Reflective Essay About Moving And Handling Skill Nursing Essay

Reflective Essay About Moving And Handling Skill Nursing Essay This reflective essay will be about moving and handling skill, which took place during my placement where I was supposed to learn and practicalised my nursing skills. In describing the event, I will be using Gibbs reflective cycle (1988) (see appendix: 1) to analyse my actions and feelings. For the purpose of confidentiality, the name of the service user and place where the event took place as been made anonymous (Nursing and Midwifery Council 2009). Description I was on placement in a nursing home when my mentor asked me to transfer John from his bed to a wheel chair. John is 60 years old man, who suffered from osteoarthritis. Before I carried out the task, my mentor had explained to me what I need to do when transferring a service user from the bed to the wheel chair. My mentor was also present at the scene to provide me with guidance and support; as the procedure required more than one person. When I approached John room I closed his door in order to maintain his dignity and privacy. Having done that, I obtained his consent and explained to him what I was going to do. However, I assessed the task ahead of me by completing a moving and handling assessment form. This enables me to provide for the appropriate equipment (wheelchair and full body hoist sling) needed to transfer John. I ask my mentor to assist me to fix the sling on John, as the task required more than one carer. I then required John to tilt to one side of the bed so I can fix the sling under his body and the same process was carried out by my mentor on the other side putting Johns independence into consideration. The full body sling hook was attached to the hoist stand and John was carefully transferred from the bed to the wheelchair with maximum care without causing him further pain. When John was finally comfortable on the wheelchair, I asked him if he had experienced any pain as a result of the transfer he replied that the task was perfectly executed. Feelings At first, I was nervous about causing John any further pain knowing that his osteoarthritis condition is severe. However, I was pleased that John was satisfied at the end with the way the task was carried out as he appraised our effort. In addition, I felt piteous for John knowing his condition could be very painful. Evaluation It was good that I completed a moving and handling assessment form, as this enables me to transfer John with the appropriate equipment without causing him any pain. Dougherty and Lister (2009) postulated that the risk of injury to both carers and service users can be reduced by fully assessing the task and identifying the right equipment and procedure. They further warn that moving service users in bed without using appropriate equipment can cause friction and shearing to their skin, which is a common cause of pressure ulcers. Haslam et al (2007) supports the above view and went on to say that for moving and handling to be considered successful, the carer needs to employ minimal effort and the service user needs to experience minimal discomfort. However, Iggulder et al (2009) affirmed that assessment of task and training are not sufficient on their own to minimise the incidence of back pain. I was also satisfied that I obtain Johns consent and explained to him what I was going to do, which makes him to be cooperative throughout the task. Hogston and Simpson (2002) suggest that service users should be asked of their informed consent before administering any form of treatments to them. He further emphasised that this will allow the service users to have adequate information about their treatment and also promote a sense of independence. However, it was bad that I did not wear personal protective equipment before carrying out the task. According to the Department of Health (DH 2006) and the National Institute for Health and Clinical Excellence (NICE 2003) state that using protective equipment will reduce the risk of acquiring contamination from potentially infectious body fluids and transmitting microorganisms through hands or clothing. Health and Safety Executive (2004) supports this and went on to say that disposable apron and gloves should be worn for all direct care procedures with service user when there is likelihood of contact with blood, secretions and excretions or body fluids. Analysis The Health and Safety Executive (HSE 2004) describe moving and handling as any transporting or supporting of a service user (including sliding, rolling and tilting) with suitable equipment and technique. As a result, I used a full body hoist sling to transfer John to the wheelchair, due to his inability to stand on his both knees. Mandelstam (2003) affirmed that service users with painful knee injury such as osteoarthritis often have difficulty with mobility. Alternatively, I could have used a sliding board to transfer John as proposed by Pellatt (2005), but the nursing home has not got such equipment available. I required John to tilt as much as possible in order to maintain his independence while I affixed the full body hoist sling round his body. Gibson (1991) explains that empowering service users has benefits which include positive self-concept, increased personal satisfaction, a sense of control and improved quality of life. I was satisfied to have adopted the appropriate techn ique and used the right equipment to transfer John, as my mentor was present to support and guide me throughout the procedure. Royal College of Nursing (RCN 2007) states that mentor is a key support for students in practice in order to facilitate competence for registration. On reflection, if the appropriate equipment had not been used to transfer John, he could have secured further injury. The Health and Safety Executive (2004) supports this view and states that service users are at risk of shoulder injury, musculoskeletal disorder and tissue injury from inappropriate lifting into the sitting or standing position, or lowering them into the sitting position. However, Chell (2003) warns that undertaking unsafe handling practice could be construed as a form of abuse. Conclusion John was comfortably transferred without causing him any further pain which was the initial motive. On reflection, there is nothing significant I could have done differently as regards to moving and handling skill, my mentor was present to provide me with guidance and support throughout the task. However, I need to reflect on similar situation and develop my moving and handling skills so that I can independently carry out such task should the need arise again. In addition, It is imperative for me to wear protective clothing during such task in order to prevent cross infection (DH 2006 and NICE 2003). Action plan In future situation as such, I will ensure that the service user is transfer without causing him/her any form of injury. However, it is imperative for me to reflect on similar event and further develop my moving and handling skill by taking part in annually training. As this will facilitate a better practice in the future and also make me an independent expert practitioner (Benner 1984). In addition, should the situation resurface again I ensure that I wear protective clothing, so as to protect myself and the service user against infectious diseases.

