Reflection, Activities of Daily Living Essay

For the intent of this essay the Kolb’s theoretical account of contemplation ( 1984 ) has been chosen as a usher to reflect on disposal of O therapy. Administration of O therapy is the facet of nursing pattern that I selected as a consequence of finishing the case-based acquisition scenarios. I will explicate how the disposal of oxygen therapy can hold an consequence on a patient’s activities of day-to-day life ( ADL ) . including some of the psychological and ethical issues. Breathing is the selected ADL that has been chosen to show how I implemented the facet of nursing pattern on clinical arrangement. Changes have been made to protect the namelessness and maintain confidentiality of the patient and clinical arrangement. in conformity with the NMC ( 2008. 2009f ) .

After reading the grownup instance based larning stuff. I chose to compose and reflect on the disposal of O therapy. Oxygen therapy was widely used on my clinical arrangement as a intervention to assist patients who were enduring from shortness of breath. ( NICE. 2010 ) . On my recent clinical arrangement. my wise man asked me to administrate two liters of O to a patient who was enduring from shortness of breath. The patient had been prescribed the O therapy due to deterioration in their external respiration ability ( Higgins. 2005 ) . The patient in inquiry had been diagnosed with Chronic Obstructive Pulmonary Disease ( COPD ) . COPD comprises of a figure of unwellnesss including chronic bronchitis and emphysema ; in each of the conditions there is an obstructor to airflow ( NICE 2010 ) . COPD is a long term status that is normally progressive and can non be reversed. nevertheless in some instances there can be a grade of reversibility in a patients air passages.

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The predominant cause of COPD is smoking ( Nice 2010 ) . The patients’ O was to be administered via a rhinal cannula. which seems to be the preferable pick of administrating O therapy. ( Dougherty et al. 2011 ) . A rhinal cannula is less restrictive than other oxygen bringing systems. which can forestall a patient from take parting in their ADL ( Roper et al 2008a ) . Prior to administrating the O to the patient. my wise man explained to me the correct procedures that should be followed. guaranting safe disposal of the O. ( NMC. 2008d ) . The prescribed dosage of O was checked against the patients medicine chart. the sum and the right continuance of therapy was besides checked ( NMC. 2008d ) . The patients take a breathing had become labored and more rapid since been admitted onto the ward.

I had noticed that the patients’ character had changed over a short period of clip. and he was non as synergistic with the other patients as he had been antecedently ( Roper et Al. 2008b ) . Before the patient received the O therapy he had conveyed to me that he was experiencing dejected due to a changeless shortness of breath. The patient was happening it difficult to take part in his personal hygiene demands without holding aid ; this had caused the patient to experience agitated and impatient with himself. I gave the patient reassurance and inquire if he wanted a word with one of the health care professionals. or if he preferred. I would recommend on his behalf ( NMC. 2008b ) . I explained to the patient that if my wise man was cognizant of the state of affairs the appropriate support and advice would be

implemented. ( DH 2010a ) The patient specified that he was happy for person other than himself to inform the relevant healthcare professional of the state of affairs ( NMC. 2008a ) . After I had explained the state of affairs to my wise man. she stated that the patient would hopefully get down to experience when the O therapy commenced. she said that she would enter how the patient was experiencing and that he would be closely monitored ( NMC. 2009c ) . Before administrating the O to the patient I explained what type of O deliver system was traveling to be used. I besides informed the patient that his O impregnation had to be monitored for approximately five proceedingss after the O therapy had begun ( National Patient Safety Agency 2009a ) . I besides asked the patients permission to look into his wristband. Wristbands should ever be checked to verify the patients’ individuality. this should ever be carried out before any medicine is administered ( National Patient Safety Agency. 2007. 2009b ) .

Before my recent clinical arrangement I had some consciousness on how specific unwellnesss such as CODP could impact a patients take a breathing. hence impairing quality of life. nevertheless I did non gain the impact shortness of breath could hold on a patients’ emotional and physical province. If a patient is fighting physically to get by it is rather easy for a healthcare professional to detect and as a consequence provide the right degree of support. nevertheless a patient’s psychological status can non be as easy observed. so it is up to the healthcare professional to inquire and supervise any recognized alterations in a patient’s behavior ( DH 2010b ) . I was cognizant of the positive effects that oxygen therapy could hold on a patient’s wellness and well-being. but lacked the necessary cognition sing the negative effects of administrating an inaccurate sum of O to a patient ( NMC 2006e ) .

