C/N/183. Student nurse's reflection on the process of specimen collection using Gibbs Reflective Cycle as an aid to reflection

The paper examines the protocol of specimen collection with particular reference to the collection, labeling and delivery of laboratory specimens. The techniques of labeling specimen jars and filling the log book are examined; confidentiality issues and the issues of health and safety are addressed with regard to contamination and cross-infection. Gibbs Reflective Cycle is used to assist reflection.

C/N/135. Role of inter-professional team working in enhancing patient care

The paper examines how an inter-professional approach enhances patient care discussing the importance of good inter-professional team work relationships. Several aspects of team work and management such as patient care, medication, decision making and nurses' perceptions are considered along with the rules specified by the code of professional conduct. The challenges and advantages of teamwork in a clinical setting are discussed.

S/N/126. Prerequisites of effective nursing practice

The paper examines the challenges of contemporary nursing providing definitions of nursing, discussing personal and professional involvement of nurses with their patients, the key elements of effective nursing practice, the concept of patient's dignity, etc.

S/N/123. Research Paper on Alzheimer's Caregivers Needs

The paper addresses the problem of caring for patients suffering from the Alzheimer's disease (AD). The needs of giving support to caregivers are identified examining the information that may reduce their feelings of burden and increase the effectiveness of their care.

C/N/129. Nursing clients in community settings

This paper will attempt to appraise the quality of care given to a patient in a community setting. The patient profile employed to deliver the same has been attached with this paper and patient identity has been kept confidential in line with the NMC code of conduct (2004). The appraisal will be done on four aspects vis-à-vis the philosophy of care underpinning the practice, significance of respecting individuals beliefs and values, application of evidence based practice and contribution of the multi professional practice with an attempt to integrate all four into the appraisal. To lend a structure to the paper the appraisal will follow the four components of the nursing process i.e. assessment, planning, implementation and evaluation.

S/N/121. In order to ensure that health care delivery is of the highest possible standard, the UK Government (DH 2003) has highlighted a number of fundamental aspects of care, including continence, bowel and bladder care. With reference to relevant literature and clinical placement experiences in your own branch and at least one other practice setting, discuss how nursing contributes to the achievement of best practice in the above aspect of care

The paper reports on the nursing practices in female urinary continence and bladder care addressing the issues of managing urinary incontinence, analysing care benchmarks for best practice in the studied areas (including the Department of Health (DH) guidelines), etc.

S/N/120. Reflecting on recent clinical placements and relevant literature, identify and explore the principles to be considered when sharing information with clients and/or their relatives. You should illustrate your answer from at least two different care settings or with reference to at least two different client age groups

The paper reports on the communication between nursing home clients and their relatives providing a review of literature on the issues of communication, highlighting the peculiarities of nurses' communication with patients, arguing the importance of information sharing, and discussing legal acts related to best clinical practice.

S/N/118. "Ensuring patients receive adequate nutrition is an essential part of basic patient care, yet we know malnutrition is still a big problem for the NHS". (NICE PRESS RELEASE, 2006). Discuss the principles of meeting feeding and nutrition needs in relation to the patients/clients nursed during your Module One clinical placement

The paper addresses the problems of nutrition and malnutrition in a UK private nursing home. The experience of the author's work placement in the nursing home is described with the focus on the dependency clients and their feeding schemes.

C/N/127. Case study of an Asian patient with gonorrhoea

Appraisal and assessment of a patient presenting with gonorrhoea. Treatment is analysed in terms of the nursing process. Particular emphasis is placed on the evidence base underpinning the process.

C/N/125. Relationship between smoking and alcohol habits and mental illness

This part of the essay deals with two issues of the practical aspects of research and reflective exercise on the relationship between smoking and alcohol habits and mental illness. The study uses data in the form of interview from 10 research participants and their quality of life is analysed along with lifestyle and smoking habits and suggests how this would relate to their mental illness. Studies have shown that mentally ill and stressed people are more dependent on smoking and alcohol habits than normal people and various studies and reflections on the data attained could prove this. This is however a proposal for research and puts down a foundation for future research ideas.

C/N/124. Incident Reflection

The aim of this reflection is to discuss about an incident which occurred during my practice placement and to review and analyse the situation and my actions with respect to my professional experience leading to learning from the new experience. The reflective exercise is important for higher level of competence as this helps to identify weaknesses that need development. The name of my client is Susan although confidentiality is maintained according to the Nursing and Midwifery council code of professional conduct (NMC 2004). I will be reflecting on an incident in which I was actively involved when a client nearly fell to the floor. I will be using the Gibbs cycle to reflect on what happened because it specifies exactly what has happened and what is expected to happen, along with what has been done and what could have been done in a similar situation.

C/N/122. Clinical aspects of holistic care of a leukaemia patient

In this essay we consider the case of Mrs X who has myelodysplasia. Various aspects of her treatment are discussed. Emphasis is on the holistic and multidisciplinary aspects of her care. The whole is fully referenced with reference to recent papers on the subject.

C/N/120. Two case studies: One on the correction of hypovolaemia and the other on the nursing requirements of a tracheostomy patient

Both are discussions of the cases set with full discussion and appropriate academic backgrounds.

C/N/119. Clinical aspects of holistic care of a leukaemia patient

In this essay we consider the case of Mrs X who has myelodysplasia. Various aspects of her treatment are discussed. Emphasis is on the holistic and multidisciplinary aspects of her care. The whole is fully referenced with reference to recent papers on the subject.

C/N/117. A clinical case study and in-depth analysis of the psychodynamics of bipolar disorder

We consider the case of Mrs. D, who has presented with bipolar disorder. She has produced a number of maladaptions and cognitive distortions as coping mechanisms. We discuss her family history and its relevance together with the role of the nurse in maintaining Mrs. D's clinical equilibrium. The whole is supported by current academic references.

C/N/116. Assessment and Management of a Patient with Health problems related to Osteoarthritis

This case study describes a patient a 70 year old male, John B, who was admitted to a private clinic for three days for a total knee replacement surgery. The main task of the exercise here is to assess the patient's condition holistically, describing assessment tools and evaluating the pain assessment tool among others. The patient's condition is diagnosed and then a treatment approach is suggested along with the importance of holistic care. Physiotherapy, counselling and support are suggested after the knee replacement surgery and the focus is on improving the general quality of life of the patient.

C/N/115. An investigation into malnutrition in the elderly and a theoretical outline of a method of investigation

In this essay we consider the evidence base to support the concept of malnutrition in the elderly. We examine its incidence causes and discuss cultural and behavioural issues that are relevant. We also hypothesise a nurse-led operation to identify the malnourished in a practice population and discuss interventions that might be appropriate.

S/N/127. Nursing management; theory and case study

The paper looks at the challenges facing a nurse manager providing an overview of the nursing profession and analysing an episode of care from the perspective of team communication, leadership style and management techniques.

S/N/119. Define and explore how reflection can influence learning in clinical practice. Within this assignment include reflection on your recent clinical experiences during Module One and recognise situations where you acknowledge the limitations of your own abilities and therefore required referral to a registered practitioner

The paper reports on the author's clinical placement experience in a British nursing home describing his/her activity, challenges and gains on the basis of the Gibbs model of reflection.

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