Date: 20/01/25

Time: 9.30 am – 16.30 pm

Title : Reproductive system, Pregnancy and fetus development/ Emotional intelligence and Resilience

Morning section : Reproductive system, Pregnancy and fetus development.

In this section we discussed about the female   which involves the external and internal genitalia and reproductive cycle as well as the breast and the  male reproductive Anatomy which consist of the scrotum, testes, seminal vesicles , ejaculatory ducts, prostrate glands , urethra , penis, erection and ejaculation.

We discussed the female reproductive system and its function which includes the formation of ova, reception of spermatozoa and provides suitable environment for fertilisation and foetal development, child birth and lactation.

we discussed about the virginal and its function as the receptacle during intimacy.

We went further to discuss the growth and development of children as well as the factors affecting growth like drugs , alcohol etc.and that bones are fully formed at the age of 21. we discussed about common respiratory disorder.

Moving forward I have learnt more about the male and female reproductive system and the factors affecting growth which will help give advise to  expecting mother on how there day to day activities can affect children during pregnancy as well as after child birth..

In the afternoon section of today’s lessons we learnt about Emotional intelligence and Resilience

how to cope with difficult situation we may come across in the line of our duty as a Nursing Associate.

I identifying triggers and how to manage the situation.

Showing empathy by understanding another persons feelings and experience.

Using our social skills for effective communication. Self awareness by being mindful of our strength and weaknesses and setting boundaries while embracing out intuition. also by self regulation which is the ability to manage own emotions and behaviour in accordance with the demands of the situation

KSBs

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

Date: 15/01/25

Time: 9.30 am – 16.30 pm

Title : Review of Assessment / Musculoskeletal System

Morning section : Musculoskeletal system

In the morning section of today we learnt about the human musculoskeletal system , we spoke about the different types of bones in the human body.

The radius which goes to the thump for movement

Femur which is the thigh bone , Patella which is the knee cap bone , the tibia which is the lower leg big bone ,Cranium which is the shoulder bone , pelvis which is the hip bone , mandible which is the jaw bone .

We learnt about the femur which is the strongest bone in the human body and the ear which has the smallest bone in the human body and they are the only bones that do not remodel after the age of one as change in the shape could affect hearing.

Further more we learnt that the wrist has 18 bones in it.We learnt about the 5 different types of bones , there appearance and their functions in the body. And that the tendon attach the muscles to the bones in the human body.

I learnt that the mature bone cells are known as Osteocytes and that most bones in the human body can be transplant but the disc in the human body cannot be replaced .and that we reach our peak bone mass at the age of  30 years.

further more i learnt that the bone marrow produces red blood cells in the bone  and that bone marrow are red in children and yellow in adults.

Moving forward i have learnt about the human skeletal  system and will be able to identify and say the function of it and the importance of each part in the human body.

In the afternoon section we learnt about referencing our essay as well as what is expected of us to address in the body of the essay.

KSBs

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

Date: 08/01/25

Time: 9.30 am – 16.30 pm

Title : Digestive System

Today we learnt about the digestive system which starts from the lip to the gum, teeth and tongue .

we spoke about the PH in the stomach to be 1.3 -1.5 as it is always acidic the the human stomach.

we learnt about the Transverse colon which is triangular in shape as well as the Sigmoid colon which is S in shape

We also learnt in details how food is ingested in the human body which is taking in food through the digestive system and Propulsion which is the way food is move around in the body.

Also the way food which can not be broken down in the digestive system is eliminated from the body through defecation .

The stomach is 15 -25 cm long and it is divided into Fundus, body and pylorus

We learnt that the pancras goes behind the stomach, and that most absorption of nutrients are done in the small intestine , and must go through the liver to be absorbed to the blood stream.

Going forward I now know how the digestive system in the human body works from when food is ingested through the mouth and go down to the small intestine where nutrients are absorbed  then go through the liver to be absorbed into the blood stream.

KSBs

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

K22: Know how to meet people’s needs related to nutrition, hydration and bladder and bowel health

S26: Meet people’s needs related to nutrition, hydration and bladder and bowel health

KSBs

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

K22: Know how to meet people’s needs related to nutrition, hydration and bladder and bowel health

S26: Meet people’s needs related to nutrition, hydration and bladder and bowel health

Date: 23/10/24

Time: 9.30 am – 16.30 pm

Title : Endocrine System / Developing professional relationship in Nursing .

In the Morning Section we learnt about the Endocrine which is the second control system of the body, its hormone travels through the blood and alter the activities of the target cells and also regulates complex processes like growth and development in the human body.

We learnt that the endocrine system consist of Glands which are separated and have no connection to each other , and that they are group of secretory cells surrounded by capillaries that facilitate the diffusion of the hormones from the secretory cell to the blood stream.

We went further to discuss about the Endocrine which produces hormones and lacks dust compared to the Exocrine which produces non – hormone and have dust..

Further more we learnt that Hormone is a chemical messenger secreted by endocrine gland that is  transported in blood and act on target cells in the body.  knowing that the level of hormone in the blood stream is variable. and that the 3 components are Detector, Control centre and the Effector

We discussed about Hypothalamus which is located at the base of the brain linked by the Pituitary stalk to pituitary gland , this is also the major link between Endocrine and the Nervous system which send information to the pituitary gland and the control the Autonomic Nervous system.  The Pituitary gland which is located below the Hypothalamus . Its the size of a pea and weights about 500mg. It also consist of 2 functional lobes which is the Posterior : which is stimulated by the Nervous impulses and Nervous tissues and the Anterior : which is stimulated by the Hypothalamus hormones secreted into the blood stream..

