Study Bay Coursework Assignment Writing Help
On this reflective essay I’m going to debate a studying final result wherein I’ve grow to be competent to apply. To replicate on my studying final result I’m going to make use of Gibbs’ reflective mannequin (1988). The Gibbs’ reflective mannequin is a well-known and used mannequin in reflective apply. It consists six steps which I’ll describe step-by-step as my essay will progress. Within the nursing care course of it’s a duty of a nurse to supply holistic care to the affected person who’s underneath our care. Our focus is to allow them to manage, stop, remedy or alleviate the issue from which they’re struggling and never capable of perform their regular life. Our intention is to Help and train sufferers the best way to meet their each day wants in different methods. The educational final result I’ve chosen to replicate is PEG feeding which is another manner to supply vitamin to a affected person who just isn’t capable of acquire vitamin by means of the mouth.
Step one of Gibbs’ reflective cycle is an outline of the occasion. One service person in my placement space whom I’ll name Mrs. P to take care of her confidentiality (NMC 2008) is affected by progressive supranuclear palsy, a situation wherein because the situation progresses affected person losses talents i.e. Swallowing, speech, sustaining stability, eye motion. On account of this situation she developed dysphagia and it was not attainable to take care of her vitamin by way of oral consumption. Thus, multidisciplinary staff and household determined to position her on PEG feeding. PEG tube is extra acceptable than nasogastric tube for long run feeding because it avoids delays in feeding and discomfort related to displacement (Nationwide Collaborating Centre for Acute Care 2006). Throughout my placement one of many nurses asks me to go and provides her water by means of the PEG tube. Though I did it earlier than in my nation I used to be aware of it however I didn’t apply for a very long time and as I’ve seen the situation of Mrs. P. I wasn’t assured to hold out the duty. I mentioned it with my mentor and we determine that I can take it as a studying final result throughout my coaching to make myself competent with PEG feeding talent.
As I’m going into the second stage of Gibbs’ reflective mannequin (1988) wherein I’ll talk about about my ideas and emotions. When the nurse requested me to offer the water by way of PEG tube, at first I used to be feeling myself silly to ask for Help considering that what impression I’ll make on that nurse. This sense got here into my thoughts because of a thought that I’m a registered nurse in my nation so I ought to know this. However I misplaced my confidence once I went in Mrs.P’s room and noticed her situation i.e. Slurring speech, downside with stability, mobility downside and ache in her neck. So I determine to ask the nurse to carry out the duty and I additionally noticed it. Whereas she was giving her feed, I discovered that she was coughing so much and wasn’t comfy. Which I assumed was as a consequence of her place and the nurse defined me and justify my thought that it’s due to her situation. I used to be not happy together with her explanations and as a supervised apply nurse I wasn’t capable of oppose her. I determine to learn extra concerning the PEG feeding and mentioned it with my mentor.
The third stage of the Gibbs’ mannequin (1988) of reflection is an analysis which requires the practitioner to contemplate the nice and dangerous issues concerning the occasion. The affected person must be positioned the place the affected person can sit up as a lot as attainable in a supported midline place (Dougherty and lister 2008) whereas giving PEG feeding. The nurse who gave feeding didn’t appropriate Mrs. P’s place as she was in a semi upright place. Moreover, earlier than beginning and on the finish of the feeding, she didn’t clear the tip of the tube. The tip of the tube must be cleaned each day with water and a small brush (Loser et al.2005). Nonetheless, the nice apply I noticed that nurse knowledgeable the process to Mrs. P which is necessary based on the NMC (2008) to make her perceive the process and provides her consent. As well as, to keep away from tube adhering to the stoma pores and skin rotate it 360 diploma (Bumpers et al, 2003). The opposite necessary factor my mentor mentioned with me was administration of treatment by means of the PEG tube. In line with BAPEN (2003a), by no means add treatment on to the everlasting feed to keep away from interplay between medication and feed and flush the tube after administration to keep away from tube blockage. Through the dialogue about PEG feeding with my mentor I discovered that different issues to contemplate with PEG feedings are administration of the tube, affected person place and checks to hold out earlier than feed and it is vitally necessary to keep away from problems. In my placement space solely Mrs. P has bought PEG tube. So my mentor mentioned with me that there are a lot of indications for PEG tube insertion based on the affected person’s situations so it is very important study concerning the particular wants of that affected person earlier than performing the process. She mentioned some state of affairs circumstances with me to grasp extra about it. This helped me to grasp totally different features of the PEG tube
The subsequent stage of the Gibbs’ reflective cycle (1988) is an Assessment of the occasion the place reflector has to make sense of the occasion. I’ll analyze it by exploring the talent and looking out into the proof. The PEG feeding is a technique of giving vitamins to take care of an optimum dietary Help (Nationwide Collaborating Centre for Acute Care 2006). Medical trials have confirmed that there are very uncommon problems with PEG tubes, corresponding to leakage (Riera et al. 2002). By analysis of this occasion I’ve been competent to offer PEG feeding and care of the tube. The explanations for Mrs. P’s coughing defined by the nurse was from her each day expertise working together with her which might be proper however what I discovered from the references was totally different and proof primarily based. So I discovered from expertise and thru expertise (Burnard 2002). It has boosted my confidence to problem others views concerning my apply.
In line with stage 5 of Gibbs’ mannequin (1988), I conclude from that each nurse doesn’t discover the identical proof primarily based causes for the issue but when I’m working towards protected and primarily based on proof then my apply is protected. Sooner or later I’ll be sure that I’m assured and competent to carry out the duty and have proof primarily based rationalization of the conditions. From this specific studying final result I’ve discovered a few PEG feeding process and the care of the PEG tube
The final stage of Gibbs’ reflective mannequin (1988) is the motion plan. My motion plan for the long run apply is to learn extra references and literatures concerning PEG feeding. There will likely be many various situations concerning PEG tube in my future apply so it’s essential for me to search for extra info on this specific topic to make myself excel. I additionally request my mentor to guide me for a research day to study extra about this talent.
