much or how little should physicians care for their patients without becoming attached or appearing aloof? Is it a physician’s responsibility to provide comfort in the midst of dying or should teamwork with a counselor or chaplain be sufficient? These are questions I don’t have the answers to‚ but I am hopeful that throughout the duration of this course I may gain a better understanding of how to answer these questions for myself. The third patient Dr. Ylitalo and I visited was a 75 year old man who
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a local hospital. In order that I could use this situation for my reflection the patient will be referred to as "Mr H". This is in order that his real name is protected and that confidentially maintained in line with the NMC Code of Professional Conduct to "Treat information about patients and clients as confidential and use it only for the purpose for which it was given." In order to help me with my reflection I have chosen Gibbs (1988)‚ as the model to help with my reflective process. This model
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rChest X-Ray – PIER + ABCDEFGH Identify your pt: DOB‚ CC‚ HPI PIER Use the "PIER" mnemonic to assess for adequacy of the film. * Position: Typically‚ upright PA and lateral. Sick patients will have the fuzzier supine AP (because the film is slid under their chest as they are lying down). Size of the heart is exaggerated in AP view compared to PA. Edge of the medial border of scapula is at the midline of lung field in AP. * Inspiration: Count the visible ribs. Lung fields should extend
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Kimberly Blatnica Preceptor Site: Surgery Center at Regency Park Clinical Reflection 4 17 October 2012 Today’s clinical experience allowed for new education and skill practice. I was able to precept in post-op‚ which was a great change. Being in pre-op‚ we are responsible for receiving clients from the OR. We then monitor them‚ reeducate‚ prepare for and perform discharge‚ and cleaning the area that was used by disinfecting‚ tossing and replacing linens‚ and moving the bed to an empty room
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been made in the thoracic cross-section imaging‚ chest radiography remains the main diagnostic concept applied in dealing with pulmonary diseases. It is the frequent diagnosis performed for patient suspected of thoracic abnormalities. Since the discovery of X-ray‚ much technological advances have been made to improve chest radiography. Progresses in film based imaging have led to development in excellent screen film systems that are designed for chest radiography. More recent advancement in computer
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teams generally comprise of psychiatrists‚ clinical psychologists‚ nurses‚ occupational therapists and social workers‚ but other therapists such as family therapists‚ psychotherapists and counsellors might also become involved in the care of the patient (Perkins & Repper 1998). Multidiscipline involvement is important within mental health nursing as people with mental health problems have multiple needs‚ so a variety of expertise is required to meet the needs of these people (Darby et al 1999).
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to patients (Baillie‚ L.‚ Black‚ S. and Dr‚ 2014). According to Dewey (1929)‚ the Educational theorist‚ he argued that “we do not learn by doing but by doing and realising what came out of what we did“(Baillie et al‚ 2014. P.264). In addition‚ (Howartson‚ J.‚ 2010) emphasises that when one reflects on their practice‚ it enables them to analyse their experience and consider other explanations for what happened and if there are alternative ways of doing things. Therefore‚ to enhance reflection in practice
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This is a reflective report based on my experiences whilst on my first antenatal placement in a local hospital. I am going to use Gibbs Model for Reflection (1988) for this reflective writing‚ which is a effective way to help me to record my feelings and thoughts on antenatal care visits I attended‚ the varying patients I examined‚ the outcomes of these examinations and any problems or achievements I felt important in my time there. Description To be honest‚ I did assume a variety of situations that
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full potential unless they examine their own practice. Using Driscoll’s (2000) model of reflection the main focus of this assignment is to discuss the communication skills used in the critical incident. This will include; definition of communication‚ the use of non-verbal and verbal communication skills‚ the barriers that affected communication with the patient and how these were overcome to return the patients autonomy. Driscoll’s (2000) identifies three processes when a nurse reflects on practice
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Chest Trauma Chest trauma is classified as either blunt or penetrating. 1. Blunt Chest Trauma I. Definition a. Blunt chest trauma results from sudden compression or positive pressure inflicted to the chest wall. Motor vehicle crashes (trauma due to steering wheel‚ seat belt)‚ falls‚ and bicycle crashes (trauma due to handle bars) are the most common causes of blunt chest trauma. II. Pathophysiology Injuries to the chest are often life-threatening and result in one or
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