English Language Teaching Essays -- essays research papers

Topic Literature Review: English Language Teaching Strategies for Learning-Disabled Secondary School Students Introduction   Ã‚  Ã‚  Ã‚  Ã‚  One of the aims of the Singapore Ministry of Education is to ensure that all school-going children receive a minimum ten years of general education. Streaming is one way to ensure that all students are taught according to their academic ability, and â€Å"learn at a pace which they can cope.† (Coping with Singaporeans’ Concerns, 2001, p. 4). At the primary school level, remediation programmes such as the â€Å"Learning Support Programme (LSP) and the Encouragement Achievement and Better Learning (ENABLE) Programmes† are made available to assist students who have been assessed as weak in English and Mathematics (Coping with Singaporeans’ concerns, 2001, p. 4). At secondary level, the Normal Technical (NT) stream was implemented in 1994 to cater to students who are less academically inclined. The majority of the learning-disabled students will be found in the NT stream. In NT stream, students follow a less rigorous curriculum which focuses on English and Mathematics, and more hands-on learning experiences. The NT curriculum basically prepares students for vocational/technical academic and career paths. Unlike primary schools where there are remediation programmes to support students who are identified as weak in academic performance or â€Å"learning-disabled†, little attention is given to NT stream students, especially students with learning disabilities. This can be attributed to a number of reasons such as exclusion of NT stream students’ performance at National Examinations from the school league table, and inadequately-trained general education teachers to teach students with special educational needs. For any remediation programmes that are available, they are provided at an ad hoc basis by out-of-school â€Å"ethnic self-help groups and voluntary welfare organizations† (Coping with Singaporeans’ concerns, 2001, p. 4). Research has revealed that NT students suffer from â€Å"low self-esteem†, â€Å"achievement motivation†, and â€Å"poor study habits† as they progress up the levels in secondary schools (Chan, 1996). One of the main reasons for the poor academic performance of NT students is that most NT students face problems following lessons in class. All subjects, with the exception of Mother Tongue subject, are ... ...h that is grammatical, fluent, appropriate for purpose, context and culture. 3.  Ã‚  Ã‚  Ã‚  Ã‚  A Summary of the learning Outcomes by the End of Secondary Two and Four Normal Technical: Pupils will: a.  Ã‚  Ã‚  Ã‚  Ã‚  Respond to a variety of texts and demonstrate a positive attitude towards reading and language. b.  Ã‚  Ã‚  Ã‚  Ã‚  Listen for information from a variety of sources. c.  Ã‚  Ã‚  Ã‚  Ã‚  Speak fluently and expressively on a range of topics. d.  Ã‚  Ã‚  Ã‚  Ã‚  Present and develop ideas effectively in speech/writing for a variety of purposes and audiences. e.  Ã‚  Ã‚  Ã‚  Ã‚  Write legibly, coherently and cohesively for different purpose and audiences. f.  Ã‚  Ã‚  Ã‚  Ã‚  Demonstrate knowledge about language and text types from print/ non-print/ electronic source. g.  Ã‚  Ã‚  Ã‚  Ã‚  Use reading strategies to construct meaning. (Adapted from Ministry of Education. (2001). English Language Syllabus 2001 For Primary and Secondary Schools. Singapore: Curriculum Planning and Development Division, Ministry of Education.)

If a Patient Develops a Blood Clot in the Femoral Vein Essay

If a patient develops a blood clot in the femoral vein of the left lower limb and a portion of the clot breaks loose, where is the blood flow likely to carry the embolus? What symptoms are likely? To add to your thoughts, the blood flow is likely to carry the embolus to the patient’s lungs. This is called a pulmonary embolism. Pulmonary embolisms usually originate in the legs, like in this case. They are caused by a blood clot that has traveled to your lungs. There are a lot of factors that can determine what kind of symptoms you have with pulmonary embolisms. For example, how much of the patient’s lung is involved in the clot, the size of the clot, and the patient’s overall health — especially the presence or absence of underlying lung disease or heart disease. Some common symptoms of a pulmonary embolism include shortness of breath, coughing, and chest pain. Shortness of breath is usually the first symptom that occurs and can happen whether you are exercising or just sitting. Chest pain can also happen when you are just resting, but will also get worse when you are active. This pain may feel like you are having a heart attack. Coughing also occurs, but can produce bloody sputum. Other symptoms include wheezing, weak pulse, rapid and irregular heartbeat, and lightheadedness that could lead to fainting. It is very important that you go the doctor immediately if you experience these symptoms, as this can be life threatening.

Analysis Of Michael Harvey s The Hero Essay - 1118 Words

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