Essay about Reflecting on the Care of Patients. Words12 Pages. INTRODUCTION This submission is going to focus on the nursing care that I gave on two placement simulations and one shift on placement, placing emphasis on oral care, bed bathing and medication management. It will outline the fundamental aspects of clinical nursing skills that have taken place in my setting Reflective Essay On Stroke Patients. company. The writers there are Reflective Essay On Stroke Patients skillful, humble, passionate, teaching and tutoring from personal experience, and exited to show you the way. What they teach you will help you improve your grades. - Iman, 1st year Marketing/10() The median pre test Feeding Performance of the patients with Post Stroke Dysphagia was 5 with a range of 1 to 6 and that of post median test was with a range of 1 to 7. The non parametric sign test was used to find out the effectiveness of the therapy on Feeding Performance
Reflective essay: Stroke patient - TROPICAL ESSAYS
It also meant that I gained a bit of confidence as I felt that I managed myself quite well, felt independent, reflective essay on stroke patients, got reflective essay on stroke patients well with the team and received some really good feedback from other staff. I did many drug rounds under the supervision of other Nurses including through NGs and PEGSbut I found myself noticing and questioning certain things.
Anyway, I wanted to write about some of my key experiences and lessons from this placement. As a result of her talk I became the most annoying student ever whenever we had a patient on Sinemet, reflective essay on stroke patients. It really annoyed me because the lady who spoke to us in our lecture really emphasised how much of a difference getting the timing right made to her symptoms and her ability to carry out day to day reflective essay on stroke patients. I even witnessed it with one of our patients, George — he was one of my favourites and had run the London marathon in under 3 hours, ran from the age of 13 and ran about 20 miles a day for years.
When my Mentor let me have some independence on my last day I was literally just on Sinemet alert as one of my patients had 6 tablets a day, but I felt good getting it right for the patient! Through my assignment I realised that really we should have been using sensory methods like F.
T therapy e. hand over hand for her mouth care and other care procedures which should have increased her understanding of the care about to be given and hence hopefully reduced intimidation of unknown procedures and improved her recovery; Langhorne et al. ensuring that all staff reflective essay on stroke patients the same methods to help with familiarisation and used communication boards…I also learnt a lot about mouth care and aspiration pneumonia yes, I also became the 2 hourly mouth-care student nurse Queen as well as Student Sinemet…how did I get good feedback?!
Nutrition nurse specialist NNSaltered consistency diets, PEG and NG feeds:. This placement gave me a lot of experience of enteral feeding which I am really grateful for. I arranged some time with the NNS too and actually got to see a RIG insertion procedure.
I got so into it I even printed the hospital policy on enteral feeding and read it all! Rather than telling the ward staff she got some gloves, wipes, towels and sheets and we just did it ourselves! Anyway, she taught me a lot of useful information regarding enteral feeding:.
My first day with the stroke nurse started great. She sat me down and went through the stroke pathway and explained the different types of strokes etc, reflective essay on stroke patients. She taught me some valuable points such as:.
We did get some calls eventually, reflective essay on stroke patients, and like buses they all came at once! The First Lady had woken up with signs of a stroke. The Nurse was really empathetic with the patient and the family, but the patient was so nervous. The Nurse took the extra little steps that go a long way though — we got her extra pillows and water once the nurse had done the swallow assessment!
Gradually more and more was discovered about her medical history and she had cancer and was undergoing radiotherapy treatment. She was shaking, showing weakness and was in a lot of pain mainly due to her back from an existing condition. She was not for thrombolysis as she had passed the window, and we took her to her CT scan which showed no signs of stroke. The second call came while we were with the first call! A gentlemen had self-admitted himself and was an interesting case.
He had AF and was quite stuttery with his speech but showing no signs of weakness on the NIHSS assessment. The stroke nurse did not think it was a stroke and he could not be thrombolysed anyway as he was on apixaban — but a CT scan was performed with an MRI planned for the next day as this could show if it was another TIA. Watching the stroke Nurses and other specialists gives me great motivation to eventually become a specialist Nurse.
I have a lot of respect for people that can go more than 2 hours…ok 20 minutes without eating reflective essay on stroke patients thinking about food!! This made me feel sad as this could improve chances of recovery from the effects of stroke and encourage a sense of teamwork. One thing this ward did do really well in terms of MDT working was the team meetings they held case conferences! with relatives — this was a really effective communication method between the different specialities so that everyone knew what was going on and what the plan was going forward.
Effective communication is a well acknowledged characteristic of effective MDTs, but as the previous point shows, simply communicating well is not going to provide the best quality care. Anyway, reflective essay on stroke patients, yet again I was impressed by the SALTs specialist knowledge. The SALT I was with, Sam, explained about swallow assessments and how there are 50 muscles involved in swallowing.
She went into great depth about all of the individual muscle and to be honest I got a bit lost. She had obvious LSW and facial droop, with very slurred speech.
Sam made her try thickened fluids and different texture foods they crushed rice crispies into custard as an improvisation!! I remember thinking how horrible it must have been for her with 3 of us standing around watching her eat!
She was also desperate to keep her independence and stay on a normal diet, but unfortunately the SALTs had to put her on a soft texture diet.
The SALTs were really sympathetic and knowledgeable too, and maintained optimism with the patient without giving false hope. It was great how enthusiastic they seemed about their work, and they discussed lots of topics with me that helped me with my assignment e, reflective essay on stroke patients. aspiration pneumonia, F. T therapy etc. It was really interesting and was another insight as to how all the systems of the body have to work so succinctly for functions that we take for granted!
