Monday, March 4, 2019

Reflective Practice Essay

I am writing this reflective ledger in accordance with the CNOs reflective practice standards and the LEARN model. Though my time on 600A has but just begun I have learned so much. Like umteen second year learners, this is my first base experience in the hospital. It has proven to be much different than my previous clinical experiences. My time with my first thickening stands out in my mind as a key sustainment experience.I standardised to believe that I am pity and sympathize with with everyone I meet, especially in a professional setting. This particular leaf node was a lady in her early 80s. She was good natured and very soft to get along with. She was cognitively aware and quite bright. As a result of bowel surgery she had an ostomy. This was new to her and I could tell she was unsure round it. My first day with her we did a lot of chatting and sharing. She told me or so her husband, children and superviseer as a kindergarten teacher. This helped build a certain level of pouf with me as a cautiousnessgiver.I had her to discern for walks with me down the hall and in one case she was up and moving she said she felt much check. I helped her with her first shower post-op. I made her palpate more(prenominal) comfort subject by promising to stay outside the door while she was in there. When she was finished, I helped her to apply lotion to her dry skin and at her request gave her a good back rub. My shift fetch uped and I said my goodbyes. My knob told me she was sad to see me go and was looking forward to my return the succeeding(prenominal) morning.That night when I went home I did some research into ostomies. by my textbooks and previous experience I had a solid knowledge of the base care but just in case I wanted to refresh.I was excited to return to clinical the next morning. My node had a astronomic smile for me when I walked into her room. Throughout the evening the ostomy view as had come in, did some assessments and qu ickly taught my client how to empty and clean the utensil. Unfortunately since the nurse was very busy she did not have the time practice with her. My client told me she was unsure and nervous just about per formulaing the task. Since I had receden the special time to do the research the night before, I was able to read the client intothe bathroom and walk her through the steps. I had the knowledge infallible to put my client at ease and make her feel more comfortable with this new situation.My client went home that day while I was still on shift. Before she left she thanked me and told me she wouldnt have felt ready to leave if I had not been able to teach her about the appliance. She even made sure I met her husband and he thanked me as well. I felt very proud to be a student nurse that day. I believe I had a positive collision on that client. I took the time to care for the client and attend to her post-operative needs.As the former president of the CNO, Sandra Ireland sai d, Nursing is not like any different job it is a profession that allows us to influence lives in slip bureau that we know and ways that we cannot imagine. Clients and families carry with them the words of comfort, caring and encouragement you maintain during difficult times and throughout the rest of their lives. (Ireland, 1998) My client had a big valuation reserve to make and I was there to offer the support she needed. By taking the time to care about my client, not only as a client but as a soul I was able to make her stay at the hospital a better experience for her and her family. She felt comfortable and well cared for and her husband was more at ease shrewd people were there to care when he couldnt be. I was able to anticipate the clients needs and ready myself to assist with those needs as they arose.The Sault College Practical Nursing Program beliefs on caring are outlined in the student success guide. It states, care is the essence of nursing practice. When caring is the foundation for helping relationships, each person is a partner in growth towards optimal wellness. The social partnership between caregiver and client transcends time, gender and technology. It is our view that caring, as an interpersonal interaction can be learned. A caring nurse strives for competency and excellence in the professional practice.Caring can be modeled, acquired, practiced, hone and evaluated. (Sault College of Applied humanities & Technology School of Health & Community Services, 2008) found on this principle of caring I feel I did a good job of caring for my client post-operative needs. I was able to form acaring relationship with her. I was competent in the skills I performed with her and she left me healthier than when we first met.My care was lacking a holistic approach. Looking back I did an excellent job at caring for this woman and her new ostomy but I forgot about just the woman. Lois unclouded explains, nursing the whole person physical, emoti onal, intellectual, psychological, spiritual and sociocultural, is essential to ensure the health and well-being of a client in the healthcare system. By ignoring the different areas I did not provide the best care Im capable of. She may have had some self-esteem issues related to having this appliance or concerns about how others pass on react, especially her family and friends. An ostomy is a huge adjustment to make and as the nurse I could have offered some support.The more time I get to practice caring and working on interpersonal connections with clients the better I will be at caring. I believe caring is an art and a skill and they only way to perfect it is to do it. I will try spending more time thinking and planning how I am going care for my clients. I will reflect on how my work with clients affected them and dullard this with their reactions. The client themselves are in the best position to evaluate my skills as a caregiver.This week when I return to the clinical set ting I will put my new approach into action. After data lay in I will think about more about the holistic person than just treatments involved with their current surgery or illness. I will do my best to identify any issues fears the client is veneering and offer support for these. I will speak to my client about their mental and social wellness and do my best to assess their berth within my scope. If nothing more I may be able to offer brochures or phone numbers for support groups in the area. objet dart working with the nurses, I will observe their interactions with the clients and the care they provide. I will attempt to use the good I see and learn from the bad. If I find someone with a style of caring I in truth admire I will find time to discuss it with them and take in any jewels of wisdomthey have to offer me.At the end of the day or when I find a quiet morsel I will reflect on the care I provided that day. I will think about my clients, and how I made them feel. My goal is gain positive feedback from all the clients I interact with each clinical day, whether it is verbal or a simple smile. I will leave my clients knowing that I provided them with the best, holistic care I could.I would also like to take some time either on a blockade or after clinical ends and genuinely talk to my classmates about how they feel they are doing. We could discuss not just the new skills we learned and may have preformed, as per usual, but their progress with caring. Through this reflection I expanded my definition of care. I have always provided good care for my clients ailments but I never took the time to really think about everything they may need to feel well again. second I realized in order to be a really caring nurse you need to take the time to think about your actions and interactions with clients. Reflecting back on the day, whether it is formal and written as in this journal or with classmates on the way home, will help me learn, grow and develop as a n urse.ReferencesIreland, S. (March 2004). Presidents message. The Standard, 29 (1), 4. Sault College of Applied Arts & Technology School of Health & Community Services. (2008). Practical nursing course of study student success guide 2008-2009. Sault Ste Marie, ON.White, Lois. (2000). Foundations of Nursing Caring for the Whole Person. Albany,NY Cengage knowledge

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