WEEK 3 DAY 1

Date of Learning: (24/04/25)
Title: NERVOUS SYSTEMS
Time: AM

The nervous system is a compound network of nerves and nerve cells (neurons) that carry signals or messages to and from the brain and spinal cord to different parts of the body. It is made up of the central nervous system and the peripheral nervous system.

The component of the nervous systems is:

The central nervous system (CNS): this is made up of the brain and spinal cord. The brain controls most body functions, including awareness, movements, sensations, thoughts, speech and memory. The spinal cord is connected to the brain at the brain stem and is covered by the vertebrae of the spine.

The brain has approximately 100 billion nerve cells that send and receive information around the body

The peripheral nervous system (PNS) is the part of the nervous system outside of the CNS. It is made up of nerves and ganglia that send signals to and receive signals from the CNS.

The PNS is divided into the Somatic nervous system and the Autonomic nervous system. The somatic nervous system controls body movements that are under our control such as walking. The autonomic nervous system controls involuntary functions that the body does on its own such as breathing and digestion.

The autonomic nervous system is further divided into the sympathetic and parasympathetic nervous systems. The sympathetic nervous system prepares the body for situations that require strength and heightened awareness or situations that arouse fear, anger, excitement or embarrassment. This is called the fight-or-flight response. It causes the heart to beat faster, makes you breathe quicker and more shallowly, dilates the pupils and increases metabolism. The parasympathetic nervous system has a calming effect on the body. It returns heart rate and breathing to normal, constricts the pupils and slows down metabolism to conserve energy.

Then, I studied about Neurons (nerve cells) which is the basic unit of structure and function in the nervous system, they are Cells that conduct impulses, which are made up of dendrites, cell body and an axon, it Transmit information in the form of electrical changes – nerve impulse (Action potential).

Action potential is ‘all-or-nothing’ it does not fizzle out enroute.

As a Nursing Associate, I now understand the nervous system’s function, I am now knowledgeable about the structure of the nervous system (central and peripheral), the roles of neurons and glial cells, and how different regions of the brain influence various bodily functions. Additionally, I understand common neurological disorders, their symptoms, and appropriate nursing interventions is essential.
KSB’s mapped is K24: Know how to support people with commonly encountered symptoms including anxiety, confusion, discomfort and pain

Date of Learning: 24/04/25
Title: THE ROLE OF EFFECTIVE COMMUNICATION
Time: PM

During the afternoon study about communication, I understood Effective communication is central to the provision of safe and compassionate person-centred care. Registered nurses in all fields of nursing practice must be able to demonstrate the ability to communicate and manage relationships with people of all ages with a range of mental, physical, cognitive and behavioural health challenges. (NMC, 2018).

The main forms of communication are Verbal and Non-Verbal communication.
Verbal communication relates to the use of the spoken word and is often extended to include the written word. Tone of voice, clarity of speech, volume and the pace with which someone is speaking are also important, Culture and accent can often influence the effectiveness of the spoken word, Jargon should also be avoided, Techniques can involve questioning (open/closed), Timing and environment are also vital
Non-verbal communication includes all aspects of body language, eye contact, posture, gestures, positioning, facial expressions and a way the individual presents themselves.
We are often unaware of the messages we are transmitting via non-verbal communication.

I studied that as Nursing Associate I must communicate effectively, exhibiting skills in active listening, Written communication, Proper Verbal and non-verbal communication compassionate, personal connections, be compassionate, be enlightening about my patient (patient education), be aware of cultural differences, be trusted or trustworthy, and give quality care to my client.

KSB’s mapped S7: Communicate effectively using a range of skills and strategies with colleagues and people at all stages of life and with a range of mental, physical, cognitive and behavioural health challenges.

WEEK 2

Date of Learning: 11/04/25
Time: AM
Title of Learning: The Structure And Function Of Blood

 

In this section I understood Blood as a body fluid that circulates through the vascular system. Blood makes up 6–8% of our total body weight Normal adult blood volume is 5L. Blood is made up of cellular material in a fluid called plasma It is liable for Transporting gases (oxygen & carbon dioxide), Transporting waste products, transporting nutrients, Helping remove toxins from the body, Contributes to the maintenance of core body temperature.
Blood has cells that are suspended in a liquid called plasma, these cells are Red Blood Cells known as Erythrocytes, White Blood Cells known as Leukocytes, Platelets also known as Thrombocytes.

