...The purpose of this essay is to discuss aspects of care that was witnessed being given to a client. This essay will draw on evidence researched from journals. It aims to discuss and evaluate the postnatal period and the care that is provided during that period. The main aspects of care that will be discussed with in the postnatal period is the length of the postnatal visit and how long should a midwife attend a client and it will also discuss the support and advice that can be given to a client who is having problems breast feeding. The first aspect of care that is going to be discussed is the postnatal period and the care that is provided during that period. The postnatal period is the period after the end of labour and until all reproductive organs have returned to their pre gravid condition. This period is estimated to be about 6 to 8 weeks (Bick, D.2004). Although evidence suggests that recovery from child birth can take longer than this (Bick, D. and MacArthur, C. 1995). The post natal period, until recently, has been defined as not less than 10 days, or more than 28 days after the end of labour (UKCC, 1998). However, it has been acknowledged by the Government that the public health role of the midwife should be further developed (DoH, 1999) and so the NMC defined the post natal period as the period after the end of labour, on which a midwife must attend a women for no less than 10 days and for as long as the midwife deems as necessary (NMC, 2004). Mrs Smith, this is an...
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...and objectives for maternity services in regard to the delivery of safe, effective and quality client care. It is also important that learning and development resources are targeted appropriately to ensure their efficacy whilst reflecting both service priorities and governance requirements. 2. Purpose and scope The Directorate is committed to ensuring a highly motivated and highly skilled workforce that can serve the women, babies and families in our care both safely and effectively. The unit has adopted a systematic approach to training for all relevant staff groups who provide care. This training needs analysis (TNA) and training plan outlines the minimum training needs of all relevant staff groups within the Directorate and provides details of the comprehensive programme of educational sessions. The TNA focuses on the service specific training requirements considered to be mandatory by the Directorate to meet policy and CNST requirements. Trust wide mandatory training requirements are identified in the Trust Mandatory Training Policy and TNA, and therefore are not included in this document. 3. Service Description The maternity department based at the Royal Victoria Infirmary (RVI) delivers approximately 7,100 women per annum. We offer antenatal, intrapartum and post natal services to women with both low and high risk pregnancies. As a regional unit we also provide care to women with...
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...MIDW113 – Jodie Sparke S00163149_assess2 b). Postnatal case study – Gina is a 34 year old G2 P2 woman, day 2 post caesarean section. You enter her room to find her teary and upset; she tells you she had planned on having a natural birth in a midwifery led model of care. However, she experienced an emergency caesarean section after her baby showed signs of fetal distress. Describe and discuss the role and responsibilities of the midwife in providing pre and post-operative care to a woman in Gina’s position. You are expected to demonstrate, plan and evaluate safe, holistic, woman centred evidence-based midwifery care. This paper considers a postnatal case study of Gina, a day two post-operative, 34 year old Gravida 2 Para 2 woman. She experienced an Emergency Caesarean Section (ECS) resulting from fetal distress. This essay will investigate why birth can become an emergency and the evidence-based indications involved in decision making. It will explore the roles and responsibilities of a midwife in both the pre and post-operative support of a woman; based on a safe, woman centred and holistic approach to maternal care. It will discuss the emotional effects an ECS can have on a woman and her family as a crucial aspect in this case. An integral part of the preparation for birth is a birth plan. This allows the woman to detail how she would like her labour/birth to progress. It often includes the expectation of a natural vaginal birth. However, due to a variety of physiological...
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...WORD COUNT 1648 1 Law, Accountability and Ethics in prescribing During my supervised practice in an outpatient clinic the non-medical prescriber I was with was asked by a colleague to prescribe for a patient on her behalf. In my role as a vascular clinical nurse specialist, I run nurse led clinics working alongside other nonprescribing colleagues seeing patients with peripheral vascular disease, this can range from patients with leg ulcers or diabetic foot ulceration with wound infections to patients with intermittent claudication, Abdominal Aortic Aneurysm or varicose veins, all of whom may or may not need medications or wound management treatments prescribed. It is very likely that during these clinics once I qualify as a non-medical prescriber I will be asked the same. In this essay I will explore the issues of law, accountability and ethics raised by prescribing on behalf of others. The legal system of England and Wales has two branches of law; criminal and civil Criminal Law: Statues are acts of parliament which are presented via the House of Commons moves to the House of Lords where amendments are made, returns to House of Commons, for final discussion when complete the Bill is given Royal Assent and passes into law. Criminal law involves offences against the state, it is usually the Crown that brings the action against the defendant (Gagan 2010 cited by Courtnay & Griffin). In terms of non-medical prescribing there are two important statues ...