I am aware that this could get very repetitive, but this was another insight into why we need to work as a team to make the most of the knowledge within the healthcare team. The day I spent with the Physios and OTs was really interesting — I learnt about homonymous hemianopsia see image below which is where the occipital lobe of the brain is affected by a stroke and the individual loses vision in one side of each eye which I had not come across before.
on the affected side. A young man, Kam, was on the ward after a stroke and been left with a great deal of left sided weakness.
I heard that when he first arrived on the ward he was very down emotionally understandably and it had taken a talk from a Nurse to inspire him to start co-operating with his exercises and try to improve. When I watched his session the Physio was trying to get him to hold a cup in his left hand.
This was the same with another woman I observed. We take so much for granted!! It was frustrating to watch so it reflective essay on stroke patients be horrendous for the individual. Kam also looked like he had been in good shape physically before his stroke, reflective essay on stroke patients, and I remember once whilst feeding a patient in the bed next to him, I saw him contract his bicep on his unaffected side and then try to do the same on the affected side where all of his muscle tone had gone.
I could see the effort in his face, the same as when he was trying to walk down the corridor. It was honestly heart-breaking and I think as Nurses we really need to understand the frustration these patients are going through. Yes, sometime patients may seem rude or angry, but we need to remember they are ill and relying on us for basic care and rehabilitation! I can see how some lose their temper with someone who is preventing you getting your work done but we have to understand the patient and what they are going through, ultimately showing care and compassion.
We also need to appreciate that the person we see might not be a true representative of what the patient is like when they are well. One patient, Maureen, who had been a teacher previously was on the ward for a long time after a stroke and she also had Schizophrenia.
At this point I was completing some online training on food consistencies at the desk. Maureen had always been fine with me and once kept calling me back to sit with her during my shift and I really felt for her, thinking back to her as a Headmistress and comparing reflective essay on stroke patients to her life now. Anyway, on this day Maureen had already hit out at two Physios which was unlike her, and she eventually hit me and 3 other staff.
It really shocked me and I felt a bit choked up at first! I would have to react better as a qualified Nurse and know how to calm the situation with a suitable distraction rather than being dishevelled by it!
I learnt a really good lesson on this ward after one of the patients was found slumped in her chair, clammy and non-responsive. When I arrived the HCAs and Nurse had already got her back into bed and made the call.
I could tell the Nurse was a bit shaken but she remained calm and collected and instructed other staff well. She asked me to do an ECG on the patient…and the responsibility scared me despite my previous employment where I could do anything up to 6 ECGs a day.
By the time I had the machine there was a consultant by the bed getting IV access while the other Doctors made their way. I felt quite awkward doing the ECG in-front of a Doctor in case I did anything wrong, and particularly because he was in my way! I did manage to do the ECG, and when the rest of the Drs arrived one of them asked me for the copy of the ECG. If I had asked him politely to allow me the space to accurately place the electrodes it would have saved me a lot of worry and a potential critical mistake!
I was too afraid to explain what her vital signs indicated — partly through fear of being wrong but also not wanting to upset them! This is something I really want to rectify on my next placement and hopefully gain confidence from, reflective essay on stroke patients.
I also learnt practical elements from the Doctors and I have written a step-by-step account of how the situation was dealt with for future reference, reflective essay on stroke patients, so in all it was an invaluable experience.
This is probably one of my longest reflections and I could write more, but in summary this placement has given me insight reflective essay on stroke patients both good and bad care of patients which I am sure I will observe more of going forwards. BNF Langhorne, P. The Lancetreflective essay on stroke patients, : — Pollock, A.
Motor recovery after stroke: a systematic review. The Lancet: Neurology8 8 : — You are commenting using your WordPress. com account. You are commenting using your Google account. You are commenting using your Twitter account. You are commenting using your Facebook account.
Notify me of new comments via email. Notify me of new posts via email. Skip to content. This then affects how the patient responds and situations can escalate — obviously this can be avoided reflective essay on stroke patients it takes a lot of resilience, professionalism and commitment to patient well being.
It emphasises the importance of teamwork and Inter-professional collaboration. I noticed a small but significant sore on his bottom that was not documented on the previous wards notes or mentioned in the handover.
Gibbs' Reflective Cycle Explained
, time: 8:47Reflective Experience With a Cerebellar Stroke Patient - Example Essay
· If a patient wakes up eliciting signs of a stroke the thrombolysis time is taken from the last time they were seen awake and well – therefore usually no thrombolysis is performed as this tends to exceed the hr window We did get some calls eventually, and (like buses) they all came at once! The First Lady had woken up with signs of a stroke Essay about Reflecting on the Care of Patients. Words12 Pages. INTRODUCTION This submission is going to focus on the nursing care that I gave on two placement simulations and one shift on placement, placing emphasis on oral care, bed bathing and medication management. It will outline the fundamental aspects of clinical nursing skills that have taken place in my setting · Reflection on Commnication Stroke Patient. Topics: Communication, Nonverbal communication, Stroke Pages: 5 ( words) Published: May 26, The assignment is based upon a critical incident that occurred in clinical practice. Dimond () believes critical incidents allow nurses to explore and reflect on situations in clinical practice which are good or bad, which will help them to
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