Nursing Management in a Reflective View-Free-Samples for Students

Question: Explained how and why future practice or professional understanding has been reconstructed described how they would deal with this next time. Answer: In this essay, discussions would be made on the methods to deal with patients complaining of pain. I will consider a case of patient with constant complain of pain named Mrs. Diana, 55 years old. Based on this I will try to focus on some of the prospects with further questions inside me. While reviewing Mrs. Diana, I became aware of other patients too, about the upcoming assessments and how I can treat the patient effectively. In this essay, the episodes with treatment protocols, as based on Ryan model (Ryan Ryan, 2013), with some of her past incidents related to pain and palliative ways in combating the situation would be given. The questions that came to mind after hearing all her histories and complain, is that being a nurse what I can do to relieve her pain based on the knowledge I have from controlling the pain effectively keeping in mind that controlling the pain is far better than chasing behind it (Germer Neff, 2013). The definition of pain as stated by McNamara (McNamara, Harmon Saunders, 2012) states that Pain is a sensation felt by patients. Based on this point, nursing professionals should be aware about the patients ailment details. The severity of the pain varies and patient can define pain depending on the nature and potential (Barr et al., 2013). The perceptions of pain are based on the reason, indicating the effects and its future consequences. The nurses are required to maintain records of the problems stated by patients incorporating all the details about the pain experienced (Dearholt Dang, 2012). Reporting the incident. I attended Mrs. Diana with other community nurses with complain of severe pain of Rheumatoid Arthritis in her left arm and leg keeping her awake most of the nights. She grabbing her husbands hand related her experiences about the sleepless bad nights due to pain and had to listen to music or watch television in order to distract herself. She felt nauseous and to relieve her pain, she was having pain killers. She insisted her husband to talk about the accident she faced few years age and due to that she got injured in arms and neck that still persisted. Mrs. Dianas husband helped her to relieve her pain with the use of heat packs and massage therapy and its their wish to continue with the process to soothe her pain avoiding the use of medicines as much as possible. We hence decided to go by the palliative care and tried to convince about respecting their decisions in relieving the pain (Hall, Dodd Higginson, 2014). Responding the event. I remember experiencing feelings of confusion, amusement with state of helplessness. From the conversation with Mrs. Diana I guessed that they had already planned in beforehand about expressing their views and to follow that only. Throughout the whole assessment I tried to understand the matter properly by taking notes as I was completely new to the disorder, arthritis. My lack of experiences made me feel helpless. It is true that I have done many shifts but still I feel that I am too young with less knowledge to handle complex situation in my training period. I want to give the patients assurance with better support to help them recover and thus I studied the case with utmost interest. Relating the incident. Studying the episode of Mrs. Diana I came to an understanding of the different types of pain and how to prevent prognosis with relevant strategies, keeping the dignity of the patient in mind. Dignity here defines the lifestyle to treat them, to find out the ways in which they feel good and says I am fine with this procedure and doing this makes me relieved (van Gennip et al., 2013). Reflecting this, I related myself that while assessing her we were conscious more about giving resources about medications. From this training I have gathered experience about the analgesia practice to control the pain rather than chasing it (Gregory, 2014). Reasoning the incident: Mrs. Diana was diagnosed Rheumatoid Arthritis in her left arm 6 months before and was under physical therapy with prescribed medications. Recently the pain has moved to her left leg knee making her movements more difficult that made the doctors decide with palliative care. Rheumatoid Arthritis causes painful swelling affecting the joints of hands, wrists and knees when our immune system functions against its own tissues and joints. Physiotherapy and proper medication are the only preventive measures (Butler Moseley, 2013). The medicines prescribed to her were oral tablets of methotrexate with 10 mg intake per week. Methotrexate eases pain, swelling and fatigue by interrupting the process of inflammation responsible for joint pain. Reconstructing the learning Opportunities. The episode of Mrs. Diana left me uneasy as my previous knowledge was totally theoretical. I along with other seniors decided the various ways to relief pain to benefit the patients. It was about granting all the choices made by the patient and provide with all facts and allow them to make their own choices that best suit them. I have learnt that we should listen to the problems of the patient carefully and maintain the dignity to make their choices that we in person will not conduct (Hall, Dodd Higginson, 2014). Future objectives. I hence conclude that in upcoming future when I will nurse pain-centred patients I will hear the episode attentively and interpret their skills. Nurses like us try to confront the situation and react to the possibility without further exploration in management. The second thing I learnt is experience can be a potential teacher. Lastly I will try to understand the ailments on the perspective of patient. In this case it was important to know how she thought about the problem and how she controlled her pain (Frank, 2015). According to me it is vital to know the way she wants to combat the pain when I assess it and help me in managing it in near future. From this experience I will keep in mind the patients diversity and their own way of assessing the pain to manage the pain. I will try my best to note and remember what the patient have said and if required I will make a point to hear the patient again as I will never be able to walk away from my allotted responsibiliti es towards patient care and management. References: Barr, J., Fraser, G. L., Puntillo, K., Ely, E. W., Glinas, C., Dasta, J. F., ... Coursin, D. B. (2013). Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit.Critical care medicine,41(1), 263-306. Butler, D. S., Moseley, G. L. (2013).Explain Pain 2nd Edn. Noigroup Publications. Dearholt, S., Dang, D. (2012).Johns Hopkins nursing evidence-based practice: Models and guidelines. Sigma Theta Tau. Frank, A. W. (2015). Asking the right question about pain: narrative and phronesis.British Journal of Pain,9(1), 209-225. Germer, C. K., Neff, K. D. (2013). Self?compassion in clinical practice.Journal of clinical psychology,69(8), 856-867. Gregory, J. (2014). 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