Learning Outcome Peg Feeding Nursing Essay

In this reflective essay I am going to discuss a learning outcome in which I have become competent to practice. To reflect on my learning outcome I am going to use Gibbs’ reflective model (1988). The Gibbs’ reflective model is a well known and used model in reflective practice. It consists six steps which I will describe step by step as my essay will progress. In the nursing care process it is a responsibility of a nurse to provide holistic care to the patient who is under our care. Our focus is to enable them to cope, prevent, solve or alleviate the problem from which they are suffering and not able to carry out their normal life. Our aim is to help and teach patients how to meet their daily needs in other ways. The learning outcome I have chosen to reflect is PEG feeding which is an alternative way to provide nutrition to a patient who is not able to obtain nutrition through the mouth.Learning Outcome Peg Feeding Nursing Essay

Never use plagiarized sources. Get Your Original Essay on
Learning Outcome Peg Feeding Nursing Essay
Hire Professionals Just from $11/Page
Order Now Click here

The first step of Gibbs’ reflective cycle is a description of the event. One service user in my placement area whom I will call Mrs. P to maintain her confidentiality (NMC 2008) is suffering from progressive supranuclear palsy, a condition in which as the condition progresses patient losses abilities i.e. Swallowing, speech, maintaining balance, eye movement. As a result of this condition she developed dysphagia and it was not possible to maintain her nutrition via oral intake. Thus, multidisciplinary team and family decided to place her on PEG feeding. PEG tube is more appropriate than nasogastric tube for long term feeding as it avoids delays in feeding and discomfort associated with displacement (National Collaborating Centre for Acute Care 2006). During my placement one of the nurses asks me to go and give her water through the PEG tube. Although I did it before in my country I was familiar with it but I didn’t practice for a long time and as I have seen the condition of Mrs. P. I wasn’t confident to carry out the task. I discussed it with my mentor and we decide that I can take it as a learning outcome during my training to make myself competent with PEG feeding skill.Learning Outcome Peg Feeding Nursing Essay

As I am going into the second stage of Gibbs’ reflective model (1988) in which I will discuss about my thoughts and feelings. When the nurse asked me to give the water via PEG tube, at first I was feeling myself stupid to ask for help thinking that what impression I will make on that nurse. This feeling came into my mind as a result of a thought that I am a registered nurse in my country so I should know this. But I lost my confidence when I went in Mrs.P’s room and observed her condition i.e. Slurring speech, problem with balance, mobility problem and pain in her neck. So I decide to ask the nurse to perform the task and I also observed it. While she was giving her feed, I found that she was coughing a lot and wasn’t comfortable. Which I thought was due to her position and the nurse explained me and justify my thought that it is because of her condition. I was not satisfied with her explanations and as a supervised practice nurse I wasn’t able to oppose her. I decide to read more about the PEG feeding and discussed it with my mentor.Learning Outcome Peg Feeding Nursing Essay

The third stage of the Gibbs’ model (1988) of reflection is an evaluation which requires the practitioner to consider the good and bad things about the event. The patient should be positioned where the patient can sit up as much as possible in a supported midline position (Dougherty and lister 2008) while giving PEG feeding. The nurse who gave feeding didn’t correct Mrs. P’s position as she was in a semi upright position. Furthermore, before starting and at the end of the feeding, she didn’t clean the tip of the tube. The tip of the tube should be cleaned daily with water and a small brush (Loser et al.2005). However, the good practice I observed that nurse informed the procedure to Mrs. P which is important according to the NMC (2008) to make her understand the procedure and give her consent. In addition, to avoid tube adhering to the stoma skin rotate it 360 degree (Bumpers et al, 2003). The other important thing my mentor discussed with me was administration of medication through the PEG tube. According to BAPEN (2003a), never add medication directly to the eternal feed to avoid interaction between medicine and feed and flush the tube after administration to avoid tube blockage. During the discussion about PEG feeding with my mentor I found that other things to consider with PEG feedings are management of the tube, patient position and checks to carry out before feed and it is very important to avoid complications. In my placement area only Mrs. P has got PEG tube. So my mentor discussed with me that there are many indications for PEG tube insertion according to the patient’s conditions so it is important to learn about the specific needs of that patient before performing the procedure. She discussed some scenario cases with me to understand more about it. This helped me to understand different aspects of the PEG tube Learning Outcome Peg Feeding Nursing Essay

