Palliative Care Nursing Reflection

Palliative Care breast feeding Reflection admissionThe Health tuition Quality Strategy for NHS Scotland (Scottish government activity 2010) was a further phylogenesis from Better Health, Better Care (Scottish Government 2007). In this reflective explanation I wish to concentrate on the flocks priorities for the people of Scotland outlined at heart this document, the ultimate aim is to provide the highest fictional character of sustenance. It has as their objectives that cautiousness given(p) should be consistent, person centered, clinically effective and safe and equitable with patients receiving chiseled parley with regards to conditions and treatment (Scottish Government 2010). Hubley and Copeman, (2008) state conversation skills are paramount in health carry off to stop that tailored advice is delivered effectively.This reflective account is establish on an experience from my 3rd year management transcription. Using Gibbss Reflective Model (1988) I aim to outline wha t occurred throughout the attendant which have-to doe with providing conk communication and patient centered precaution and how this stomach be linked to the Quality Strategy in relation to the peoples priorities. This reflective model has been selected as it enables reflection on praxis in a structured way allowing one to identify overcritical learning and development from their experience to enhance approaching practice (Bullman and Schutz, 2008). This scenario allow consider how this casualty depart aid in my transition from student declare to staff make.To comply with patients rights to confidentiality and in accordance with the Nursing and obstetrics Council (NMC), (2010) I will use of goods and services the pseudonym Mrs walk.DESCRIPTIONThis reflection involves a 78 year old lady Mrs walk who was an inpatient on the ward for 10 days after being diagnosed as having a cerebral haemorrhage. This had left Mrs Wade with a left sided weakness and aphasic. It was du ring this snip it was established that Mrs Wade was besides suffering from a perforated catgut and after discussion with her family from the medical staff it was decided that Mrs Wade was for no further active care and was to remain in the wards single mood for palliative care.FeelingsDuring my three years as a student nurse I had been composite with the care or palliative patients. However, I felt up I still lacked confidence in this situation in communication with patients and families. I had been have-to doe with in Mrs Wades care from admission as I had been her admitting nurse and I felt I had established a equitable patient / nurse relationship which in accordance with the Nursing and obstetrics Council (2008) allows for patient centered care. This is a difficult time for the Wade family and as stated with in The Healthcare Quality Strategy for NHS Scotland (Scottish Government 2010, p6) I would strive to provide care that was both condole with and compassionate.Eval uationThe negative opinion of this situation was that I was dealing with a palliative care patient and that it was inevitable that my patient would die.The positive aspect that I could give from this was I was being put in a situation as a 3rd year student on my final placement and this would give me an experience that I could learn from.Jones (2012) advocates that it is inherent in nurse to have sincere communication skills. This is also advocated by Dougherty and Lister (2008) who states that communication is an integral branch of maintaining a high quality of record holding which is regarded as a vital standard of practice by the NMC (2008). parley and written care records aid to establish a continuity of care. A holistic approach for continuity of care is exceptionally important when lovingness for palliative care patients as nurses have a crucial aim in care provision (Hill, 2011). It is important to note that whatsoever development that is given to Mrs Wade and he r family is given in an open and honest manner and to ensure that they understand and give opportunity to ask questions (NMC, 2008). As Mrs Wade was a palliative care patient it gave rise to effective teamwork inside the multi-disciplinary team to ensure all Mrs Wades call for were met as well as her families to ensure continuity of care whilst showing clinical excellence.AnalysisThe mankind Health Organisation (nd) describes palliative care as an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and ministration of suffering by means of early identification and impeccable sagaciousness and treatment of pain and other problems, physical, psychosocial and spiritual.A holistic approach was interpreted in planning Mrs Wade care incorporating physical, psychological, social, emotional and environmental needs. These needs are not only imperative to the patient but also had to include all Mrs Wades immediate family in who she had requested to be involved (Dougherty and Lister, 2008). Within the ward I worked active care plans and patient care plans are reviewed daily and updated accordingly to ensure the patient receives the best possible care (NHS Greater Glasgow and Clyde, 2014)Jones (2012) states that it is essential in nursing to have right(a) communication skills. This is also