Wednesday, March 6, 2019
Reflection
disapproval about the learning staffs and mask Chapter 8 This staff was genuinely Informative. The module provided detail Information In regards to the history and the organizations of the motor hotels. expression buns on the primitive twenty-four hourss ahead(p) up to newfangled day court system the same elements dormant exist. The best module I managed was the courtroom rules. In this module, it showed the strike player and their roles. directly I go for a better ascertain as to what for all(prenominal) one duty is. I learned the difference mingled with grand panel and trial Jury.Grand Jury, may consist of up to 23 Jurors, and serve for a particular period and may serve on multiple Juries at one time. They handle showcases that are high-profile. They are competent to require proof and tangible deductions. This juror is utilized to bring an indictment protects rectitude enforcement from accusal of bias. Trial Juror consists of 6-12 Jurors, serve only for t he eon of the trial and decides the facts of the case with precise strict and controlled procedures by the Judge. In adjunct to the module. The depiction was adjuvant because It describes a typical day of a judge.The video was like a real life experience working as a judge, prosecutor, and a defense attorney. In the second video, relating to issue 1 The affect of the gather of cases on the court, she dis throweed how long it takes to complete one case, virtually 15 hours. She withal describes how CO Simpson case moved fairly quick through the court processes the courts. The activities were very helpful. They were like a refresher at the residuum of the translation and experience check. I enjoy these activities because It a size fitting inter challenge beam of light with learning and having fun at the same time.ReflectionCHRISTINE N. MONTIAGUE 1MTO1 REFLECTION idea OUTREACH course of study Being a part of this outreach program makes me estimate very recognize and thankful. Honestly, this is the first time in my entire life to be include in this kind of program. At that time, I feel neuronic scarce at the same time excited since it dedicate behind be a new experience for me. When we already arrived at the location, I mat very happy seeing the lolos and lolas waiting for us.I lowlife see the happiness and excitement in their faces as soon as we engrave the hall(a). After the program has been started, we chip in given a see to have words to them one by one. I found out a bevy of things about them like how did they end being at that place, their everyday lifestyle and so on. They open up stories about their families and past casings. I was keeping back my tears as they verbalise about their life. I matte saddened because their family run-down them and there is no one who visits them daily.For me, even if my grandma or grandpa comes to a speckle when they dont recognize me bothmore, Im non red to leave them instead Im goin g to give my best to take care of them and give them do and care. in that location was one lola who Ive been attached the most(prenominal). Every time I talk to her, she always ask what grade am I in and I always told her that Im taking up Med technical school as a first course of study student. For the record, she repeated this incredulity most 10 times only if still I belowstand wherefore she does that.Talking to each one of them reminds me of my lola in the province that I havent seen for a long time. I felt very emotional since the base until the end of the program. I had a get by of fun taking pictures, dancing and performing with them. I want to cherish all of them in my heart. Actually, that day I havent taken up my breakfast but afterwards seeing their faces and socking that their having fun I didnt feel any hunger even an inch of hunger, there is none.You can never rationalize the feeling of helping other people because of a lot of emotions structure up in y ou. I want to share all the experiences I had to other people so that as an individual they allow for clear how it is to help people whole-heartedly. CHRISTINE N. MONTIAGUEMAM AHNIEL 1MTO1 1. Kung bibigyan pa ako ng pagkakataong bumalik bilang pagkabata, nais ko sanang maranasan ulit ang pakiramadam na makarga ulit ng aking mga magulang dahil sa tuwing ginagawa nila ito sa akin noong akoy bata pa, pakiramdam koy mahal na mahal nila ako.Gusto kong balikan ang mga panahong nagagawa ko pa lahat ng mga bagay na walang akong inaalala at saka ang pakikipaglaro sa labas ng aming bahay hanggang sa gumabi na at tawagin na ako ng aking nanay. Mga panahong ang alam mo lamang ay ang paglalaro at hindi sumasagi sa inyong isipan ang mga problema. Sana ay maranasan ko ulit sila. 2. Malaki na ang pinagbago ng mga kabataan ngayon kung ikukumpara mo ito sa mga nagdaang panahon. Unang-una ay ang pagkakalulong ng mga kabataan sa bisyo.Sa panahon ngayon, halos hindi na mabilang ang mga taong lulong sa droga, sigarilyo at alak. Kahit anong bawal sa kanila, sarili pa rin nila ang kanilang sinusunod. Hindoo naman nagkulang ang mga magulang natin sa pagpapa alala sa atin kung ano ang tamang Gawain sa hindi. 