Assignment Title Reflective account to Ensure Early Intervention for
Word Count 1647 words
This assignment is to reflect upon early intervention for a deteriorating patient, in accordance with the aim of the Scottish Patient Safety Programme (SPSP) NHS 2011). The reflective account is taken form an experience whilst on placement. To ensure the confidentiality of the patient concerned I will refer to him as Michael, this is in accordance with the Nursing and Midwifery Council (NMC 2008). For reflective purposes I will use Gibbs reflective cycle (Gibbs 1988).
The SPSP intention is to apply “safer care for every patient, every time”. They aspire to implement this objective by applying evidence based interventions to every patient and propose to reduce adverse events by 30% and mortality by 15%.
Michael is a 55 year old man who was admitted after presenting himself at Accident and Emergency (A&E), with a three day history of diarrhoea and vomiting. A&Estaff established that he was vomiting blood and his bowel motions were melaena. Michael advised the staff that he had been taking a non-steroidal anti-inflammatory drugs (NSAID) for pain relief due to a fall the previous week. On transfer to the ward my mentor asked me to admit the patient. This includes taking vital signs to establish a baseline value (Dougherty and Lister, 2008). Before I proceeded with the admission I introduced myself and pulled the curtains around to ensure a level of privacy and dignity (NMC2008). Verbal consent was gained and an explanation of what or why I was carrying out a procedure was given(NMC 2008). This is important as the patient needs to understand the proposed assessment(NMC 2008).
The admission process gives the opportunity to use the ABCDE approach of assessment(Page and McKinney, 2012). During the admission process Michael admitted to being a heavy drinker on a daily basis.
In 2007 the National Institute for Health and Clinical Excellence(NICE 2007)...