The aim of this essay is to reflect on the personal development in one of the four domains at the progression point 2. The four domains of nursing care are professional values, communication and interpersonal skills; nursing practice and decision making; leadership, management and team working (NMC, 2016). These are the essential areas where the student nurse has to improve her knowledge and skills prior to the nursing registration for improving the quality of nursing care that she provides afterwards (NMC, 2016). The chosen domain for this particular essay is the nursing practice and decision making, as the author had experienced an incident during the placement which …show more content…
NMC (2016) included that do not make assumptions about the patient care. Similarly, Marmo (2013) argued that, as Pain is a subjective experience and the health care professional must accept and respect patients self report, which is the most reliable indicator of pain. However, Pasero (2009) argued that, since the self report is an essential factor in pain assessment, the ability of the patient in reporting pain should be taken into consideration. Moreover if the pain is not managed properly, patient does not want to mobile and thus result in pooling of secretions which can cause respiratory problems especially in John who is having lung cancer (Campbell, 2011). Therefore the nurse has a big responsibility in managing his pain. These experiences enable me to think in a way that even the patient has regular analgesia, the nurse has a duty of care to reassess his pain regularly and make appropriate decisions.
In regards to checking his vital signs and pain level, I feel more confident compared to my first placement, as I improved my knowledge in each parameter and their normal values. In the case of pain, the increased sympathetic stimulation leads to an increase in heart rate, blood pressure and the respiratory rate (Campbell, 2011). For the pain assessment, the numeric rating scale was …show more content…
By thoroughly analysing and critically evaluating this incident, I knew that it is one of the main responsibilities of the nurse to carry out the correct pain assessment methods and take appropriate pain relieving actions (Marmo, 2013). This makes me also aware about the significance of patient centred approach in health care and the importance of avoiding bias opinion about patients. Moreover, Regards to the vital signs I am aware that it is a good indicator in patient assessment and finding the deterioration in patients. In regards to the medicine management, I am also aware that, the student nurse needs to adhere to NMC and the local trust policy. As it is a vast and very important subject the nurse needs to improve her knowledge and skills in the medication process (NMC,