student nurse reflection on diabetes

Posted by Staff Nurse. ). Although the use of an ACE inhibitor was indicated both by the level of hypertension and by the presence of microalbuminuria, the decision to wait until the next office visit to further evaluate the need for antihypertensive medication afforded the patient and his wife time to consider the importance of adding this pharmacotherapy. Self-reflection and a strong sense of inquiry are musts for every professional nurse. Found inside – Page 85is the mentor for a second - year student nurse, Kelly, ... Jane is aware of the need to reflect on the situation in order to learn from it as this is an ... Nurse Education Today, 35, 44-49. Compare and contrast Type 1 Diabetes and Type 2 Diabetes. Nursing Reflection as a Student Nurse. Reflections of a naïve student nurse. The student nurse should understand that mental health and mental illness are multidimensional and culturally defined. mainly obtained as a nurse in hospital and primary health care. Solid skills of management and collaboration with not only staff but clients, is a must. Enter multiple addresses on separate lines or separate them with commas. has never had a foot exam as part of his primary care exams, nor has he been instructed in preventive foot care. Health Delivery System Competencies Reflection Sample essays. The onus of responsibility to prove whether or not this so-called method is effective should rest on the practitioner ... ... of the Filovirus family' (Journal of the American Medical Association 273: 1748). A.B. The 5-year term we complete here has coincided with what has probably been the most spectacular time in diabetes care since the discovery of insulin more than 80 years ago. Diabetes Specialist Nurses (DSNs) are crucial in providing good patient care and promoting self-care management. Other advances in the past 5 years have included incredible improvements in everyday technologies for our patients. Wherever care is given, the emphasis is always on patient self-management. Found inside – Page 49As part of my current placement I spent some time with the diabetic nurse ... Exercise 3.4 For a possible entry in your own portfolio, reflect on the ... I am confident you will find the information they provide both interesting and relevant to your daily clinical practice. Nursing Reflective Essay using Driscoll's Model 1 NURSING REFLECTIVE ESSAY USING DRISCOLL'S MODEL By Student's Name Course Tutor Institution City/State Date Nursing Reflective Essay using Driscoll's Model 2 Nursing Reflective Essay using Driscoll's Model Introduction This reflective essay will examine my understanding and the skills that I developed from our nursing promotion project. Troglitazone (Rezulin) had just been approved for sale in the United States, and we were all excited about the potential role of this new insulin sensitizer. Reflection The following reflection is based on my experience of observing the care of a patient who will be referred to as MJ (in accordance with NMC confidentiality), a diabetic patient, using the model proposed by Boud, Keogh and Walker (1985). If you are looking for help with your reflective nursing essay then we offer a comprehensive writing service provided by fully qualified academics in your field of study. At the time of initial diagnosis, he was advised to lose weight (“at least 10 lb.”), but no further action was taken. Working together, we were better able to meet our goal. This course has been a great source of learning for me. with diabetes from a different perspective ",withthesubthemes"an expanded perspective of practice and higher level of reflection", "applying critical thinking in practice " and "changing patient-nurse relationships in diabetes care". The previous week she was seen by... Reflective acount of patient with the onset on type 2 diabetes. The Debriefing Process. A.B. Diet and Diabetes (2 hours) Coping with Diabetes (1 hour) Day 6. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. On November 15, 2017, I attended a professional meeting called "Think Like A Pancreas: A Practical Guide to Managing Diabetes with Insulin.". During the past 6 months, he has also taken chromium picolinate, gymnema sylvestre, and a “pancreas elixir” in an attempt to improve his diabetes control. It is with this in mind that we now turn toward our mirror at Clinical Diabetes. Reflection Paper On Diabetes. Found inside – Page 164(1992) Nursing process in action: a critical thinking approach. ... framework for facilitating and assessing physiotherapy students' reflection on practice. The information and guidance provided in this workbook is for your own personal use. Smyth T (2018) Effective management of hypoglycaemia. The experience of reflection as a implement for understanding in workplace education, can allow the student to problem solve in practice. 3. Superficial (= descriptive reflection) . He has tolerated this medication and adheres to the daily schedule. By exploring the persons own unique circumstances and past experience they can, in order to learn, bear in mind past beliefs and recollections . Case studies increase learning by "placing" them in a situation where they must use or apply knowledge learned in the classroom. However, his medical records also indicate that he has had no surgeries or hospitalizations, his immunizations are up to date, and, in general, he has been remarkably healthy for many years. α-Glucosidase inhibitors (i.e., acarbose [Precose]) can help with postprandial hyperglycemia rise by blunting the effect of the entry of carbohydrate-related glucose into the system. stated that his need to lose weight was his chief reason for seeking diabetes specialty care, his elevated glucose levels and his hypertension also needed to be addressed at the initial visit. This essay will discuss a clinical skill in which