister H had strong wants not to become catheterised, it was respected and a conveen was applied. He was given a understructure bath, a shave and a clean change of garments. Throughout the procedures the medical staff helped protect his dignity keeping the workplace door sealed and by keeping the patient protected as much as possible.

The nursing personnel continually chatted to him and reassured him, while I held his palm. Day to day damage was occurring, so it was essential that his family were informed of...

Referrals: Kemp, C. (1999) Fatal Illness, Strategies for Nursing Care, 2nd impotence. USA: Lippincott.

Kenworthy, In. Snowley, G. Gilling, C. (2002) Common Foundation Studies in Medical, 3rd impotence. Edinburgh: Churchill Livingstone

Roberts, I. (1999) The UKCC Code of Conduct, A major Guide. Greater london: Drogher Press.

Lugton, T. Kindlen, M. (2000) Palliative Care, The Nursing Part. Edinburgh: Churchill Livingstone.

Palmer, A. Burns up, S. Bulman, C. (1994) Reflective Practice in Breastfeeding. Oxford: Blackwell.

Roper, In. Logan, Watts. Tierney, A. (2001) The Elements of Nursing jobs. 4th male impotence. London: Churchill Livingstone.


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