Neonatal Respiratory distress syndrome reflective practice
This assignment describes my own reflective experience while caring for a sick neonate with Respiratory Distress Syndrome (RDS) in the neonatal unit. This has enabled me to explore the meaning and significance of my clinical practice and to recognise the complexities within it. The experience raises a number of issues frequently encountered in daily nursing practice. Within this assignment, I will be discussing a particular pre term baby with RDS and critically analyse the use of nasal continuous positive airways pressure (NCPAP) and surfactant therapy and possible effects on baby’s outcome. Pseudonyms will be used to maintain patient confidentiality in order to keep in with the nursing and midwifery council code of conduct. (NMC 2004)The model of reflection used is Gibb’s reflective cycle. (1998)(Appendix 1) Reflection has been strongly advocated by a wealth of nursing literature during the last decade, with the aim of improving practice via a structured means of identifying, reviewing and making sense of relevant practice knowledge (Conway 1994, Palmer et al 1994). The reflective process allows practitioners to question and analyse their experiences and actions as a means of developing their knowledge, skills and behaviour, to enhance clinical practice.
The first phase of Gibb’s reflective cycle is the descriptive phase. Paul was delivered by an emergency caesarean section at 29 weeks gestation for foetal bradycardia, weighing 1.200kg. Paul required some bag and mask ventilation initiate spontaneous respiration. He had an Apgar score of4 at1 minute and 8 at 5 minute. He was then transferred to neonatal unit on a resuscitaire. On admission Paul was cyanosed with some nasal flaring with sub costal recessions. His observations were temperature 36 degree Celsius, heart rate 148, respiratory rate 88, oxygen saturation 80% in air, blood sugar 3mmols. Paul was placed in an incubator at 70% humidity and air temperature 35 C to correct his body temperature. Paul’s colour
The first phase of Gibb’s reflective cycle is the descriptive phase. Paul was delivered by an emergency caesarean section at 29 weeks gestation for foetal bradycardia, weighing 1.200kg. Paul required some bag and mask ventilation initiate spontaneous respiration. He had an Apgar score of4 at1 minute and 8 at 5 minute. He was then transferred to neonatal unit on a resuscitaire. On admission Paul was cyanosed with some nasal flaring with sub costal recessions. His observations were temperature 36 degree Celsius, heart rate 148, respiratory rate 88, oxygen saturation 80% in air, blood sugar 3mmols. Paul was placed in an incubator at 70% humidity and air temperature 35 C to correct his body temperature. Paul’s colour