CPD reflective account ALAMY
a proton pump inhibitor to prevent gastritis. Intravenous immunoglobulins can be administered, but they may cause side effects, such as an increased risk of deep vein thrombosis, pulmonary embolism, stroke and aseptic meningitis. Plasma exchange may also be used.
Challenges
Encephalitis A CPD article enhanced Ruth Beretta’s knowledge of the nursing care a patient with encephalitis requires The CPD article provided information on encephalitis and focused on prioritising people and addressing the needs of the patient, their family and carers. The article encourages nurses to ensure that the fundamentals of care are delivered effectively and that physical, psychological and social needs are addressed. The article identified the distinction between encephalitis and encephalopathy – an altered level of consciousness or change in behaviour, personality or cognition. Infectious causes of encephalitis were identified, ranging from herpes simplex virus (HSV) type I or varicella zoster virus to bacterial infections and autoimmune causes. A range of diagnostic investigations was explored, such as lumbar puncture, computed tomography (CT) and magnetic resonance imaging (MRI) scans, urinalysis, chest X-ray, and a variety of blood tests. Despite these investigations, no specific cause for the infection
is found in 40-60% of cases, but treatment should still be started if the diagnosis is suspected. One of the main antiviral medications used to treat encephalitis is aciclovir, which should be started within six hours of admission. Corticosteroids may be used to reduce brain oedema, although this may cause side effects such as temporary diabetes, hypertension and gastritis, as well as changes in behavioural status. Patients receiving corticosteroids should also be prescribed a H2-receptor antagonist or
This reflective account is based on NS819 Matata C et al (2015) Managing patients with encephalitis. Nursing Standard. 30, 11, 50-58.
Long-term outcomes for patients with encephalitis are uncertain. Even where patients with HSV encephalitis are treated promptly with aciclovir, many have complications such as seizures, impaired memory, impaired motor function, aphasia and impaired cognition. Some patients also relapse after the aciclovir treatment is stopped. A major challenge for nurses caring for patients with encephalitis is acute confusion. Nurses should pay attention to relatives’ comments that the patient is not behaving as they would usually. The article identified the role of the nurse at the acute stage, during rehabilitation and in working towards a safe patient discharge. The activities in the article were thought provoking and demonstrated the need for careful monitoring of vital signs and accurate record keeping, as well as excellent communication skills. I now have a much better understanding of this neurological condition and the associated care a patient requires NS Ruth Beretta is a lecturer at the Open University in Bristol, England
Write your own reflective account You can gain a certificate of learning by reading a Nursing Standard CPD article and writing a reflective account. Turn to page 51 for this week’s article and on page 62 you can find out how to present and submit your reflective account.
Visit the RCN Learning Zone The RCN Learning Zone is a FREE online service to help RCN members with their continuing professional development and professional portfolio management. The RCN Learning Zone can be found at www.rcn.org.uk/members/learningzone.php
NURSING STANDARD february :: voluses 30 no 23 ::permission. 2016 61 Downloaded from RCNi.com by ${individualUser.displayName} on Feb 21, 2016. For personal use only. No3 other without Copyright © 2016 RCNi Ltd. All rights reserved.
CPD assessment
Write a reflective account YOU CAN GAIN A CERTIFICATE OF LEARNING BY READING THIS CPD ARTICLE AND THEN WRITING A REFLECTIVE ACCOUNT What do I do now? Using the information in the section below as a guide, write a reflective account of between 750 and 1,000 words that is related to the CPD article. It may help to read this week’s reflective account on page 61 and ‘In practice’ below. Write ‘Reflective account’ at the top of your entry followed by your name and the title of the article, which is Acute pulmonary oedema (NS829). Entries can be submitted by email (preferred) or post, and must be received by February 3 2017. You are entitled to unlimited free entries. By email, send your reflective account to [email protected]. You must provide the same information that is requested on the form below. Type ‘Reflective account’ in the subject field for confirmation of receipt. By post, complete the cut-out form below and attach it to your reflective account. Failure to do so will mean that your reflective account cannot be considered for a certificate. Using an A4 envelope, send your reflective account to: Reflective Account, RCNi,
Reflective account submission
Receive a £50 book token Authors of reflective accounts published in Nursing Standard will receive a £50 book token.
