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Care is an aspect that aims to enable the patient to live life to the fullest. We believe that it is about promoting physical, psychological, and social well-being that will make the patient spend their life with self-respect and dignity while receiving the care. The reflection reflects upon one of the incidents of my placement that made me able to learn diverse skills. The reflection will provide insight into the incident. What went well and what needs to be taken care of will deliver the care. Followed by a reflection on skills that were developed and utilized in the management of patients.
I was enrolled in my placement in a hospital where I was working with elderly people aged over 65 years. In these patients, a diverse range of acute illnesses and chronic problems are present that require quality practices by nurses. I was assigned to a 70 years old lady who was diagnosed with a later stage of dementia. Dementia is the loss of cognitive functioning and reasoning that can go to the extent that it interferes with the person's daily life and activities. As per my understanding,
the progression of dementia happens from early to late stage. In the early stages, an individual can function independently as signs are very few that are forgetting the words (Grossi et al. 2019). In the middle stage, daily support is needed as it becomes harder to perform daily life activities. While In the later stages that my patient is suffering involve full-time assistance (Francis and Hanna 2022). When I was taking care of my patient, I remember that her family members came to visit her.
But, she was unable to recall them and become aggressive toward the family members and nursing staff. Secondly, while placement I was provided with the role of managing the patient in the ward as the other team was on leave. I and my fellow teammates were there, we are 5 nurses assigned to 10 patients. When I was looking for another patient, my teammate tried to provide the medication that my patient refused to take.
My learning from my placement involves I have to be attentive and alert while working with conditions like dementia. I learned that in the later stages of dementia, patients need full-time assistance due to loss of physical abilities, and inability to recognize faces. I can develop my learning that is based on the Nursing midwifery code which is centered around four themes: making people a priority, effective practices, preserving safety, and promotion of professionalism and trust (The Nursing and Midwifery Council 2023).
In addition to this, I learn my skills for the sake of standards of proficiency for registered nurses. I develop the skill of an accountable professional which makes me able to avoid the error of my practices. Secondly, assessing needs and planning care help me to give quality practices to my patient (The Nursing and Midwifery Council 2018).
In the future, my action plan involves working according to the nursing standards. It makes me able to develop the skills of the best care that incorporates the preferences of patients. Like their choices that make the inclination toward the individualized care plan. I feel that it will make me able to stimulate a happy environment that enhances the chances of care for my patient. My learning and skills make me able to deliver a holistic care approach.
Francis, N. and Hanna, P., 2022. Informal carer experiences of UK dementia services—A systematic review. Journal of Psychiatric and Mental Health Nursing, 29(1), pp.116-129.
Grossi, C.M., Richardson, K., Fox, C., Maidment, I., Steel, N., Loke, Y.K., Arthur, A., Myint, P.K., Campbell, N., Boustani, M. and Robinson, L., 2019. Anticholinergic and benzodiazepine medication use and risk of incident dementia: a UK cohort study. BMC Geriatrics, 19, pp.1-10.
The Nursing and Midwifery Council. 2018. Future nurse: Standards of proficiency for registered nurses. [Accessed on:20.June.2023]
The Nursing and Midwifery Council. 2023. The Code. [Accessed on: 20. June.2023]