Reflective Writing for Learning Disability Nurse

Reflective Writing for Learning Disability Nurse Summary reflection –Modules 5 9 Working as a learning disability nurse, poses a career fraught with many interesting and often frustrating challenges. However, this is a population that cannot be ignored or slighted medically just because they present with special needs (DOH 2001). Emerson et al. (2001) state that 2.5 – 3% of the population in the UK are among the learning disabled, with 30% of these individuals presenting with categorically severe or profound learning disabilities. Emerson et al. (2001) also tell us that frequently multiple learning disabilities present in the same individual, including physical and/or sensory impairments, physical or sensory disability and/or behavioural difficulties. The five modules presented an opportunity to explore various aspects of this specialty area and reflect on the experience on a module by module basis. The act of revisiting the individual reflection pieces to present the current summary essay allowed for not only intellectually experiencing what I wrote, but it also allowed me to re-experience each situation and gain a new appreciation for the patients I worked with, the teams I took part in, the pros and cons of each situation and what I have learned that will be immediately applicable to a real world work environment. Importance of reflection Driscoll and Teh (2001) tell us that practitioners can gain a stronger understanding about various interventions and protocols used, as well as reviewing the situation specifics of each incident, through the process of reflection. In particular, Foster (1985) stressed the importance of using a journal for purposes of written reflection on nursing practices and procedures in order to help clarify issues and make them more real and visual. Gardiner and Lawley (1995) believe that self awareness, one of the outcomes of nursing reflection, can enable staff to recognise the skills they employ and add meaning to their interactions with peers, team members and clients/patients. There were many positives and negatives I experienced on a module by module basis, but in summary, these will be presented thematically. Achievements Module Five offered the opportunity to gain insight into the lifestyle experienced by those with learning disabilities. Similarly, Module Seven provided much needed and interesting information on the role of special health needs observed in those with special needs. This enabled me to make a difference for a client with diabetes through the development of a health care action plan that included the client’s smoking cessation; something the social worker assigned to the case was no knowledgeable of. It was quite exciting to improve my communication skills throughout the five modules. For example, I was able to improve my rapport with other colleagues and various multidisciplinary healthcare professionals as well as clients as I achieved Module Nine communication based learning objectives. Godsell and Scarbrough (2006) comment communication skills are essential for healthcare practitioners. I believe they are even more critical for those working with the learning disabled. Another example was the ability to communicate effectively myself and help others, such as residential home management, communicate with a specific autistic client experiencing difficulty in choosing daily activities based on his disability. I was able to include this client in the decisions made which is critical to empowering the client with a sense of self. Similarly, during Module Five, I worked with a cerebral palsy client who was screaming due to discomfort; that was her mode of communication, which at th e time I failed to recognise, but upon reflection now know actions as well as words are important modes of communication for those with learning disabilities. Shortcomings In general, a major negative I encountered was feeling I was used as â€Å"the help† rather than as a student nurse during my placement. This limited my ability to contribute and to grow personally and professionally. This was particularly evident during Module Five. Similarly, during Module Eight I was faced with a situation creating a significant amount of stress with no stress management advice or training opportunities from which to learn how to effectively cope. Contrary to Davidson’s (2001) research, there were no in-house stress management training opportunities to take advantage of. There was a sharp discrepancy in Module Nine when reviewing the Valuing People (2001) discourse in relation to people with learning disabilities (PWLD) between what was written in the document and what I experienced at work; whereas the document stresses the rights inherent for all people be extended to PWLD, it was my experience