Hi, I need help with essay on Reflection on Practice. Paper must be at least 3750 words. Please, no plagiarized work!Download file to see previous pages... This reflective account is about an incident

Hi, I need help with essay on Reflection on Practice. Paper must be at least 3750 words. Please, no plagiarized work!

This reflective account is about an incident on my placement in the gynaecology unit in an NHS Hospital, where my mentor, who is a senior nurse who directly supervised my work. For reasons of confidentiality and other ethical issues, the identity of the patient will remain undisclosed, but for the purpose of ease in description, I will use Paula as her name throughout this reflective account of her care. In this assignment, while reflecting, my focus will be on the nine NMC nursing prep learning outcomes (NMC, 2005). I will examine critically while delivering care to this patient, whether I had understood the importance of practice of nursing, midwifery, and community public health nursing within the framework of health and social policy. While reflecting, I understand that I would need to demonstrate an understanding of the requirements of legislation, guidelines in practice, codes of practice, and policies relevant to the nursing practice. Since this is an educative placement, an understanding of the current issues in nursing education and practice and the current structure and organisation of care in the local and national care settings must be learned. It would be evident from this assignment that I had used relevant literature and research to inform practice and derive learning while reflecting on the delivery of the care. As a nurse, I had also been able to demonstrate my ability to perform a need assessment and care plan leading to implementation of interventions. Only intervention is not sufficient, the outcomes also need to be evaluated, and these services would also involve emergency care. A care delivery by nursing is never complete without communication, and this would involve patient teaching and my ability to learn from the scenario. As a professional, there might be limitation on my part as far as competence if concerned, and the idea of reflection is to be able to identify my lapses quickly in order to be able to mend them as soon as possible. This reflective practice would also help me to identify my strength areas and weaknesses in competence, so I can understand better the importance of maintaining and developing professional competence.

Description

Paula is a 42-year-old lady with bilateral breast cancer with stage III disease. It was decided due to advanced stage of her disease that she will first undergo chemotherapy, which was initiated last year. She finished her last cycle of chemotherapy in the month of January 2009. She was instructed to come back for surgery once the chemotherapy was over, and accordingly, she presented for surgery. During surgery, the surgeons found that chemotherapy had had no response to arrest the progression of her disease, and the bilateral mastectomy specimens returned a far worse pathological state of cancer than was thought of. The surgeons were reserved about the prognosis. While I was assigned her care and was asked to follow her up during her stay in the unit, I had a chance to interact with her on several occasions, and family also met me quite a few times. While it was very sad that she had to undergo bilateral mastectomies and she has a grave prognosis due to metastatic cancer, she was really in need of palliative care while in the hospital or outside.