Freepost PAM 10155, Harrow, Middlesex HA1 3BR. You will be informed of your result in writing. A certificate is awarded for successful completion of the reflective account. You are entitled to one retake if you are unsuccessful. Feedback is not provided: a certificate indicates that you have been successful. Indicate on the form if you wish your reflective account to be considered for publication in Nursing Standard (see page 61). Add a copy to your professional portfolio – copies of reflective accounts are not returned.
Framework for reflection Consider these points before submitting your reflective account: What have I learned from this article and how does it relate to my practice? To what extent were intended learning outcomes met?
What knowledge or skills have I acquired as a result of reading the article? What can I apply immediately to my practice or patient care? Is there anything that I did not understand, need to explore or read about further, to clarify my understanding? What else do I need to do/know to extend my professional development in this area? What other needs have I identified in relation to my professional development? How might I achieve the above?
In practice After reading a CPD article on ‘wound care’, Amajit, who works as a senior staff nurse on a surgical ward, approached the nurse manager with concerns about wound infections. Following an audit, which Amajit undertook, a protocol for dressing wounds was established that led to a reduction in infections on the ward and across the directorate. Amajit used this experience for her reflective account and is now taking part in a regional research project.
Please email [email protected] and include the following information:
Name:
Number of article:
Job title:
Permanent address:
I would like my reflective account to be considered for publication in Nursing Standard: yes
Place of work:
Full title and date of article:
no
Postcode: Daytime telephone: Email:
If you are not able to email your work, you may post it using this form and send it in an envelope no smaller than A4 size to: Reflective Account RCNi Freepost PAM 10155 Harrow Middlesex HA1 3BR
62 february 3 :: from vol 30 no 23 :: by 2016 STANDARD Downloaded RCNi.com ${individualUser.displayName} on Feb 21, 2016. For personal use only. NoNURSING other uses without permission. Copyright © 2016 RCNi Ltd. All rights reserved.
a proton pump inhibitor to prevent gastritis. Intravenous immunoglobulins can be administered, but they may cause side effects, such as an increased risk of deep vein thrombosis, pulmonary embolism, stroke and aseptic meningitis. Plasma exchange may also be used.
Challenges
Encephalitis A CPD article enhanced Ruth Beretta’s knowledge of the nursing care a patient with encephalitis requires The CPD article provided information on encephalitis and focused on prioritising people and addressing the needs of the patient, their family and carers. The article encourages nurses to ensure that the fundamentals of care are delivered effectively and that physical, psychological and social needs are addressed. The article identified the distinction between encephalitis and encephalopathy – an altered level of consciousness or change in behaviour, personality or cognition. Infectious causes of encephalitis were identified, ranging from herpes simplex virus (HSV) type I or varicella zoster virus to bacterial infections and autoimmune causes. A range of diagnostic investigations was explored, such as lumbar puncture, computed tomography (CT) and magnetic resonance imaging (MRI) scans, urinalysis, chest X-ray, and a variety of blood tests. Despite these investigations, no specific cause for the infection
is found in 40-60% of cases, but treatment should still be started if the diagnosis is suspected. One of the main antiviral medications used to treat encephalitis is aciclovir, which should be started within six hours of admission. Corticosteroids may be used to reduce brain oedema, although this may cause side effects such as temporary diabetes, hypertension and gastritis, as well as changes in behavioural status. Patients receiving corticosteroids should also be prescribed a H2-receptor antagonist or
This reflective account is based on NS819 Matata C et al (2015) Managing patients with encephalitis. Nursing Standard. 30, 11, 50-58.
