Reflective Essay on Nurses Observation

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Unit 1-part A

Report of observation, reflection, and activity log in health and social care setting.

This observation took place in a health and social care setting. As support work with a charitable company, this week I was told to work with a staff who has been in the company longer than I have, we were assigned to work with a 70 years old man, who has been diagnosed with mixed dementia with a little speech and can only say the word (lady) he has Parkinson’s disease, with other problem such as physical health problem diabetes.

In this observation for law and confidentiality, I am not using the name or identity of this service user.

I will be using Mr., Mr. P has been under the care of this provider for over 8 years, Mr. P is a retired pilot he has been diagnosed at his early 60 he was diagnosed of all these illness which made him to go for early retirement at his early 60’s.

Mr. P did not like anyone helping him with personal hygiene and medication.

In this case, Mr. P’s medication and personal hygiene were a huge concern in day-to-day work with staff.

Log of observation practice of another practitioner.

Activity
Support with personal care
Support with daily living
Administering of medications
Identify Mr. P’s needs
Assist with Teeth brush and all daily living
Shower or bath and grooming
Administering insulin injections and medication
Setting Description
Personal bungalow
Provider charitable company
Personal property, all property, and furniture belong to Mr. P
Property accessible by disabled person
Setting where observation took place.

Things were placed in the right place that Mr. P could not reach, medication was locked out of sight resting environment at the back grading, and Mr. P liked sitting out on his own.

Observation Record.

Resume 7.00 By 7.30 Mr. P was awake and assisted with personal care, At 8:00 am ready for breakfast and medication including the diabetic injection. Mr. P tried to avoid his medications, due to his dislike of his tablets, Mr. P likes his tables to be grouch he does not like to see the tablet, but from his Doctor and G.P Mr. P is well able to swallow without any problem, Mr. P insulin injection has to be injected through his stomach, this day Mr. P was in a very bad mood he refused to take his tablet and for the insulin he refuses due to the pain he has on the Tommy and went to sit at the grading.

The way the needs and preferences of Mr. P was identified and met.

The support worker was very professional with her work, She was able to manage to administer her work and followed the relevant legislation and policy appropriate in giving care to Mr. P. The support work must carefully enlighten Mr. P as to why he must take his drugs and insulin without disrespectful his rights as a person and hurting Mr. P from doing so. I was told to dress Mr. P; I was able to administer Mr. P’s personal groom without using any force.

Policies and legislations use why observing.

The Mental Health Act (1983) is the key part of legislation that protects the assessment, treatment, and human rights of individuals by means of a mental health ailment.
Health and Safety at Work 1974 This act is to protect people at work and harm at the place of work.
The Mental Capacity Act 1993) Is intended to empower and protect persons that are lacking the mental capacity to decisions for their care, This Act for individuals aged 16 and over.
Human Rights Act protects people from government actions that are threatening or harmful to certain independence thought to be fundamental, examples would be liberty, life, and physical integrity, which can be economic, social, political, cultural, and civil.
The Care Act (20140 provide, protects individuals who genuinely need care after assessment.
Safeguarding this protects vulnerable adult to live safely, free from neglect and abuse, it enables protection for those who cannot protect themselves from abuse.

Part B Safe Observation Log

Activity
Feeding
Bathing
Medication
Supported at Mr. P’s bungalow
Identity Mr. P needs
Assist with shower and bath
Assist with feeding
One-to-one with Mr. P to keep him complying until the next staff takes over.
Assist with medication
Help with shopping and keeping the hospital and GP appointments.
Setting observation.

Mr. P’s bungalow, all property belongs to Mr. P with full assessment for Mr. P.

Setting where observation took place

The bungalow is always tidy, due to the 24-hour service, Upon arrival at shift Mr. P is still in bed sleeping as usual.

Observation Record

I arrived at work at 6.50 in the morning, and a 7.00 handover was given by night staff, Mr. P still sleeping on his bed. Woke Mr. P up 7. at 45, waiting for him to come down to the kitchen so his medication could be given While waiting I set up his medication and things for breakfast.

At 8.00 a.m. Mr. P came down to the kitchen and wanted his breakfast, Most have medication before any food, but due to his medical condition, he now wants to make a cup of tea without any assistance, because he was angry over his medication, This gave me concern regarding health and safety and mental capacity act whereby Mr. P his not safe to boil the kettle.

I made the tea and the medication was given, then Mr. P had his breakfast with his tea.

9.15 am, Mr. P was told to get ready for his personal care, he shouted I don’t want to be dirty, took Mr. P in the choose what he wanted to wear for that day, After a few minutes of argument he came to the bathroom for his dignity in care I chose to close the door gave him shower, everything went not too bad to that day, because all his need want met according to his care plan.

B and C

Looking into the observation Of Mr. P as a support worker, safeguarding Mr. P as a vulnerable adult was put into attention as he is not in full capacity to make good decision and don’t know what is best or right for him, as a disabled person under my care, I must explain what I am doing why am doing it and the important of doing what am doing with Mr. P, he has to know how is going to be of benefit to him, his human right was given when he was asked to choose what he wants to wear and eat, I will say at this point health and safety was met as I was the one that make a cup of tea for Mr. P protected him from the boiled kettle. At this point Mr. P’s human right was taken away from him in the way by not allowing him to wake himself, It be Mr. P is not yet ready to get up from sleep o rout to bed, or he might want to stay in bed longer.

By law Health and safety Act demands all workers have a duty of care for their safety and the health of others who might be affected by their actions at the workplace.

I have to bring it to the management’s attention for a new assessment, We are caring for Mr. P at his own home, he is not in a nursing home this is Mr. P’s house, so waking him up every morning might not be a good practice.

Fairness is very important in health and social care, Equality Eliminates discrimination, victimization, harassment, and any kind of conduct that is prohibited under any Act.

Equity gives everybody everything to succeed. It is aiding the support of the staff

Clear Relevant examples of completed tasks during work placement.

Confidentiality- in this report the privacy of Mr. P was guaranteed and protected.
Performing non-prejudiced work while giving individual cantered care and in compliance with fairness and a qualified manner.
Collaborative operation was effectively performed to achieve high quality of care, distinguished and non-violent.
Communication was effective and accurate, this promoted clear direction for Mr. P and understanding between the support worker and Mr. P.

Ethical practice is undertaking the correct thing that protects moral conduct, standards, and judgment. An ethical dilemma encompasses the need to select from between two or more morally acceptable possibilities or between equally unacceptable developments of actions, while one choice prevents the collection of the other (Medscape, 2019).

The four types of Ethical practice in Healthcare

Autonomy healthcare is the right of the patient to make a decision that concerns his/her medical attention without the practitioner influencing their choice.
Beneficence not to harm the patient, in this way doing what is right for the benefit of the patient
Nonmaleficence is the practice of not doing any can of harm to serve the usual
Justice is a means of an unfair disadvantage when it comes to a person’s care. Such as low-income free prescriptions.

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