Year 1 – Week 27

Time: 7:30 AM – 8:00 PM

Title of learning activity: End-of-life care

Diary of Learning activity

My thoughts on learning about end-of-life care are that it is required to be comprehensive and compassionate. Reflecting on this we have to consider the individual medical, emotional, ethical, and societal perspectives. One of the key reflections of end-of-life care is the holistic approach which involves more than just medical interventions. The holistic approach to consider is the physical, emotional, social, and spiritual needs of the individual. Another key reflection of end-of-life care is advance care planning, where we encourage and support the patient’s preferences regarding medical treatments and interventions before they become unable to communicate. This helps in honouring their autonomy and ensures that healthcare decisions align with their values. We also need to accommodate patients’ cultural and spiritual beliefs. We also need to look concerning issues like DNAR, withholding or withdrawing treatments and organ donations. We also need to support not just the patient but also their families and loved ones. Providing emotional support, education, and counselling for families can ease the burden and help them navigate the challenging decisions that often arise during this period.

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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

K2 – Understand the demands of professional practice and demonstrate how to recognise signs of vulnerability in themselves or their colleagues and the action required to minimise risks to health

K4 – Understand the principles of research and how research findings are used to inform evidence-based practice

K5 – Understand the meaning of resilience and emotional intelligence, and their influence on an individual’s ability to provide care

K15 – Understand human development from conception to death, to enable delivery of person-centred safe and effective care

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

K25 – Know how to deliver sensitive and compassionate end of life care to support people to plan for their end of life

K26 – Understand where and how to seek guidance and support from others to ensure that the best interests of those receiving care are upheld

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

S4 – Take responsibility for continuous self-reflection, seeking and responding to support and feedback to develop professional knowledge and skills

S21 – Monitor the effectiveness of care in partnership with people, families and carers, documenting progress and reporting outcomes

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

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

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

YEAR 1 – WEEK 26

Time: 7:30 AM – 8:00 PM

Title of learning activity: Health Promotion for Babies and Children

Diary of Learning activity

My reflection on reading the presentation on health promotions for babies and children is the public health initiatives implemented to promote the health and well-being of various stages of life, including during antenatal care, where public health initiatives often include programs that educate expectant mothers about proper nutrition, prenatal care, and the importance of early medical check-ups. Another example is for newborns, where public health efforts often focus on ensuring newborns receive timely vaccinations to protect them from preventable diseases. An example for children and adolescents, where mental health is vitally important to recognize, public health focuses on raising awareness, reducing stigma, and providing resources for mental health support in schools and communities. These initiatives prevent diseases, improve healthcare access, and enhance the quality of life of individuals and communities. Reflecting on this made these areas improve and overlook the insights and impact of public health interventions.

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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

k2 – Understand the demands of professional practice and demonstrate how to recognise signs of vulnerability in themselves or their colleagues and the action required to minimise risks to health

k9 – Understand the aims and principles of health promotion, protection and improvement and the prevention of ill health when engaging with people

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

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

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

S41 – Monitor and review the quality of care delivered, providing challenge and constructive feedback when an aspect of care has been delegated to others

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

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

YEAR 1 – WEEK 25

Time: 7:30 AM – 8:00 PM

Title of learning activity: Mental Health across the lifespan

Diary of Learning activity

During our discussion about mental health across the lifespan, and the difference between mental health and mental illness. I found myself helpful in navigating these two concepts. It was an honour to listen to our guest speaker Hannah Cadogan, sharing her lived experiences and struggles with mental illness. The discussion prompted me to ponder the significance of mental health as a foundation of our overall well-being and to highlight the perceptions about mental health.

Hearing the discussion at first was uncomfortable for me, but I was able to manage and participate in the exercises, and group discussions and share my thoughts and feelings about my life experiences. Hearing for the first of someone having a mental illness, I felt the same connection through Hannah. The discussion personally inspires me to live life.

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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

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

K36 – Understand the roles of the different providers of health and care

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

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

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

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

S36 – Respond to and escalate potential hazards that may affect the safety of people

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

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

YEAR 1 – WEEK 24

Time: 7:30 AM – 8:00 PM

Title of learning activity: Communication skills for Nursing practice

Diary of Learning activity

As a trainee nursing associate, effective communication is vital for passing essential medical information to patients and to their families. This helps in promoting understanding, managing expectations, and building trust in the healthcare relationship. It is also important in preventing communication errors that could compromise patient safety. Communication skills are essential in obtaining accurate patient histories, understanding their concerns, and addressing their needs. Emphatic communication contributions  to a patient-centred approach, enhancing the overall quality of care and patient satisfaction.

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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

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

K36 – Understand the roles of the different providers of health and care

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

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

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

S12 – Challenge or report discriminatory behaviour

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

S36 – Respond to and escalate potential hazards that may affect the safety of people

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

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

Year 1 – Week 23

Time: 7:30 AM – 8:00 PM

Title of learning activity: Roper Logan and Tierney model of practice: Activities of Daily Living

Diary of Learning activity

The Roper Logan and Tierney’s model activities of daily living (ADLs) is valuable framework in healthcare that promotes holistic, individualized and patient-centred care. It emphasized the importance of assessing and addressing a person’s ability to perform essential daily activities to enhance their overall well-being. One of the fundamental principles of RLT is its holistic approach because it consider the physical, psychological, social and environmental factors that influence a person’s ability to perform ADLs. RLT emphasize the importance of care plans to each patient’s unique needs and circumstances.  RLT model centers on providing patient-centred care. It recognized that the individual preferences, values and goals should guide the care they receive, by promoting their independence and enhancing their overall quality of life.

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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

K2: Understand the demands of professional practice and demonstrate how to recognise signs of vulnerability in themselves or their colleagues and the action required to minimise risks to health

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

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

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

K26: Understand where and how to seek guidance and support from others to ensure that the best interests of those receiving care are upheld

K30: Understand the principles of health and safety legislation and regulations and maintain safe work and care environments

S17: Protect health through understanding and applying the principles of infection prevention and control, including communicable disease surveillance and antimicrobial stewardship and resistance

S18: Apply knowledge, communication and relationship management skills required to provide people, families and carers with accurate information that meets their needs before, during and after a range of interventions

S21: Monitor the effectiveness of care in partnership with people, families and carers, documenting progress and reporting outcomes

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

S35: Accurately undertake risk assessments, using contemporary assessment tools

S36: Respond to and escalate potential hazards that may affect the safety of people

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