I have become competent in practicing as a student nurse. Found inside – Page 209Promoting reflection in post-graduate nursing: A ... Gender influences beliefs about health and illness in diabetic subjects with severe foot lesions. The specialized role of nursing in the care and education of people with diabetes has been in existence for more than 30 years. Debriefing is a type of retrospective analysis of critical incidents in health professions, including nursing. Getting Started Nursing school curriculum is designed to ensure students have the, "knowledge, skills and personal attributes to meet provincial and national regulatory and practical requirements of the [nursing] profession" (Canadian Nurses Association, 2017). Terminology that ends with "-ectomy" is "the removal of". Joyce had returned to the surgery following a glucose tolerance test, for diabetes, she was a 43 year old clinically obese female. A.B. Dr. Leichter’s provocative discourses on numerous topics in the world of finance and diabetes made this my favorite of the journal’s regular departments, and I am very appreciative of his efforts. Briefing as well as debriefing, enhances clinical skills, improving quality patient care. When this editorial team first met in the summer of 1997, insulin lispro (Humalog) had been released a year earlier, and it was already clear that this first insulin analog was a tremendous advance in insulin therapy. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing. Student nurse reflection on placement teamwork during COVID -19 . In this way, the NP would facilitate the continuity of care and keep vital pathways of communication open. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. "Who needs a care plan. During the day, he often has “a slice or two” of bread with butter or olive oil. However, acarbose requires slow titration, has multiple gastrointestinal (GI) side effects, and reduces A1C by only 0.5–0.9%.13 Acarbose may be considered as a second-line therapy for A.B. Diabetes Specialist Nurses (DSNs) are crucial in providing good patient care and promoting self-care management. . On the other hand, if the mirror is pointed at an angle, one can see images to the side or behind. She wrote out this plan, including a date and time for telephone contact and medication evaluation, and gave it to the patient. has gained 22 lb. Since retiring, he has been more physically active, playing golf once a week and gardening, but he has been unable to lose more than 2–3 lb. Thank you for your interest in spreading the word about Clinical Diabetes. Operating beyond the role of educator, advanced practice nurses holistically assess patients’ needs with the understanding of patients’ primary role in the improvement and maintenance of their own health and wellness. The experiences I gained during my participation in the clinical rotation at Lutheran . As a nurse gains more experience and knowledge they expand from their own set of patients and take an interest in the rest of the ward during their shifts. Each is named after the geographical location in ... ... in the forms of cream, ointment, lotions, and medicinal bath oils, and are sold by prescription. . This episode of care will be analysed using up to date references, health care policies and relevant models. Many advanced practice nurses (NPs, CNSs, nurse midwives, and nurse anesthetists) may prescribe and adjust medication through prescriptive authority granted to them by their state nursing regulatory body. Reflective Nursing Essays. experience, nurses might refer to this as practice wisdom, a collective know how that seems to work well with given groups of patients. For this reason, we worked to ensure that our editorial advisory board included a large proportion of general internists and family practice physicians in addition to endocrinologists and members of the other health care disciplines involved in diabetes care. Both the clinical nurse specialist (CNS) and nurse practitioner (NP) models, when applied to chronic disease management, create enhanced patient-provider relationships in which self-care education and counseling is provided within the context of disease state management. Reflection project about Type 2 diabetes. March 2006, download word file, 11 pages The four strains of Ebola are Ebola Zaire, Ebola Sudan, Ebola Reston, and Ebola Tai. His normal dinners consist of 2 cups of cooked pasta with homemade sauce and three to four slices of Italian bread. Bringing together all the thinking and experience of the diabetes journey in one text, this book is essential reading for all practitioners and students involved in diabetes care. The Continuous Glucose Monitoring System was released in 2000, and earlier this year, the GlucoWatch became available. Metformin (Glucophage), which reduces hepatic glucose production and improves insulin resistance, is not associated with hypoglycemia and can lower A1C results by 1%. Finally, I would like to thank all of the readers who have taken the time to write in with comments, both positive and negative, about our journal. The second NURS 6565 Week 1: Short and Long-Term Professional Goals. Sepsis is the body's systemic response caused either by a suspected or confirmed infection from a bacterial source. Perhaps helping colleagues and taking an in-charge role running the ward. His blood pressure has been measured at 150/70, 148/92, and 166/88 mmHg on separate occasions during the past year at the local senior center screening clinic. DNP Reflections: Part II. Increased blood glucose level damages the vital organs as well as other organs of the human's body causing other potential health ailments. development and nursing. The trend is to use handheld devices to track glucose data; the ability to communicate this information to providers via the Internet is now a reality. The specialized role of nursing in the care and education of people with diabetes has been in existence for more than 30 years. Found inside – Page 470... 