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Reflective essay on professional identity nursing
Latest pain assessment essay
Reflective essay on professional identity nursing
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Summary
This essay tries to explore my experience with a patient who had issues with pain management. The patient, who herein is referred to as Mr Evans, is a lung cancer patient suffering from increased pain levels. The essay looks at the sad situation of Mr Evans who after going through chemotherapy went it remission only for the cancer to come back and attack his spine. The essay will investigate the clinical interaction by looking at how pain management, in theory, might differ with what the patient needs as their pain-relieving strategy. I look at the Mr Evans’ situation by describing the what, the so what and what now. The reflective framework enables me to interact with the clinical situation through theory and feelings. It elaborates
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Patients usually describe their pain in a variety of ways depending on its intensity and its area of localisation (McCaffery and Pasero, 1999). Pain to the patient has a meaning and through the appreciation of this fact can nurses comprehend why the pain is there, what it showcases, and if could getter better or worse for the patient. The story told by the patient to the nurse assists him or her to feel the patient’s pain, what that pain means to the patient and what the patient has done to control the pain thus far (Rapport and Wainwright, …show more content…
Nonetheless, Kissinger (1998) posits that too much confidence that does not correspond to skill level may work against the patient, the nurse, and his or her colleagues (Kissinger, 1998). This short episode made me cogitate about some aspects of nursing. One was how to support patient dignity, how and who had the expertise of defining pain, and what are the best pain-relieving strategies. Price (2004) noted that dignity is attending to the express concerns of the patient, maintaining their privacy, and addressing them appropriately. The experience made me uncomfortable with my past knowledge of pain management, which was largely theoretical. It, however, become clear that it was not invariably down to science versus heat, instead, it was about choice and if patients are self-aware about those
This assignment will explore a case study on an episode of care where a patient with chronic pain was hoisted. This will be written from the perspective of the author, a student nurse. The purpose of this assignment is to underline the ethical, legal and professional issues surrounding the episode of care during nursing practice and how these issues influence the role of the nurse and their professional judgement in delivering holistic, person-centred care for the patient. The author will cover the complications on delivering care when healthcare professionals should consider and respect the patient’s decisions and personal preferences whether it may benefit the patient or not. Therefore, the author will argue the principles of the patient’s autonomy against the concerns for the patient’s health and well-being, considering what form of care is appropriate and what must be done and how the nurse can maintain their professional role in being an advocate. Moreover, this will consider the nurses’ approach in providing the best care possible by means of ethical, legal and professional values. Furthermore, this assignment will briefly show an awareness of the roles of other professionals involved in the care.
The general idea of, K, is that a nurse must have knowledge in the diversity of cultures, ethics, and education. The significance of this faction being that if the nurse is cognizant of the patient 's culture, beliefs, family values, support systems, and education level, a more thorough and comprehensive plan of care can be formulated. The premise of, S, is that a nurse must be skilled in the ability to communicate with and advocate for the patient, assess for and properly treat pain, and incorporate the needs and concerns of the patient and their family. The significance of this group and development of these skills include the achievement of pain control, increased rehabilitation periods, and an increase in patient/family satisfaction. The theme of, A, requires that a nurse maintains an open attitude toward the patient and to respect and validate the nurse-patient relationship, which will aid in a positive nurse-patient
I will be using the Gibbs, G. (1988) model of reflection to reflect upon for this essay, as this six stage cycle will guide me through the process of description to the action plan, as I find myself to be an active/reflective learner and feel that I can relate to, and learn something that is of value to my practice, and future career and lifelong learning skills through this model of reflection. Throughout this reflective account I will refer to the patient as Mr X, in order to respect confidentiality and maintain his anonymity (NMC) (2008), and local trust policies and guidelines (2009).