This essay discusses a clinical skill in which I have become competent during my placement in care home. I will use a reflective model to discuss how I achieved the necessary level of competence. Reflection can make a sense of the familiar and taken for granted situations and is an important human activity, in which people capture their experience, think about it and evaluate it (Driscoll, 1994). Here I have used the Gibbs model of reflection which includes description, feeling, evaluation, analysis, conclusion and action plan of a learning experience (Gibbs 1988). The clinical skill I have learned is PEG feeding. Learning Outcome Peg Feeding Nursing Essay
Percutanious endoscopic gastrostomy (PEG) feeding introduced into clinical practice Initially I was not able to administer medication or feed through the peg feed due to the lack of knowledge and skills on how to do it properly. I had to ask for the help of senior staff to help with feeding. I was desperate to achieve the skill to peg feed which I must possess to administer medication to that client. I asked one of the senior staff who was looking after that client to teach me how to do PEG feeding. She demonstrated it to me and I discussed the matter with my mentor. My mentor put me through PEG feed training that gave me all the necessary information about the proper use and management of PEG tube. The next time I had the chance to do it I could relate the theory to practice by continuously performing the feeding, I gained competence in performing that skill. Feeling I was interested in learning about PEG feeding from the very first time I saw it in the care home. I was eager to learn the skill. By observing my colleague doing it and by attending training I learned the procedure clearly and gained necessary confidence to perform it. I obtained consent and maintained privacy before carrying out the procedure. I was nervous whilst doing it for the first time but with the support of my colleagues I overcame the stress and mastered the skill. Evaluation Though I was unaware of the correct procedure of PEG feeding Learning Outcome Peg Feeding Nursing Essay

The next stage of the Gibbs’ reflective cycle (1988) is an analysis of the event where reflector has to make sense of the event. I will analyze it by exploring the skill and looking into the evidence. The PEG feeding is a method of giving nutrients to maintain an optimal nutritional support (National Collaborating Centre for Acute Care 2006). Clinical trials have proven that there are very rare complications with PEG tubes, such as leakage (Riera et al. 2002). Through evaluation of this event I have been competent to give PEG feeding and care of the tube. The reasons for Mrs. P’s coughing explained by the nurse was from her daily experience working with her which could be right but what I found from the references was different and evidence based. So I learned from experience and through experience (Burnard 2002). It has boosted my confidence to challenge others views regarding my practice.Learning Outcome Peg Feeding Nursing Essay

According to stage five of Gibbs’ model (1988), I conclude from that every nurse does not find the same evidence based reasons for the problem but if I am practicing safe and based on evidence then my practice is safe. In the future I will make sure that I am confident and competent to perform the task and have evidence based explanation of the situations. From this particular learning outcome I have learned about a PEG feeding procedure and the care of the PEG tube

The last stage of Gibbs’ reflective model (1988) is the action plan. My action plan for the future practice is to read more references and literatures regarding PEG feeding. There will be many different conditions regarding PEG tube in my future practice so it is necessary for me to look for more information on this particular subject to make myself excel. I also request my mentor to book me for a study day to learn more about this skill.Learning Outcome Peg Feeding Nursing Essay

In this brooding essay I am traveling to discourse a learning result in which I have become competent to pattern. To reflect on my learning result I am traveling to utilize Gibbs ‘ brooding theoretical account ( 1988 ) . The Gibbs ‘ brooding theoretical account is a good known and used theoretical account in brooding pattern. It consists six stairss which I will depict measure by measure as my essay will come on. In the nursing attention procedure it is a duty of a nurse to supply holistic attention to the patient who is under our attention. Our focal point is to enable them to get by, prevent, work out or relieve the job from which they are enduring and non able to transport out their normal life. Our purpose is to assist and learn patients how to run into their day-to-day demands in other ways. The learning result I have chosen to reflect is PEG feeding which is an alternate manner to supply nutrition to a patient who is non able to obtain nutrition through the oral cavity.Learning Outcome Peg Feeding Nursing Essay

ORDER NOW

The first measure of Gibbs ‘ brooding rhythm is a description of the event. One service user in my placement country whom I will name Mrs. P to keep her confidentiality ( NMC 2008 ) is enduring from progressive supranuclear paralysis, a status in which as the status progresses patient losingss abilities i.e. Swallowing, address, keeping balance, oculus motion. As a consequence of this status she developed dysphagia and it was non possible to keep her nutrition via unwritten consumption. Therefore, multidisciplinary squad and household decided to put her on PEG eating. PEG tubing is more appropriate than nasogastric tubing for long term eating as it avoids holds in eating and uncomfortableness associated with supplanting ( National Collaborating Centre for Acute Care 2006 ) . During my placement one of the nurses asks me to travel and give her H2O through the PEG tubing. Although I did it before in my state I was familiar with it but I did n’t pattern for a long clip and as I have seen the status of Mrs. P. I was n’t confident to transport out the undertaking. I discussed it with my wise man and we decide that I can take it as a learning result during my preparation to do myself competent with PEG feeding accomplishment.Learning Outcome Peg Feeding Nursing Essay