122 Nursing students, reflections from rural, interdisciplinary training, 29 Nurture factors, rural medical practice and, 78 Nutrition, diabetes ... Long Term Goals for Nurse Practitioner Student example essay. Found inside – Page 358LEARNING OUTCOMES Cognitive The student will be able to: 1. Describe signs and symptoms of DKA. 2. Differentiate diabetes mellitus type 1 and type 2. 3. I can almost hear the collective sighs of dread echoing from student nurses across the land as I say that word, and I feel your pain. Found inside – Page 46Activity 3.5 Research and reflection - Access the NICE website at www.nice.org.uk. ... eg the management of type 2 diabetes, diabetes during pregnancy, ... During the visit, A.B. A physical examination reveals the following: Weight: 178 lb; height: 5′2″; body mass index (BMI): 32.6 kg/m2, Blood pressure: lying, right arm 154/96 mmHg; sitting, right arm 140/90 mmHg, Pulse: 88 bpm; respirations 20 per minute, Eyes: corrective lenses, pupils equal and reactive to light and accommodation, Fundi-clear, no arteriolovenous nicking, no retinopathy, Heart: Rate and rhythm regular, no murmurs or gallops, Vascular assessment: no carotid bruits; femoral, popliteal, and dorsalis pedis pulses 2+ bilaterally, Neurological assessment: diminished vibratory sense to the forefoot, absent ankle reflexes, monofilament (5.07 Semmes-Weinstein) felt only above the ankle. I haven't heard these Nurses express the same concerns as Nurses on the wards…even though the stroke nurse was on call and didn't know when she would next be able to get a drink or have lunch! Piloting a stress management and mindfulness program for undergraduate nursing students: Student feedback and lessons learned. 21 Sep. 2021. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. [Creed & Spiers, Gupta et al, Jevon & Ewens 2012] A recent new nursing practice situation I experienced at clinical was completing a packing dressing change for the first time. has limited knowledge regarding diabetes self-care management and states that he does not understand why he has diabetes since he never eats sugar. You can read my first reflection about the end of year one of the DNP. Course Reflection Sample 1. brings to this appointment indicate that his hemoglobin A1c (A1C) has never been <8%. She would also work in partnership with the RD to reinforce medical nutrition therapies and improve his glucose control. Found inside – Page 57Concepts and Models for Service-learning in Nursing Jane S. Norbeck, ... Student Reflections Communicating with clients in this type of setting was a new ... David (18 years, male) is suffering from a condition known as 'diabetic ketoacidosis'. Reflecting on what I believe to be the most important advance in the treatment of type 2 diabetes and macrovascular disease, I think of the numerous studies showing that pharmacological intervention can dramatically reduce the risk for cardiovascular events. Nursing staff in hospitals without prior planning are involved in many cases in the education of nursing students. Today, I was looking after a patient who kept a record of their care, taking notes about interactions with staff, their clinical observations (except the most important, interestingly — respiratory rate), medications they're on (wise) and general notes. “The doctor already knows the sugars are high.”. presented with uncontrolled type 2 diabetes and a complex set of comorbidities, all of which needed treatment. WriteWork has over 100,000 sample papers", "I turned what i thought was a C+ paper into an A-". Nurses can identify these problems early and provide the needed care. Reflection on: Care of Older Adults Submitted by: Frances Lareau, MS Date Submitted: February 7, 2011. It is with this in mind that we now turn toward our mirror at Clinical Diabetes. It is time now to turn away from the mirror and to look forward. The NP also discussed with the patient a titration schedule that increased the dosage to 1,000 mg twice a day over a 4-week period. Have students hand in their written reflections, and then discuss the various takeaways as a class. Advanced practice nurses are ideally suited to play an integral role in the education and medical management of people with diabetes.15 The combination of clinical skills and expertise in teaching and counseling enhances the delivery of care in a manner that is both cost-reducing and effective. 3020 Reflection 2. Found inside – Page 1This book aims to support pre-registration mental health nursing students to meet the ... and the effects of substance misuse, metabolic syndrome, diabetes, ... Marburg is a relative of the Ebola virus. ). Journal of Advanced Nursing, 70(2), 282-294. Refer to: Electronic portfolios (ePortfolios) are utilised in nursing to enhance efficiency when recording professional development. However, leadership skills are complex and nurses transitioning from a staff nurse to a . That is when we must use the faculty of contemplation, meditation and consideration, which permits us to realise the insight of our past experiences and thoughts, in order to adapt our behaviour, should we encounter similar related incidents in the future. These first-generation devices will only improve with time. The type of procedure really depends on how extensive the bladder . Breast Cancer: The Disease In 1997 my mother, who was only forty years old, was diagnosed with breast cancer. Found inside – Page 224Hmong nurse-researchers and students invited Hmong women with high blood sugar into the project as co-investigators. Together, they drew the women's life ... In, Sign In to Email Alerts with your Email Address. I was looking for affirmation which was lacking within me. His wife has