I also learnt about Anaemia which simply means lack of red blood cell which is caused by the following Low red blood cell count, Low haemoglobin concentration Deformed red blood cell.
Also, there types of Anaemia which are:
Iron deficiency anaemia that is not having enough iron in the diet, decreased absorption of iron from the stomach
Aplastic anaemia: Bone marrow not making enough red cells due to damage to bone marrow stem cells
Haemolytic anaemia: Red cells destroyed before their life span is complete
Sickle cell anaemia: Inherited haemolytic disorder in which
White Blood cells or leukocytes. They are the largest of the blood cells and are present in the lowest numbers. If you were to have a blood test the usual range would be between 3.7-9.5 x 109 Cells/L for males and 3.9-11 x 109 Cells/L females.
White blood cells are produced and derived in the bone marrow from the hematopoietic stem cells the same as red blood cells.
Some white blood cells (lymphocytes) are also produced in the lymph nodes, spleen and thymus gland.
But the whites’ cells are the cells of the immune system, involved in protecting the body against both infectious disease and foreign invaders.
White cells have a nucleus and therefore when an infection is present in the body white cells replicate and the numbers of white cells increase to fight the infection and prevent further invasion. Therefore, a high number of white cells on a blood test, higher than 11 could indicate the presence of infection. It can also indicate trauma or malignancy. White cells can be a different shape depending on their role and some can make antibodies, proteins which help to fight infection. Their life span is anything from 24hr to several years depending on their reason for being there and if they have fulfilled their purpose.
They’re double the size of red blood cells.

Then, we moved to cardiovascular system which consists of The heart (cardio), Blood vessels (vascular), arteries, veins, capillaries, Blood, transport medium Circulation circuits, foetal, systemic, pulmonary Supply oxygen to the tissues, Transport carbon dioxide from the tissues back to the lungs, Transport nutrients to the tissues of the body, Remove waste products for excretion from the body by the kidneys and live Dissipation of heat to maintain normal body temperature, Help to maintain homeostasis.

 

 

Date of Learning: 11/04/25
Time: PM
Title of Learning: Patient Personal Care. (Patient Handling- Hoisting)

 

In this section, I realised that infection control being the practices and procedures that prevent the spread of infections in healthcare settings.
Patient Personal Care involves meeting the patients’ needs for hygiene, comfort, and dignity. It can improve the patients’ physical and emotional well-being, promote healing, prevent infections, and reduce the risk of complications.
Patient Handling: a selection of hoists, for example hoists to raise people from the floor when they have fallen, standing hoists, mobile hoists which aid resident to be moved.
The KSB’s mapped is K20 Know how people’s needs for safety, dignity, privacy, comfort and sleep can be met.

STUDY WEEK 1. DAY 2

Date of Learning: 04/04/25
Time: AM
Title of Learning: Introduction to Academic Writing.

Academic writing is a way students, academics and researchers communicate ideas and information across wider academic community through writing articles, journals and others.

I learnt that it is important to keep my writing short, precise and avoid exaggeration.

Academic writing should involve paragraphs that has been trimmed down to express one idea.

My academic writing should follow the phases:
Plan, Think, Research, Write and Analyse and Edit.

I understood that Proper Referencing was an important part of writing. It acknowledges and gives credit to sources, enhances credibility and adds value to the writing and writer as well.

As a Nursing Associate I need to structure my writing into, Topic sentences, supporting sentences, concluding sentences and Transitional sentences, making it easier and as concise as possible.

KSB’s ADDRESSED:
K4: Understand the principles of research and how research findings are used to inform evidence-based practice.

 

Date of Learning: 04/04/25
Time: PM
Title of Learning: Respiratory System

Respiration literally talks about the transport of oxygen from the external atmosphere to the body and the removal of carbon dioxide in the opposite direction to the environment using the process called gaseous exchange.

So I then understood that respiratory system is the organs and structures in the body that allows breathing. It is made of organs such as, lungs, airways (trachea, bronchi and bronchioles), diaphragm, voice box, throat, nose and mouth. Its main function is to breathe in oxygen and breathe out carbon dioxide. It also helps protect from harmful particles and germs and allows to smell and speak.

The respiratory system is functioned to aid the body with the following:
• help us to breath
• allow us to talk
• protect the body from harmful particles entering the body
• help in smelling things
• balances level of acidity in your body

As mentioned earlier the respiratory system has many different parts that works together to support the lungs which apparently is the main organ these are nose and nasal cavity, mouth and oral cavity, Sinuses, pharynx(throat), larynx (voice box), trachea (windpipe). bronchi (large airways) and diaphragm.

In simple terms the system has the thoracic cavity, upper respiratory tract, lower respiratory tract and the lungs.

