Date of Learning Log: 06/09/2024
Time: 09:30-16:00
Learning Activity: Providing and Monitoring Care
PADLET:
The key takeaway from the session was understanding more in-depth professional values, decision-making, partnership working, safeguarding, and being able to present in the class, where I was given advice on how to present properly and the importance of time management.
I truly enjoyed the lesson, as it gave me the experience of presenting in front of the class, which will prepare me for my oral presentation assignment.
After the session, I gained more knowledge on researching and presenting information clearly and engagingly.
The session requires full engagement because we must research and present the information we found.
This learning will be used in my assignment and will also help when presenting my assignment.
I will need to read further about the topic and widen my literature. This will help me gain more knowledge about the subject and help me further when creating my assignment.
Providing and Monitoring Care:
In our recent learning activity, the module on leadership and collaborative working delved into the crucial aspects of providing and monitoring care. We engaged in a comprehensive discussion surrounding professional values and their profound impact on care delivery. The session highlighted the significance of shared decision-making and partnership working in the context of delivering care, emphasizing the collaborative approach to ensure optimal patient outcomes. Furthermore, we explored the intricacies of safeguarding and the critical importance of adhering to protocols to ensure the safety and well-being of those under our care.
Person-centred care is a practice in which patients actively participate in their own medical treatment in close cooperation with their health professionals. Sometimes, relatives may be involved in creating the patient’s health plan.
Shared decision-making occurs when a healthcare provider and a patient work together to make the best healthcare decision for the patient. The optimal decision considers evidence-based information about available options, the provider’s knowledge and experience, and the patient’s values and preferences.
Partnership working is when two or more groups or individuals come together to work towards a common goal. It’s also known as collaborative or joint working.
Safeguarding is a term used in the United Kingdom, Ireland, and Australia to denote measures to protect the health, well-being, and human rights of individuals. It allows people—especially children, young people, and vulnerable adults—to live free from abuse, harm, and neglect.
Professional Values are the guiding principles that individuals uphold in their work and business environments. These values play a crucial role in shaping the workplace culture, influencing how employees interact with each other, make decisions, and contribute to the organization’s overall success.
In the afternoon, we worked as a group on Carol’s case. We brainstormed ideas and presented in class how we can showcase the importance of decision-making, partnership, and patient care.
Learning Activity 2: Bowel Management: Enema/Suppositories
The nurse assistant is an integral part of the healthcare team, playing a crucial role in assisting patients with bowel and bladder retraining. This involves implementing individualised retraining plans, closely documenting the progress of each patient, and providing continuous support and encouragement throughout the process. Additionally, the nurse assistant is responsible for monitoring the patient’s condition and promptly reporting any changes or concerns to the healthcare team for further evaluation and intervention.
Constipation is a condition that causes infrequent or uncomfortable bowel movements and includes hard, dry stools that are difficult to pass. Other symptoms include painful bowel movements, bloating, and feeling sluggish. Constipation is common and can affect people of all ages. It can be caused by several things, including:
Diet: Not getting enough fibre in your diet can lead to constipation. Fibre helps promote regular bowel movements.
Medications: Certain medications, such as pain medications, antidepressants, antacids, iron pills, and more, can cause constipation.
Illness: A brief illness, such as a respiratory infection, can cause constipation.
Change in routine: A change in routine, such as travel, can cause constipation.
Neurological diseases: Parkinson’s disease, stroke, spinal cord injury, and multiple sclerosis can cause constipation.
Digestive diseases, such as irritable bowel syndrome (IBS), colorectal cancer, and diverticulitis, can cause constipation.
Constipation can usually be treated with simple changes to your diet and lifestyle. However, if you have chronic constipation that doesn’t respond to simple measures, you should see your doctor.
Laxatives play a crucial role in providing relief for patients with various conditions such as irritable bowel syndrome with constipation, chronic idiopathic constipation, and opioid-induced constipation. They are also utilised to empty the bowels prior to medical procedures like colonoscopies. It’s important to note that if you are following a low-sugar, low-caloric, or low-sodium diet, it is essential to consult a healthcare professional before using a laxative. Additionally, for individuals taking laxatives containing mineral oil, it’s advised that mineral oil should not be taken frequently or for extended periods as it may lead to gradual build-up in body tissues, potentially causing further health issues.
