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Assessing Competence Across the Four Fields of Nursing

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HEALTH PROMOTION ON OBESITY
This reflection will focus on a health promotion experience. During my placement period. According to the World Health Organisation (WHO 2013) health promotion enables people to increase control and improve their health. The Driscol and Teh
(2001) model of reflection which has three cue questions, what, so what and now what will be used. The rationale for using this model of reflection is that it has further questions which will help in the reflective process. To maintain confidentiality, the
To maintain confidentiality, the patients name has been changed to pseudonym Mrs Smith, in accordance with the Nursing and Midwifery Council Code (NMC 2008)'
What?
Whilst I was on placement period, I had the opportunity to surgical pre- assess Mrs Smith with mentor supervision. lt is a protocol for the Trust that all patients who will go for elective surgery under anaesthesia need to be assessed prior to surgery. The purpose is to identify, minimise, eliminate or accommodate any risks of surgery and anaesthesia in order to give the patient the best chance of recovery. I surgical reassessed Mrs Smith who was overweight and was to have a total abdominal hysterectomy.
So what?
According to National Obesity Observatory (2010) obesity and overweight is caused by genetics, food environment, societal influences, food consumption' quantity, quality and frequency of individual diet and low levels of physical activity'. Obesity is associated with social and economic deprivation across all age groups and research suggest that the gradient is embedded with little evidence of change that childhood obesity as a link to both morbidity and mortality in later life (Adamson et al 2007; Reilly et al 2005). overweight and obesity are major concerns in public health because they contribute to other health problems such as high cholesterol, high blood pressure

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