I also learnt about diffusion which is the movement of substances from an area of high concentration to an area of low concentration.
Again, Gas exchange was discussed as the physical process by which gases move passively by diffusion across a surface.
One of the main homeostatic functions of the respiratory system is the gas exchange that occurs in the alveoli in the lungs. As blood passes through the tiny capillaries in the alveolar sacs, changing pressure gradients allow oxygen and carbon dioxide to diffuse in and out of the blood.

At the end of this study, I can describe the function the respiratory system, Identify key structures of the respiratory system, define diffusion and understand the role of the respiratory system in homeostasis.

KSBs Addressed : K16:
Understand body systems and homeostasis, human anatomy and physiology, biology, genomics, pharmacology, social and behavioural sciences as applied to delivery of care.

STUDY WEEK 1. DAY 1

Date of Learning:03/04/25
Time: AM
Title of learning activity: Respiration

In this study I understood Respiration is a chemical reaction which occurs in every one of the cells in the human body. It releases energy stored in glucose and without it, these cells would die.

Although the normal rate of breathing can vary slightly from one person to the next, there is a range that doctors and nurses consider usual.

The normal rate of breathing for healthy individuals between 12 and 18 years old is between 12 and 16 breaths per minute at rest.

The rate for healthy adults is between 12 and 20 breaths per minute.

At this breathing rate, the carbon dioxide exits the lungs at the same rate that the body produces it.

When we exercise, we need more oxygen to carry out more respiration and release more energy to get rid of more carbon dioxide This is achieved by breathing in and out faster.

In simple terms, as a Nursing Associate, I understood the need of respiration in my patient’s life.

KSBs Addressed: K19
Know how and when to escalate to the appropriate professional for expert help and advice.

 

Date of Learning:03/04/25
Time: PM
Title of learning activity: NMC AND THE CODE

In this study, the code are Professional standards of practice and behaviour for nurses, midwives and nursing associates The Code contains the professional standards that whether they are providing direct care to individuals, groups or communities or bringing their professional knowledge to bear on nursing and
midwifery practice in other roles, such as leadership, education, or research.

The code binds me to Prioritize people
As a Nursing Associate I must make sure that those receiving care are treated with respect, that their rights are upheld and that any discriminatory attitudes and behaviours towards those receiving care are challenged.

Also, it binds me to practise effectively, I am bond by the code to deliver my services to the best of my abilities, based on the best evidence available and best practice.

As a Nursing Associate I am to uphold the code by Preserving safety. I must take necessary action to deal with any concerns where appropriate and always make sure patient and the public safety is not affected in delivering my services.

As a Nursing Associate I must Promote professionalism and trust I must always uphold the reputation of my profession. I should be a model of integrity and leadership for others to inspire others.

KSBs Addressed:

S1 : Act in accordance with the Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC, 2018), and fulfil all registration requirements.

S5: Safely demonstrate evidence-based practice in all skills and procedures required for entry to the register: Standards of proficiency for nursing associates Annex A & B (NMC 2018).

S6: Act as an ambassador for their profession and promote public confidence in health and care services.

S9: Develop, manage and maintain appropriate relationships with people, their families, carers and colleagues.

S40: Support and motivate other members of the care team and interact confidently with them.

S42: Support, supervise and act as a role model to nursing associate students, health care support workers and those new to care roles, review the quality of the care they provide, promoting reflection and providing constructive feedback.

PREP FOR STUDY WEEK DAY 5

Date of Learning:28/03/25
Time: AM/PM
Title of learning activity: PULSE OXIMETRY

In this study, I understood what basically pulse oximetry is, that it was a painless, non-invasive method of measuring the saturation of oxygen in a person’s blood and this done buy the use of A pulse oximeter(is a small device that fits on your finger and quickly and easily checks your oxygen levels and heart rate) or manually.
Oxygen saturation is a fundamental measure of how well the lungs are working. When we breathe in air, our lungs transmit oxygen into tiny blood vessels called capillaries. In turn, these capillaries send oxygen-rich blood to the heart, which then pumps it through arteries to the rest of the body.

I also learnt about the procedures involve in taking the pulse ,types of proves, how to attached the probe, and difference in readings.
The normal oxygen saturation level for someone who is healthy should be 95% or more
Oxygen saturation levels may be less in patients with some respiratory conditions, individual patient specific guidance should be sought
In patients with COPD target saturation levels may be as low as 88% -92%.

As a Nursing Associate, this study has enlightened me on how important it is to know the right procedures to get right readings and when to appropriately escalate when needed.