KSB ADDRESSED:
Knowledge:
| K1 | Understand the code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC 2018), and how to fulfill all registration requirements |
| K3 | Understand the professional responsibility to adopt a healthy lifestyle to maintain the level of personal fitness and well-being required to meet people’s needs for mental and physical care |
| K6 | Understand and apply relevant legal, regulatory and governance requirements, policies, and ethical frameworks, including any mandatory reporting duties, to all areas of practice |
| K7 | Understand the importance of courage and transparency and apply the Duty of Candour |
| K9 | Understand the aims and principles of health promotion, protection and improvement and the prevention of ill health when engaging with people |
| K10 | Understand the principles of epidemiology, demography, and genomics and how these may influence health and well-being outcomes |
| K11 | Understand the factors that may lead to inequalities in health outcomes |
| K12 | Understand the importance of early years and childhood experiences and the possible impact on life choices, mental, physical and behavioural health and well-being |
| K13 | Understand the contribution of social influences, health literacy, individual circumstances, behaviours and lifestyle choices to mental, physical and behavioural health outcomes |
| K14 | Understand the importance of health screening |
| K15 | Understand human development from conception to death, to enable delivery of person-centred safe and effective care |
| K16 | Understand body systems and homeostasis, human anatomy and physiology, biology, genomics, pharmacology, social and behavioural sciences as applied to delivery of care |
| K17 | Understand commonly encountered mental, physical, behavioural and cognitive health conditions as applied to delivery of care |
| K18 | Understand and apply the principles and processes for making reasonable adjustments |
| K19 | Know how and when to escalate to the appropriate professional for expert help and advice |
| K20 | Know how people’s needs for safety, dignity, privacy, comfort and sleep can be met |
| K21 | Understand co-morbidities and the demands of meeting people’s holistic needs when prioritising care |
| K22 | Know how to meet people’s needs related to nutrition, hydration and bladder and bowel health |
| K23 | Know how to meet people’s needs related to mobility, hygiene, oral care, wound care and skin integrity |
| K24 | Know how to support people with commonly encountered symptoms including anxiety, confusion, discomfort and pain |
| K26 | Understand where and how to seek guidance and support from others to ensure that the best interests of those receiving care are upheld |
| K27 | Understand the principles of safe and effective administration and optimisation of medicines in accordance with local and national policies |
| K28 | Understand the effects of medicines, allergies, drug sensitivity, side effects, contraindications and adverse reactions |
| K29 | Understand the different ways by which medicines can be prescribed |
| K30 | Understand the principles of health and safety legislation and regulations and maintain safe work and care environments |
| K37 | Understand the challenges of providing safe nursing care for people with complex co-morbidities and complex care needs |
| K38 | Understand the complexities of providing mental, cognitive, behavioural and physical care needs across a wide range of integrated care settings |
| K39 | Understand the principles and processes involved in supporting people and families with a range of care needs to maintain optimal independence and avoid unnecessary interventions and disruptions to their lives |
| K40 | Understand own role and contribution when involved in the care of a person who is undergoing discharge or a transition of care between professionals, settings or services |
| K41 | Know the roles, responsibilities and scope of practice of different members of the nursing and interdisciplinary team, and own role within it |
| K42 | Understand and apply the principles of human factors and environmental factors when working in teams |
| K43 | Understand the influence of policy and political drivers that impact health and care provision |
Skills:
| 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 |
| S2 | Keep complete, clear, accurate and timely records |
| S3 | Recognise and report any factors that may adversely impact safe and effective care provision |
| S4 | Take responsibility for continuous self-reflection, seeking and responding to support and feedback to develop professional knowledge and skills |
| 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 |
| 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 |
| S8 | Recognise signs of vulnerability in self or colleagues and the action required to minimise risks to health |
| S9 | Develop, manage and maintain appropriate relationships with people, their families, carers and colleagues |
| S10 | Provide, promote, and where appropriate advocate for, non-discriminatory, person-centred and sensitive care at all times, reflecting on people’s values and beliefs, diverse backgrounds, cultural characteristics, language requirements, needs and preferences, taking account of any need for adjustments |
| S21 | Monitor the effectiveness of care in partnership with people, families and carers, documenting progress and reporting outcomes |
| S22 | Take personal responsibility to ensure that relevant information is shared according to local policy and appropriate immediate action is taken to provide adequate safeguarding and that concerns are escalated |
| S23 | Work in partnership with people, to encourage shared decision making, in order to support individuals, their families and carers to manage their own care when appropriate |
| S24 | Perform a range of nursing procedures and manage devices, to meet people’s need for safe, effective and person-centred care |
| S25 | Meet people’s needs for safety, dignity, privacy, comfort and sleep |
| S26 | Meet people’s needs related to nutrition, hydration and bladder and bowel health |
| S27 | Meet people’s needs related to mobility, hygiene, oral care, wound care and skin integrity |
| S28 | Support people with commonly encountered symptoms including anxiety, confusion, discomfort and pain |
| S29 | Give information and support to people who are dying, their families and the bereaved and provide care to the deceased |
| S30 | Recognise when a person’s condition has improved or deteriorated by undertaking health monitoring, interpreting, promptly responding, sharing findings and escalating as needed |
| S31 | Act in line with any end of life decisions and orders, organ and tissue donation protocols, infection protocols, advanced planning decisions, living wills and lasting powers of attorney for health |
| S32 | Work collaboratively and in partnership with professionals from different agencies in interdisciplinary teams |
| S33 | Maintain safe work and care environments |
| S34 | Act in line with local and national organisational frameworks, legislation and regulations to report risks, and implement actions as instructed, following up and escalating as required |
| S35 | Accurately undertake risk assessments, using contemporary assessment tools |
| S36 | Respond to and escalate potential hazards that may affect the safety of people |
| S37 | Participate in data collection to support audit activity, and contribute to the implementation of quality improvement strategies |
| S38 | Prioritise and manage own workload, and recognise where elements of care can safely be delegated to other colleagues, carers and family members |
| S39 | Recognise when people need help to facilitate equitable access to care, support and escalate concerns appropriately |
| S40 | Support and motivate other members of the care team and interact confidently with them |
| S41 | Monitor and review the quality of care delivered, providing challenge and constructive feedback when an aspect of care has been delegated to others |
Behaviour:
| B1 | Treat people with dignity, respecting individual’s diversity, beliefs, culture, needs, values, privacy and preferences |
| B2 | Show respect and empathy for those you work with, have the courage to challenge areas of concern and work to evidence based best practice |
| B3 | Be adaptable, reliable and consistent, show discretion, resilience and self-awareness |