CPD Self-Directed Evidence Record Assessment 2 Answer
Continuing Professional Development (CPD) Learning Plan
|Activity Number||Identified learning need||Action plan||Anticipated learning goals||Source or Provider|
|The learning needs identified for the chosen activity are:||I will complete an online course on “Introduction to critical care medicine”||On completion of this course I will be able to: ||The Nursing CPD Institute|
Evidence-based Practice: Medicines
|In this online course I aim to learn the following concepts: ||Will opt to take an online course on “medication safety training”||The Nursing CPD Institute|
Advance care planning and End of Life
|The learning needs of this CPD activity includes: ||I will complete the online End of life module.||On the successful completion of this module online course I will be able to: ||The Nursing CPD Institute|
|By taking the following CPD activity I will aim to learn the following things:||I will complete the digital storytelling CPD activity and will “provide written responses to the 3 questions selected”||The Nursing CPD Institute|
Self-care and Wellbeing
|I will complete the “Activity 15 of adopting self-care strategies”||After successful completion of the 5th CPD activity I will be able to: |
To be able to continue providing self-care and well-being by proper implementation of self-care techniques given on the PCC4U website
Continuing Professional Development Record
|Course Title/Summary of Activity||Course Provider or Source and Mode of Delivery||Professional Standard(s)||CPD hours||Description of the topic(s) covered during activity and outcome||Reflection||Evidence|
|Introduction to critical care medicine||The mode of delivery is online||This CPD activity is according to Standard 1 of nursing and midwifery council for registered nurses that imply Thinking critically and analysing nursing|
|1 hour||After completion of this, I learnt that the assessment and treatment of various spectrums of health conditions that reflect the extreme of human illness include critical care medicine. Intensive treatment from a coordinated team is needed for critically ill patients. The key source of care or a specialist may be a critical care expert.|
Not only in a wide variety of situations familiar to chronically ill patients but even in the advanced techniques and equipment used in intensive care facilities, nurses need to be professional. Many specific social and ethical problems are often posed by the treatment of chronically ill patients, and the nurses must be knowledgeable in fields such as end-of-life decisions, informed consent, prognosis estimation, and patient and family consultation.
I also learnt that during septicaemia and septic shock, resuscitation aims to recover intravascular volume, improve the supply of oxygen to tissue, and restore organ failure. Within 3 hours after diagnosis of extreme sepsis or septicaemia, a crystalloid bolus of 30 mL/kg is suggested.
|Certificate of completion attached|
|Online course on “medication safety training”||The mode of delivery is online||This activity complies with standard 4 Comprehensively conducts|
Assessments and standard 6
|1 hour||The topics covered during this activity includes: ||I have the ability to discuss the different causes of drug errors through such a course and empowered me with the expertise and training to help deter errors in the workplace from happening.|
This course helped me in learning that the most frequent drug errors have been shown to arise from prescription to drug delivery and are perpetrated by nurses and medical practitioners (Patel et al., 2018). Communication breakdown, over medicating, insufficient patient records, marking, dosing uncertainty (Gorgich et al., 2016) are several causes that contribute to prescription errors.
Medication errors have a detrimental effect on the health and wellbeing of patients. These failures include elevated morality, comorbidities and hospital readmissions for patients (Patel et al., 2018). Distraction, loss of comprehension, insufficient knowledge, environment and systemic concerns may be triggered. An example can be respiratory distress due to excessive doses of opioids. The body can respond unusually to these inappropriate doses of medication.
Further, I learnt, For certain persons, medication administration aids may enhance the handling of drugs. They have a range of restrictions, however, which are not appropriate for all patients. To determine causes leading to non-adherence or prescription errors, patient assessment is conducted. Before using a dosage administration assist, techniques such as simplifying the opioid regimen, education and therapy, and a medication alert map or warning should be addressed.
|Certificate of completion attached|
|Acute Hospitals End-of-Life Education.|
Module: Teamwork and patient continuity: Insight into the teamwork
|The mode of delivery is online||This work-in compliance with standard 1, 2, 3, and 4.||1 hour||Inpatient care, I would make sure to include a multidisciplinary approach. For my patients, I will set a clear target and, if possible, I will become an advocate for my patient. I am also going to teach the patient and the family about end of life treatment. I would also work with the patient's family representatives in their care. In addition, in my future work, to connect and create an efficient team, I will introduce the RN requirements for work.|
With regards to the patient, registered practitioners have a responsibility for treatment and a moral obligation. When an action has been assigned, they must confirm that it has been assigned properly. In the section entitled 'Efficient practise,' the Nursing and Midwifery Council (NMC) Code (2015) specifies that registrants should: be responsible for their choices to assign duties and obligations to other persons.