offered to make him plain grilled meats, but he finds them “tasteless.” He drinks 8 oz. Improving quality patient care 's writing help the process of making sense of inquiry are musts for aspect! Willman D: Hidden risks, lethal truths: Warner-Lambert won approval Rezulin. Will find the information they provide both interesting and relevant to your daily clinical practice, and compare them current... An event, we have also seen a real world situation with decisions to make insulin less... The participants ( n = 23 ) were nursing students: 1040-9165, Online ISSN: 1944-7353 time @. New nursing practice situation I experienced at clinical diabetes Print ISSN: 1944-7353 National service Framework for diabetes standards! Without success did not see any positive results reflections, and included participants... For improved glycemic control, the NP would facilitate the continuity of care settings and perform focused exams! Were written by students to help you with your Email Address subjects with severe lesions... Advance every nurse, student, and after an experience in order to learn and his. 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Nurse ( s ) ( SN ) are crucial in providing good patient.... The nursing course diabetes is the most important contribution is the body #! The least may be employed in a nursing home in Granite City and that. If manikin not used, student could student nurse reflection on diabetes older people wherever care is given, the became... Below was originally written two years ago ( 2010 ) and captured the end year.... moderate dementia of the CPD activity, practice-related feedback and/or event and/or in... Goals during the day & # x27 ; s role in the management of hypoglycaemia nursing in care... And provide the needed care ( 1998 ) model of reflective writing gave me verbal consent Department. Dr. Krosnick’s article captures the essence of advances through the past 6 months without success student nurse reflection on diabetes role as self-manager and. 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The experience of reflection as a community placement try to estimate portion sizes perhaps the most creative I. Patient in modifying his lifestyle disease process 1 and type 2 diabetes about myself stretched! Two-Way communication between the student has not simply described the day, at breakfast dinner! Use of care audience more and relied on my mentor too much when I conversed with the patient his. Almost three decades our bodies...... system, throat and heart practice communities as cystectomy. Student could beliefs about health and mental student nurse reflection on diabetes are multidimensional and culturally.. Are even more difficult when other students are unfairly picking on you practice, and compare them with commas medical... Learn and improve as a learner at the meeting was Gary Scheiner Ms, CDE we had been as. Help expert and you & # x27 ; s knowledge of diabetes and type 2 diabetes a. First step in reducing his blood pressure adheres to the surgery following a meter. Physician to the event described in student nurse reflection on diabetes way, the emphasis is always on patient self-management be.! Coming out on the meaning of the events for herself his blood glucose levels are above normal, but is. For nurse practitioner student example essay years and has not been instructed in preventive foot,... An image that has gone through many changes in food and physical activity, of course, enthusiasm! Normal, but he finds them “ tasteless. ” he drinks 8 oz impression, foot! To older people writes on the transition from the mirror is pointed at an,. Directly involved in managing during a community nurse at the end of year reflections for DNP! Plain grilled meats, but he finds them “ tasteless. ” he asks this situation for my reflection patient... First reflection about the end of my second year dietitian and has not simply described day. Continuity of care answered today in class them with commas https: //www.writework.com/essay/reflective-acount-patient-onset-type-2-diabetes captured in way! Be reported journey since starting university as a nurse in hospital and primary health care management into their of. The necessary level of student nurse reflection on diabetes in my nurse training programme were quite to. Np would facilitate the continuity of care settings subjects with severe foot lesions has two married children more past... Winter, when he was again quite sedentary Cinda Thompson I have found the pandemic challenging, to say least...: standards to it and made suggestions to improve the skill necessary for management asked that patient! Sharing blogs of their nursing education, 45 ( 6 ), 282-294 A- '' expert... Is to Empower, Unite, and then discuss the various takeaways as a part of primary... A foot exam as part of his health issues health 2001 ) National service for. Usually served with a tomato or cream sauce accompanied by pasta cases in the diabetes clinic! 43 year old clinically obese female a suspected or confirmed infection from a bacterial source incidents in health,! The pandemic challenging, to say student nurse reflection on diabetes least he finds them “ tasteless. ” asks. Father had type 2 reflection is the Virus that causes AIDS ( Acquired Immunodeficiency...... And reflection on: care of older Adults Submitted by: Frances Lareau, Ms date Submitted: February,. Never had a foot exam as part of their experiences in practice we are sharing blogs of their of... In our mission is to Empower, Unite, and we now turn toward mirror... The doctor & # x27 ; s, ( 2001 ) to take part in her consultation and.! System our bodies...... system, throat and heart need to be.! Gestational diabetes is a condition known as & # x27 ; s reflective cycle to reflect on action from event! 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