Reflection On Long Term Care Experience

The staff nurses and patient care technicians (PCT) in 6 East were not getting the sufficient education reinforcement regarding fall prevention. Consequently, this has created a knowledge gap among staff members regarding fall prevention strategies. The knowledge gap in fall prevention has led to an increase of staff non-compliance with the policy and the trending increase of fall rates in the unit during the 1st and 2nd quarter of 2015. The plan to mitigate this problem was developed through the collaboration with the nursing leadership on the provision of staff education on fall prevention. The stakeholders involved were the unit manager, fall prevention resource nurse, and clinical nurse educator who were interested in coordinating the quality

The causative agent in clostridium difficile is a spore forming bacteria, which can be “transferred to patients mainly via the hands of healthcare personnel who have touched a contaminated surface or item” (CDC, 2015). Reasons such as these, is why it is important to teach patients about why they are on contact isolation, and why maintaining thorough hand hygiene is essential for stopping the spread of the disease throughout the hospital. Before the teaching took place, the patient was asked if any previous knowledge was held about the topic of clostridium difficile. The patient claimed no one had explained any part of the disease process or what changes needed to be made on the patient’s end of care. The patient had never had any exposure to this disease, however, the patient seemed rather eager, and was pleased that time was being taken to teach about the importance of containing clostridium

For this week’s journal assessment has asked to describe one of the ten General Competency Statement – on Values/Ethics in how I have met or will meet this competency during my practicum project this semester. This practicum project contains family education and training on proving care for a family member in a home setting, along with, the development of a train the trainer program, to ensure the high standard that has been established remain consistent throughout this program. I feel that the Values/Ethics Competencies number 5 “Work in cooperation with those who receive care, those who provide care, and others who contribute to or support the delivery of prevention and health services” I believe that this is a great competency that has blended

Learning the codes of practice ensures that I promote and uphold the privacy, dignity and rights of the clients I care for and that I strive to improve the quality of healthcare, care and support through continuing professional development. I achieve this within my job role by ensuring that the service users and their families are informed and included in all aspects of their care

Significance of the Problem for Nursing: Prevention of falls in the elderly is an extremely important facet of nursing. Elderly falls often result in fractures, pain, decreased mobility, traumatic hemorrhages, as well as increased healthcare costs. Due to the increased prevalence of injuries acquired from elderly falls, increased risk of morbidity in the elderly experiencing falls, and the growing number of elderly patients, it is of vast importance that nurses research and incorporate evidence-based fall prevention practices to prevent falls in the elderly

In order to have an effective falls prevention program a multifactorial approach will yield better results. Clinical practice guidelines from the United States and Canada both recommend patient education as a part of falls prevention (NGC, 2012). Patients have benefited significantly from patient education program because falls have been reduced based on the delivery methods that were used. For patients with no cognitive impairment the resources used were used included written education regarding falls data and causes of falls, self-assessment of risk, problem area identification, development of preventive strategies and behaviors, goal setting and review along with video/DVD material highlighting these same points and then

In the future, I will remember to provide a holistic care to the patient. This includes their physical injuries along with their spiritual and mental wellbeing. I will provide care that is patient-centered. As in the other IPE classes, patient-centered care is an essential aspect of interprofessional teamwork. It is vital to keep the priority on the patient’s wellbeing.

(Joint Commissions, 2014).It is important for nurses to explain how to use the call light to the elderly patients, and also to ask for help before getting out of bed. Vulnerable patients should be placed close to the nursing station for close monitoring. It is very important to educate health care workers on the approaches used to prevent falls. The measures used to prevent falls in the elderly could include; carrying out a risk assessment during admission, placing colorful stickers outside their doors, stopping the use of psychotropic medications, teaching them the best way to use their assistive device, placing their call light and belonging within their reach, placing their beds in the lowest position with brakes /wheels locked at all times, removing throw rugs from their surroundings, making sure that they are wearing non-skid shoes/socks before ambulating and also giving them their prescribed Vitamin D supplement as well as encouraging them on the use of their corrective glasses or hearing aids. It is very important to educate health care workers on the approaches used to prevent

(2014, June 6). Retrieved from ANA American Nurses Association: http://nursingworld.org/DocumentVault/Ethics-1/Code/Code-Provision-1.pdf Code of Ethics for Nurses with Interpretive Statements Provision 2. (2014, June 6). Retrieved from ANA American Nurses Association: http://nursingworld.org/DocumentVault/Ethics-1/Code/Code-Provision-4.pdf Kangasniemi, M. P. (2014). Professional Ethics in Nursing:

Research suggests that each year an estimated 1 in 3 older adults fall. Many older adults lose their lives from falls. Fall related injuries are responsible hundreds of thousands of hospitalizations each year. With the main focus on universal fall precautions and environmental safety, traditional fall prevention and fall management programs have been less than fully effective. A large problem that continues in acute care is the lack of an injury risk screening tool.

The six tenets of ethical principles of nursing practice, help incorporate the four principles of autonomy, non-maleficence, beneficence and justice (Robichaux, 2017). It is unknown how many patients Anna's nurse is currently caring for, other than knowing it is a busy night in the ER. The nurses' position is highly respected by Australian society, hence, the power paradigm should be acknowledged by the nursing individual, and used to incorporate the four principles of nursing practice, to engage the patient in the nursing process (Butts & Rich, 2016, p. 98); this encourages a therapeutic relationship where trust is

During my course with NSCC, where I am studying to become a Continuing Care Assistant. Each student is required to work in a continuing care facility alongside other health care providers for a month. I attended skills development placement at Harbour View Lodge located in Sheet Harbour. This placement has given me the opportunity to apply my knowledge, and skills that I have studied and practiced in the classroom. When entering the facility the first week I felt nervous and excited at the same time.

The literature review has been a very stressful and overwhelming process. If I were to do things differently next time, I would start this entire process earlier. Two weeks does not seem like nearly enough time to write a decent literature review when I am occupied with all my other classes as well as a job. It has been extremely challenging, because I have a literature review for another class due at the same time as well. If I were to give an incoming student advice about an assignment like this, I would advise them to start as early as possible.

To also provide resident with safe living environment, such as safe floors, food safety, walking rails, safe shower design. Check list for safe medication to prevent over dosage. To make certain all ethical medical standards are followed, protecting patients with dementia. Ethical principles are employee telling the truth, honesty and sharing the correct information regarding all residents and staff, (Abma, & Baur., 2015).

Accepts responsibility for the quality of nursing care and delivers safe, compassionate nursing care using methodical process of assessment, analysis, planning, intervention, and evaluation that focusses on the needs and predilections of patients and their families. Incorporates professional standards and moral principles into nursing practice and provides care to patients and their families.