An integrated collaborative approach to treatment is multidisciplinary treatment. The collaborative method involved medical and related healthcare providers in collaboration with the patient and the patient's families are the assessment of treatment choices and treatment preparation.
"In healthcare, it is a" unit effort "to provide the finest medical services. The aims include: improving patient safety ( e.g. minimising AE) and comfort, lowering, and raising the consistency of results. Added advantages include improving the efficiency of health professionals, reducing expenses/health problems in hospitals, and increasing organizational productivity.
|Certificate of completion attached|
|Empathetic care: communities that are vulnerable. Activity: Digital story-telling room: Various explanations for homelessness and problems faced by homeless people.||Digital Empathy Museum- Web operation and distribution mode of CPD are online.||This includes standard 1, 2, 3, 4, and 7.||1 hour||According to Prakash et al. (2020), The outcomes of this research study indicate that nursing students displayed a higher degree of concern for the homeless by involvement in a project requiring contact engaging with the homeless community. A significant increase has also been found in empathy, civic activism and personal activism.|
An individual has the moral right to have access to medical care that satisfy their needs. This affects persons impacted by homelessness. For homeless people, receiving services is a big challenge and these people benefit from some of the worst healthcare in our society.
For homeless people, health treatment is a major concern and nurses need to be mindful of the complex number of health issues facing homeless people, along with the various challenges they may encounter when attempting to access some healthcare.
|Attaching the written responses along with|
Self-care and Wellbeing
|PCC4U. The mode of delivery is online||Standard 6: Provide Safe, appropriate and quality nursing practice||1 hour||My engagement in this learning has allowed me to be better aware of how to prioritize self-care and well-being, as I can successfully implement self-care techniques. Now, I understand what basic techniques I need to follow when coping with life-restricting diseases in patients. I now realise that death is imminent, but when coping with dying patients, I can never fear. I also recognise that in dealing with certain patients I will face difficulties, but I should still focus on where I performed well and worst in order to strengthen my communications in the future to support my patients.||A written reaction to two questions regarding thinking points|
[Attach/insert/cut and paste your evidence for each CPD activity from here onwards]
[Ensure that they are in order as represented on your evidence record]
1. Discuss your views, belief, and assumptions about people who are homeless.
I always had a soft side for the people who don’t have homes and mainly for children and older adult. I always helped with eatable or by providing water and other clothing materials. Also, many people have believed that homeless people are drug addict (Jakimowicz & Govind, 2018). But I had a positive attitude towards them. I believe most individuals who face homelessness are not coping with disorders or addictions or drug abuse. Much as with the general public, addictions contend with only a fraction of people who are facing homelessness. People with homelessness can struggle with other problems linked to their homelessness experiences, such as depression and suicidal thoughts, for instance (Rodriguez et al., 2019).
2. Why do you think people become and/or remain homeless?
The specific conditions of individual suffering homelessness are influenced by human and relational influences and can include: stressful incidents (e.g. house fire or work loss), traumatic experiences (e.g. family break-up or sexual abuse), mental wellbeing and drug issues (such as brain damage and foetal alcohol syndrome) (Gaetz et al., 2019). That may be both a sign and a result of difficulties or illnesses related to homelessness and overall wellbeing. Family conflict and harassment, addictions, and psychological issues of other family and friends and severe hardship can be part of relational problems. Unemployment has an especially difficult effect on homeless people, considering that they also face many other obstacles. The lack of availability to jobs leads to the lack of adequate and sustainable income for homeless individuals to meet basic needs, especially for those that do not obtain government benefits (Koprowska et al., 2020).
3. Do you think homelessness is a matter of choice? Why?
There are those who make life on the streets an option. There are those on the street that have no option but to live without perpetual shelter. And all in between is there. For several reasons, people go without permanent homes. Not strictly due to addictions, income, violence, or personal relationships. Each person has an individual situation of their own that have led them down the path to where they are now. This is one of the reasons that addressing homelessness is continually so complicated (Kramer & Hsieh, 2019). For us, it shifts and grows. To learn their storey and to recognise available services that can support that unique person, we have to reach each person where they are now. Shelters, food pantries, therapy, pharmacies, medical services, and many other programmes aid greatly, but for others, but not others, they are essentially fine.
