Placement Reflection in Orthopedic Nursing Order Instructions: Hello writer sir, how are you today
Thank you so much for helping with this paper.
In this reflection, I have to write my experience about my clinical experience at clinical placement. It should be minimum 500 words. For your information, I had my placement in an orthopedic ward, where I looked after the patient with different surgery such as spinal cord lumber of cervical infusion, knee and joint replacement, hip replacement etc.
Please write a good reflection to pass this paper
• APA Referencing
• At least 15 genuine references from 2010 to 2016 study based,
• 90% references have to be research-based Journal article AND books
• Australian and New Zealand based study articles are preferable.
• Please have a look Rubric guideline for the given topic, I need good grades in this assignment so please do me a favor and try to give me the best quality work
Assessment: Critical Reflection on Scope of Practice (500 words)
Instructions
In years one and two you have learned about reflection on practice. That is; you have learned to think reflectively about what you do in practice and have received feedback on this to support your learning. In this assessment, you will be expected to reflect critically on your scope of practice as a nursing student. You need to access the NMBA Competency Standards for the Registered Nurse (2010) available from http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx. Please read Attribute 2.5: Understands and practices within own scope of practice.
Consider a clinical situation where you have had to question your scope of practice, and using The 5 R’s of reflection (Bain, Mills, Ballantyne & Packer, 2010) reflect on how you are developing in readiness for professional practice. For this assessment, it is appropriate to use first person ‘I’ to describe how you responded to the situation and what you learned from it and ways that you can improve. In the rare occurrence that you have not had to question your scope of practice please reflect on Attribute 2.5 and describe how you would incorporate this competency attribute into your own practice as a nursing student.
Some examples for you to consider, how would you respond if you were asked to:
• go to the medication room and collect paracetamol tablets for the patient you are looking after
• work with the Assistant In Nursing and delegate nursing tasks
• check blood products with one registered nurse
• silence the IV pump alarm
There will be others that you could discuss from your own experiences. Remember this is your own reflection and you are to use references to justify the way that you will make improvements in your practice.
I enclosed NMBA Competency Standards for the Registered Nurse (2010) for your kind consideration
Thank you
regards
Placement Reflection in Orthopedic Nursing Sample Answer
Placement Reflection
Orthopedic nursing care has been essential in the management of conditions that affect the musculoskeletal, connective and joint systems of the human body (Goldberg & Quinlan, 2014). As orthopedic nurses, we are charged with the responsibility of providing clinical, surgical and rehabilitation services to debilitating patients (Hommel & Bååth, 2015). During my placement, I learned about the progression of most orthopedic diseases which tend to have a slow progression; a process that is full of pain and compromises the daily activities of a patient as well as their quality of life. The conditions of the patients considerably influenced my delivery of care and development of specific abilities. Research has indicated that the impact of these conditions can be expressed either verbally or non-verbally and it may interfere with the student’s learning and delivery of quality patient care (Faut, 2013; Taraldsen et al., 2013).
Placement Reflection
The concept of student placement has had a huge impact on practice-based professions such as orthopedic nursing. Placement enabled me to ostensibly look at actions, thoughts, and feelings in my bid to learn from experience. According to Gupta & Havelock (2014), learning from practice is the pillar of professional development and it is a crucial aspect of sustaining growth in nursing practice. Sunderland et al., (2013) and McIntyre (2013), argue that if practitioners fail to challenge their practice, chances of perceiving the practice as a ritual or habit are likely to occur. In my placement, I came across several patients. Each case was a learning milestone. A case in point is this female patient who came to the ward complaining of pain on her left knee. Her records indicated that she had a history of arthroscopy in her right hip (reporting). Upon assessment, it was determined that the patient had symptoms of groin pain, catching, and popping in her knee (Ong et al., 2013). She was in intense pain to the extent that she could not answer the questions she was being asked. During my placement, we received several patients complaining of knee pain. What really could have been the cause of this high incidence of patients suffering from pain on their knees? I considered this to be an area that called for sufficient research and an amicable solution implemented (responding). As I was examining at the patient, I wondered what could have been the cause of her intense pain. Arthritis and mechanical injury topped the list of the most likely causes. These were the most recurring diagnoses in patients presenting these kinds of a symptom. Arthritis is a common disorder affecting the musculoskeletal system of the elderly patients (Chen & Hung, 2015; Brennan et al., 2014; Harrison et al., 2013). If the age of this patient is anything to go by, this could be the most likely diagnosis (reasoning). However, upon further diagnosis, it was proven that the patient did not have arthritis. She later reported that she had fallen while alighting from her car and hurt her knee (reconstruction). This was a learning point. More often than not, patients undergo misdiagnosis due to misguided assumptions (Parchi et al., 2013; Instone & Palmer, 2013). For instance, the patient in the case study could have been put on anti-arthritic medications had further diagnosis not been conducted.
