winnie's podcast

The speaker started treatment on June 24th after not getting a place in time. They applied to several places but were unsuccessful. They were offered a place at a hospital and had a customized induction on their first day. They noticed that the ward still used paper documentation due to funding issues. They had a reflection cycle and realized that an elderly patient's care needs were not adequately met. They learned about the importance of assessing patients and providing companionship. They also realized the need for patient-centered care and the importance of considering the concerns of patients. The speaker plans to enhance their understanding of patient-centered care and improve their competence in planning and delivering patient education. In another episode of care, they attended to patients with physical and learning disabilities. They had to communicate effectively with a patient who was losing his ability to communicate. They felt proud that they were able to engage the patien I started treatment on the 24th of June as I did not get a place in time to start on the 17th of June. I have applied in several places, such as care homes, residential homes, paramedics, tally, as well as private mental health hospitals to no avail. I was offered a place at Tempsite and Glossop Integrated Care Hospital on the 21st of June, and I started on the 24th of June. I approached the hospital on the 24th of May, 2024, which I feel was a prompt response from them, which was beneficial to me as I was desperate to get a place at the time. My start date, I was received by a professional nurse advocate, and I had a bespoke induction on the day. After induction, I was taken to a care for elderly ward. There I met ward assistant manager and was shown around the ward and met other healthcare professionals. I was puzzled as I realized that the ward was still using paper documentation. The nursing staff explained that it is due to funding issues. Hopefully soon they will upgrade to digital platform. This reflection cycle was used on my reflection. While I was in the elderly ward on my first week during my duty, a male patient rang a call bell. When I reached his bed to attend to him, I noted that his sheets were soaked with urine and the patient was looking frail. He explained to me that he releases fluids even when he is asleep. As a result, his bed was heavily wet. Nonetheless, it was not mentioned in the report that the patient required assistance with personal hygiene. Moreover, the patient was not using a carpeter. I offered to assist with his personal care and documented in his notes so that my colleagues were aware of what was done for him and as well documented the care needs for the patient. The ward has numbered care plans which must be followed when writing notes for the next caregiver to understand each patient's needs. I was disappointed when I realized the elderly patient's care needs were not adequately met or at least admitted as a hospital. Reviewing his medical record, I felt upset because there was a need for a comprehensive assessment of the patient to inform members of the multidisciplinary team. Once I assisted the patient, I was glad that I had improved the patient's condition. Nonetheless, I felt there was a need to suggest effective interventions to reduce the increased need to release fluids and I spoke to the qualified nurse about this. Action plan was created. In addition, I did not have enough knowledge on the side effects of blood pressure medication that was taken by the patient. I had to look up in the BNS app on my phone, which helped me to understand more about the medication. In this episode of care, I learned that older patients often have various underlying conditions. According to Dominic, ETAL 2006, people above the age of 65 are vulnerable to various chronic illness, which normally worsens at the later stage of their life. It is therefore important to assess the patient to inform the care manager. In the present case, the medical record was not comprehensive and some key aspects of care were neglected. In addition, I learned that interaction with elderly patients improved the care process. Jakob Zorn 2000 and Bosky ETAL 2011 noted that companionship helps to reduce the severity of health conditions associated with elderly patients. Moreover, the NMC code 2018 requires nurses to show compassion during their duties. Older people have unique essential care needs because they are affected by various underlying illnesses. The condition on the elderly patient is worsened by poor assessment, neglect, and limited therapeutic conversations. Effective treatment of elderly people requires substantial clinical experience. In the present case, I noted that I did not have sufficient clinical experience to offer advice regarding the side effects of blood pressure medication and managed to search it up from BNF. In addition, although I was certain in that patient's... Older people have unique essential care needs because they are affected by various underlying illnesses. The condition on the elderly patient is worsened by poor assessment, neglect, and limited therapeutic conversations. Effective treatment of elderly people requires substantial clinical experience. In this case, I noted that I did not have enough clinical experience to offer advice on the side effects of blood pressure medication and managed to search it up from BNF. Although I was certain that the patient required the catheter, so needed review by the doctor. I was not confident enough at this point to perform male catheterization as the patient was not stable. Henceforth, I am able to perform male catheterization. In addition, I will seek in-depth knowledge of side effects of humane drugs used in the treatment of long-term conditions in older people. Through my interaction with the patient revealed important aspects of caring for people with long-term conditions. An important routine is to consider the concerns of patients. Research indicates that when a caregiver interrupts a conversation, a patient may be upset and may feel that she or he is denied a chance to express their concerns. In this episode of care, I noted that the patient was encouraged to explain her condition because I was listening attentively to her concerns. At the same time, this created an opportunity for me to understand the care needs of patients with long-term conditions. I noted that long-term conditions and prescribed medicines alter the way of life for patients. As a result, it is necessary to develop a treatment plan that considers a patient's concerns. This is in line with current medical protocols for patient-centered care. Hall, ETAL 1995. Pugh, ETAL 2019. Patients with long-term conditions need the development of a treatment plan that considers the changes that occur after diagnosis. In addition, it is important to equip the patient with knowledge and skills that assist the patient to adjust to the new condition. This includes taking prescribed medication and lifestyle changes. To enhance my performance in future practice, I plan to enhance my understanding of patient-centered care with a focus on patients with long-term conditions before registration as a qualified nurse. Moreover, I would like to improve my competence in planning and delivering patient education, which is necessary prior to discharge of patients with long-term conditions. Week 3. Reflection to essential care needs for people with physical and learning disabilities. In this lesson, I attended to patients who had physical disability and learning disability, who were hospitalized due to different types of conditions. On this particular occasion, I was doing my ward physical observation to patients. When I noticed that a patient was screaming, I went to check if he was okay. When I approached his bed, he looked sleepy. I reassured him calmly that I had come to assist him. I introduced myself and gained confidence. I realized at the point that he was losing his strength to communicate. As a result, to sustain the conversation, I had to repeat my questions and listen attentively as he responded. I felt pity for the patient when I realized that if he was not to be attended to by someone who does not notice the way he communicates, he might not get the care he needs. I was disappointed that his condition could have been worsened by his inability to communicate effectively. As a result, no one took time to explain how he communicates. On the other hand, I felt proud that I was able to engage the patient and produce a conversation with him. In this episode of care, I reassured the patient that his condition could be managed effectively when the patient and nurse work together and understand how he communicates. I accomplished this by recognizing that patients with learning disabilities have unique care needs, hence required a different care approach compared to the other patients. Nonetheless, I believe I have good clinical experience to support patients with learning disabilities. It did not take me much time to recognize the condition of the patient. If I took too much time, it could have frustrated the patient. Communication is a barrier to effective healthcare provision. RFC 2006, RFC 2011. The families of people with learning disabilities and caregivers have a role to ensure that patients are exposed to normal life regardless of their condition. When a nurse engages a patient, he or she feels valued and hence improves nurse-patient therapeutic relationships. It is also important to ensure that healthcare workers are equipped with relevant knowledge and skills to assist people with disabilities. Research indicates that people with learning disabilities often receive inadequate healthcare because most caregivers are not professionally trained to provide suitable care to patients with learning disabilities. 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