1. What are some self-care strategies you might use when caring for people with life-limiting illnesses?
Stress is a significant concern to the wellbeing, productivity, and comfort of nurses with extreme or life-limiting conditions that are cared for by nurses and other healthcare professionals. Palliative care professionals can face a sequence of significant patient, professional and personal effects without diligently practising self-care. Studies suggest that excessively distressed physicians provide poorer services, are liable to suits for misconduct, are at risk of possibly severe injury, and have difficulties communicating with patients and peers. Palliative Care nurses should perform Self-Care and Resilience as it offers productive tools and support to alleviate pressure, maximise efficiency and improve the well-being of nurses. Personal self-management extends to approaches for different nurses to take proper care of themselves. It begins with the identification that in continue to function a "healthy" life, like lived experiences, families, work; culture, and faith, individuals have several personal aspects to attend to. Personal self-care techniques include prioritising meaningful relationships such as interpersonal relationships; sustaining a safe lifestyle through maintaining sufficient sleep, daily activity, and holiday time; encouraging outdoor interests and hobbies; practising meditation and mindfulness; and encouraging personal development (Wei et al., 2020). The Wellness Wheel, a readily accessible guide, applies to 6 forms of wellness-"physical, psychological, emotional, spiritual, social and occupational"-and helps nurses to focus on the present quality of life and self-care. Individuals can increase workplace satisfaction and general well-being by using such a programme, reducing the risk of depression and burnout. As an aspect of self-care, the value of cultivating self-awareness needs special consideration. In the field of psychology, self-awareness, described as the capacity of a clinician to incorporate self-knowledge and the dual-awareness of both her or his subjective perception and the patient's preferences, has been established as the most significant element in the capacity of psychologists to perform well in the light of professional and personal stressors. Higher self-awareness among nurses will contribute to higher work performance and satisfaction with compassion increased self-care, and improves clinical care and safety. Nurses with lower degrees of self-awareness, on the other hand, have a higher risk of concern and burnout. Evidence supports meditation on mindfulness and insightful writing as 2 strategies for raising self-awareness (Wei et al., 2020).
- Join a support group
- Regular meetings with supervisors
- Attend training programmes
- Developing a regular sleep routine
- Daily exercise
- And a healthy diet
- Keeping a regular reflective journal
- Regular meets with experienced staff
- Save time for family or friends
- Maintaining supportive friends and colleagues
- Meditation and daily walk (Apostol et al., 2020)
2. What strategies can you use to support other members of the health care team?
I will employ different methods when helping other members of the healthcare team. The first approach is to encourage them to ensure that their work-life balance is maintained by teaching them how to discern among work and personal life and how to achieve a balance between the different significant principles. Another technique I'm trying to take is to clarify to them why death is a natural thing and also advise them to cope with death as an inevitability. This will allow them not to be terrified of death, and therefore allow them to deal with dying patients safely. The next approach I will try to use is to show them that anything they do has to be viewed as a good service to the patients and realise that everything they do makes the patient happier. This would encourage the team not to be afraid to assist patients even though they are not sure of the outcomes. It will continue their dignity and respect their patients despite their hardest time in life (Sucato¸2020). I can use the following technique to perform debriefing meetings with my staff (co-workers and team members) and resolve issues openly with the staff. I'm trying to make them feel free to address and suggest all their problems about how they can change. In doing so, I would also take their feedback and encourage them to contribute their own opinions on how they believe we should work together for the better benefit of the patients. Another technique I would use is to allow them to search for a person to speak to after dealing with dying patients when they are emotionally exhausted (Sucato, 2020). This solution is successful because it will help restore the team’s trust in continuing to offer their care to patients with life-limiting disorders. Another approach I will try to use for my healthcare staff is to encourage them to constantly realise that they're always going to have issues interacting with the client, but since we're all human and will still make mistakes, they need not abandon faith (Arnett et al., 2017). I will still encourage them to focus on the areas in which they have made mistakes or faced problems interacting with patients as a chance for change. I will try to encourage them to remember their relationship as not being the strongest they had with a patient to focus on what went better and use the insight to cause progress.