Gibbs Reflective Cycle 1988 Nursing Essay

Gibbs Reflective Cycle 1988 Nursing Essay I am a Paramedic registered with the health professions council and this essay will look reflectively at an incident I attended during the course of my duties. The assignment will look at the moral, ethical and legal aspects of pre-hospital care with which I was challenged during this particular emergency. Confidentiality has been maintained at all times and names of individuals have been changed, I have also gained permission from the family of the patient and for the purposes of this essay I will call the patient Mr Taylor (HPC 2008) To analyse this critical incident I will use Gibbs reflective cycle. (1988). Description As a Rapid response Paramedic working for the Ambulance service I attend life threatening emergencies during my tours of duty, I work alone and am frequently dispatched to jobs as a solo resource that is without ambulance back up. The incident on which I wish to reflect occurred part way through a shift that had been up to then quiet. I received a call to attend a patient who had collapsed and was semi-conscious. On arriving I was met by a lady who was obviously distressed and she showed me to the patient who turned out to be the ladys husband, he was around 50 years old and was by this time unconscious with poor respiratory effort, I quickly requested a backup ambulance via radio and continued with my assessment of the patient and attempted to gain a history of his condition and what had happened that day. His wife told me that Mr Taylor had been well until 8 weeks before when he visited his doctor for abdominal pain and some rectal bleeding. The GP had sent him for tests at the loc al hospital within a couple of days he had been diagnosed with numerous tumours throughout his body, Bowel, liver & lung and was told it was terminal , he had been given between 3 and 6 months to live. Overall he had still been active and reasonably well until a couple of days before, when he started to deteriorate , that day she had been shopping and when she arrived home had found him in bed semi-conscious and with difficulty breathing. By this time I had gained some observations and placed oxygen on Mr Taylor. My back up ambulance arrived and I did a clinical handover to the paramedic on board it was at this point that Mrs Taylor called me to one side and told me that he wanted to pass away at home and not in hospital, he had expressed a wish not to be resuscitated, she explained that as she was alone with her son living in the south she felt she needed some help when she found him. I asked about a the Do Not Attempt Resuscitation (DNAR) paperwork and she told me there wasnt any. I explained our position as Health Care Professionals and in the absence of the DNAR we had to act in his best interests. She again reiterated his wishes not to be taken to hospital or resuscitated. As my colleagues continued to assist the patient I contacted our on call Advanced Paramedic for advice , I was asked to verify there was no DNAR in situ with the patients palliative care team first, then if this was the case to contact the patients GP to see if he or she would attend as a matter of urgency. After confirming the absence of a DNAR I contacted the GP who was extremely understanding and attended within 15 minutes. Mr Taylor passed away within minutes of the GP attending. Feelings Situations that deal with someone losing their life are always hard to deal with and cause an array of emotions, in this case sadness, that this lady was losing her husband of 30 years and he was only 50, frustration and irritation of paperwork that should have been in place but was not. The Health professions council (HPC) list one of my duties as a registrant as , act within the limits of my knowledge, skills and experience and if necessary , refer the matter to another practioner (standards of conduct performance and ethics, p3 2006) on this occasion we did this and it is On occasions like this when there is a group of health care professionals I try to include everyone in the descsicon making process and it was agreed it would be wrong to ignore a persons wishes in these circumstances. His wishes had been explained to me by his wife, his palliative team and his general practioner. The Lasting memory for this lady and her family would be that her life partner died at home with his wife, exactly as he had wished. Evaluation As with any emergency situation our priority is safety and ensuring we are aware of any potential danger on scene, and performing dynamic risk assessments during the emergency. My responsibility for safety covers myself, colleague, patient, relatives and any further agencies requested to attend scene. The health and safety at work act (1974) states I should take reasonable care for my own health and safety and also that of others who could be affected by my acts or omissions. On this occasion everything was safe. Looking at the incident I feel there were lots of positives , these include fast and effective communication with the patients relative, and fast assessment of the scene, decision makimg was also quick and effective and minimised any further upset and stress to the patients wife. Conversations with our own AP and the Palliative care staff and GP all fell into place on this job and this is not the norm , we often encounter difficulties contacting various agencies within the NHS . Negatives included understanding of the DNAR side of our advanced decisions policy. Im sure most HPCs would agree that with so many modern policies and proceadures we cannot be expected to know everything , let alone little used sections of certain policies. Morally I was challenged too as my professional guidelines state that in the absence of a DNAR then you must commence resuscitation (JRCALC).2006). Analysis