that daily patients and clients were denied access to services due to budgetary measures rather than expressing interest in people’s rights to quality healthcare and a quality standard of life. Gates (2003) tells us those with learning disabilities have rights and should be encouraged to attain respect and reach their potential. Challenges/Learning opportunities One of the main challenges I experienced in the module series, particularly with Module Five, was relating theory to practice. However, through additional research and self motivated learning I was able to bridge the gap. I also experienced a number of personal and professional challenges that I believe helped me become a stronger person and future professional. For example, at the beginning of Module Six, my mentor informed me he would not be available to me. This was very frustrating and upsetting as I knew without the help of a mentor, it would be very difficult to achieve the specific learning objectives outlined. However, I was able to turn this situation into a positive by becoming an active contributor to my own educational process by learning, understanding and solving real life problems (Kaufman, Mann Jennet 2000). Similarly, in Module Nine, I found several of the teaching styles challenging, but that helped to develop my research skills and allow me to make contributions in the group and EBL sessions. This also helped to develop my learning and presentation skills. An additional challenge in Module Nine was situation I encountered when viewing a medication administration concern at work. While I informed my manager of the situation, the team had a negative reaction rather than positive which would have been consistent with concern over patient/client care. Thomas, Mason and Ford (2003) tell us it is difficult for workers to become whistleblowers, especially in situations related to patient/client care or maintaining standards of care. This was an even more difficult challenge for me as I was only a student with limited status in the work environment. This was similar to the situation I found myself in during Module Seven when the community care social worker appeared to be neglecting the client’s diabetes, which is inconsistent with the General Social Care Council (2002) code of practices. I felt I was caught in the middle being a student making suggestions and pointing out care inconsistencies. Through the increased communication skills I developed, I was able to participate with the social worker in the role Gates (2003) identified as a learning disability nurse educator and facilitate changes. In conclusion, through the combined effects of achieving the modules’ learning objectives, reflection on the positive and negative events as well as challenges I encountered throughout modules 5 – 9 have enhanced my skill development of working with the learning disabled, improved my problem solving skills, allowed for improved communicative ability both on interdisciplinary teams as well as working with learning or developmentally challenged persons. The added use of written reflection as a tool will further my ability to transfer these skills into practice in my future placement and allow me to be effective in my nursing capacity on day one of my engagement. References Davidson, J. 2001. Stress management: Minute 10 guide. New York: Macmillan, USA. Department of Health. 2001. Valuing People: A new strategy for learning disability for the 21st century. White Paper CM5086. Great Britain. Driscoll, J Teh, B. 2001. The potential of reflective practice to develop individual orthopaedic nurse practitioner and their practice. Journal of Orthopedic Nursing, 5, 95 – 103. Emerson, E, Hatton, C, Felce, D Murphy, A. 2001. Fundamental facts. London: The Foundation of People with a Learning Disability. Gates, B. 2004. Learning disabilities: Towards inclusion (4th ed). London: Churchill Livingstone. General Social Care Council. 2002. Code of Practice for Social Care Workers and  Code of Practice for Employers of Social Care Workers. [Online]. Retrieved from: http://www.gscc.org.uk/NR/rdonlyres/8E693C62-9B17-48E1-A806-3F6F280354FD/0/CodesofPractice.doc [Accessed 20 September 2008]. Godsell, M Scarbrough, K. 2006. Improving communication for people with learning disabilities. Nursing Standards, 20(30), 58 – 68. Kaufman, DM, Mann, KV Jennet, P. 2000. Teaching and learning in medical education: How theory can inform practice. London: Association for the Study of Medical Education Monograph. Gardiner, A Lawley, K. 1995. Health and social care: Longman advanced GNVQ test and assessment guide. London: Longman Publishing Group. Thomas, A, Mason, L Ford, S. 2003. Care management in practice for the registered manager award: Essential reading for all care managers (2nd ed). Oxford: Heinemann Educational Publishers

