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Development

Introduction The content of this assignment is a discussion of my professional development achieved during my first placement. There are two main skills I would like to focus on, giving personal care and time management. Driscoll’s model of reflection[a] is going to be followed. According to the NMC Code of Professional conduct [b] information must be confidential. What? During the first weeks, I was given a task to assist residents that requires only one carer to help with their personal care. Having no experience in this field, it became very challenging for me to perform. It was fortunate that the lady being assisted has the full capacity and directs her preferences which made it easier. However, participating and getting more experience in assisting them made me memorise their routines. Asking for their permission before doing anything is a must because this gives them the Deprivation of Liberty. Also, prioritising care is followed in this care home. Moreover, communication links the best when giving personal care because it will be more effective to know my residents before assisting. Everything in the person-centred care plan talks about their preferences, mental capacity and their mobility. Also, reading the documentation can help me start a conversation which could lead to building a relationship. This is a must because they treat the nursing home as their own home. After giving them personal care, I was always told how to document what happened and the care provided must be recorded in detail as it might be shown as we neglected on giving them the care. Calling the family and updating them about a resident’s condition became a challenge for me because I always get nervous so writing down a script helped me a lot and made sure all messages needed to pass on was said. So, what? As it is known, nursing has been a busy career, also its content is changing and improving time. Therefore, professional development important because it is an ongoing process and continuous in the nursing profession or any other profession. Additionally, everyone should be updated and have a better understanding of the changes happening to apply in practice. Moreover, having good personal care promotes the resident’s privacy and dignity as we provide a suitable environment for them[f]. It is important to provide basic person-centred care to people who are unfitted to meet their own specific need. This is by ensuring their nail, hair, eyes, nose and skin are maintained clean. This also includes giving them mouth care which emphasises the meaning of essence of care. Ensuring that the resident is involved during personal care by communicating is needed to recognise their choices and if they are in pain or needing anything. Deprivation of liberty Safeguard is produced to give people that have lack of mental capacity the right to choose and make their own decision[h]. Therefore, I try making them choose even in simple questions like asking they would like to be assisted with their wash now or later and giving them choices in their clothing. Doing this gives them to have the right to decide for their life but sometimes I must act for their best interest. This care implies holistic care as we are focusing on treating them as a person not just someone who has a condition[i]. Holistic care goes relates back to Kitwood, he believed that person centred-care focuses on who the person is and not the condition or illness they have[j]. Furthermore, documentation is very important everywhere, especially in healthcare because it serves a communication tool. Record keeping promotes good teamwork and better communication. This is because it is a way to communicate with the multidisciplinary team to provides evidence that residents are getting the care they require[d]. Also, failure to document shows that the care provided didn’t exist [e]. Having good communication will make the patients feel valued and not forget but distract them for being anxious about their thought and feel neglected. Additionally, documenting all the happening in the care is important because this is one of the best ways to communicate and update everyone in the workplace for a safer and provide appropriate care. Additionally, legal standards must be met as documentation is an important aspect of practice[c]. Now what? To maintain the skills, I achieved and developed in my first placement, my plan is to improve my communication verbally and in writing more effectively in a hospital setting. A nursing home and hospital normally have a different way of documenting and keeping their records, so it is better to adapt in a new setting and be open to the changes coming. Additionally, both places are specialised in different areas. My next placement will be in an oncology ward where patients have a full capacity compared to a dementia nursing home. Learning more on how they give personal care might not be the same as in the home because the residents have all their belonging with them in a room where they considered home. Additionally, I would love to improve and build my confidence in communicating with patients and perhaps their relatives. This could be a challenge because of my timid personality and I never been to a ward before. Keeping everything professionally is what I should be holding on because the words coming out of my mouth could turn against me if inaccurate and inadequate words information are given. Another way to be more involved is by researching which would be beneficial for my knowledge. References: a) Driscoll J. (1994) Reflective practice for practice. Senior Nurse. Vol.13 Jan/Feb. 47 -50 b) Nursing & Midwifery Council. (2018). The code: Professional standards of practice and behaviour for nurses, midwives and nursing associates. Retrieved from http://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/revised-new-nmc-code.pdf [Accessed 10 Jan. 2019]. c) Clpnns.ca. (n.d.). [online] Available at: https://clpnns.ca/wp-content/uploads/2013/05/Documentation-and-Legal-Issues.pdf [Accessed 10 Jan. 2019]. d) Nabwami, L. (2018). Record Keeping and Documentation – Ausmed. [online] Ausmed. Available at: https://www.ausmed.com/articles/record-keeping-documentation/ [Accessed 17 Jan. 2019]. e) Carpenito-Moyet, L. and Carpenito, L. (2009). Nursing Care Plans & Documentation. Philadelphia: Wolters Kluwer Health, p.9. [Accessed 17 Jan. 2019] f) NHS Facilitator (2019). Personal Care of Patients Policy. [online] Available at: http://www.sompar.nhs.uk/media/2907/personal-care-of-patients-policy-v3mar-2016.pdf [Accessed 18 Jan. 2019]. g) Department of Health (2010) Essence of Care h) Alzheimer’s Society. (n.d.). Alzheimer’s Society’s view on Deprivation of Liberty Safeguards. [online] Available at: https://www.alzheimers.org.uk/about-us/policy-and-influencing/what-we-think/deprivation-liberty-safeguards [Accessed 18 Jan. 2019]. i) NHS (2016). Personal Care of Patients Policy. [online] Available at: http://www.sompar.nhs.uk/media/2907/personal-care-of-patients-policy-v3mar-2016.pdf [Accessed 18 Jan. 2019]. j) Kitwood, T.(1998).Toward a theory of dementia care: ethics and interaction. The Journal of Clinical Ethics “,9”,23–34.

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