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Reflection of Care Management

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Reflection of Care Management
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



References: Dougherty, L. and Lister, S. (2008), The Royal Marsden Hospital Manual of clinical Nursing. Procedures: 7th ed. Blackwell Ltd Oxford UK. Field, L. and Smith, B. (2008), nursing care an essential guide. Pearson. Iggulden, H. and MacDonald, C. and Staniland, K. (2009) Clinical Skills The Essence Of Caring. McGraw-Hill Education. Manley, K. Bellman, L. (2003) Surgical Nursing Advance Practice. Churchill Livingstone. Moore, T. and Woodrow, P. (2004) High Dependence Nursing Care. Routeledge. Manual Handling Operation Regulation (2002), Nursing and Midwifery Council (NMC) (2008) Code of Professional Conduct London: NMC Nursing and Midwifery Council (NMC) (2007) Documentation and Record keeping London: NMC. www.nmc-uk.org. Nursing and Midwifery Council (NMC) (2006) A-Z Advice Sheet: consent. London: NMC. www.nmc-uk.org. Wandsworth Teaching Primary Care Trust May 2008 Personal Protective Equipment (PPE) RCN (2008) Dignity www.rcn.org.uk/dignity

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