As I am traveling into the 2nd phase of Gibbs ‘ brooding theoretical account ( 1988 ) in which I will discourse about my ideas and feelings. When the nurse asked me to give the H2O via PEG tubing, at first I was experiencing myself stupid to inquire for aid thought that what feeling I will do on that nurse. This feeling came into my head as a consequence of a idea that I am a registered nurse in my state so I should cognize this. But I lost my assurance when I went in Mrs.P ‘s room and observed her status i.e. Sluring address, job with balance, mobility job and hurting in her cervix. So I decide to inquire the nurse to execute the undertaking and I besides observed it. While she was giving her provender, I found that she was coughing a batch and was n’t comfy. Which I thought was due to her place and the nurse explained me and warrant my idea that it is because of her status. I was non satisfied with her accounts and as a supervised pattern nurse I was n’t able to oppose her. I decide to read more about the PEG eating and discussed it with my wise man.Learning Outcome Peg Feeding Nursing Essay

The 3rd phase of the Gibbs ‘ theoretical account ( 1988 ) of contemplation is an rating which requires the practician to see the good and bad things about the event. The patient should be positioned where the patient can sit up every bit much as possible in a supported midplane place ( Dougherty and lister 2008 ) while giving PEG eating. The nurse who gave eating did n’t rectify Mrs. P ‘s place as she was in a semi unsloped place. Furthermore, before get downing and at the terminal of the eating, she did n’t clean the tip of the tubing. The tip of the tubing should be cleaned day-to-day with H2O and a little coppice ( Loser et al.2005 ) . However, the good pattern I observed that nurse informed the process to Mrs. P which is of import harmonizing to the NMC ( 2008 ) to do her understand the process and give her consent. In add-on, to avoid tubing adhering to the pore tegument revolve it 360 grade ( Bumpers et Al, 2003 ) . The other of import thing my wise man discussed with me was disposal of medicine through the PEG tubing. Harmonizing to BAPEN ( 2003a ) , ne’er add medicine straight to the ageless provender to avoid interaction between medical specialty and provender and blush the tubing after disposal to avoid tube obstruction. During the treatment about PEG feeding with my wise man I found that other things to see with PEG eatings are direction of the tubing, patient place and cheques to transport out before provender and it is really of import to avoid complications. In my arrangement country merely Mrs. P has got PEG tubing. So my wise man discussed with me that there are many indicants for PEG tubing interpolation harmonizing to the patient ‘s conditions so it is of import to larn about the specific demands of that patient before executing the process. She discussed some scenario instances with me to understand more about it. This helped me to understand different facets of the PEG tubing Learning Outcome Peg Feeding Nursing Essay

The following phase of the Gibbs ‘ brooding rhythm ( 1988 ) is an analysis of the event where reflector has to do sense of the event. I will analyse it by researching the accomplishment and looking into the grounds. The PEG eating is a method of giving foods to keep an optimum nutritionary support ( National Collaborating Centre for Acute Care 2006 ) . Clinical tests have proven that there are really rare complications with PEG tubings, such as escape ( Riera et al. 2002 ) . Through rating of this event I have been competent to give PEG eating and attention of the tubing. The grounds for Mrs. P ‘s coughing explained by the nurse was from her day-to-day experience working with her which could be right but what I found from the mentions was different and grounds based. So I learned from experience and through experience ( Burnard 2002 ) . It has boosted my assurance to dispute others views sing my pattern.

Harmonizing to present five of Gibbs ‘ theoretical account ( 1988 ) , I conclude from that every nurse does non happen the same grounds based grounds for the job but if I am practising safe and based on grounds so my pattern is safe. In the hereafter I will do certain that I am confident and competent to execute the undertaking and have grounds based account of the state of affairss. From this peculiar larning result I have learned about a PEG eating process and the attention of the PEG tubing Learning Outcome Peg Feeding Nursing Essay

The last phase of Gibbs ‘ brooding theoretical account ( 1988 ) is the action program. My action program for the hereafter pattern is to read more mentions and literatures sing PEG eating. There will be many different conditions sing PEG tubing in my hereafter pattern so it is necessary for me to look for more information on this peculiar topic to do myself excel. I besides request my wise man to book me for a survey twenty-four hours to larn more about this accomplishment. Learning Outcome Peg Feeding Nursing Essay

Get your Plagiarism-free essays from Tutorsgallery.com

Open chat
Lets chat on via WhatsApp
Hello, Welcome to our WhatsApp support. Reply to this message to start a chat.