This paper is a case study reflection that needs to be applied and underpin the steps of safe prescribing, ethics, responsibility and legal of prescribing with respect to standards of Nursing and Midwifery Council (NMC). In this regard, I will follow the Driscoll (1994) Model of reflection, which is based on three questions that explains experiences, differences that are made, significance, and actions to continue professional development with respect to learning. Discussion Driscoll (1994) Model of reflection The Driscoll model of reflection is also taken as a reflective method. It explains some aspects of what, so what and now what. Hence, this model of reflection will also give reflection of case study, which is on Mr Moore who was diagnosed …show more content…
NOW WHAT (modifying future outcomes) At this level, the role of Anticoagulant team has its major part in treatment of Mr Moore plus NMC’s other patients, and also the colleagues of Anticoagulant management. This aspect makes sure the optimal level of Anticoagulant therapy by evading offensive risks of haemorrhage. The reflection case exemplifies to reflect the decision that I made is so perfect but in future if I had sufficient time I could ask patient’s general practitioner for the authorisation if he or she could fund new oral anticoagulants. The prescribed medicines influence patient’s behaviour by taking medicines and improve adherence. 7 steps of safe prescribing with respect to NMC standards It is stated that the entire process to prescribe or not is assumed as a complex aspect method that wants different many factors, which is considered before that all significant piece of paper that is all given to the patient by prescribing the pyramid of steps and process that may help in prescribing either nurse or midwifery, in that way he or she would be responsive of all bases, which has been enclosed (Stahl, …show more content…
Consider the patient It is based on WWWHAM. Considering the patient needs all information that is going to be with WWWHAM. It is based on explaining that who would be the patient, what would be the symptoms, how long the symptoms would be present, what actions will be taken against the symptoms. In this regard, what medications will be allowed by the prescriber to the patient in order to get the main aspect? Thus, what specific information is required to know about the symptoms or patient? (Rissmann et al., 2012). Hence, considering the aspect of patient, NMC has picked up a cue as it is used by pharmacists while helping them in advising people in order to buy medications. Thus, this aspect is not strong enough to go into isolation as if it is combined with the charge, which ensures that medication history is taken along with OTC, herbal, POMs, allergies since patients need to explain that these aspects need to explain that which aspect is essential. Hence, assessment of holistic needs of patient looks for the determinants of health. However, patients frequently omit to explain regarding the OTC preps plus the herbal needs, which also needs to explain the usage of contraindicated drugs as it all explains the illegal needs of the
Healthcare professionals must talk to their patients about possible side-effects of drugs they are taking and make sure they understand what can happen. In doing so, patients may start to understand why something is happening to them and it is a normal side-effect, which can not only lead to trust from the patients to providers, but can lead to the passing of knowledge from one to another which may prevent future
There are many different types of legislation in place in health and social care settings to ensure that the medicines
This essay is going to reflect on my own management and leadership style in delivering patient care. It will discuss the effectiveness of the other leadership and management style within the multi-disciplinary team and its impact on delivering patient care. I will use as an example, my previous experience back home as a nurse and compare it to my current experience in the United Kingdom (UK). This will show my strength and weakness as well as my new learning skills, which have changed my practice. I will be using Driscoll model of reflection (2007) to guide my thought and refine my ideas.
Rashid Ahmed Guided Reflection Questions Opening Questions How did the simulated experience of Rashid Ahmed’s case make you feel? Overall, the simulation case of Mr. Ahmed was a positive experience that makes me feel in control and challenged by the situation. I perform multiple nursing skills and acknowledge acquired during lectures. For example, in reference to fluid, electrolyte, and acid-base balance information, I was able to identify the needs of a dehydrated patient.
