Date: 30/10/24
Time 09.30 am – 16.00 pm
Title: A.E assessment / Blood Glucose and safe use of insulin.
A.E assessment and Blood glucose
Today I learnt about the ABCDE way of assessing Patient which consist of assessing the Air way, Breathing , Circulation and shock management, Disability due to neurological deterioration and Exposure and examination.
I went further to learn about SBAR which stands for Situation, Background, Assessment and recommendation.
The ABCDE assessment helps to reveal abnormal physiology and it principles to perform an ABCDE assessment instigate treatment for life threatening conditions and the need to call for help if needed .
We Air way assessment is to establish the openness of the airway, to assess the risk of deterioration and ability to protect the airways well as to be able to predict and potential problems.
We can assess the airway by tilting the head, this can be clear, partially obstructed or completely obstructed.. We went further to discuss the conditions that have effects on the airway and the classifications , I read about the upper airway – from the nose and lip to the voice box , The lower airway -between the larynx and the narrow passage of the lungs, the Partial airway, complete airway, acute airway and the chronic airway which is the blockage that takes long to develop or blockage that last long.
Breathing which focuses on ensuring there are no conditions that are impacting the lungs , to assess this we look, listen and feel and we spoke about the common problems which can be respiratory conditions such as asthma, COPD , respiratory depression , infections , pulmonary embolism with the interventions of Oxygen, ventilation , position upright if struggling to breath and specific treatment for example Nebuliser (salbutamol)
Circulation , which can cause a persons BP to drop, it works to transport Oxygen and its not limited to the assessment of the heart . we can assess this by checking the skin colour, BP , Pulse , urine output and the capillary refill time. We learnt about the common problem which can be dehydration, sepsis, shock and cardiac problems .
Moving forward I have learnt how to identify patients with airway obstruction and how to help if such situation arises, I am now able to to put the ABCDE assessment into use and get a better outcome in my line of duty as a Nursing Associate, when to escalate and call for help as well as immediate possible intervention that can be done to avoid deterioration on Patient.
Afternoon session.
The studied about Managing Blood Glucose and safe use of insulin in Patient .
We learnt about the need to take BS is to help guide us in making decision regarding diabetic lifestyle and treatment . To maintain essential control of our BG , also to improve awareness of the symptoms of hypoglycemia and hyperglycemia as well as care for Patient with other life threatening conditions .
We learnt about the Type 1 – which are insulin dependent diabetes which is the chronic condition in which the pancreas produces little or no insulin itself and the Type 2 – which is most common in adults which is we the body becomes resistant to insulin or does not make enough insulin .
We learnt about the Blood Glucose target levels in adult Type 1 – fasting -5- 7 mmol , before meals 4 – 7 mmol and 90 mins after meal 5 – 9 mmol. and in Type 2 ,, before meal 4 – 7 mmol and 90 mins after meal less than 8.5 mmol.
Moving forward I am aware of the difference in the Type 1 and 2 diabetic Patient and what the Blood sugar target should be , I now know which Patient is dependent on insulin and how to care for Patient with diabetes in my line of duty as a Nursing Associate .
KSBs
K11: Understand the factors that may lead to inequalities in health outcomes
K14: Understand the importance of health screening
K33: Understand when to seek appropriate advice to manage a risk and avoid compromising quality of care and health outcomes
K34: Know and understand strategies to develop resilience in self and know how to seek support to help deal with uncertain situations
K35: Understand own role and the roles of all other staff at different levels of experience and seniority in the event of a major incident
K36: Understand the roles of the different providers of health and care