KSBs ADDRESSED: K19
Know how and when to escalate to the appropriate professional for expert help and advice

PREP FOR STUDY WEEK DAY 4

Date of Learning:27/03/24
Title of Learning: SWOT ANALYSIS AND SMART OBJECTIVES
Time: AM/PM

In this study, I understood SWOT analysis as a formation or means which seeks to recognise the Strengths, Weaknesses, Opportunities and Threats contained in a project or organisation.

I understood It’s a structure that will help me identify my strengths to build on and my weakness to work on it.

Strengths and weaknesses are usually considered internal, while opportunities and threats are usually considered external. The degree to which my internal strengths match with its external opportunities is known as its strategic fit.

While the SMART objective is a method used to assess and formulate objectives so that they are clear. But also, attainable and measurable.

The acronym SMART represents five criteria that can be applied to ensure that a goal is well defined:

SPECIFIC : The objective must be clear and precise, with no room for ambiguity.

MEASUREABLE: In addition to being specific in my goals, I need to be able to quantify my data or indicate where I am progressing towards my goal.

ACHIVEABLE: It’s important to look at my end objectives and plan out goals that are within realistic capabilities.

REALISTIC: Also, I must make sure my goals are relevant to my patients.

TIMELY: I must set a timeframe for my goals.

As a Nursing Associate I must get my objectives to be Smart, Measurable, Attainable, Relevant, and Time-bound as I build up on my strength and work on my weakness.

As a Nursing Associate I have to get my objectives to be Smart, Measurable, Attainable, Relevant, and Time-bound as I build up on my strength and work on my weakness.

KSBs Addressed:
S2: Keep complete, clear, accurate and timely records.

PREP FOR STUDY WEEK DAY 3

Date of Learning:26/03/25
Time: AM
Title of learning activity: UNDERSTANDING ILLNESS ACROSS THE LIFE SPAN.

In this section, I understood that the study aims to provide an overview of body systems and types of cells and the concept homeostasis, I was enlightened on the outcomes that was expected of me at the end of this study which are to:
Identify key anatomical directional terms
Outline the hierarchy for organisation of life
Identify different types of cells and their key characteristics
Define homeostasis and give examples of how the body maintains homeostasis.

Date of learning:26/03/25
Time: PM
Title of Learning: Introduction to Anatomy & Physiology (Systems, Cells & Homeostasis)

In this study, I understood homeostasis as a state of balance among all the body systems needed for the body to survive and function correctly. For example, having normal body temperature which is between 36.5°C to 37.2°C, Respiration, oxygen in blood etc.

It was also noted in this study that there are levels of organization in the body, from the simplest to the most complex which are, atoms, molecules, organelles, cells, tissues, organs, organ systems, and the human organism.

Then the five essentials for survival which are Water -most abundant substance in the body (volume dependent on age & gender
Oxygen –forms 21% of air we breathe. Needed for chemical reactions
Nutrients example proteins, fats, minerals necessary for life -growth, repair.
Normal body temperature – if it drops below 37oC metabolic reactions become slower and if temp too high chemical reactions occur too rapidly
Normal Pressure – atmospheric pressure important in process or breathing and hydrostatic pressure keeps the blood flowing through the body.

Now as a Nursing Associate, that gives care for individuals, this study has enable me  understand the health of those individuals and will be able to demonstrate the clinical and practical skills and knowledge to deliver effective evidence-based care.

KSBs addressed:
K16: Understand body systems and homeostasis, human anatomy and physiology, biology, genomics, pharmacology, social and behavioural sciences as applied to delivery of care.

PREPARATION TO STUDY WEEK DAY 2

Date of Learning:25/03/25
Time:AM
Title of learning activity: PRESENTATIONS ON PROFESSIONALISM, ACCOUNTABILITY AND NMC CODE.

In this study there was a presentation from three groups where each group presented a topic.

Firstly, I learned about professionalism being the ability to do what is expected of you, working in diligent and doing the right thing even when no one is looking. And as a healthcare provider one skill that highlights the credibility, reliability and integrity of one’s skill is your professionalism.

It was noted that Professionalism involves, effective communication, adaptability, competency, empathy and compassionate. To be a good or a professional Nursing Associate, I must ensure i adhere to the Standards of proficiency for Nursing Associates following and upholding the British values and most importantly be in line with the NMC Code.

Secondly, accountability was presented by another group it highlighted Accountability as the practice of being held to a certain standard of excellence, it means to be professional and be able to to take our actions into responsibility and be able to reflect even in complex situations, indicating the four main areas of accountability.

Professional accountability- All health care professionals are responsible are responsible for their own actions and decisions in providing patient care.