Long-term outcomes for patients with encephalitis are uncertain. Even where patients with HSV encephalitis are treated promptly with aciclovir, many have complications such as seizures, impaired memory, impaired motor function, aphasia and impaired cognition. Some patients also relapse after the aciclovir treatment is stopped. A major challenge for nurses caring for patients with encephalitis is acute confusion. Nurses should pay attention to relatives’ comments that the patient is not behaving as they would usually. The article identified the role of the nurse at the acute stage, during rehabilitation and in working towards a safe patient discharge. The activities in the article were thought provoking and demonstrated the need for careful monitoring of vital signs and accurate record keeping, as well as excellent communication skills. I now have a much better understanding of this neurological condition and the associated care a patient requires NS Ruth Beretta is a lecturer at the Open University in Bristol, England
Write your own reflective account You can gain a certificate of learning by reading a Nursing Standard CPD article and writing a reflective account. Turn to page 51 for this week’s article and on page 62 you can find out how to present and submit your reflective account.
Visit the RCN Learning Zone The RCN Learning Zone is a FREE online service to help RCN members with their continuing professional development and professional portfolio management. The RCN Learning Zone can be found at www.rcn.org.uk/members/learningzone.php
NURSING STANDARD february :: voluses 30 no 23 ::permission. 2016 61 Downloaded from RCNi.com by ${individualUser.displayName} on Feb 21, 2016. For personal use only. No3 other without Copyright © 2016 RCNi Ltd. All rights reserved.
CPD assessment
Write a reflective account YOU CAN GAIN A CERTIFICATE OF LEARNING BY READING THIS CPD ARTICLE AND THEN WRITING A REFLECTIVE ACCOUNT What do I do now? Using the information in the section below as a guide, write a reflective account of between 750 and 1,000 words that is related to the CPD article. It may help to read this week’s reflective account on page 61 and ‘In practice’ below. Write ‘Reflective account’ at the top of your entry followed by your name and the title of the article, which is Acute pulmonary oedema (NS829). Entries can be submitted by email (preferred) or post, and must be received by February 3 2017. You are entitled to unlimited free entries. By email, send your reflective account to [email protected]. You must provide the same information that is requested on the form below. Type ‘Reflective account’ in the subject field for confirmation of receipt. By post, complete the cut-out form below and attach it to your reflective account. Failure to do so will mean that your reflective account cannot be considered for a certificate. Using an A4 envelope, send your reflective account to: Reflective Account, RCNi,
Reflective account submission
Receive a £50 book token Authors of reflective accounts published in Nursing Standard will receive a £50 book token.
Freepost PAM 10155, Harrow, Middlesex HA1 3BR. You will be informed of your result in writing. A certificate is awarded for successful completion of the reflective account. You are entitled to one retake if you are unsuccessful. Feedback is not provided: a certificate indicates that you have been successful. Indicate on the form if you wish your reflective account to be considered for publication in Nursing Standard (see page 61). Add a copy to your professional portfolio – copies of reflective accounts are not returned.
Framework for reflection Consider these points before submitting your reflective account: What have I learned from this article and how does it relate to my practice? To what extent were intended learning outcomes met?
What knowledge or skills have I acquired as a result of reading the article? What can I apply immediately to my practice or patient care? Is there anything that I did not understand, need to explore or read about further, to clarify my understanding? What else do I need to do/know to extend my professional development in this area? What other needs have I identified in relation to my professional development? How might I achieve the above?
In practice After reading a CPD article on ‘wound care’, Amajit, who works as a senior staff nurse on a surgical ward, approached the nurse manager with concerns about wound infections. Following an audit, which Amajit undertook, a protocol for dressing wounds was established that led to a reduction in infections on the ward and across the directorate. Amajit used this experience for her reflective account and is now taking part in a regional research project.
Please email [email protected] and include the following information:
Name:
Number of article:
Job title:
Permanent address:
I would like my reflective account to be considered for publication in Nursing Standard: yes
Place of work:
Full title and date of article:
no
Postcode: Daytime telephone: Email:
If you are not able to email your work, you may post it using this form and send it in an envelope no smaller than A4 size to: Reflective Account RCNi Freepost PAM 10155 Harrow Middlesex HA1 3BR
62 february 3 :: from vol 30 no 23 :: by 2016 STANDARD Downloaded RCNi.com ${individualUser.displayName} on Feb 21, 2016. For personal use only. NoNURSING other uses without permission. Copyright © 2016 RCNi Ltd. All rights reserved.
