Reflective essay relating to a patient with COPD

Reflective sample relating to a patient with COPDINTRODUCTIONThe purpose of this essay is to adopt Rolfe, Freshwater and Jasper (2001) archetype of upbraiding in reflecting upon my experience in practice placement dapple caring for a patient with a long term condition. This pattern bequeath help to identify the learning involve and how it may be achieved. To maintain confidentiality in this essay with respect to the NMC code of conduct, I give be keeping the patients information anonymous, thus allow for be referred to as Elizabeth.Reflection is an important element of learning (Arbel, 2009). crapper and Freshwater (2005) defined reflection as prizeing previous experience to pose tacit and intuitive acquaintance. Rolfe et al (2001) model of reflection propose a framework that uses Bortons (1970) developmental model. Pryce (2002) explains that, this model is a simplistic roll that is based upon three sample questions to reflect on a agency What? So what? Now what? Hence , it is vital that student nurses reflect regularly so as to reform their practice, knowledge, skills and behaviour to vexation for their patients to the best of their ability. Ultimately, Botten (2012) stresses the importance of reflection for student nurses, as it enriches their clinical learning, enabling them to learn more than around themselves and the way they practice.WHATI met Elizabeth during my previous practice placement at the surgical ward, she is 70 years old and was diagnosed with severe chronic bronchitis approximately 8 years ago. She was admitted to the ward due to acute exacerbation of chronic impeding pulmonary disease (COPD). check to Kauffman (2014), bronchitis is the Inflammation of the bronchi associated with partial obstruction of the bronchi by secretions or constriction. Chronic bronchitis is also included under the umbrella of COPD (Jindal Vijayan, 2011). In regards to NICE (2010), about 3 million people have COPD in the UK, 900,000 have diagnose d COPD and an estimated 2 million people have COPD which remains undiagnosed. Also, gibe to department of health (2010) COPD mainly affect people aged oer 45 with a history of smoking.SO WHATElizabeth carryd that she was experiencing progressive dyspnoea and increased cough. McCann (2007) stated, with chronic bronchitis, increased accessory use of muscles may be chronic and is preceded by a productive cough, sputum production and brusqueness of breath. At the time of sagaciousness during admission, Elizabeth reported that she has been unable to c be for herself and has hindrance managing her quotidian activities as she lives alone. Elizabeths ain hygiene appeared to have deteriorated and she was only if able to speak in short sentences.Elizabeths personal hygiene was deteriorating as a result of her inability to self-care. According to Field smith (2008), hygiene is fundamental for all people. The nurses used Roper et al (2001) and Orem (1991) treat models in meeting Eli zabeth hygiene necessitate. In addition to Field metalworker (2008), it is stated that, this nursing models helps patients to achieve the activities associated with their day-by-day life independently. Following the care plan, the nurse assessed Elizabeths hygiene needs, taking into consideration any deficit that may affect her ability to care for herself. The nurse make certain(p) that appropriate personal hygiene care including washing, oral care, hair care, oral cavity care and nail care was provided and this was discussed with Elizabeth in order to ensure her needs are fully met by protecting her right to privacy and personal choice. DOH (2003), states that personal hygiene is the corporeal act of cleansing the eubstance to ensure that the skin, hair and nails are maintained in optimum condition. Dingwall (2010) also suggested that assisting patient in meeting their hygiene needs as healthy as helping them substructure develop a nurse-patient relationship and go forth a skilled practitioner to assess how the patient is improving mentally and physically. payable to the exacerbations, she had problems ingest and swallowing, hence, simple routine nutritional screening was performed using a validated nutritional screening tool such as Malnutrition universal screening tool (MUST). According to Rice (2006) nutritional endorse is a vital part of nursing care because many patients with COPD are malnourished. This nutrition screening was carried out so that changes in her cant over can be identified immediately and dietetical changes can be started to ameliorate her nutritional status as soon as possible. Specific dietary advice and support as well as general advice for meal supplying were reinforced. Nazarko (2002) emphasised that, nutritional status is significant to patients state of health. Referral to dietician and speech and language therapists was made to optimise her nutritional status, and assess and treat her swallowing unmanageableies. According Evans (2012), swallowing difficulties can make patients eating and drinking difficult and can often result in patients losing weight if no adequate support is given. Hence, Adjustment of food flavour, texture, density and temperature was made to help minimize dysphasia. Any liquid given such as water or ensure was thickened as they are difficult for the tongue to control and can easily splash into the trachea (Weetch, 2001).Due to concerns regarding Elizabeth inability to carry out daily activities safely without risk of move or accidents, which may result detrimental effect upon her health and pure tone of life, referral to the following members of multi-disciplinary team was made for further assessment to assist with her daily activities of living that may enable her to continue to live within her home safely. These members of multi-disciplinary team included social services, physiotherapist, occupational therapist, social workers and age concern. According to Karen Aidin (2011), Dyspnea causes many patients with COPD to withdraw from day-to-day activities and hobbies. Referral to rehabilitation services was considered to improve her breathing, oxygenation and endurance (NICE, 2006). Home care aide services were considered to assist Elizabeth with her activities of daily living care. Rice (2006) suggested, in planning care, it will be crucial to determine what activities of daily living the patient can perform.NOW WHATIn becoming an efficient nurse, there are some areas of improvement that needs to be considered for future practice such as understanding more about activities of daily living for COPD patients, having more knowledge on assessment discharge, how they are done, package of care for COPD patients. These learning needs will be achieved through working closely within the multi-disciplinary team. According to Nehring Lashley (2010), working within multi-disciplinary will give the student opportunity to enhance their professional skil ls and knowledge of patients care. Also, reading more about COPD exacerbation will enable the student to recognise a patient having exacerbation if it re-occurs in future practice, knowing how to manage their condition goodly, hence, providing high quality care. final stageCOPD is a debilitating illness which causes patients emotional, social, psychological and physical distress due to the impact on daily living. This reflective essay has helped the student acknowledge the importance of reflection within practice as it allows professionals to convey thoughts of how they can improve on their practice to enhance effective delivery of care.