Pain is not always curable but effects the life of millions of people. This essay examines the Essence of Care 2010: Benchmarks for the Prevention and Management of Pain (DH, 2010). Particularly reflecting on a practical working knowledge of its implementation and its relevance to nursing practice. It is part of the wider ranging Essence of Care policy, that includes all the latest benchmarks developed since it was first launched in 2001.
...tive pain management and Improvement in patients outcomes and satisfaction [Magazine]. Critical Care Nurse, 35(3), 37,35,42. Retrieved from
Assessing and managing pain is an inevitable part of nursing and the care of patients. Incomplete relief of pain remains prevalent despite years of research due to barriers such as lack of kn...
Pain Management Nursing, 10(2), 76-84.
At some point of life, virtually everyone experiences some types of pain. Despite the availability of standardized pain management methods such as using analgesics and opioids, patients might inadequately managed for pain if pain assessments are done inefficiently. Nurses are in a unique position to assess pain as they have the most contact with the child and their family in hospital. Getting a thorough pain assessment occasionally hard for nurses with the patients whom cannot collaborate. For example, pain in infants and children can be difficult to assess.
The purpose of this essay is to reflect and critically study an incident from a clinical setting whilst using a model of reflection. This will allow me to analyse and make sense of the incident and draw conclusions relating to personal learning outcomes. The significance of critical analysis and critical incidents will briefly be discussed followed by the process of reflection using the chosen model. The incident will then be described and analysed and the people involved introduced. (The names of the people involved have been changed to protect their privacy) and then I will examine issues raised in light of the recent literature relating to the incident. My essay will include a discussion of communication, interpersonal skills used in the incident, and finally evidence based practice. I will conclude with explaining what I have learned from the experience and how it will change my future actions.
Findings. Pain has many different meanings to many people. What is important to know as a nurse or health care provider is that pain is what the patient says it is. It is not the nurse or provider’s place to determine what the patient’s pain is but rather take an in-depth history and assessment. Using this assessment and history can therefore help treat your patient’s pain accordingly. Also pain theories have been proposed and used the implications of nursing practice in regard to pain.
This essay will aim to look at the main principles of cancer pain management on an acute medical ward in a hospital setting. My rational for choosing to look at this is to expend my knowledge of the chosen area. Within this pieces of work I will look to include physiological, psychological and sociological aspects of pain management.
As health care providers, nurses strive to instill confidence in their patients and their loved ones. A nurse is respectful to their colleagues as well as their patients. Nurses promote patients’ independence, patients can be confident in the knowledge that a nurse will do what is best for them, respecting their privacy and dignity. This means that a nurse does not share the patient information for personal reasons nor does the nurse get involved in a patients personal relationship if it is not medically relevant (NCSBN, 2011).
on the wellbeing of the patient. A reflection can be personal in the form of a journal,
In a pain assessment, the pain is always subjective, in a verbal patient; pain is what the patient says that it is. Nurses must be able to recognize non verbal signs of pain such as elevated pulse, elevated blood pressure, grimacing, rocking, guarding, all of which are signs of pain (Jensen, 2011). A patient’s ethnicity may have a major influence on their meaning of pain and how it is evaluated and responded to behaviorally as well as emotionally (Campbell, & Edwards 2012). A patient may not feel that their pain is acceptable and they do not want to show that they are in pain. For some people, showing pain indicates that they are weak. Other patients will hide their pain as they do not want to be seen as a bother or be seen as a difficult patient.
However, the lack of set accountabilities results in the inability to differentiate when nurses are overstepping and when its necessary to disclose themselves from patient treatment. Medical professionals begin overstepping without established professional boundaries, which results in “negligence of patients needs at expense of their own” (Tyrell, 2016). Because of the long-term treatments and bonds formed throughout the healing process, many patients and nurses confuse this with friendship. As Tyrell and Pryor mention (2016), friendly nurse-patient relationships may be healthy and influencing during rehabilitation, but nurses must remind themselves of the goal at hand which involves helping the patient regain function as soon as possible and allow them to return to their old or altered