Whilst on the placement I had an outreach with Heart Failure Nurse. I had an opportunity to see the patient at the clinic. The patient came for the follow up. I introduce myself to the patient and my role.

Heart Failure specialist nurse provides supports, advice, medication and clinical reviews for patients diagnosed with Heart Failure. They support cardiologist with diagnosis, providing support and information to people newly diagnosed with Heart Failure and supervising patients starting a new medicine. They also refer the patient to the Cardio rehabilitation.

I got an opportunity to see the patient at the clinic and develop my clinical skills such as taking manual blood pressure and Heart rate of the patient. I also got chance to listen to the Heart rate and breathing sounds.

Whilst on the placement I had an outreach with Care Home Support Team in community. I got an opportunity to see patients in residential home. While visiting the patients I introduced myself and my role to the patient.

The Care Home Support Team is comprised of experienced specialist nurses (Liaison and palliative care nurses) including advanced physiotherapist, rehabilitation physiotherapy assistant and occupational therapist. The team plays a vital role in supporting the residents in the residential and nursing homes.

I had an opportunity to company the liaison nurse who visited two different residential homes to do assessment and review those residents who were prescribed antibiotics due to chest infection. I introduced myself to the manager, carers, and residents we met and explained my role to them.

While I was with the liaison nurse I got an opportunity to analyse the urine results. I attended face to face training with admiral nurse who came to talk to Care home support team her role in Sutton community. She specialises with dementia care and supports the family members looking after their member of the family with dementia. They also help family carers to gain the necessary skills to assist people with dementia, promoting positive approach to a person living with dementia and improving quality of life to these people.