Driscoll (2000) model) consists of three stages (What, So what & Now what) completing one cycle help me to improve my caring practice continuously and learning from those experience for better practice in the future. The cycle starts with a description of the situation (“What”), which include analysis of the incident. “So what” evaluate the experience, including the analysis to make sense of the experience, and the final stage “Now what” is a conclusion of what else could I have done better and an action plan to prepare for, if the similar situation arose again. Baird and winter (2005) gave some reasons why reflection is required in the reflective practice. They highlighted that a reflection could generate the practical knowledge, help to adapt
This reflection is sought about through the use of reflective cycles, for example Gibbs (1988). Reflection enables the student to develop his or her own theories behind why an event occurred, this is also achieved by linking theory to practice in order to gain a deeper understanding (Levett C. 2010, Stonehouse D. 2011). For this practice placement portfolio the reflective cycle that I have chosen is The Reflective Cycle by Gibbs (See appendix one) (Gibbs 1988). Although it wasn’t made predominantly for reflection through nursing scenarios, as it was developed for educational purposes, it does give the student a cycle which can be used easily to analyse their event in a linear fashion. Although Gibbs reflective cycle is one which is mainly focused on the event itself, rather than the knowledge that can be sought from delving further into the reasoning behind an event, it does create a cycle which allows the individual to focus on their actions and the reasoning behind what they did.
The following reflection piece is based on an event which I experienced during my internship placement. Johns model of reflection will be used for this assignment. The reflection is based around my own personal experience with a terminally ill patient. It focuses on one main issue, providing hope for patients and how I felt about it. it also discusses my feelings, the knowledge I had, my knowledge gaps and what I learnt through literature during my reflection.
In this case the concurrent review was chosen. As discussed previously in the assignment it was decided that drug kardex documentation would be audited. A drug kardex, also known as drug prescription or drug script is defined by the World Health Organisation (2002) as ‘’an instruction from the prescriber to the dispenser’’. In this instance the prescriber will be identified as any doctor in the hospital setting with prescriptive authority and the dispenser can be identified as any registered general nurse.
The Process of Reflection The process of reflection is central to clinical supervision. Launer (2003) describes external and internal factors in supervision whereby clinical practice and sharing skills are external and reflection is an ‘internal conversation.’ Brunero & Stein-Parbury (2008) discussed the effects of clinical supervision in nursing staff and argued that self-reflection generates a sense of self-awareness and knowledge to the individual. Supervisees or students may be asked what happened during a clinical event, how they felt, the implications of their actions and what they would do differently if faced with the same situation.
Nightingale wrote “the very elements of nursing are all but unknown” through this statement she implied that nurses word be learning for the rest of their career (journals.lww, 2017). Reflection is when an activity or incident requires thought about the action, and is used to determine what points are positive and negative, and how it could be improved or changed if done again in the future. The reflection process begins with thinking about an incident and how the situation can be utilised in future situations. The process consists of being open, this would involve an individual looking at things from a different perspective. In addition, the process would involve being inquisitive, desiring knowledge.
In future experience, I aim to continue to use this technique and skill to obtain a holistic understanding of the patient’s problems and promote change in patients. • Problem statement review I reviewed the problem statement and changed it accordingly to patient’s request, using questioning style to clarify meaning e.g. “would
The Term reflection can have many meanings to many people. Reflection can carry meanings that range from the idea of professionals engaging in solitary introspection to that of engaging in deep meaningful conversations with others. But for this assignment I will focus on; what is refection in the clinical setting, why it is important for health care professionals to reflect and where the ideology of reflection came from. I will also provide a personal experience of reflection during my time in the clinical setting that helped me to come up with a solution to a challenging situation. WHAT IS REFLECTION?
In early 1970s nursing started to move away from routines and rituals towards research-based practice (James and Clarke 1994). Reflection is a broad and complex process (Kenzi-Sampson 2005) therefore there is not a set single definition (Jarvis 1992). According to Reid (1993, p.305) reflection can be defined as a “process of reviewing an experience of practice to describe, analyze, evaluate and so inform learning about practice”. The question is why do we need reflective practice. This essay will try to
In order to structure my reflection essay in a practical approach I have decided to use Gibbs Reflective Cycle (1988) model of reflection. This model has been selected as it helps to present the reflection in an easy and understandable manner, so the issues can be evaluated through different angles (Jasper, 2003:78). John 's (1995) model provides a good
In pharmacy practice, there are always multiple solutions for a single problem. Practitioner can suggest on the medication and dosage regimen, yet the final decision should lie on the hand of patient. (Robert J.C. et al., 2012) Most of the time, patient does not understand his/her own medical condition and medication plan, let alone making decision on it. Shared decision making, patient activation and broader patient engagement can significantly improve the treatment outcomes.