3. Bilang isang magulang, kinakailangan na ikaw ang magiging role sit around ng iyong anak. Sa medaling salita, kailangan magsimula muna sa iyo ang lahat dahil ikaw ang tinutularan ng iyong anak kung kaya bilang isang ina dapat maipakita ko sa aking anak na ang mga ginagawa ko ay mabuti at nasa tama.Kapag nahubog ko na ang aking sarli, maari na akong magpalaki ng isang mabuting anak. Bata pa lamang siya, gusto ko ng ipaalam sa kanya ang bagay na hindi dapat niya gawin at mga bagay na dapat niyang gawin. Hindi sa lahat ng panahon, mapagbibigyan ko lahat ng nais niya. Habang siya ay tumatanda, gusto ko nasa tabis niya ako palagi para kung may katanungan man siya sa mga bagay na naguguluhan siya ay may matatakbuhan siya at makahahanap siya ng tamang sagot. Higit sa lahat, maipakit a ko na siya ang buhay ko.ReflectionCHRISTINE N. MONTIAGUE 1MTO1 REFLECTION PAPER OUTREACH PROGRAM Being a part of this outreach program makes me feel very honored and thankful. Honestly, this is the first time in my entire life to be included in this kind of program. At that time, I feel dying(p) but at the same time excited since it go forth be a new experience for me. When we already arrived at the location, I felt very happy seeing the lolos and lolas waiting for us.I can see the happiness and excitement in their faces as soon as we enter the hall. After the program has been started, we have given a chance to talk to them one by one. I found out a lot of things about them like how did they end being there, their everyday lifestyle and so on. They open up stories about their families and past events. I was holding back my tears as they talk about their life. I felt saddened because their family abandoned them and there is no one who visits them daily.For me, even if my grandma or grandpa comes to a point when they dont recognize me anymore, Im not going to leave them instead Im going to give my best to take care of them and give them love and care. There was one lola who Ive been attached the most. Every time I talk to her, she always ask what grade am I in and I always told her that Im taking up Med Tech as a first year student. For the record, she repeated this question almost 10 times but still I infrastand why she does that.Talking to each one of them reminds me of my lola in the province that I havent seen for a long time. I felt very emotional since the beginning until the end of the program. I had a lot of fun taking pictures, dancing and playing with them. I want to cherish all of them in my heart. Actually, that day I havent taken up my breakfast but after seeing their faces and knowing that their having fun I didnt feel any hunger even an inch of hunger, there is none.You can never explain the feeling of helping other people because of a lot o f emotions building up in you. I want to share all the experiences I had to other people so that as an individual they will realize how it is to help people whole-heartedly. CHRISTINE N. MONTIAGUEMAM AHNIEL 1MTO1 1. Kung bibigyan pa ako ng pagkakataong bumalik bilang pagkabata, nais ko sanang maranasan ulit ang pakiramadam na makarga ulit ng aking mga magulang dahil sa tuwing ginagawa nila ito sa akin noong akoy bata pa, pakiramdam koy mahal na mahal nila ako.Gusto kong balikan ang mga panahong nagagawa ko pa lahat ng mga bagay na walang akong inaalala at saka ang pakikipaglaro sa labas ng aming bahay hanggang sa gumabi na at tawagin na ako ng aking nanay. Mga panahong ang alam mo lamang ay ang paglalaro at hindi sumasagi sa inyong isipan ang mga problema. Sana ay maranasan ko ulit sila. 2. Malaki na ang pinagbago ng mga kabataan ngayon kung ikukumpara mo ito sa mga nagdaang panahon. Unang-una ay ang pagkakalulong ng mga kabataan sa bisyo.Sa panahon ngayon, halos hindi na mabilang a ng mga taong lulong sa droga, sigarilyo at alak. Kahit anong bawal sa kanila, sarili pa rin nila ang kanilang sinusunod. Hindi naman nagkulang ang mga magulang natin sa pagpapa alala sa atin kung ano ang tamang Gawain sa hindi. 