SOLUTION: special orthopaedic and development rehab | My Assignment Tutor

Abstract The learning plan part I aimed to upsurge the is to help families with patients at special orthopaedic and development rehab (SODR) to acquire the necessary supportive skills and services required to be able to provide care for their children who transition to life in the community by creating a patient education assessment tool by September 21st, 2020. The paper would evaluate and reflect on the indicators of achievement whether or not adequately implemented following the evidence based available literature and also would highlight on the difficulties that encountered during completion of the work. Finally, the paper would also illuminate on the impact of it in both of my learning and nursing practice. Keywords: Learning, Color-coded, Fall, Nursing, Indicators Discussion Indicators of Achievement During the assessment phase, the indicators which were mentioned were implemented and followed through the whole processes. The basic materials for the topic were researched from scholarly journals for acquisition of knowledge regarding fall risks for its presentation to the preceptor. From several research findings it has been observed that on an average 30% Canadian experience falls in every year (Lancaster, 2017). Also, within the clinic premises, generally patients get affected with falls because of certain behavior which lead them to such consequences. Such incidence observed to be happening within hospital where some cases leads to injury while the other cases no such harms are found to be faced by the patients (Bianco et al., 2015). To add on this note, it can be said that as is to help families with patients at special orthopedic and development rehab (SODR) is a field regarding which always aimed at providing special care regarding traumas, metabolic diseases, degenerative diseases, which affect the musculoskeletal part of the body and the joints, so that the fall risk become high and emergency clinical and rehabilitation programs are required to manage the crucial situation. So that, it is always recommended to frequently assess and measure this fall risk. For the case of adults, it is very much important to follow a patient-centered approach, integrating the efforts of whole team from the health-care system for its adequate prevention with care. Following this major aspects, color-coded fall risk identifier stickers were administered to strengthen the interaction among people from health care to understand the fall risk status and related intervention procedures of patients. The theory of Orem on self-care shortage. The evaluation instrument’s result will be utilized by relatives to help and give care to their youngsters with disabled development. It can likewise be useful to patients conceded for restoration, routinely from present careful on overcome the cycle, and become autonomous. (Green et al., 2018). So, following the available resources the entire things were discussed and to do this no such difficulties were observed because of the huge availability of the academic literatures on this topic which I accessed to get all the contemporary database and the resources needed to facilitate the work. Information which guided me specially are from the Public Health Canada, Canadian Patient Safety Institute and an RNAO BPG entitled Preventing Falls and Reducing Injury from Falls. One of the interesting things which I came to know is about the color- coded wristbands which are used in healthcare sector in an array of hues to get to know about very conditions for fall risk, as well as allergies, DNR, dietary restrictions etc. Although according to the official respective of Canada, it is important to shift to similar national standards because these are not currently used in Canada to indicate specific need of the patient (Ammouri et al., 2015). Based on the purpose of the work my preceptor approved the use of color-coded fall risk identification stickers to the patient’s MARs and charts rather than wearable bracelets for obstructing interference of the existing armband protocol in the facility (DiGerolamo & Davis, 2017). Time and other feasible things were also taken under consideration, so that it might not negatively influence in the workflow. The beneficial part of the project was also discussed with the allotted group. Some difficulties were faced like external circumstantial issues during the process of construction of the project and for this half of the unit members got transferred to another location as the casual nurses were not approachable in regards to it. Despite of all these things, evaluation results showed a positive response even after being affected with subjective biasness. The hypothesis expresses that self-care is the capacity patients to perform different exercises autonomously (Lukewich et al., 2020). Accordingly, oneself consideration deficiency is simply the powerlessness to perform care (Fernandes et al., 2019). It is the inadequacy to complete specific every day assignments identified with wellbeing and prosperity, including dressing or cleaning (Federici et al., 2017). The shortage can rise out of mental or actual debilitation, for example, discouragement or medical procedure recuperation (McGirt et al., 2017). Orem’s hypothesis advocates for the freedom of self-care obligation to the patient, which therefore has a positive recuperation result (Abdelkader, 2019). Nurses and families assume a critical job with regards to tending to self-care deficiencies through evaluation and intercessions (College of Nurses of Ontario, 2014). The family or nurse should know about the shortcomings and qualities, the climate, and contingent requirements for appraisal. The mediation includes helping the patient grow momentary objectives, offer help for day by day deeds, and make space for autonomy. Following the indicators of achievement during the planning phase, the use of color-coded fall identifier stickers and the provision of education on fall-preventive measures throughout the in-person appointment were communicated with the nurse preceptor. The primary recommendation of wearing color-coded fall risk bracelets to the patients were declined because it might complicate the situation with that of the existing armband protocols of the rehabilitation center. So, the use of color-coded fall risk identifier stickers got combined with the MARs and charts of the patients were accepted in its place (Cox et al., 2015). The selection of the color of the sticker were dependent on the level of the fall risk. Green stickers observed to be associated with low risk, where the yellow stickers found to be moderately risky and the red sticker found to be associated with high-risk (Cameron et al., 2018). Communication with other professionals about online discussion boards on the Canadian Association of Nurses in Oncology and