Tuesday, May 5, 2020

Manual Handelling of Pashients for Clinical Placement

Question: Describe about the Manual Handelling of Pashients for Clinical Placement. Answer: In the present assignment, I am reflecting on a situation that took place during my clinical placement in Liverpool hospital to develop and utilize my core practice skill of manual handling of patients to ensure patient safety. I am using Gibbs Reflective Cycle, 1988as it has the most suitable framework for my reflection (Gibbs, 1988). The model consists of six stages. It starts with the description of the situation, feelings as to what I thought and felt after the event, evaluation of the positive and negative impact and the required implementations, analysis of the situation, conclusion and action plan for facing such incidents further in future. I would describe the situation as to what happened during my clinical placement. I was assigned a duty to take care of a patient who had dementia. The patient motor skills had decreased and had restrictions in mobility which is common among dementia patients. Cognitive impairement increases the likelihood of development of Dementia (Leroi et al., 2012). The Registered Nurse (RN) asked me to lift and shower the patient. I helped in moving the patient and transferred him to the bathing area, while lifting his knee got hurt. I stepped out of the shower to obtain the required articles for bathing the patient. When I came back, I saw that the patient had fallen down and I found my patient in a risky situation where he might have got injuries. I would discuss about my feelings and thinking after the incident had happened. I felt guilty of the incident that the patient fell down because of my careless attitude towards him. I felt I was irresponsible and unable to take care of the patient. I would evaluate and state the implications. The positive aspect was that I had learned from the incident that before taking the patient to the shower, I should keep everything readily available and I was given a counseling session by my RN that helped me largely. The negative aspect was that I felt disastrous and thought of leaving my degree mid way. I would analyze the situation. I have learned that sense of responsibility and awareness are the two most important components for handling of such patients. I have realized that I should have taken everything prior to taking the patient to the shower. I would provide the action plan for adopting new practices and skills in case this situation arises again. It would include development of required skills for manual handling of patients like lifting, transferring, ergonomic approach and risk assessment techniques, (Jootun Pryde, 2013). Moreover, I have learned the fall prevention practices, post fall care, revirw and analysis to prevent further harm to the patients during hospitalization (Miake-Lye et al., 2013). Moreover, the patient had lack of cognitive abilities, so in such cases, I would check the footwears, regular checks on conditions of feet for bruises, deformities and pressure areas (www.activeandhealthy.nsw.gov.au, 2016). I would conclude that I have gained practical experience and knowledge from the situation that I had encountered while handling the dementia patient. I have learned that by developing proper skills and practices with responsible and positive attitude, I would become a good registered nurse in future. I am looking forward to achieve my goals of serving the diseased and ill people with care and empathy throughout my life. References: Gibbs, G. (1988). The reflective cycle.Kitchen S (1999) An appraisal of methods of reflection and clinical supervision. Br J Theatre Nurs,9(7). Jootun, D., Pryde, A. (2013). Moving and handling of patients with dementia.Journal of Nursing Education and Practice,3(2). Leroi, I., Pantula, H., McDonald, K., Harbishettar, V. (2012). Neuropsychiatric symptoms in Parkinson's disease with mild cognitive impairment and dementia.Parkinsons Disease,2012. Miake-Lye, I. M., Hempel, S., Ganz, D. A., Shekelle, P. G. (2013). Inpatient fall prevention programs as a patient safety strategy: a systematic review.Annals of internal medicine,158(5). www.activeandhealthy.nsw.gov.au,. (2016). Retrieved 15 October 2016, from https://www.activeandhealthy.nsw.gov.au/assets/pdf/RACF_Guidelines.pdf

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