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...assignment is to discuss how the module content and practice experience has contributed to my development as a nurse. It will involve reflecting on a particular episode of care delivery to a patient by me and my nursing mentor whilst on my 5 week placement and how I felt that the Foundation to nursing practice module helped equip me with both the knowledge and skills. In education for health-care professions it is recognised as an essential tool for helping students to make links between theory and practice and enables you to develop your knowledge and skills towards becoming a professional. Reflective practice is noted as being fundamental to development as a professional. To protect anonymity and maintain confidentiality the patient focused on this assignment will be known as patient A, furthermore consent was gained from patient A and they were provided with clear information on what would be included in this assignment and where informed that no recognisable information would be given, this is done in accordance with the Nursing & Midwifery Councils Code of Professional Conduct (2002) guidelines. Nursing assessment is considered to be the first step in the process of delivering individualised nursing care which is defined by A Dictionary of Nursing (2008) as care that is planned to meet the particular needs of one patient, as opposed to a routine applied to all patients suffering from the same disease. Every person is an individual...
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...This essay aims to reflect on an incident that took place during my six weeks practice placement on an elderly day care hospital. I chose this incident because it had a big impact on me due to the fact that I was not aware of the serious nature of feeding patients diagnosed with dysphagia as would be demonstrated in the critical incident. The model I have chosen to use is Gibbs (1988) reflective model because it gives a framework which I am able to follow in order to develop my understanding of the situation. Reflection is a process that involves gaining practical knowledge, the ability to get used to new situations, developing self-esteem and satisfaction as well as valuing professional practice (Taylor 2006). For the purpose of confidentiality and to protect the patient’s anonymity I have called her Tee, these measures are in accordance with the Nursing and Midwifery Council (2008) guidelines regarding consent and confidentiality. I was assigned to help feed Tee during lunch time, Tee had suffered a stroke, resulting in very limited speech, suffered from dysphagia. Dysphagia is a medical term for difficulty with swallowing and is common in patients with neurological disease, dementia and parkinson’s disease (Chang and Roberts 2011). Tee has a pureed diet and thickened fluids. I collected her meal and dessert from the trolley, sat next to Tee then started to feed her. After the first helping I proceeded and gave her a second helping while she still had food...
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...The assignment will detail a student induction pack as an innovation to be introduced into the practice area and is within the guidelines of The Nursing Midwifery Council Code of Professional Conduct: standards for conduct, performance and ethics (2004) and will be used for students and new staff within the practice setting. The NMC publication Nursing: Towards 2015 (2007) debates on the future of pre-registered nurse education therefore the innovation can be adapted for all staff.It will demonstrate achievement of the learning outcomes (6.1) The development of effective relationships with learners within the context of practice, (6.2) The opportunities and limitations of practice as a dynamic learning environment in relation to the facilitation and evaluation of learning in practice and (6.5) Examine a range of methods of assessment and select those which are appropriate to assessing knowledge, skills and values. It has been created as the Primary Care Trust has an existing pack but it is merely a welcome pack which lists information about the organisation, link tutors and spoke placements and fails to address the individual learning need and style. Previous ideas and suggestions of students and team members have been considered, in addition to a recent team audit on student experiences and the pack will be an overall strategic plan for the department. The pack (appendix 1) will include a welcome letter, list of staff and contact numbers, mission statement...
