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on gives scope for better understanding of oneself so that existing strengths can be used to build-up for future actions "(Somerville and Keeling, 2004). Every nurse registered under the Australian Nursing and Midwives Council or the ANMC needs to exhibit a certain degree of competency guided by the standard frameworks of competency standards designed by the ANMC (ANMC, 2005). High standards of competence can be maintained by the nurses through appropriate evaluation and examinations of ones own activities and performance, through clinical reflection. There are basically four domains of competency standards in nursing practice. They are professional practice, critical thinking and analysis, provision and coordination of care and collaborative and therapeutic practice (ANMC, 2005). In this essay, clinical reflection pertaining to critical thinking and analysis and provision and coordination of care will be discussed with reference to care of a a patient with diabetic ketoacidosis in an emergency setting. While the domain of critical analysis and thinking refers to "self – appraisal, professional development, and the value of evidence and research for practice" (ANMC, 2005), the domain pertaining to coordination of care deals with "the coordination, organisation and provision of nursing care" (ANMC, 2005). Gibbs model of reflection will be used because the framework is straight forward and includes a cycle of clear description of the clinical situation, analysis of the feelings of the practitioner, evaluation of the actions during the situation, analysis of the various activities and experiences during the situation and a conclusion for lessons in future (Online learning, 2006).
During my postings in the accident and emergency department, a 35 year old woman Mrs. X was brought to the emergency unit by her husband Mr.Y with history of fever since 2 days and abdominal pain and vomiting since few hours. The patient complained of easy fatiguibility and tiredness
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Based on this research teaching and assessment in the clinical setting must be inclusive of follow up on the progress of the learners in the clinical setting. In the case of effective teaching in terms of instilling skills in the adult learners in proper documentation is only possible through if the clinical teacher engages the learners in a reflective teaching and learning process.
This is considered critical because it is through this assessment that a medical professional can ascertain the historical details of a patient, crucial for determining subsequent way of treatment and progress of the a patient. Arnold (2006, pg. 502) further elaborates that proper assessment of a patient, therefore, requires an examination of the state of the art.
Being proud, in the circle of clinical practice, randomized controlled trial has rarely accepted any serious penetration of another competent study method within the practice of clinical practice. Like all other physicians and pharmacists, researchers and experts, technicians and thinkers, we too honor randomized controlled trials from the depth of our scientific mind.
The objective of this assignment is to present a reflection of the development of competencies (ANMC, 2006). Development of competency is a requirement of registration and these would also be a written account of my transition to beginning practitioner.
This was a patient with severe pain, and the patient was crying.
This gave me the chance to enter a university preparatory school in the same year where my formal education in dentistry began, studying as a dental technician. Upon completing my course, I entered the prestigious dental clinic in the University of Geissen.
The basics and essentials steps of undertaking reflection are reporting, responding, relating, reasoning and reconstructing. We are going to apply these steps in analysing a case of a diabetes patient who was brought to the emergency room for
I crushed the food and all the solid medicine for the patient since he could only feed on liquid food. I monitored his fluid intake very keenly. I also ensured the patient is re positioned after each and every two hours. I barely talked used sign language to communicate to
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