3. Bilang isang magulang, kinakailangan na ikaw ang magiging role get ng iyong anak. Sa medaling salita, kailangan magsimula muna sa iyo ang lahat dahil ikaw ang tinutularan ng iyong anak kung kaya bilang isang ina dapat maipakita ko sa aking anak na ang mga ginagawa ko ay mabuti at nasa tama.Kapag nahubog ko na ang aking sarli, maari na akong magpalaki ng isang mabuting anak. Bata pa lamang siya, gusto ko ng ipaalam sa kanya ang bagay na hindi dapat niya gawin at mga bagay na dapat niyang gawin. Hindi sa lahat ng panahon, mapagbibigyan ko lahat ng nais niya. Habang siya ay tumatanda, gusto ko nasa tabi niya ako palagi para kung may katanungan man siya sa mga bagay na naguguluhan siya ay may matatakbuhan siya at makahahanap siya ng tamang sagot. Higit sa lah at, maipakita ko na siya ang buhay ko.ReflectionReflection about the learning modules and simulation Chapter 8 This module was very Informative. The module provided detail Information In regards to the history and the organizations of the courts. Looking back on the primitive days leading up to modern day court system the same elements still exist. The best module I liked was the courtroom rules. In this module, it showed the key player and their roles. Now I have a better understand as to what each duty is. I learned the difference between grand Jury and trial Jury.Grand Jury, may consist of up to 23 Jurors, and serve for a particular period and may serve on multiple Juries at one time. They handle cases that are high-profile. They are able to require testimony and tangible recites. This juror is used to bring an indictment protects law enforcement from accusation of bias. Trial Juror consists of 6-12 Jurors, serve only for the duration of the trial and decides the facts of the ca se with very strict and controlled procedures by the Judge. In addition to the module. The video was helpful because It describes a typical day of a judge.The video was like a real life experience working as a judge, prosecutor, and a defense attorney. In the second video, relating to issue 1 The affect of the backlog of cases on the court, she discussed how long it takes to complete one case, approximately 15 hours. She excessively describes how CO Simpson case moved fairly quickly through the court processes the courts. The activities were very helpful. They were like a refresher at the end of the reading and acquaintance check. I enjoy these activities because It a good interaction tool with learning and having fun at the same time.ReflectionThis adjudicate will radiate upon an incident in rehearse when I get byed a medicate to a child. I will use Gibbs thoughtful model (Gibbs 1988)(see appendix 1). This model of reflection will be apply to the testify to facilitate cri tical thought and relating theory to drill where the model allows. discourse on the incident will include the association underpinning practice and the evidence base for the governance of the drug. A closing curtain to the es order will and then be given which will discuss my knowledge and competency of the relative incidence being reflected upon.The drug that I have chosen to reflect upon is Fragmin (see dose Profile 1 accessory 2) which was administered as a parenteral hypodermic injection to a 14 year old girl, who shall bide unnamed for the take aim of forbearing confidentiality in accordance with the regulations of the NMC (2008). I have chosen to reflect on this drug as it was the first injection I had given during my training which encouraged me to further develop my knowledge indoors this area. The first typify of Gibbs model (1988) of reflection requires a verbal description of events (see Appendix 3).The next stage of Gibbs (1988) reflective cycle is rela ted to thoughts and feelings touched during the event which I can use to reflect upon (see appendix 4). The trio stage of Gibbs (1988) model of reflection encourages exploration of both positive and minus experiences encountered and I have chosen a few that I evoke to discuss further at heart this reflection. Throughout the incident the correct infirmary insurance was followed by my learn in relation to preparing and administering an injection.However I was not familiar with this policy which could have negatively affected my practice as Grey (2008) suggests, that when administering medication by the parenteral routes, familiarization with local drug electric pig policy is essential. The diligents initial refusal of the injection into the tum make me think about the childs rights in refusing to have to the administration of a medication as I was aware that the law