COMMENTARY ON SCENERIO 2
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.
Kim & Loretta (2003), stated that Atkinson & Murphy (1993) identified the key skills needed for reflection as ‘self awareness, the ability to recollect and describe accurately key aspect of the situation, critical analysis of the situation and synthesis of new knowledge gained with the previous knowledge, in order to develop a new perspective’. I will discuss, describe, and analyse and evaluate the learning activities that took place in the Market Day Workshop, Simulation centre, and link it to the Anatomy and Physiology lectures. Furthermore I will discuss idea and thought about how I will develop my skill and knowledge further as I progress through the course and finally draw a conclusion.
The scenario is about Mrs Green, a 76 year old lady who has three month history of altered bowel pattern and weight loss. She was diagnosed with colorectal cancer and admitted for abdominal surgery.
The tutor introduced us to Mrs Green who is a day post abdominal surgery patient. She is nil by mouth followed by pre- operative bowel preparation. She had supplement of intervention which was administered to maintain normal body fluid level and electrolyte balance. She has indwelling urinary catheter /formation of stoma to drain urine. Wound drain removes fluid and or blood from the surgical site and helps the healing process. Nasogastric tubes are used for short -term nutritional support and also for aspiration of stomach contents and Ted stocking help prevent blood clotting.
‘The Essence of Care Market Day Workshop’ has helped develop my knowledge on the importance of maintaining privacy and dignity in health care setting.
The ‘Pressure Area Risk Assessment’ lecture is important to us as a student nurse to know what is pressure ulcers, how ulcer develops, how they can be prevented and treated. Nurses need to be able to determine a patient who may be at high risk of developing pressure ulcers.
From the ‘Post Operation Recovery’ lecture, I was able to understand the factors which can affect patients’ recovery after undergoing a surgery. Such as anxiety, mobility, sleep, pain, wound healing, information about the need for further treatment, how the patient will manage and how surgery will impact on existing problem.
The lecture on ‘Unitary Craterisation’ gives me a general overview of the history of catheter, what is indwelling catheters, the type and the number days which can be short, medium, long term and finally the problem associated with urinary catheterisation.
We are shown how to carry and perform bed bathing for Mrs Green. Iggulden, MacDonald and Staniland (2009), ‘aver that bed bathing is an important clinical skill for any nurse to carry out’. It is assisting a patient with their personal hygiene when confined to bed for a period of time. Bed bathing is a perfect opportunity to build up relationship and discuss anything that may be bothering the patient, to check their skin for reddened area, it provide psychological benefit if they know they are clean and free of body odour. Patients who endure pain and depression brought about by a serious health condition such as having surgery will have a much better outlook on thing if they are clean.
With ‘Moving and Handling’ exercise we were shown how to safely use the hoists, sliding sheet and boards in moving and handling patient. The Manual Handling Operation Regulation (2002), advise us on the need to use equipment to reduce manual handling risk.
In pairs of two we were asked to carry a clinical assessment on Mrs Green. My colleague and I introduced ourselves to her. We explained...
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