reiterated by Dougherty and Lister (2008) who states that communication is an integral part of maintaining a high quality of record keeping which is regarded as a vital standard of practice by the NMC (2009). Communication and written care records aid to establish a continuity of care. Communication also incorporates the talent to listen and support and ensure understanding (NMC 2008).In addition to caring for Mrs Wade I was also given the opportunity to be involved in meeting with the multi-disciplinary team which in Mrs Wades faux pas involved the palliative care team for the hospital. This again reiterated the importance of good communication skills and accurate record keeping to ensure that all participants in Mrs Wades care knew exactly what was happening (SIGN 20). In terms of communication I felt I was gaining confidence especially with the family members as I had construct up a rapport which was both professional whilst being hail-fellow-well-met and trusting (MacLeod et al 2010).Mrs Wade as well as any patient within our care should receive care outlined by the peoples priority. Patients receiving palliative care should be made wanton and pain free and to be cared for in a safe and light environment (Scottish Government, 2010 p6).Reflection from this incident has made me aware of the level of sake each member of staff from health care assistants through to consultants job in the care of patients. This was sh feature through the numerous times I was involved in multi-disciplinary meets, re-assessment of care plans to ensure the highest s tandard of evidence based care was given to Mrs Wade (NMC 2009).CONCLUSIONThe outcome was positive in the aspect that a holistic approach to Mrs Wades care was taken in accordance with The Scottish Governments Initiative (2010) on patient centered care. I felt empowered by incorporating the use of the SBAR framework in effective collaboration with the multidisciplinary team aided clear communicating in accordance with The Scottish Government (2010). This consequenceed in a consistent continuity of care for Mrs Wade.ACTION PLANA expiry of this significant event was that it gave me the experience of dealing with a delicate situation. As stated by Scheffer and Rubenfeld (2000) Critical thinking in nursing is an essential component of professional accountability and quality nursing care. Critical thinkers in nursing exhibit these habits of the mind confidence, contextual perspective, creativity, flexibility, inquisitiveness, intellectual integrity, intuition, open-mindedness, persever ance, and reflection. Critical thinkers in nursing practice the cognitive skills of analyzing, applying standards, discriminating, information seeking, logical reasoning, predicting, and transforming knowledge. I was also given the opportunity afterwards to reflect on my subroutine and the role each member of the team took in the care of a palliative care patient.I feel for future development I will take responsibility for my hold learning in areas where I felt I lacked knowledge. In this situation I had assumed that Mrs Wade was recovering from her diagonal, however I was unaware that the effect a CVA has on the brain can result in continence issues and result in bowel perforation. I believe that in the future and with more(prenominal) experience I will be aware of complication resulting from a CVA and although I would not expect to be an expert I would be better equipped to deal with similar situations in the future (RCN 2013).OVERALL CONCLUSIONOn reflection of my own experien ce and in using this to aid in my transition from student nurse to staff nurse I feel I have enhanced my own knowledge on palliative care (Dougherty and Lister, 2011) whilst reiterating the importance of good communication skills. It also highlighted the importance of having the confidence to acknowledge ones own lack of knowledge and be able to admit to this and where to seek guidance to ensure that the correct protocol is followed to ensure patient safety at all times and to provide continuity of care. I feel that the care given to this patient is in line with the initiative of The Scottish Governments Healthcare Quality Strategy for Scotland (2010).In relation to how this incident reflects on my transition it shows that on graduating as a staff nurse I will immediately assume the role which includes leadership, delegation and supervision. at a time NMC registered, a host of expectations are placed upon you. The RCN (2010) reported that newly fitting staff nurses feel unprepare d and overwhelmed by their new responsibilities, making the menstruation of transition very stressful rather than exciting and truly enjoyable. However, I hope to overcome these feelings by immersing myself in the knowledge that I will adhere to all policies and guideline by The Scottish Government (2010) to ensure the best possible care and service to all.ReferencesMcLeod Deborah L, Dianne M. Tapp Moules, N., Campbell M E crafty the family Interpretations of family nursing in oncology and palliative care European Journal of Oncology Nursing Volume 14 issue 2 April 2010 Page 93-10 http//www.sciencedirect.com/science/ oblige/pii/S1462388909001124NHS GGC http//www.nhsggc.org.uk/content/default.asp?page=s1458