Community Psychology and Public Health Essay

This essay discusses the similarities and differences between two approaches – community psychology and public health that are related to social problems. Each method approaches social problems differently; however there are certain overlapping features. Each method also has its specific strengths and weaknesses. All of these factors will be discussed in this essay. Community psychology and public health  The foundation of public health rests on the practical implementation of attempts to protect and improve a community’s health by applying preventative medicine, sanitary methods, and social science. The goal of public health is to prevent disease and distress from occurring. And here is the first difference between public health and community psychology. Where public health focuses on specific problems, community psychology focuses on the overall quality of life of the individuals within a community. The goal of community psychology is to understand the relationships of the individual with his or her community and society through research and to improve the individual’s life through certain actions. The ideas that drive community psychology are inspiring and motivational, but the ideas have proven to be difficult to put into action items in order to implement them. This is one of the weaknesses of community psychology and one of the causes of the many failed attempts at transforming a community. However, there are also cases of political factors obstructing the implementation of solutions to social problems, as described by Professor Albee in Guernina (1995, p. 85), â€Å"and when Reagan was elected the message went out to the National Institute of Mental Health from the White House saying, ‘We will no longer support any research into the social causes of mental illness we will only support research into the biological, genetic organic causes’. Thus it seems like community psychology is deemed the impractical, unnecessary approach that is too concerned with sociology to make a practical impact on a community. In contrast, the public health approach, that highlights biological and engineering methods, has proven to effectively prevent various diseases and socially abusive behaviours from spreading widely. For example, under the public health regulations in South Africa, the management of human waste in public places was determined and implemented during the 19th century. However, this approach isn’t perfect either, because although the human waste was effectively managed in public places, the problem arose when human waste occurred in terms of intimate actions, such as bathing and toilet hygiene. Neither of the approaches is perfect and both approaches have qualities that can potentially transform a community. In this sense, the merging of the best qualities of both approaches is best described by Gilbert, â€Å"The close affinity between sociology and public health is in terms of unit of study, theory, and method. They share a common concern with populations of individuals, a theoretical orientation toward abstract generalisations and a similar methodological approach. They also share a ‘problem’ focus. To a large extent public health problems are social problems. The social forces that determine whether a health condition will be viewed as a public health problem, are similar to those that define a social problem. † (1995, p. 81) Conclusion Public health can do for a little more of the human touch as experienced in community psychology. And community psychology can benefit from the practical methods as seen in public health solutions. Fortunately this is happening in the socio-ecological approach, which is based on a holistic understanding of the individual, the community, diseases, and health as the outcome of the intricate behaviour patterns that are instilled in individuals and groups through socialization, and who then understand the ways as being normal.

The Business Writing Services Online Trap

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American Civil War The United States - 1910 Words

American civil war The full name of American is the United States of America.The United States is a young country and The country is the second largest country in the Americas. The United States is composed of many states and many overseas territories and immigrant country with multiplicity in its culture because different nations and ethnics coexist there, which easily arises some social issues, as well as educational issues.The United States experienced the colonial period, the War of Independence and the Civil War.This article will interpret the civil war in the United States and the reasons for the victory of the North America.The civil war is the only civil war in the history of the United States.Both sides of the war, including†¦show more content†¦Contradiction between the two sides could be irreconcilable , while the northern economic and demographic advantage, raise his voice in Congress, the entire Congress tend North. North Lincoln unity government launched war ag ainst the South, the South declared the Lincoln government unconstitutional. Lincoln government made war propaganda that war is order to abolish slavery blacks, so that they could seize the moral high ground. The fuse of the war was that Abraham Lincoln was elected president of the United States, resulting in eleven states in the south of the United States to withdraw from the union.To withdraw from the union, the continent was formed to Jefferson Davis as the president of the government. Government of Southern expelled from the federal army stationed in the south and Lincoln ordered the attack against the rebel state. The war changed the political and economic situation in the United States and led to slavery in the southern states of America finally abolished, The civil war also had a great impact on future American civil society. In the 1860 election, Lincoln only got four of the votes in the country.He didn t appear on the ballot in the south.The Republican Party as a regional party, won the election victory, and the victory also confirmed the former President Martin Van Buren s prophecy in years ago: the ruling party if it is not possible to obtain the support of the country, countries will face split.The Republican Lincoln s