Legal accountability- Provide care within their scope of practice and follow laws and policy and regulations related to patient care and good practice.

Ethical accountability- Adhere to ethical standards within practice

Employment accountability- We are all accountable for our employers and job responsibility.

Again, the next group presented on the “NMC Code” which outlines the professional standards and behaviours expected of nurses and midwives in the United Kingdom. It is structured around four themes: prioritizing people, practicing effectively, preserving safety, and promoting professionalism and trust.

At the end of the study, I learned that to become a professional Health care provider I have to be accountable and act according to the NMC code.

KSBs addressed: K1: Understand the Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC, 2018), and how to fulfil all registration requirements.

 

Date of Learning:25/03/25
Time: PM
Title of learning activity: HOW TO READ AN ACADAMIC ARTICLE (SOLER to SURETY)
INTRODUCTION TO VARK.

In this study, At the beginning  we read an article, indicating some relevant aspect  as why we need to read academic article, How to approach reading the article, what you notice in the article, and the reason for reading the article.

I learnt about different types of learning that works well for everyone and how to read an academic article.

With the types of learning we talked about VARK

V – Visual this deals with someone who understands things with diagrams, chart, diagrams, logo maps etc, he/she gets informed better with presentations.

A – Aural/Auditory this talks about a learner who gets information by listening.

R – Read / Write  this also speaks about people who learns  best in by reading text books, dictionaries, articles and consolidates by writing.

K – Kinesthetics this type involves learning through movements, sensation in muscle and joints, this people learn through physical involvement and activities.

 

I also realise they are some learners who also who are multi-modal which means they use one two or more of this above model.

 

I realised in this study that everyone has a way of of learning making things easier and understandable, through  VARK, which after taking the questionnaire I established that I was a multi modal learner with kinesthetics being the strongest and read/write being the lowest.

PREPARATION FOR STUDY WEEK. DAY 1

Date of Learning:24/03/25
Time: AM
Title of learning activity: ADULT LEARNING AND TIME MANAGEMENT

 

Adult learning, or the act of pursuing one’s own education as an adult, can be done in a formal setting such as higher education, a trade school, or an apprenticeship just as I am pursuing the Nursing Associate Program. It can also refer to an adult simply wanting to learn about a new skill or topic independently.

In this study I understood that adult learning is about learning and teaching adults for them to acquire knowledge or skills, and it assumes that adults can and want to learn, that they are able and willing to take responsibility for the learning, and that the learning itself should respond to their need.

Also, Adult learners are much more self-directed and motivated than young learners.
As an adult there are fears that comes up during learning such as Not being able to cope with the workload, Not being able to manage time, Not possessing the necessary academic skills, Not understanding what is expected of you, Not understanding academic jargon and Not knowing where to go for help.

It was also identified in this study I learnt that there are different learning strategies that works for different people so I must work to find what works for best for me also, Learning is a social process. We learn best when we feel part of a supportive group, who share ideas and show an interest in each other’s learning.

Also, Feelings matter it was noticed that How we feel has a big effect on our learning in many different ways. I must pay attention to my emotions and address them with the right strategies.
And as an adult faces fears Challenges may seem daunting at times, but by working hard, thinking deeply and engaging fully with the learning process you can succeed.

Also, time management is the process of planning and exercising conscious control of time spent on specific activities especially to increase effectiveness.

Time is so precious and need to be spent wisely, hence I must prioritize important things to enable efficiency.

 

So now, in summary, I will have to take all the factors surrounding adult learning into consideration and work on my fears or weaknesses while I master on my strength and also prioritize  relevant stuff to be able to be effective and efficient.

KSBs addressed: B3: Be adaptable, reliable and consistent, show discretion, resilience and self-awareness

 

 

Date of Learning:24/03/25
Time: PM
Title of learning activity: REFLECTION

Reflection is a process of thinking analytically about your professional practice and learning from it and improving on the useful and positives.

So now I realised that Reflection is a process by which you can think about and achieve better knowledge and understanding of your practice, learning from your own experiences, in order to improve the care you provide to patients. I can establish what I have learnt and the influence I may have had on others, In other words Reflection is looking back on past experiences and analysing them to learn from them. I also Learn about the benefits, strategies and frameworks of reflection on how to make it better.

I understood that it act as an internal monitor or check, for an individual’s ever changing and improving self. And I can  use Gibbs’ Reflective Cycle or Kolb’s Reflective Cycle.

 

Now I have realise it is important for me to reflect in order to know what I have to improve on and what I have to continue doing.

KSBs addressed: S43: Contribute to team reflection activities to promote improvements in practice and services