Top-Rated Free Essay

Reflection of Scenario

Powerful Essays
A Reflection on Scenario One

This is a reflective essay, aims to discuss how I have managed to achieve the learning outcomes of scenario one in module two. The first part introduces the concepts I have learnt in this scenario and indicates how I have utilised the tutorials for learning, followed by a description of my practical and theoretical formative assessments. Thereafter this paper will reflect on my positive and negative learning experiences from scenario one including the details of the rest of the resources assisted me in achieving the learning outcomes. The final paragraphs bring my action plans for the future developments as well as a brief conclusion.

In this scenario, we focused on a 72 year old patient called Mrs. George, who had been recently diagnosed with diabetes. This is a disease when patients have a high level of glucose in the blood, due to the lack of insulin in the body (Jane et al.2005). Mrs George also suffers from arthritis, which is an illness that causes pain and swelling in joints (Warrall, 2006). Our learning targets were to assist Mrs. George with moving, assessing vital signs, urinalysis and guide her to a healthy diet in this scenario.

At the start we were introduced to a market day, which provided us with the opportunity to meet health professionals from Diabetes, Age concern, and children’s health sections, where I learned that a diabetic diet needs to contain less sugar, salt and fat and some alternative options found in choosing diets for diabetes such as using wholemeal bread for white bread, this information is supported by Dunning (2003), which was useful to maintain the nutrition level for Mrs George. We also received information of health visitor’s roles that they promote breast feeding and assist in children’s growth as Fawler (2006) mentioned. Furthermore, protected mealtimes and red tray systems are strongly recommended by Age Concern (2006) in order to ensure the nutrient intake of elderly at hospitals.

When starting the simulation learning, our tutor showed us the technique of hand washing before contacting Mrs. George, because using protective clothing when handling patients’ body fluids and hand decontamination before every patient’s contact are to protect the patients and health professionals from microorganisms (Kennamer, 2002). As these microorganisms develop health care associated infections, we also need to ensure the cleanliness of health care environment (Wenzel et al. 2002). Working at the hospital during attachment days provided me with a good opportunity to apply these infection control methods I learnt into practice.

In order to explain moving and handling methods, our tutor showed us a demonstration of walking Mrs. George from the bed to her chair by holding her hands to support. I was carefully observing the tutor’s posture, techniques and the communication skills she used, in order to learn. Because, effective communication gives a better understanding and enables nurses to promote empowerment as Dewit (2009) agreed. Furthermore, Mallik et al. (2004) alert nurses that poor manual handling techniques and the poor posture will bring long term back pains and will also affect patients’ safety.

In learning about observations, our respiratory organs inhale oxygen from the air and exhale carbon dioxide. The oxygen inhaled is passed into our blood when the alveoli in the lungs exchange oxygen for carbon dioxide from the blood, which is then exhaled out. One inhaling and exhaling process counts as one respiration (Andrew, 2000). According to Simonds (2001) the normal respiratory rates are, for adults 12-20, children 15-25, and infants 20-40 and for new born it is 30-80. Michel and Albert (2001) say breathing patterns should be assessed as it varies on patient’s health condition, such as blocked air ways, less oxygen in blood, brain injuries, heart failure, renal failure, overdose of medication.

The oxygenated blood from the lungs reaches our heart’s left ventricles to be pumped into our body cells through the aorta. The maximum force used to pump the blood into the circulation system against arterial walls by left ventricles is measured as the systolic pressure. The minimum force, while heart relaxes measured as diastolic pressure (Bassett, 2003). In addition, Coni et al. (2003) inform that the normal blood pressure measurements are on adults 120/80, on children 90/57 and on newborns 73/55. They also state that assessing these measurements helps to evaluate the risks of heart diseases, because when the arteries are blocked, the heart uses more force to push the blood into our body cells and this leads to a high blood pressure. A low blood pressure level will indicate the less blood flow through the aorta which is caused by bleeding.

When the heart’s left ventricles contracts to push the blood out to the body cells via aorta, a wave can be felt in arteries, which we count as heart rates. The normal pulse rates are on adults 60-100, on children 75 -120 and on infants 80-180. It is commonly accessed on wrists. Weaker pulse may indicate a decreased amount of blood pumped via the aorta because of conditions such as bleeding, shock or reduced cardiac function. Bouncing pulse may indicate large amount blood being pumped, absent of pulse may indicate the signs of blocked or injured arteries or cardiac arrest (Elkin et al. 2007).