Is Religion Just a Joke? Essay -- Religion Religious Essays

Is Religion Just a Joke? Driving with my friend to the movies one evening last winter we discovered a group of people bundled up and picketing by The Safari movie theatre in Moorhead.à  My friend and I didn’t know what movie we wanted to watch, but these protesters made up our mind.à  We decided to see the movie â€Å"Dogma† because that was the very movie these outraged people were boycotting.à  Sometimes people carry their religion to the point where it has an adverse effect on people.à  This was the case that evening. As we watched â€Å"Dogma,† my friend and I laughed hysterically.à  It wasn’t nearly as bad as the protestors suggested.à  The view the â€Å"outraged Christians† and I seemed to disagree on was they took the movie literally, whereas I personally took it as mere fiction.à  In my opinion, it was just another religious comedy to bring the sometimes-scary topic of â€Å"religion† down to a point that seems more human in the eyes of the average American today. By making the topic of religion humorous, we as a society can take a look at the different aspects of this complicated and controversial issue.à  What is ethically right or wrong has been seen in many issues such as cloning, euthanasia, and abortion.à  Religion, along with these other issues, is often hard to confront.à  With the aid of movies, such as â€Å"Dogma† and â€Å"Keeping the Faith,† we are able to delve into the issue of religion more easily.à  Let us now take a look at these two movies.à  â€Å"Keeping the Faith† starts with a priest, Brian Finn, played by Edward Norton, telling his complicated story to the local bartender in New York who thinks he’s heard it all already.à  Brian tells of a childhood friendship between himself, Jake Schram, and a girl named Anna Reilly.à  The three... ...ck Jesus, a thirteenth apostle played by Chris Rock who was written out of the bible because he was black (having a black savior is okay, but not a black apostle), Mary not being a virgin, after all, â€Å"Do you think Joseph would stay around if he wasn’t getting any?,† and God being a woman.à  Anyone who would take these humorous and outrageous suggestions literally is more of a joke than this movie.à  In my opinion, a movie is just a movie and nothing more, other than to bring into focus a difficult subject matter.à  Therefore, funny movies about religion actually help viewers think critically about religion.à  The protestors seemed to want to make the religious comedy genre be blasphemy on God, where that is not what the movie was trying to do.à  Which brings out the question: Who is making religion a joke?à  -The movies? -Or the people carrying their religion too far?

Personal College Essay

My Personal College Essay By Dina Elyamany My heart froze and my stomach churned as I imagined the red-colored blood gushing out of him like a waterfall. I grabbed my doctor equipment and, with shaking hands, started stitching the wound in his chest with fear that something might go wrong. After sealing the cut, I checked the heart monitor, and a big smile appeared on my face. My teddy bear was safe and alive, and I was an outstanding six-year-old doctor. After finishing surgery, I skipped into the waiting room to see my clinic filled with my sister’s Barbies who needed a heart replacement because Ken had broken their hearts.As a child, I always thought the people I knew could be replaced or brought back to life if something bad happened to them, like the toys I owned. However, one day showed me I was wrong. On a dull Wednesday afternoon, my parents dropped me off at my aunt's house so they could go to work. I spent the whole day talking to the dolls in my aunt's special colle ction before realizing my aunt never came to check on me. Wondering, I walked to her room through the open door; she was lying on the floor motionless, her mouth slightly open, and no spirit left inside her body.That day I learned she could not be replaced. After seeing the image of my aunt's empty body, I woke up to realize that I had been living in a fantasy where people never die. Because of what happened to my aunt, I decided to become a real doctor who would save humans from unnecessary death. I knew that I would have to study my hardest to earn the required test scores to get into the top medical college. But living in Egypt, I knew my dream was not going to be accomplished since well-connected people steal the high test scores for their children.When I turned eleven, my parents brought me to live in the United States. I will always remember my first day in a school in America: I walked to my sixth grade class with a heart pounding like a noisy watch. As I sat in my seat and w atched everyone carefully, I remember thinking that my English would never be fluent as theirs. That day and every day, I went home and studied. Within six months my English became as normal as an average American’s and my medical dream was born once again.After I entered high school, doing well got a little harder. But I just studied more to be able to follow my dream. Through my experiences in America, I have learned some important truths. If I do not go after what I want, I will never have it; if I do not ask, the answer will always be no; and if I do not step forward, I will always be in the same place. I also have come to realize that people can live in my heart but not in my life. And the six-year-old doctor is now even more empowered to work toward her dream.

Plato s View On Philosophers - 1334 Words

Plato is a philosopher; however, in â€Å"Plato’s Republic,† Plato’s view on philosophers within society is rather unorthodox compared with others who study philosophy. This is due to Plato’s views of individuals each having different skills they are naturally good at; he states that only true philosophers will be fit to rule. All others who attempt to rule will create terrible consequences for a city. The people shun philosophers because they are lovers of knowledge and are perceived to be different from them. The majority of people in a city are not lovers of knowledge but rather lovers of beauty. Referencing â€Å"Plato’s Republic, each person has a different skill they are naturally good at. Knowing this, philosophers must be naturally good at thinking and arguing. However, a good and great ruler needs more than these traits; a true ruler will have to be â€Å"those who love the sight of truth.†(475d). Given that statement, those who lov e the sight of the truth are true philosophers that have a love for knowledge, opposed to having a love for beauty, sight, and sound. Furthermore, a true philosopher must love the ideas behind things as well as the objects themselves, not just one part. Whereas lovers of sight only love things that appear beautiful versus a lover of knowledge who loves and appreciates beauty in its entirety. In order for one to be a true ruler, one has to be a true philosopher. To be a true philosopher means to have a love for knowledge and wisdom. A lover ofShow MoreRelatedPlato, An Ancient Greek Philosopher1458 Words   |  6 Pages Plato, an Ancient Greek Philosopher by Carly Rittenmeyer Bible and the Ancient World Spring 2015 Plato, a Greek Philosopher, is known for his writings that impacted people in the Ancient Greek society. He was a free thinker and lived in a free city, Athens. 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