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...on the concepts of professionalism and accountability. In the United Kingdom today all newly qualified nurses must have a nursing degree as required by The Nursing and Midwifery Council. This significant overhaul to Florence Nightingale’s eighteenth century era, apprenticeship style learning system (Bradshaw, A. 2001), has led to fundamental changes in nursing education in the twenty first century; both in theory and practice. Today nurses are challenged with up-to date demands, including innovative medical treatments, leading to an aging population, with complex health values (Cherry, B. 2005). In addition, knowledgeable patients, who are averse to being told what to do but expect greater involvement in their own care planning. The need for graduate nurses is supported by the Willis Commission Report (2012) which argues that ‘our future healthcare services will require graduate nurses nursing and leading healthcare teams in a variety of roles, providing care in many settings’. The concept of accountability and professionalism was highlighted at the start of my course. I have started both an academic programme and a professional career pathway. Thus I am answerable to two organisations; first is the University of West London (UWL) who is facilitating my learning and secondly, to the Nursing and Midwifery Council (NMC). Both institutions have underpinned concepts of professional regulations, values, attitudes, behaviour and boundaries and...
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...This article focuses on a coroner’s concern in relation to the professional standards imposed on district nurses. After failure to meet professional and statutory standards, a coroner criticized a district nursing service as being unfit for purpose, and its staff as unprofessional following the death of one of their patients. Standards of professional practice and behaviors regulated by the Nursing and Midwifery Council’s revision Code (2015) includes four key requirements for district nurses: prioritize people, practice effectively, preserve safety, and promote professionalism and trust. Fundamental standards set out in the Health and Social Care Act 2008 (Regulated Activities) Regulations (2014). Under this regulation, district nurses must...
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...Care Theory Compare and Contrast Paper Jean Watson’s Theory of human caring is based on transpersonal relationships and developing a caring environment that offers the development potential while allowing the person to choose the best course of action. Through interactions with others we learn how to recognize ourselves in others. Watson believes that through these interactions humanity is preserved. John Paley’s article A Slave Morality: Nietzchean themes in nursing ethics criticizes Watson’s theory that caring is central to nursing. The purpose of this paper is to compare and contrast John Paley’s article to Jean Watson’s Commentary on Shattle M (2004) Nurse-patient interaction: A review of the literature. A discussion of Watson’s background and care theory; John Paley’s background, and a brief discussion Friedich Nietzschen’s major philosophical beliefs. Jean Watson’s background Jean Watson was born in West Virginia in 1940. She graduated from the University of Colorado where she earned her BSN, MS, and in 1973 her PhD. Dr. Watson is widely published and has received many awards and honors. She is a distinguished professor of nursing and endowed chair in Caring Health Science. She is also a fellow at the American Academy of nursing. Watson’s research specialized in loss and human caring. She developed the Theory of Transpersonal Caring, which is also referred to as The Caring Model in the late 1970’s. Her theory evolved over many years, but the principles have remained...
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...role enhancement. Relevant social, economic and health policies such as clinical governance will be discussed. Perspectives of each of the principle professional groups including myself as a third year student nurse, will be incorporated and collaborative team working addressed. The Department of health (2002) describes discharge planning as a pathway used to decide patient needs, for a smooth move from one level of care to another (Hunt 1996) and is the process through which patient’s needs are identified and plans are written, facilitating continuity of health care (Jackson 1994). According to the department of health (2000) discharge planning illustrates well, the role of the nurse within the inter-professional team the balance between goals set, care delivered and evaluation of care from a nurse and team perspective. Nurse involvement is considered integral and, aims to provide effective discharge plans (Department of Health 2000). The Royal College of Nursing (RCN 2002) supports the concept of nurses taking the lead and recommends the development of nurse led protocols in discharge planning. However the NMC (2004) highlights the importance of nurses being able to integrate within the team, seeking advice and sharing knowledge where appropriate. Effective and ineffective communication will be addressed, using the Victoria Climbie Report (Laming 2003) to highlight poor team communication. Effective discharge planning seeks to maintain the benefits of rehabilitation after...
