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Commentary on how professionalism promotes health care
The Nursing and Midwifery Council (2018) code of conduct, Professionalism should be promoted by upholding the reputation of nursing profession and displaying individual commitment to the standard of practice and conduct. Caldwell & Lynch (2012) In line with the professional standard, I have the duty of care to patient and should work in collaboration with Multidisciplinary Team to achieve safe and effective practice. To promote the right to privacy and dignity, I gained Mrs Paulson consent before repositioning her.
The Royal College of Nursing (2018) explained that good communication can be hindered, by obstacles such as misunderstanding from patient or care staff. I encountered challenges with Mrs Paulson due to her limited English proficiency and Speech impairment; she finds it difficult to express the level of pain she was passing through. I took a step in order to meet her need by using simple words and interpretation from her family member (Sharples, 2013).
National Institute for Care Excellence (2016) emphasised on nurse-patient therapeutic relationship. I noticed that the patient’s facial expression was filled with pains. I empathised with her, offered her pain relief as directed by my mentor and showed her compassion by reassuring her and during her repositioning, she was calm and relaxed. I also ensured that her dignity and respect were protected.
The Department of Health (2016) elaborates how compassionate care is delivered through commitmentment, I observed that Mrs Paulson was feeling drowsy therefore I decided to checked her care plan and observation sheet and I notice that she has not been fed. I offered her food which she declined so I documented appropriately to promote evidence- based practice as it enables patient care continuation.
Royal College of Nurses (2018) stipulates that Nurses and Multidisciplinary Team should speak up whenever; concern arises due to poor care delivery, to enhance patient centred care. I went through Mrs Paulson’s observation sheet, and noticed that the hospital repositioning policy indicates that, patient should be repositioned every 2 hours whereas; she has not been repositioned for the past eight hours. I summoned courage and went to inform my Mentor; to avoid further deterioration of Pressure Ulcer. She came immediately and asked me to assist her to reposition Mrs Paulson. I offered her pressure relieve cushions to reduce pressure on her back.
The patient was annoyed because she does not like repositioning due to pain. However, NMC (2018) emphasised, that nurses should recognise and respond through the principle of therapeutic process to promote the patient well-being, personal safety and conflict resolution, I involved third person as an advocate as this might be necessary to encourage effective patient care and Adult Safeguarding (The statute Safeguarding Vulnerable Adult Act, 2006).
Diamond, (2015) Non-maleficence principle was applied to stop deterioration of the Pressure Ulcer and quick recovery. She might feel pain however, repositioning will prevent the deterioration (NICE, 2018).
Conclusion: Professionalism in nursing care promotes patient centred care and encourages working in collaboration with other MDT, to enhance patient well- being.
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