Our normal body temperature level is 37 degrees Celsius, and it is commonly assessed in mouth rectum and armpit. The internal balance of temperature is controlled by an endocrine organ, the hypothalamus, when there are abnormal signs in the body such as infections, it will raise our body temperature. But in conditions such as shock or stress, body temperature drops because of the lack of blood flow to the skin and tissues. Therefore measuring body temperature helps to evaluate patient’s abnormalities (Jamieson 2007).

In learning about urinalysis, the nephrons in our kidney filter the blood to produce urine and excrete the waste materials such as urea, creatine, drugs and chemicals (Lote, 2000). Urinalysis helps in identifying abnormalities by detecting the level of substances such as bilirubin, ketones, glucose, protein, blood, nitrite, pH and specific gravity leukocytes in urine (Thomas, 2002).

We learnt the observations by assessing our colleagues and charting them on TPR chart and learnt urinalysis by using regent strips and recorded the findings. The blood pressure measurement was hard to learn. As a result I regularly visited the simulation centre and practiced more, I also bought a sphygmomanometer in order to practice more at home too. The physiology tutorials were a useful guide in receiving understanding of patient’s assessment. However I became more fluent at assessing vital signs and urinalysis, while I worked at hospital during the attachment days. .

In completion of scenario one, we had our formative assessments. In the practical assessment we worked as pairs in assisting Mrs. George from the bed to a chair and assess the vital signs including urinalysis. I achieved the hand decontamination and manual handling as my colleague and I worked together up to that point. But next, I had to complete the vital signs, while my colleague was sent to complete the urinalysis. Even though I had a good knowledge on vital signs, I could not measure them on my own within the time limit. The feed back from my tutor said that I had good communication skills, but I was very nervous and did not achieve the targets.

I felt more comfortable sitting next to my colleagues on theory assessment. However, four out of twenty questions were hard to answer, particularly about nephrons in the kidney, DNA in cells also about health and safety legislations. My score on this MCQ was 90% as I did some educational guesses.

In my opinion, I enjoyed most sessions of scenario one, as the simulation centre gave me an impression of working at a hospital environment. Every tutor was very approachable and willing to help any time I needed. My colleagues encouraged me whenever I had difficulties and shared their knowledge with me, especially the techniques in blood pressure measurement. The learning activities were useful; particularly essence of care benchmarks guided me to gain better information on care. The online learning (Intuition, 2009), taught me that effective hygiene can prevent everyone from infections, applying good postures while heavy lifting can avoid injuries, and nutrient screening and providing sufficient assistance whilst serving meals decreases nutrient problems among patients. The lecture notes on blackboard (Simulation Centre, 2007) supported me in remembering the tutorials from the class. I could also utilise the txt books from library.

However, the formative assessments did not go as well as I thought, especially the practical side. The possible reasons for this could be that I was not used to work under pressure nor in new situations. This nature would not suit me in the future while I work at hospital environments, as I may meet new patients and new colleagues quite frequently. Moreover, although I am good at reading and remembering the literatures, I seem to miss out revising a few important bits, which makes me incompetent on the theoretical side as well.

However these experiences have helped me to highlight the issues on which I need to develop. My future aims are now to be braver when interacting with new people and to act quicker whilst working under pressure. As well as continuing with revising the theory side of learning, I aim to brush up on the knowledge and also to apply the skills I gained in this scenario into practice wherever I work, such as hospital placements and in the future, as a nursing professional to ensure safe and effective patient care all the time.

To conclude, the tutorials, learning resources, support of tutors and colleagues all assisted me in achieving the learning outcomes on scenario one, where I have been taught to take care of diabetes patients and to maintain; nutritional balance, infection control, appropriate methods manual handling, effective communication while working with patients. I also received knowledge on assessing vital signs and urinalysis in finding patients’ abnormalities. However I have problems with time management and also with relaxing in new situations. My future plan is to improve on these issues and to brush up on and apply the knowledge that I received from scenario one into practice.

.

.

