The Importance Of Physical And Mental Health Care

805 Words 4 Pages
This assignment will analyse and critically discuss a scenario from clinical placement that assesses a range of physical and mental health needs of individuals of all ages and provide safe and effective care prior to accessing or referring to a specialist. I will be using Rolfe, Jasper and Freshwater’s reflective framework (2001) as a structure to show a developing understanding of professional knowledge and skills. Patients and placement provider’s names have been omitted or changed to ensure confidentiality (NMC 2015).
During my placement within a surgical ward, I met Peter, who was day two post spinal surgery. To facilitate his recovery, Peter’s pain levels must be managed to improve Peter’s care experience and wellbeing. In order to achieve
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Consulting his drug chart, I saw that at the time he was able to take Paracetamol and Tramadol, which he stated he had taken before and felt was effective. After conferring with the nurse, I dispensed the medication and informed him that I would check back with him to ensure it was effective. However, after 20 minutes it became apparent that it had not as Peter stated that his intensity rating had increased to an 8. Visually, he was pale and writhing in bed. Upon examination of his back, I noticed that whilst his wound dressing was intact, I could feel the muscles surrounding his spinal cord contracting. Peter mentioned that the pain had suddenly increased when he had leaned over to get his bag. I suspected that Peter was suffering from muscle spasms, caused by the leaning motion, and would need Diazepam to relax the muscles. Consulting the nurse, she agreed with my assessment and asked me to bleep the Resident Medical Officer to prescribe the medication. I explained to Peter the effects and possible side effects that Diazepam could induce, after which he agreed to try the drug. Upon taking the medication, Peter’s pain slowly abated and we talked about which movements would benefit or cause his recovery to deteriorate. I then contacted the physiotherapy team to ensure they were aware of Peter’s …show more content…
When assessing Peter’s pain I initially used a uni-dimensional assessment tool. Uni-dimensional assessment tools are the most commonly used assessment tools, focusing on few factors such as the location and intensity of the pain (Coif et al 2004). Whilst this assessment tool allows nurses to quickly identify and manage the intensity and location of the pain, it allows greater room for misinterpretation when identifying the nature of the pain; for example, one patient’s classification regarding intensity can be interpreted differently by various health care professionals. Using the uni-dimensional assessment tool caused me to mistakenly identify the cause and nature of Peter’s pain causing him unnecessary suffering and distress. Poorly assessed post operative pain can cause raised levels of anxiety, insomnia, restlessness, irritability, aggression, distress, increased blood pressure and heart rate, nausea and vomiting and wound discharge (Carr et al 2005). These factors can greatly increase the risk of deterioration after

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