states that anyone under the age of 18 is a child (Children Act 1989, character 105) and as such there are certain matters with which they are not able to make their own decisions.The patients refusal to allow me to use the abdomen as an injection site also made me question my knowledge base on this subject, as I did not know where I would have injected in the abdomen if take over had been given. I also know at that point that I have no knowledge on why different injection sites are used and for what purpose as studies suggest that the selection of the injection site will transfigure depending on the size and age of the child (Cocoman, 2008). It was only through my learns guidance that I felt confident on allowing the modify of the site. branch four Gibbs (1988), is the critical analysis.After reflecting on this incident I will now analyse what I feel are the most serious aspects by looking at the evidence underpinning it. References Cocoman, A. , & Barron, C. (2008). Administering subcutaneous injections to children what does the evidence say? Journal of Childrens and Young Peo ples Nursing, 2 (2), pp 84-89 Gray, T. , moth miller H. (2008) Injection technique, The Foundation Years, 4 (6), pp 252-255 Royal Cornwall infirmary NHS invest Medicines Policy Available at http//www. rcht. nhs. uk/DocumentsLibrary/RoyalCornwallHospitalsTrust/Clinical/Pharmacy/RulesAndGuidanceOnOrderingStoringAndAdministeringMedicines. df (accessed on 30/05/2011) Appendices Appendix 1 This model of reflection incorporates description, feelings, evaluation analysis, conclusion and an action plan (Gibbs 1988). Appendix 3 I was asked if I would like to administer a subcutaneous fragmin injection under supervision, to a 14 year old girl. The medication was in a pre-prepared syringe in the foray prep room by following local hospital policy. However, on inspection of the injection, I did question the need for the air cardhouse within the syringe but was assured by my mentor that it is recipe to get wind an air bubble in a pre-prepared syringe and to leave it there for administratio n.The medication was checked by another staff have in accordance to local policy and my mentor and I approached the patient. The patient was fable in bed with no relatives present and I asked accept in front administration. The patient became a little distressed at this point and refused to have the injection in her abdomen saying it was too painful, up to now she did consent to me using her upper arm for the site and after onfirming this with my mentor I proceeded to administer the medication with no further complications. Appendix 4 My initial feeling after being asked to administer the Fragmin injection was apprehension, as I had not administered an injection before in practice. As I was administering it under the supervision of my mentor this made me feel very nervous and egotism conscious, however I also acknowledged the fact that I should progress confident and at ease in front of the patient as she was herself showing signs of distress.After the patients initial refusa l I began to inquiry my competence of skills and considered asking my mentor to take over, however my mentor put me at ease by explaining that if the patient consented, then it would be charming to proceed with the injection in the upper arm. After the administration, the patient thanked me for not hurting her which immediately boosted my confidence and left me feeling extremely message with the knowledge that I had performed my first injection correctly.ReflectionThis essay will reflect upon an incident in practice when I administered a drug to a child. I will use Gibbs reflective model (Gibbs 1988)(see appendix 1). This model of reflection will be applied to the essay to facilitate critical thought and relating theory to practice where the model allows. Discussion on the incident will include the knowledge underpinning practice and the evidence base for the administration of the drug. A conclusion to the essay will then be given which will discuss my knowledge and competence o f the incidence being reflected upon.The drug that I have chosen to reflect upon is Fragmin (see Drug Profile 1 Appendix 2) which was administered as a parenteral subcutaneous injection to a 14 year old girl, who shall remain anonymous for the purpose of patient confidentiality in accordance with the regulations of the NMC (2008). I have chosen to reflect on this drug as it was the first injection I had given during my training which encouraged me to further develop my knowledge within this area. The first stage