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...ADMISSION CARDIOTOCOGRAPHS In the United Kingdom (UK), there is well documented evidence that labour care is dominated by technology interventions (Davis-Floyd & Dumit 1998, Sinclair 2001). One of the most common interventions is the use of Cardiotocographs. The Cardiotocograph (CTG) is one form of fetal assessment that simultaneously records fetal heart rate (FHR), fetal movements and uterine contraction patterns (Nielson & Mistry 2000). Spencer (1992) also describes cardiotocography (CTG) as a composite record of fetal heart rate and uterine activity, which act as a diagnostic test of fetal condition whenever acute or chronic complications arise. Monitoring of fetal heart rate became a widespread practice during the 1970s and has remained an accepted technique for assessing fetal well being in labour until relatively recently (Gauge & Henderson 2005). However, MacLennan (1999) and Thacker et al (2001) argue that the widespread use of CTG in the clinical practice has not been supported by substantial evidence. The introduction of the Electronic Fetal Monitoring (EFM) ‘has been accompanied by confusion and difficulties with interpretation’ (Saling 1996) and ‘despite the fact that no clear evidence exists for its efficacy, especially in low-risk women’ (Murphy et al 1990) it has been integrated into maternity care, and uncertainty about its value remains (Neilson & Mistry 2000). Nevertheless, the aim of the introduction of CTG is to reduce the incidence of cerebral...
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...of exploration procedure beginning from title, author/s, abstract, introduction, methodology, findings, discussions and lastly conclusion. Basically evaluating articles permits one to sift through the low quality studies and recognize deceiving data (Gerrish & Lacey, 2006). Title: The title of this article is Quality of nursing care in the words of nurses. Here the title represents that the research is about the study of meaning of quality nursing care in the expressions of medical caretakers. Author/s: The writers of article ought to have the essential aptitudes to do the concentrate so their capabilities are leaned to guarantee their capacity for the study. In this article both the authors are from the university and have achieved their PHD. Linda Mass Burhans had done Phd RN CPHQ and she is a research expert. Martha Raile Alligood has done Phd RN ANEF and she is a content expert. Their qualification and professions relevant to the research study which will help to improve quality care and patient outcome. Abstract: Abstract is a smaller version of the article. It ought to have the capacity to answer why and how the study was led which is typically around two hundred words (Borbasi and Jackson 2012,p.178). It helps the readers to realize what precisely is carry in the article. In this article the dynamic is a compact outline of the aim beyond examination...
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...Enhancing end-of-life care (EoLC) is a core component of international governments’ health policies. Across the globe, nurses make significant contributions to EoLC and, at this delicate time, have the power to positively influence the health and wellbeing of those facing death. Indeed, health promotion is a core component of the nurse’s role. Originating in the UK, EoLC pathways have been adopted around the world.Their broad aim is to optimise the quality of the dying process, enabling people to ‘die well’ across care settings. This paper examines EoLC pathways in terms of promoting health and wellbeing in this discrete stage of the dying trajectory. Concepts of health and health promotion are described briefly and the idea of health-promoting palliative care and its association with a good death examined. The ensuing discussion relates to two EoLC documents. While acknowledging that much has been achieved it is argued that, despite the potential for promoting health and wellbeing, a professionally led, biomedical approach predominates, and in terms of promoting health and wellbeing at the end of life there is a pressing need for proactive advance care planning at an earlier point in the illness trajectory. Key words: End-of-life care l Care pathways l Terminal care l Health promotion Michael Allen is Staff Nurse, Chemotherapy Day Unit, Singleton Hospital, Abertawe Bro- Morgannwg University Hospital Board, Swansea, Wales; Tessa Watts is Senior Lecturer, Swansea University,...
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...Strait Islander people accessing the appropriate available services. Aboriginal Community Controlled Health Organisations (ACCHO) such as Aboriginal Torres Strait Islanders Community Health Services Mackay (ATSICHS) provides holistic and culturally appropriate care. This highlights that access to health services, may be affected by a variety of socioeconomic factors, such as low income, unemployment, second-rate housing and also socio-political factors like forced removal from land and/or family. These factors need be addressed to achieve continuous improvement in Aboriginal and Torres Strait Islander Queenslanders health status. Aboriginal and Torres Strait Islander primary health care services offer clinical care, screening programs, a wide range of preventative health care activities, health-related and/or community supported activities. Queensland Health (2010) focuses on the health status of Aboriginal and Torres Strait Islander people, which acknowledges the significant gap in life expectancy between Indigenous and non-Indigenous Queenslanders (approximately 10.4 years for males and 8.9 years for females). Community involvement is a founding principle of the World Health Organisation (WHO) 1978 Alma-Ata primary health care declaration (WHO, 2013). A significant reason for community participation being important is the idea that people are more motivated to use and respond positively to health services where they have been involved in decision making about how these services...
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