Moving forward , I now know more about the  Endocrine system and how it functions and works in the human body and how it will keep me more informed during my role as a Nursing Associate.

Afternoon section

Developing professional relationship in Nursing

In this section we discussed about the Introduction to Multidisciplinary  working, which is described as the mechanism by which holistic care for Patients is ensured. Also we discussed about Interprofessional working , when different professional work with each other and PT to provide integrated social care. Collaborating with is working together to achieve things that cannot be done alone and wee as Partnership working , which is engaging with other professionals .

We discussed further about what the NMC states that all Nurses must be able to play an active and equal role in the interdisciplinary team, communicating and collaborating effectively with different colleagues at all levels , while working across boundaries, actively involving and respecting the contribution of other to be able to integrate person- center care ,whilst knowing when and how to communicate with and refer to other professionals and agencies in other to respect choices of Patients.

We discussed about the benefits of interprofessional working which helps to achieve effective Patient care which avoids fragmentation,  avoid duplication of roles and improve communication. It also combines the expertise of professionals and improve the quality of services . It also enhances mutual understanding and respect of role and cost effective, it also enhances shared decision making for Patients as well as meets Government initiatives.

Lastly we also explored the barriers of interprofessional working , which includes Power and status which often affects relationships and cause tension among care givers ,also some staffs finding it difficult to be a team player, lack of leadership, time constrain and individual personality clashes and lack of knowledge.

Moving forward I know the importance of professional working and how being a good team player can play a major role in providing  a good timely manner care to service users and improve the quality of care we give to Patients as a Nursing associate.

KSBs

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

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

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

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

S32: Work collaboratively and in partnership with professionals from different agencies in interdisciplinary teams

S33: Maintain safe work and care environments

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

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

Date : 13/11/24

Time : 9.30 am – 16.30 pm

Title : Introduction to E pad

Today in class we had someone to train us on how to use the E pad along side our  Lecturer Colin , we were put through on how to log into our individual E pads and how to navigate the web site. It was an interactive section to know when and how to fill in the e pad as well as the dead lines for it to be done .

We also discussed how to recognise our practice supervisors  in our placements and we also had a chance to discuss the opportunities each student will get to learn from our different placements . The placement will also run for 5 weeks .

I understand I will continue to have support from the University throughout my placements as well as have a named person I can reach out to if any concerns.

We went through how to fill in every aspects of the E pad and also to make sure our practice  supervisors fill in all necessary parts of the E pad relating to them in due course.

I understand I am to make good use of my period in Placement to learn new things related to health and social care, ask questions and make use of all opportunity to given to me to learn new things in my role as a Nursing Associate .

Date: 06/11/24

Time ; 09.30 am to 16.30 pm

Title: The renal system  and  BLS

The Renal System.

In this topic we learnt about the Renal system , which consist of the Kidney , The Ureters : which carries urine from the kidney to the urinary bladder. The Bladder : which holds urine , it opens into the Urethra and it contains 3 layers which is are the inner layer , the middle layer and the outer layer of the bladder and lastly the Urethra : which is the tube extending from the neck of the bladder to the outside of the body .

we learnt about the function of the Renal system which is the production and the secretion of hormone that stimulate the formation of Red blood cells and it maintains homeostasis of water and electrolytes in the human body. It also helps in the excretion of waste from the body.

we learnt that the Bladder seats behind the pelvic bone and in front of the rectum and that urine is the filtered waste from the blood .

We went further to discuss about the Nephron , Cortex  and the Medulla. We learnt about what urine consist of , which are  water, uric acid , urea, ammonia, sodium , potassium chloride, phosphate, oxalate, sulphates.  Urine is also clear and .amber in colour , and that a healthy adult passes about 1000-1500ml of urine daily. and that the PH is around 6.

Moving forward i have learnt that it is important that blood flow to the renal system is maintained , and that when BP rises the kidney can independently reduce blood flow  and that when a Patient BP systolic drops too low filtration of blood will be impaired and damage to the kidney can occur. and that fluid balance in the body is controlled by the kidneys.

BLS.

In the afternoon section we had a practical section in the stimulation room we learnt how to perform compression on adult and children and the amount of rescue breathe to give when the situation arises .

We learnt about the importance of being trained and our responsibility as a Nursing associate.

We demonstrated in group how to deal with situations by calling out the Patients name to check for consciousness, checking for breathe and response , and tilting the head backward while lifting the chin to check for any obstruction in the airway, call for help to be on the way , starting compression and then rescue breathe if safe to do so.

In a child 15: 2 compression and 30:2 in an adult  and also give 5 rescue breathe .

Moving forward I am aware of the importance to keep my training up to date in other to learn appropriate technique  suitable for BLS and the step by step guide on how to deliver CPR to Patients of all ages and how to help deliver this outside my place of work if needed.

KSBs

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

K19: Know how and when to escalate to the appropriat

S26: Meet people’s needs related to nutrition, hydration and bladder and bowel health

professional for expert help and advice

when S30: Recognise a person’s condition has improved or deteriorated by undertaking health monitoring, interpreting, promptly responding, sharing findings and escalating as needed.

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