CRITICAL INCIDENT ANALYSIS The aim of this report is to reflect about a critical incident that happened during my practice as an anaesthetic nurse trainee using the Gibbs reflective model (1988), which is one of the models that suits better in healthcare settings. This critical incident fits perfectly with the description made by Benner (1984) in a way that promotes nursing care with a substantial difference on the patient outcome. A critical reflection framework is a learning method that promotes a critical thinking from the past with consequent actions in the future, highlighting behaviors, assumptions and views. The final outcome in this particular incident is the result of an immediate action, where different experiences from the same
These pain characteristics can be major complains of patients, they influences surgical outcomes, effect coping strategies and pain perception. Many patients have difficulties in defining which response is best for their pain situation. (Spine, 2006) To provide ideal patient care, nurses require applicable information, skilled abilities, and new approaches toward pain assessment to help with control. Assessment information based on all available indications of pain assessment prevents patients from suffering. It is a crucial element in delivering effective pain management.
There are instances, factors and circumstances that enables gating of pain perception. In this paragraph, this essay will try to define the two key terms of the topic. Firstly, ‘pain perception’, is a sensory process which is prompted by noxious stimuli, and a consciousness and an interpretation of a sensation caused by damage to body organ tissue. Secondly, ‘physical injury’ refers to the noxious stimuli, the real damage to body organ tissue. Now that it is clear what each of these terms relates to pain.
Aim The purpose of this paper is to clarify and analyze the meaning of the concept of pain. The paper will clarify the defining attributes of pain and identify the antecedents that influence the perception of pain and list the consequences of pain. It will also state the empirical referents in reference to pain. Uses of the term Pain The common uses for the term Pain refer to physical, or emotional discomfort, great effort or trouble, suffering, distress, unpleasant feeling. The concept of pain has many different meanings to different people, therefore clarifying the concept of pain will in turn help in the treatment in patient with pain.
This concept was selected because it is an experience that is perceived subjectively and it is also hard to quantify. Despite this quality, it is also a phenomenon that nurses treat often and if untreated, could result in dire consequences for the patient or even their friends and family. The nursing theory used in this analysis is the behavioral systems theory by Dorothy Johnson. In this school of thought, emphasis is on how patients’ behavior is affected by parts of their environment like social-cultural norms (Smith & Parker, 2015). This paper has eight key sections including a definition of pain (how it is used in typical English as well as medicine), examination of literature review on pain, defining attributes or aspects that characterize pain, antecedents or the precursors to pain, consequences, empirical referents or aspects of pain that are measurable, construct cases in the form of real life cases, applications in theory, and a conclusion.
An article conducted on nurses showed that workplaces that consist of incivility in healthcare result in lack of satisfaction, high turnover rates, and adverse patient outcomes (Berry, 2016). The purpose of this article is to address and research the importance of nurse incivility, such as bullying in the workplace and its impact on its turnover rates. Also, this article will further address the strategies and solutions to decrease the high turnover rates in the healthcare setting. Research suggests that as new nurses begin their socialization into the profession that they are encouraged to accept incivility as a professional norm. In one study, results showed that workplace bullying behaviors (WPB) range from 27.3% to 31% for twice-weekly incidents for nurses and 21.3% for daily WPB for novice nurses (Berry, 2012).
The understanding of nursing sensitive indicators are measures that focus on increasing quality and safety in patient care. Understanding nursing sensitive indicators can help the nurse can identify the issues in the scenario. One important nursing sensitive indicator is complication from pressure ulcers, restraint prevalence, and patient satisfaction. It was evident that Mr. J has the beginning of a pressure ulcer. In the scenario Mr. J had what can be perceived as a stage 1 pressure ulcer, he has redness over a bony prominence (Hughes, 2008) the use of a Braden scale for skin assessment should have been implemented.
It is intended to check its educational use, its application and its role in the achievement of consensus communication between the nurse and the user as a requirement to make learning about the self-care place. This study emerges from the observed finding that, at times, the vision and the meaning of the metaphor used by professional didactic intentions not always match image and the sense of the user, causing them to be a source of confusion in the communication process and the understanding of their State of health. As a result, that could affect the application of treatments and care. Metaphors are present in all areas of the health sector. "We could say that it is (the metaphor) omnipresent e fills our thoughts, forming an integral part of it and the language and even that is irreplaceable since it helps us to better understand our world and ourselves" (Gutierrez,
And physical pain and disease are intricately connected to negative emotions. Health problems create feedback ? physical symptoms cause emotional distress, and unresolved emotional problems manifest themselves through physical symptoms. So, the body?s health must be approached as a whole. You cannot treat the symptoms without addressing the cause, and vice-versa (The Tapping Solution).
The nursing process is important because it provides a framework for patient care and helps develop critical thinking and problem-solving skills. This process allows nurses to identify potential problems, develop solutions and evaluate results. Consequences, such as disciplinary action, could arise from not following the nursing process. This is expected from a professional nurse. “Pain affects more Americans than diabetes, heart disease and cancer combined” (NIH, 2013).
Introduction Pain is a complex experience that may affect ones physical, mental and social health. For many people, it is a major problem that causes suffering and reduces their quality of life (Lewis, 2016). Many people seek medical help because of pain, and effective pain relief is a basic human right (Lewis, 2016). Pain is a common complication after a surgery and pain management is important for a successful recovery. Many studies are being done on postoperative pain management and what the most effective treatments are.
Neonates do experience pain and controlling that pain can have both short and long term benefits. Neonatal pain or discomfort occurs during patient care, moderate, and severe invasive procedures and nursing must understand the concept of neonatal pain in order to avoid negative influences over neonatal development, prevent damage as well as enhance quality of care (Marchant, 2014). Dr. Jean Watson 's theory of human caring/Caring Science can also be considered a philosophical and moral/ethical foundation for professional nursing and part of the central focus for nursing at the disciplinary level (Watson, 2016). Transforming Watson 's carative factors into clinical practice includes conscientiously practicing love and kindness, being authentically present, go beyond self and cultivating own spiritual practices with sensitivity to others, being present and supportive, and creating a healing environment. It is very easy to get caught up the tasks that nursing has become and not take the time to take a breath and slow down and truly be present with your patient and their
Now the person is vulnerable to certain diseases and possible irreversible damage may occur. 2. Discuss the links between stress and illness. The more a person is connected to an episode of stress either, personal physical or emotional, the most changes occurred internally exposing the body to possibilities of acquiring any diseases, either flu or a cardiovascular attack. “Stress changes immune system and hormones might create greater vulnerability to infection”.
The interventions will be the knowledge and physical technologies. An example of knowledge technologies would be the “nurses’ knowledge of pain and pain management and their perceived accountability for pain management” (Alley, 2001, p.868). The physical technologies would be the actual intervention such as distraction. The structure element of the model is the recognition of those children at risk by knowledge of the healthcare organizations pain management policies. This framework was first implemented in Alley’s “The Influence of an Organizational Pain Management Policy on Nurses Pain Management Practices” (Alley,
If an individual is experiencing any type of prolonging pain they need to be seen immediately. As stated by the American Physical Therapy Association (2015), “delays in care result in higher costs, decreased functional outcomes, and frustration to patients seeking physical therapy treatment” (para. 2). Consequently, if a patient is experiencing pain and feel like a