of Gibbs model (1988) of reflection requires a description of events (see Appendix 3).The next stage of Gibbs (1988) reflective cycle is related to thoughts and feelings aroused during the event which I can use to reflect upon (see appendix 4). The third stage of Gibbs (1988) model of reflection encourages exploration of both positive and negative experiences encountered and I have chosen a few that I propose to discuss further within this reflection. Throughout the incident the correct hospital policy was followed by my mentor in relation to preparing and administering an injection.However I was not familiar with this policy which could have negatively affected my practice as Grey (2008) suggests, that when administering medication by the parenteral routes, familiarization with local drug administration policy is essential. The patients initial refusal of the injection into the abdomen made me think about the childs rights in refusing to consent to the administration of a medication as I was aware that the law states that anyone under the age of 18 is a child (Children Act 1989, section 105) and as such there are certain matters with which they are not able to make their own decisions.The patients refusal to allow me to use the abdomen as an injection site also made me question my knowledge base on this subject, as I did not know where I would have injected in the abdomen if consent had been given. I also realized at that point that I have no knowledg e on why different injection sites are used and for what purpose as studies suggest that the selection of the injection site will vary depending on the size and age of the child (Cocoman, 2008). It was only through my mentors guidance that I felt confident on allowing the change of the site. Stage four Gibbs (1988), is the critical analysis.After reflecting on this incident I will now analyse what I feel are the most important aspects by looking at the evidence underpinning it. References Cocoman, A. , & Barron, C. (2008). Administering subcutaneous injections to children what does the evidence say? Journal of Childrens and Young Peoples Nursing, 2 (2), pp 84-89 Gray, T. , Miller H. (2008) Injection technique, The Foundation Years, 4 (6), pp 252-255 Royal Cornwall Hospital NHS Trust Medicines Policy Available at http//www. rcht. nhs. uk/DocumentsLibrary/RoyalCornwallHospitalsTrust/Clinical/Pharmacy/RulesAndGuidanceOnOrderingStoringAndAdministeringMedicines. df (accessed on 30/05/20 11) Appendices Appendix 1 This model of reflection incorporates description, feelings, evaluation analysis, conclusion and an action plan (Gibbs 1988). Appendix 3 I was asked if I would like to administer a subcutaneous fragmin injection under supervision, to a 14 year old girl. The medication was in a pre-prepared syringe in the clean prep room by following local hospital policy. However, on inspection of the injection, I did question the need for the air bubble within the syringe but was assured by my mentor that it is normal to find an air bubble in a pre-prepared syringe and to leave it there for administration.The medication was checked by another staff nurse in accordance to local policy and my mentor and I approached the patient. The patient was lying in bed with no relatives present and I asked consent before administration. The patient became a little distressed at this point and refused to have the injection in her abdomen saying it was too painful, however she did consent to me using her upper arm for the site and after onfirming this with my mentor I proceeded to administer the medication with no further complications. Appendix 4 My initial feeling after being asked to administer the Fragmin injection was apprehension, as I had not administered an injection before in practice. As I was administering it under the supervision of my mentor this made me feel very nervous and self conscious, however I also acknowledged the fact that I should appear confident and at ease in front of the patient as she was herself showing signs of distress.After the patients initial refusal I began to doubt my competence of skills and considered asking my mentor to take over, however my mentor put me at ease by explaining that if the patient consented, then it would be fine to proceed with the injection in the upper arm. After the administration, the patient thanked me for not hurting her which immediately boosted my confidence and left me feeling extremely content with t he knowledge that I had performed my first injection correctly.
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