Oxygen is potentially a unsafe drug if administered inaccurately. for illustration over oxygenation of a patient agony from COPD can ensue in patient human death ( National Patient Safety Agency 2009a ) . My wise man briefly explained how some patient’s respiratory thrust depends on their degree of hypoxia instead than the normal dependence on hypercarbia and this is why patient’s with COPD should be given oxygen with cautiousness as it can ensue in suppression of respiratory thrust. I felt highly embarrassed as I had no thought what my wise man had merely told me.

I have started to research O in an attempt to better my cognition and have an apprehension of the topic ( Egan. 2002 ) . I did research the significance of hypoxia and hypercarbia. hypoxia in simple footings is when the organic structure lacks the sufficient sum of O and hypercarbia agencies there is excessively much C dioxide in the blood ( Nice 2010 ) . It is imperative that a healthcare professional has knowledge sing the medicines that they are administrating. if a patient asks why they need a process or intervention. a healthcare professional should be able to reply the inquiry ( NMC 2006e ) .

In this essay the Kolb’s theoretical account of contemplation ( 1984 ) was used as a usher to reflect on disposal of O therapy. which was the facet of nursing pattern that I learned about from making the case-based acquisition activities. I have related disposal of O therapy to take a breathing which was my chosen ADL. I have made mention to an experience from my clinical arrangement. in relation to the nursing pattern and ADL. psychological and ethical issues have been discussed briefly.


DH ( 2010a ) . Kernel of Care: Benchmarks for Communication. Department of Health. London

DH ( 2010b ) . Kernel of Care Benchmarks for Promoting Health and Well-being. Department of Health. London

Dougherty L. Lister S. ( 2011 ) . The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 8th edition. Blackwell. London p546

Egan. G. ( 2002 ) . The Skilled Helper. A Problem-Management and Opportunity-Development Approach to Helping. ( Eighth edition ) . Brooks/Cole. Pacific Grove. CA

Higgins D. ( 2005 ) Oxygen Therapy: Nursing times. VOL: 101. Issue: 04. Page No: 30

Kolb D A. ( 1984 ) . Experiential acquisition: experience as the beginning of larning and development. New Jersey: Prentice Hall.

National Patient Safety Agency ( 2009a ) . “Oxygen Safety in Hospitals” . Rapid Response hypertext transfer protocol: //www. Naval Research Laboratories. npsa. New Hampshire. uk/EasySiteWeb/getresource. axd? AssetID=62809 & A ; type=full & A ; . . Last accessed 2nd May 2012

National Patient Safety Agency ( 2007 and 2009b ) Safety in doses: medicine safety incidents in the NHS. Reports from the Patients’ Safety Observatory

NICE ( 2010 ) Chronic Obstructive Pulmonary Disease Guideline World Wide Web. nice. org. uk/nicemedia/live/13029/49399/49399. pdf. Last accessed: 28th April 2012

NMC ( 2008a ) . Advocacy and liberty: hypertext transfer protocol: //www. nmc-uk. org/Nurses-and-midwives/Advice-by-topic/A/Advice/Advocacy-and-autonomy/ Last accessed: 28th April 2012

NMC ( 2008b ) . Consent. Nurses and Midwifery Council. NMC: London

NMC. ( 2009c ) . Record maintaining: Guidance for nurses and accoucheuses. hypertext transfer protocol: // World Wide Web. nmc-uk. org/Publications/Guidance/ Record maintaining. Last accessed 1st May 2012

NMC ( 2008d ) Standards for medicine direction: hypertext transfer protocol: //www. nmc-uk. org/Documents/Standards/nmcStandardsForMedicinesManagementBooklet. pdf: Last accessed: 28th April 2012

NMC ( 2006e ) Standards of proficiency for nurse and accoucheuse prescribers. London: NMC

NMC ( 2008. 2009f ) . The codification: Standards of behavior. public presentation and moralss for nurses and accoucheuses. NMC. London

Roper N. . Logan. W. & A ; Tierney. A. ( 2008a ) . The Roper Logan and Tierney Model of Nursing. 2nd edition Churchill Livingstone. Edinburgh p168-170

Roper N. . Logan. W. & A ; Tierney. A. ( 2008b ) . The Roper Logan and Tierney Model of Nursing. 2nd edition Churchill Livingstone. Edinburgh p366



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