It is well documented that the demand for orthopedic care will increase with the aging population (Rankin et al., 2014). As a result, there will be greater challenges associated with the diagnosis and delivery of care. Currently, nurses are being trained on effective procedures to observe when carrying out a diagnosis. For instance, the use of a SOAP note has been of great value in conducting a diagnosis. However, the future of orthopedic nursing care is aimed at developing new technologies, robotics, instruments, and bone substitutes that will be less invasive, but provide accurate during diagnosis (Close, 2013). Computer programs are also being developed to further help in scanning patient trends and give an effective prognosis.
Placement Reflection in Orthopedic Nursing References
Brennan, S. L., Lane, S. E., Lorimer, M., Buchbinder, R., Wluka, A. E., Page, R. S., & Ebeling, P. R. (2014). Associations between socioeconomic status and primary total knee joint replacements performed for osteoarthritis across Australia 2003–10: data from the Australian Orthopaedic Association National Joint Replacement Registry. BMC musculoskeletal disorders, 15(1), 356.
Chen, P., & Hung, W. W. (2015). Geriatric orthopedic co-management of older adults with hip fracture: an emerging standard. Annals of translational medicine, 3(16).
Close, J. C. T. (2013). Hip fracture in Australia: missed opportunities and a chance to improve care. Internal medicine journal, 43(12), 1262-1264.
Faut, R. M. (2013). Orthopedic competencies put to the real test. Orthopedic nursing, 32(3), 135.
Goldberg, S., & Quinlan, P. (2014). Professional Nursing Practice in the Orthopedic Care Setting. In Perioperative Care of the Orthopedic Patient (pp. 333-338). Springer New York.
Gupta, A., & Havelock, W. (2014). A new future for hip fracture care–orthogeriatrician lead in an ‘Acute’Hip Unit. Clinical Medicine, 14(6), 591-596.
Harrison, C., Britt, H., Miller, G., & Henderson, J. (2013). Prevalence of chronic conditions in Australia. PloS one, 8(7), e67494.
Hommel, A., & Bååth, C. (2015). Working with Core Competencies in Orthopedic Nursing. In The 7th international Australia, New Zealand orthopedic nurses association (Arizona) conference 11-13 nov, Sidney Australien.
Instone, S. L., & Palmer, D. M. (2013). Bringing the Institute of Medicine’s report to life: Developing a doctor of nursing practice orthopedic residency. Journal of Nursing Education, 52(2), 116-119.
McIntyre, L. F. (2013). Exploring new practice models delivering orthopedic care: can we significantly decrease delivery costs and improve quality?. Sports medicine and arthroscopy review, 21(3), 152-154.\
Morris, J., Grimmer, K., Gilmore, L., Perera, C., Waddington, G., Kyle, G., … & Murphy, K. (2014). Principles to guide sustainable implementation of extended-scope-of-practice physiotherapy workforce redesign initiatives in Australia: stakeholder perspectives, barriers, supports, and incentives.Journal of multidisciplinary healthcare, 7, 249.
Ong, K. L., Wu, B. J., Cheung, B. M., Barter, P. J., & Rye, K. A. (2013). Arthritis: its prevalence, risk factors, and association with cardiovascular diseases in the United States, from 1999 to 2008. Annals of epidemiology, 23(2), 80-86.
Parchi, P. D., Vittorio, O., Andreani, L., Piolanti, N., Cirillo, G., Iemma, F., & Lisanti, M. (2013). How nanotechnology can really improve the future of orthopedic implants and scaffolds for bone and cartilage defects. Journal of Nanomedicine & Biotherapeutic Discovery, 2013.
Rankin, K. S., Sprowson, A. P., McNamara, I., Akiyama, T., Buchbinder, R., Costa, M. L., & Rangan, A. (2014). The orthopedic research scene and strategies to improve it. Bone & Joint Journal, 96(12), 1578-1585.
Sunderland, M., Newby, J. M., & Andrews, G. (2013). Health anxiety in Australia: prevalence, comorbidity, disability and service use. The British Journal of Psychiatry, 202(1), 56-61.
Taraldsen, K., Sletvold, O., Thingstad, P., Saltvedt, I., Granat, M. H., Lydersen, S., & Helbostad, J. L. (2013). Physical behavior and function early after hip fracture surgery in patients receiving comprehensive geriatric care or orthopedic care—a randomized controlled trial. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, glt097.
Taylor, A. (2015). A day in the life of orthopedic and trauma practitioners: Orthopaedic Nurse Practitioner–Hip Fracture. International journal of orthopedic and trauma nursing, 19(1), 50-51.
