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Tuesday, April 2, 2019

Reflection On Principles Of Moving And Handling Patients Nursing Essay

Reflection On Principles Of Moving And Handling Patients Nursing judgeManual discourse of patients has been a continuous issue of safety among nurses. In fact, the plane section of Health(2007) has called for an end in the manual discourse of patients due to the psychic trauma that it has caused among nurses. The no lifting policy has been imposed as a strict radiation diagram in all in blind drunkarys and the principles of body mechanics has been stressed among all hospital employees to prevent back pain muscle strain among wellness apprehension staff.In the surgical ward where I am presently working, utilising the ideal style of moving cash in ones c hepsling patients is an weighty part of my either(prenominal)day work peculiarly that we deal mostly with orthopaedic patients. The proper use of manual handling aids and proper body mechanics are in truth important principles that we keep in mind everyday to ensure safety non only for our patients but for ourselves as w ell.Schn, D.(1983) definedreflective practiceas the capacity to reflect on action so as to pick out in a process of continuous learning. This reflective essay willing focus on my experiences while I worked to attain my goal of comely much proficient in moving and handling surgical patients. utilise the Gibbs (1988) wistful Model, I would be reflecting on my practice to promote to a great extent avenues of learning around this topic in the future.The Reflective Cycle expositionI pay non had much experience with taking reverence of orthopaedic patients before I came to this country. But, when I started my adaptation program in a surgical ward of a private hospital, I was bombarded with patients who had hip, genu and foot surgeries. I came across manual handling aids manage crutches, frames, and sticks in helping patients mobility and focused on promoting patients emancipation. During the first few weeks, I was not very confident with handling these patients knowing that I was not well equipped with the fellowship skills. Thus, I was motivated to find a way to be better in this aspect.I started by researching astir(predicate) postoperative make out for orthopaedic patients and proper usage of manual handling/ mechanical aids equipment. I attended the mandatory training close to manual handling as well and advanced my knowledge about the principles of body mechanics and the different manual handling aids. We were also taught on how to move handle patients especially in difficult or taking into custody federal agencys.In the next few weeks, I worked hand in hand with the physiotherapists and I carefully observed how they facilitate mobility and independence among postoperative patients. As cited in the NICE guidelines (draft for consultation, October 2010), the rapid restoration of physical and self care croaks is critical to recovery from surgery, particularly where the goal is to return to the patient to pre-operative directs of functio n and residence. Therefore, it is very important to take care patients in returning to their optimal level of well universe by motivating them to be independent as soon as possible as safety allows.FEELINGSDuring the first few weeks of my exposure, I looked at orthopaedic patients as very delicate in terms of mobilisation. I was aware of the restrictions that each type of surgery has, I knew what aids they need to facilitate their movement and I knew by surmisal the techniques that nurses physiotherapists apply when assisting them with their mobility. I was competent in knowledge due to the purposeless sentence I did with research and with my effort at working with the physiotherapists. Yet, I was not confident with the actual thing. Every time I assist these patients in getting out of bed, sitting on a chair, or going to the toilet, I ensured that I had some other health care professional with me to assist the patient. I had fears within me especially when handling hip patien ts knowing that these patients commonly experience fainting episodes during the first few days later on the operation. I was very careful and very keen with my patients safety and every time I do something, I make sure that I follow the principles of body mechanics to protect myself as well.As time went on and as busier the ward gets, I developed more reliance in handling these patients and in giving instructions to aid in their mobility regaining their independence. As time went on, I experienced more incidents which gave me more learning. I experienced a few incidences wherein these hip patients lose their cognizance not only when the patient was about to lie back on bed but also when the patient just had a waste in the assisted bathroom. Those experiences made me very cautious from then on and they enhanced my skills in carrying out immediate interventions during emergency situations.EVALUATIONThe unscathed experience taught me to be confident and I was able to achieve a se nse of control over every situation I encountered. I always regard safety as priority in doing every action.While assisting patients in regaining independence, there were times wherein I cared for patients who were very stubborn and who wanted to do things their own way. There were instances wherein the patients become irrefutable that they do things on their own, not thinking about the risks that they put themselves into. No matter what instructions we give to these patients, they still hesitate to cooperate.In contrast, I also fox this tendency of making my patients very dependent at times. As influenced by my culture, I sometimes tend to offer myself to my patients excessively much that they get used to having other people do things for them, therefrom conflicting the principle of promoting independence.ANALYSISExamining deeply the experiences I had made me clasp the reality that we should always act accordingly and think about whats outflank for our patients. These decisio ns might not always please them but we, as nurses, have to show to them that we are in control of the situation and act as patient advocates. These incidences taught me to be firm and be authoritative as the situation allows and that I should assist the patients in attaining their goal of being able to do their activities of daily living (ADLs) on their own.CONCLUSIONAs the age, weight, and infirmity of patients being hospitalized increase in our society, the people responsible for caring for them face greater risk for developing musculoskeletal injury during the routine moving, transferring, and repositioning of those supercharged to their care. This risk is intensified by the growing median age of nurses (Bureau of wear Statistics, 2010) and the fact that many of those caregivers suffer daily from previous injuries related to the physical tasks of patient care (Peter D. Hart Research Associates, Inc., March, 2006). There is increasing march (Nelson Baptiste, 2004Nelson, Motack i, Menzel, 2009) to indicate that safe patient-handling and movement strategies are effective in trim down the risk of musculoskeletal injuries and pain.This entire experience made me realise the richness of safety while helping the patient achieve optimum health and faster recovery. If I were to make changes about the whole situation to improve myself, I could have worked with the physiotherapists by practically getting involved in using the different manual handling aids. Aside from that, I could have exposed myself to the use of other manual handling aids that were not commonly used in the ward where I am working. work on PLANIn the future, I intend to make myself more familiar with other mechanical devices by exposing myself to the medical wards. I would also jut out to attend any trainings and seminars about manual handling to update me with the knowledge and skills. Upon handling orthopaedic patients in the future, I intend to promote independence as much as possible and b e more firm to perverse patients.Bureau of Labor Statistics. (2010). Career guide to industries, 2010-11 edition, Healthcare. US Department of Labor. Retrieved February 21, 2010, fromhttp//www.bls.gov/oco/cg/Context LinkPeter D. Hart Research Associates, Inc. (2006, March). Safe Patient Handling A Report Based on Quantitative Research Among Nurses and Radiology Technicians. Conducted on Behalf of AFT Healthcare By Peter D. Hart Research Associates, Inc. Retrieved February 21, 2010,www.aft.org/pdfs/ healthcare/safepatienthandling0306.pdfContext LinkNelson A., Baptiste A. (2004, September 30). Evidence-based practices for safe patient handling and movement. Online Journal of Issues in Nursing, 9, 3, multiple sclerosis 3. Retrieved May 17, 2010, fromhttp//www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume92004/No3Sept04/EvidenceBasedPractices.aspxContext LinkNelson A., Motacki K., Menzel N. (2009). The illustrated guide to safe patient ha ndling and movement. New York Springer.Context LinkSchn, D.(1983)The Reflective Practitioner, How Professionals Think In Action, Basic Books.ISBN 0465068782.

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