You May Also Find These Documents Helpful

  • Good Essays

    Scenario

    • 571 Words
    • 3 Pages

    Associate Level Material Appendix D Read each scenario and write a 25- to 50-word answer for each question following the scenarios. Use at least one reference per scenario and format your sources consistent with APA guidelines. Scenario A Acute renal failure: Ms. Jones, a 68-year-old female, underwent open-heart surgery to replace several blocked vessels in her heart. On her first day postoperatively, it was noted that she had very little urine output. 1. What is happening to Ms.…

    • 571 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Scenario

    • 260 Words
    • 2 Pages

    Planned figures Sales Revenue* Return on equity Cash-Flow Market 1 100 mEUR % 15 10 mEUR Market 2 50 mEUR * Sales Revenue without Bulk Buyer and Request for Bids TOPSIM® – General Management | Version 13.0 | Decision Form 8 Periods – Standard Scenario www.topsim.com…

    • 260 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    scenarios

    • 552 Words
    • 2 Pages

    Misunderstandings happen often in both personal lives as well as in the workplace. It can be difficult to communicate and get through the misunderstandings but it can be done with patience and a calm approach. The first misunderstanding I experienced was when I work for an aircraft repair station. There were two employees that were working together. Employee “A” was a fifty year old Korean man with a thick accent and a pushy personality who happened to be our Master Mechanic. Employee “B” was a…

    • 552 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Scenario

    • 861 Words
    • 4 Pages

    Introduction In the following report, myself and group members have been instructed to act as consultants analysing the service encounter in video 2, making use of one or more of the blueprinting modelling techniques. The models used in this report are servquals and service blueprinting. In a challenging and highly competitive market in which service industries proliferate, service quality is of paramount importance and essentially encompasses the differences between service expectations and…

    • 861 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Tort Scenarios

    • 2019 Words
    • 9 Pages

    Tort Scenarios BUS/415 Introduction In week three we were provided with two scenarios and were asked to analyze the tort actions found in both. The first scenario involves fans and participants at a football game; including a father and son, and angry fan, stadium workers, and other spectators. Actions that transpire include the spilling of beer on one fan by another, a shove of one fan of anther, a fall, injury, yelling, and repercussions of the stated actions. The second scenario we analyzed…

    • 2019 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    345 Scenarios

    • 280 Words
    • 2 Pages

    Scenarios: Bad Behavior and The Difficult Employee Read each of the scenarios below and write a 2 page response (for each scenario) that evaluates the role the supervisor played in the maintenance of good order within the organization. Bad Behavior? Officer Stevens, the Sergeant on the evening shift reported to you (the shift lieutenant) that after roll call he heard two male officers telling sexually explicit jokes in the hallway. As the Sergeant exited the roll call room he noticed one…

    • 280 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Communication Scenarios

    • 644 Words
    • 3 Pages

    Communication Scenarios MGT/521 Communication Scenarios I am writing to describe how I would personally respond to three different scenarios that deal with communication. I will explain how I would handle each situation as each scenario is different. Scenario 1 In scenario 1, a situation is described where communication needs to be addressed to get some important details to big group of a marketing team in order to make a plan for a new advertisement campaign. I would choose to have a face-to-face…

    • 644 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Case Scenarios

    • 1071 Words
    • 3 Pages

    University of Phoenix Material Case Scenarios Read the following scenarios. Answer, in a 50- to 100-word response, each of the following questions: Scenario 1 Sophia has been removed from her family and placed into foster care for the second time in the last 2 years due to her mother’s ongoing substance abuse. Sophia has missed many days of school and often comes to school dirty and wearing clothes from the day before. Sophia’s mother does not think she has a problem and blames the system…

    • 1071 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Scenario Planning

    • 621 Words
    • 3 Pages

    Describe the importance of scenario planning how it works and limitations. From Schoemaker: Scenarios are stories about the way the world might turn out tomorrow, stories that can help us recognize and adapt to changing aspects of our present environment. Scenario planning is a disciplined method for imagining possible futures that companies have applied to a great range of issues. It goes further than other plans, such as contingency planning and sensitivity analysis. These plans always focus…

    • 621 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Communication Scenario

    • 712 Words
    • 3 Pages

    n Communication Scenarios MGT/521 October 8, 2012 Sandra Griffin Communication Scenarios Communication is the act of delivering and receiving information for the purpose of establishing and understanding messages. There are various forms of communication designed for the delivery of different information, for different scenarios, and individuals, among others. Establishing the ability to communicate effectively requires interpersonal and intrapersonal skills. These skills consist of…

    • 712 Words
    • 3 Pages
    Satisfactory Essays