a website on Oncology of Nurses concerning the patient and the family’s education on the necessary. For implementing the whole process, it was necessary to introduce a critical-reflexive view of the death process, so that it can help to deal with death naturally without facing any kind of emotional trouble. Among all these, one of the staff in 1A Unit were informed about the integration of color-coded fall risk identifier stickers to the MARs and charts of patients following the risk indicators of each color along with these two important objectives were also explained (Aryee et al., 2017). The first one was to increase the frequency of surveillance by health care staffs, which refers to the proper concentration to the work to make the implementation process of universal fall precaution confirm throughout the process. Such as providing security regarding the hospitality including the patient’s experience regarding the cleanliness of the room and also the facilities of electricity, proper bed etc. Other measures emphasized on the use of non-skid footwear, assisting in toileting, adjustment of bed accordingly with knee height, call bell and other personal take noted during the rounds. It was followed by the RNAO BPG: Create a therapeutic relationship with the client using verbal and non-verbal communication techniques to form a trusting, respectful, and genuine partnership. Recommendation 2.2 (Planning): Participate with the client in a participatory model of decision making, honoring the client’s rights of choice, and favored intentions for their health, which illuminated on these precautionary aspects (Røyset et al., 2019). Another purpose was to increase the recognizability of the fall risk condition of patients, so that intervention strategies can be applied combining the patient’s requirements maintaining proper time. Such as a red sticker on a patient’s MAR or chart would signal the high falling risk, so it would undertake a plan of care on the basis of his health condition which were attempted successfully with patients or if necessary, with family members. As per the guidelines of RNAO, older adults may not be able to recognize their high risk for falls, so in those cases preventive measures were not able to be taken under consideration adequately. So that it was very vital to regulate their enthusiasm in assessing fall risk (Somers, 2015). As the topic related with health education indicated to explore various factors in regards to falls and injury so in those cases it was observed that eyeglasses were unavailable for use and behavioral issues such as call bell unused to ask for help. The significance of all safe transfers and use of assistive devices, exercise, vitamin D supplementation were also spoken about, which met the recommendations of 1.2, 2.2, and 5.1 of the RNAO BPG entitled Person- and Family- Centered Care (Nazarali et al., 2017). Certain other things were also taken under observation such as living conditions of patients with trauma for enabling psychological support for modification of their behaviors. Each patient has unique profiles which also created differentiation in their risk factors. So that the patients were given an opportunity to acknowledge their own suitable fall-preventive measures in order to gain a sense of control and ability for self-management and also patients were encouraged to be active partners in mitigating falls. These phases were quite challenging because, the continuity of the work got interrupted in the middle as already mentioned that half unit got transferred to another location and the casual nurses were not approachable so that it affected in the process of implementation. During the evaluative phase following the indicators of achievement, a short survey was conducted after the implementation process got over which contained of two questions. It focused on the perception of health care staffs on the success of the color-coded fall identification stickers and their learning outcome to generate awareness on the fall risk status of patients and to increase the frequency of surveillance and management regarding individualized care plan of patients (Collins, Cata & Conley, 2020). Although the outcome measurement was self-reported that increased the possibility of subjective biasness of the respondents. Few members found to be not adequately representing in case of measurement of the desired population. Impact on Nursing Practice and Overall Learning Based on the selected learning plan and application process, I have learned to become a representative in the frontline being a student in nursing. During my observation period in 1A Spinal Rehabilitation Unit, I have learned the processes regarding patient safety and prevention against falls. Beside this, I also learned the importance of professionalism. It helped me in smoot continuation of my work. Although initially there were hesitation for asking information, but I continued in the process of trust building which helped me to implement the change and embedded me in understanding ethical and legal concern with regards to patient care. Association with CNO competencies in conjunction with RNAO Best Practice Guidelines increased my curiosity of knowing and anticipating potential health problems and approach required to implement (Schenck, 2015). To consider my clinical placement, I am aware of the potential threats associated with patient’s falls as patients were not aware of their difficulties and limitations. Patients at special orthopedic and development rehab (SODR) used to stay for longer time and one of them were admitted before my placement, in those situations I developed rapport with my patients which helped me to make decision regarding the patient and to develop their insight as well. Although I followed the indicators, I tried to give more in the practical situation. Learning objectives helped me in developing SMART learning which encouraged my motivation, and I became more organized in delivering the necessary care accordingly, such as checking daily activities of the patients, medicine, exercises, and other necessary treatment plans. The achievement indicators, I need to follow and practice for enhancing my skills for working as a professional nurse in future. Conclusion From the above discussion, thus it can be concluded that my Learning Plan was informative and developed my insight for being a nursing professional by maintaining a cohesive relationship with patients and other colleagues. Along with this, I understood the significance of being more organized and focus specially during the risk-assessment phase. Being an activist for change has been very essential for me to enhance the capabilities specifically during fulfilling patient’s requirement at a repetitive mode and also during taking necessary actions in order to reduce falls injury. 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